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"Frontal systems" behaviors in comorbid human immunodeficiency virus infection and methamphetamine dependency.

Abstract：

:Human immunodeficiency virus (HIV) infection and methamphetamine (MA) dependence are associated with neural injury preferentially involving frontostriatal circuits. Little is known, however, about how these commonly comorbid conditions impact behavioral presentations typically associated with frontal systems dysfunction. Our sample comprised 47 HIV-uninfected/MA-nondependent; 25 HIV-uninfected/MA-dependent; 36 HIV-infected/MA-nondependent; and 28 HIV-infected/MA-dependent subjects. Participants completed self-report measures of "frontal systems" behaviors, including impulsivity/disinhibition, sensation-seeking, and apathy. They also underwent comprehensive neurocognitive and neuropsychiatric assessments that allowed for detailed characterization of neurocognitive deficits and comorbid/premorbid conditions, including lifetime Mood and Substance Use Disorders, Attention-Deficit/Hyperactivity Disorder, and Antisocial Personality Disorder. Multivariable regression models adjusting for potential confounds (i.e., demographics and comorbid/premorbid conditions) showed that MA dependence was independently associated with increased impulsivity/disinhibition, sensation-seeking and apathy, and HIV infection with greater apathy. However, we did not see synergistic/additive effects of HIV and MA on frontal systems behaviors. Global neurocognitive impairment was relatively independent of the frontal systems behaviors, which is consistent with the view that these constructs may have relatively separable biopsychosocial underpinnings. Future research should explore whether both neurocognitive impairment and frontal systems behaviors may independently contribute to everyday functioning outcomes relevant to HIV and MA.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Marquine MJ,Iudicello JE,Morgan EE,Brown GG,Letendre SL,Ellis RJ,Deutsch R,Woods SP,Grant I,Heaton RK,Translational Methamphetamine AIDS Research Center (TMARC) Group.

doi

10.1016/j.psychres.2013.11.004

subject

Has Abstract

pub_date

2014-01-30 00:00:00

pages

208-16

issue

1

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(13)00694-X

journal_volume

215

pub_type

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