Title |
Depression, Cognition, and Self-Appraisal of Functional Abilities in HIV: An Examination of Subjective Appraisal Versus Objective Performance
|
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Published in |
The Clinical Neuropsychologist, January 2011
|
DOI | 10.1080/13854046.2010.539577 |
Pubmed ID | |
Authors |
April D. Thames, Brian W. Becker, Thomas D. Marcotte, Lindsay J. Hines, Jessica M. Foley, Amir Ramezani, Elyse J. Singer, Steven A. Castellon, Robert K. Heaton, Charles H. Hinkin |
Abstract |
Depression frequently co-occurs with HIV infection and can result in self-reported overestimates of cognitive deficits. Conversely, genuine cognitive dysfunction can lead to an under-appreciation of cognitive deficits. The degree to which depression and cognition influence self-report of capacity for instrumental activities of daily living (IADLs) requires further investigation. This study examined the effects of depression and cognitive deficits on self-appraisal of functional competence among 107 HIV-infected adults. As hypothesized, higher levels of depression were found among those who over-reported problems in medication management, driving, and cognition when compared to those who under-reported or provided accurate self-assessments. In contrast, genuine cognitive dysfunction was predictive of under-reporting of functional deficits. Together, these results suggest that over-reliance on self-reported functional status poses risk for error when diagnoses require documentation of both cognitive impairment and associated functional disability in everyday life. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 67% |
South Africa | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 2 | 67% |
Members of the public | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 2% |
Unknown | 108 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 15 | 14% |
Student > Ph. D. Student | 13 | 12% |
Student > Bachelor | 12 | 11% |
Student > Doctoral Student | 10 | 9% |
Student > Master | 10 | 9% |
Other | 24 | 22% |
Unknown | 26 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 29 | 26% |
Medicine and Dentistry | 18 | 16% |
Nursing and Health Professions | 9 | 8% |
Social Sciences | 8 | 7% |
Neuroscience | 7 | 6% |
Other | 8 | 7% |
Unknown | 31 | 28% |