Actual versus Self-reported Cognitive Dysfunction in HIV-1 Infection: Memory-Metamemory Dissociations
| Autor: | Laura M Campbell, S. Wood, Ramani S. Durvasula, van Gorp Wg, Thomas D. Marcotte, Baluda Mr, P. Satz, Charles H. Hinkin |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
Male Self-Assessment medicine.medical_specialty Dissociation (neuropsychology) Neuropsychological Tests Audiology Cognition Memory Metamemory medicine Humans Memory disorder Psychiatry Episodic memory Acquired Immunodeficiency Syndrome medicine.diagnostic_test Cognitive disorder Neuropsychology Neuropsychological test Middle Aged medicine.disease Clinical Psychology Neurology HIV-1 Female Neurology (clinical) Psychology |
| Zdroj: | Journal of Clinical and Experimental Neuropsychology. 18:431-443 |
| ISSN: | 1744-411X 1380-3395 |
| DOI: | 10.1080/01688639608408999 |
| Popis: | The relationship between subjective awareness and objective neuropsychological status in HIV-1 infection remains unclear. Forty-six HIV-1 seropositive males were administered a battery of neuropsychological measures assessing episodic memory, metacognition, and depression. Results of ANOVA revealed a dissociation between subjects' self-complaint of neuropsychological impairment and objective performance, with subjects who denied cognitive impairment performing worse on memory testing. Three subgroups were identified: A group whose self-reported cognitive impairment exceeded deficits demonstrated on memory testing (37% of subjects); a group who denied impairment but evidenced deficits on memory testing (26% of subjects); and a group whose self-appraisal was consistent with performance (37% of subjects). These data suggest that self-report of cognitive dysfunction among HIV-1 infected subjects is frequently at variance with objective neuropsychological testing and that diminished awareness of decline among medically symptomatic HIV-1 infected subjects can be identified. |
| Databáze: | OpenAIRE |
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