Publication Abstract Display
Type: Published Abstract
Title: Self-reported and objective learning/memory impairments among HIV+ with bipolar disorder.
Authors: Tobin AC, Moore DJ, Posada C, Gouaux BA, Grant I, and the HNRC Group
Year: 2010
Publication: 118th Annual Convention of the American Psychological Association, San Diego, CA
Volume: Issue: Pages:
Abstract:Approximately 30-50% of persons infected with human immunodeficiency virus (HIV) evidence at least mild neuropsychological (NP) impairment with deficits in learning, attention, executive functioning, information processing, verbal functioning and delayed recall (Grant, 2008). Bipolar disorder (BD) can also lead to impaired NP functioning, with significant impairments in learning, recall and executive functioning (Kurtz & Gerraty, 2009). Of particular clinical relevance is whether persons are able to accurately identify their own NP impairments. Among HIV+ persons, depressive symptoms are consistently associated with reports of memory complaints whereas mixed findings have been shown with regard to actual memory impairments and self-reported memory complaints (Rourke, 1999). Results from a previous study show that persons with BD, 75% of whom displayed cognitive impairment, exhibit a discrepancy between their subjective assessment of their own NP functioning and the actual level of their deficits as determined through NP testing (Burdick, 2005). The present study examines the relationship between self-reported memory complaints and objective learning and memory performance in HIV+ individuals with and without BD. The aims were: (1) to determine if persons who are HIV+/BD+ exhibited worse objective learning/memory performance and had more memory complaints as compared to HIV+/BD- individuals; and (2) to determine if objective and self-reported learning and memory performance were linked in each group. We predicted worse learning/memory performance among HIV+/BD+ persons as compared to HIV+/BD- individuals; we further predicted that the HIV+/BD+ group would be less likely to accurately report that they are having learning/memory impairments as compared to those who were HIV+/BD-.

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