Abstract：
:Individuals living with HIV show moderate decision-making deficits, though no prior studies have evaluated the ability to make optimal health-related decisions across the HIV healthcare continuum. Forty-three HIV+ individuals with HIV-associated neurocognitive disorders (HAND+), 50 HIV+ individuals without HAND (HAND-), and 42 HIV- participants were administered two measures of health-related decision-making as part of a comprehensive neuropsychological battery: (1) The Decisional Conflict Scale (DCS), and (2) The Modified UCSD Brief Assessment for Capacity to Consent (UBACC-T). Multiple regression analyses revealed that HAND was an independent predictor of both the DCS and the UBACC-T, such that the HAND+ sample evidenced significantly poorer scores relative to comparison groups. Within the HIV+ sample, poorer health-related decision-making was associated with worse performance on tests of episodic memory, risky decision-making, and health literacy. Findings indicate that individuals with HAND evidence moderate deficits in effectively comprehending and evaluating various health-related choices.
journal_name
J Clin Psychol Med Settingsjournal_title
Journal of clinical psychology in medical settingsauthors
Doyle KL,Woods SP,Morgan EE,Iudicello JE,Cameron MV,Gilbert PE,Beltran J,HIV Neurobehavioral Research Program (HNRP) Group.doi
10.1007/s10880-016-9455-xsubject
Has Abstractpub_date
2016-06-01 00:00:00pages
135-46issue
2eissn
1068-9583issn
1573-3572pii
10.1007/s10880-016-9455-xjournal_volume
23pub_type
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