Journal article
Screening for HIV-Associated Neurocognitive Impairment
Journal of the Association of Nurses in AIDS Care, Vol.30(1), pp.42-50
2019
Abstract
Neurocognitive impairment (NCI) is common in people aging with HIV and can adversely affect health-related quality of life. However, early NCI may be largely asymptomatic and neurocognitive function is rarely assessed in the context of routine clinical care. In this study, we considered the utility of two assessment tools as screens for NCI in patients attending a community-based clinic (N=58; mean age=57 years): the Montreal Cognitive Assessment (MoCA) and a 3-item cognitive concerns questionnaire derived from the HIV Dementia Scale. Health-related quality of life and depression/anxiety were also measured. Indication of NCI using the MoCA was more prevalent compared to the 3-item questionnaire and was associated with the patients’ initial antiretroviral therapy commencing between the years of 1997 and 2001, independently of age. Findings of the MoCA were not confounded by existing mood disorders, unlike the 3-item questionnaire. Therefore, we suggest implementing the MoCA as an initial screen for NCI.
Details
- Title
- Screening for HIV-Associated Neurocognitive Impairment
- Authors/Creators
- S. Herrmann (Author/Creator)E. McKinnon (Author/Creator)M. Skinner (Author/Creator)M. Duracinsky (Author/Creator)R. Chaney (Author/Creator)V. Locke (Author/Creator)F. Mastaglia (Author/Creator)
- Publication Details
- Journal of the Association of Nurses in AIDS Care, Vol.30(1), pp.42-50
- Publisher
- Wolters Kluwer
- Identifiers
- 991005545366007891
- Copyright
- © 2018 The Authors
- Murdoch Affiliation
- School of Psychology and Exercise Science
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.66 HIV
- 1.66.1615 HIV Neurocognitive Disorders
- Web Of Science research areas
- Nursing
- Public, Environmental & Occupational Health
- ESI research areas
- Clinical Medicine