학술논문

Predictors and Impact of Self-Reported Suboptimal Effort on Estimates of Prevalence of HIV-Associated Neurocognitive Disorders
Document Type
article
Source
JAIDS Journal of Acquired Immune Deficiency Syndromes. 75(2)
Subject
HIV/AIDS
Neurosciences
Prevention
Brain Disorders
Infectious Diseases
Clinical Research
2.1 Biological and endogenous factors
Aetiology
AIDS Dementia Complex
Bisexuality
Cluster Analysis
Ethnicity
HIV Infections
Homosexuality
Male
Humans
Male
Medication Adherence
Memory Disorders
Middle Aged
Neuropsychological Tests
Prevalence
Risk Factors
Self Report
Substance-Related Disorders
suboptimal effort
HIV-associated neurocognitive disorders
prevalence
visual analog scale
neuropsychology of HIV
Multicenter AIDS Cohort Study-Neuropsychology Working Group
Clinical Sciences
Public Health and Health Services
Virology
Language
Abstract
BackgroundPrevalence estimates of HIV-associated neurocognitive disorders (HAND) may be inflated. Estimates are determined via cohort studies in which participants may apply suboptimal effort on neurocognitive testing, thereby inflating estimates. Additionally, fluctuating HAND severity over time may be related to inconsistent effort. To address these hypotheses, we characterized effort in the Multicenter AIDS Cohort Study.MethodsAfter neurocognitive testing, 935 participants (525 HIV- and 410 HIV+) completed the visual analog effort scale (VAES), rating their effort from 0% to 100%. Those with