Detecting HIV Associated Neurocognitive Disorders in Adolescents: What Is the Best Screening Tool?

Abstract Purpose To examine the ability of the HIV-Dementia Scale (HDS) and Mini Mental State Exam (MMSE) to detect encephalopathy in adolescents living with human immunodeficiency virus (HIV) and/or acquired immunodeficency syndrome (AIDS). Method The study was based on chart review (N = 71) from 1...

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Veröffentlicht in:Journal of adolescent health 2009-02, Vol.44 (2), p.133-135
Hauptverfasser: Lyon, Maureen E., Ph.D, McCarter, Robert, D.Sc, D'Angelo, Lawrence J., M.D., M.P.H
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container_end_page 135
container_issue 2
container_start_page 133
container_title Journal of adolescent health
container_volume 44
creator Lyon, Maureen E., Ph.D
McCarter, Robert, D.Sc
D'Angelo, Lawrence J., M.D., M.P.H
description Abstract Purpose To examine the ability of the HIV-Dementia Scale (HDS) and Mini Mental State Exam (MMSE) to detect encephalopathy in adolescents living with human immunodeficiency virus (HIV) and/or acquired immunodeficency syndrome (AIDS). Method The study was based on chart review (N = 71) from 1999 to 2006, extracting data from psychological testing, disease classification, and demographic variables. HDS and MMSE scores were independent. Diagnosis of encephalopathy used American Academy of Neurology Criteria. Receiver Operating Characteristic Curves were plotted. Results Six patients had encephalopathy. The HDS identified five of these cases (83% sensitivity, 76% specificity). The MMSE identified three cases (50% sensitivity, 92% specificity). Conclusion Based on the study results, the HDS appears to be clinically useful.
doi_str_mv 10.1016/j.jadohealth.2008.06.023
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Method The study was based on chart review (N = 71) from 1999 to 2006, extracting data from psychological testing, disease classification, and demographic variables. HDS and MMSE scores were independent. Diagnosis of encephalopathy used American Academy of Neurology Criteria. Receiver Operating Characteristic Curves were plotted. Results Six patients had encephalopathy. The HDS identified five of these cases (83% sensitivity, 76% specificity). The MMSE identified three cases (50% sensitivity, 92% specificity). Conclusion Based on the study results, the HDS appears to be clinically useful.</description><identifier>ISSN: 1054-139X</identifier><identifier>EISSN: 1879-1972</identifier><identifier>DOI: 10.1016/j.jadohealth.2008.06.023</identifier><identifier>PMID: 19167661</identifier><identifier>CODEN: JAHCD9</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acquired Immunodeficiency Syndrome - complications ; Adolescent ; Adolescent HIV ; Adolescents ; AIDS Dementia Complex - diagnosis ; Biological and medical sciences ; Encephalopathy ; Female ; HIV ; HIV Infections - complications ; HIV-associated neurocognitive disorders (HAND) ; HIV-Dementia Scale ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Infectious diseases ; Male ; Medical sciences ; Mental Status Schedule ; Mini-Mental State Exam ; Minimental State Examination ; Neurocognitive functioning ; Pediatrics ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics. Diagnostic aid systems ; Psychopathology. Psychiatry ; ROC Curve ; Self-Assessment ; Sensitivity ; Sensitivity and Specificity ; Surveys and Questionnaires ; Techniques and methods ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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Method The study was based on chart review (N = 71) from 1999 to 2006, extracting data from psychological testing, disease classification, and demographic variables. HDS and MMSE scores were independent. Diagnosis of encephalopathy used American Academy of Neurology Criteria. Receiver Operating Characteristic Curves were plotted. Results Six patients had encephalopathy. The HDS identified five of these cases (83% sensitivity, 76% specificity). The MMSE identified three cases (50% sensitivity, 92% specificity). 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Immunoglobulinopathies</subject><subject>Immunopathology</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Status Schedule</subject><subject>Mini-Mental State Exam</subject><subject>Minimental State Examination</subject><subject>Neurocognitive functioning</subject><subject>Pediatrics</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics. Diagnostic aid systems</subject><subject>Psychopathology. Psychiatry</subject><subject>ROC Curve</subject><subject>Self-Assessment</subject><subject>Sensitivity</subject><subject>Sensitivity and Specificity</subject><subject>Surveys and Questionnaires</subject><subject>Techniques and methods</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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Immunoglobulinopathies</topic><topic>Immunopathology</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Status Schedule</topic><topic>Mini-Mental State Exam</topic><topic>Minimental State Examination</topic><topic>Neurocognitive functioning</topic><topic>Pediatrics</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics. Diagnostic aid systems</topic><topic>Psychopathology. Psychiatry</topic><topic>ROC Curve</topic><topic>Self-Assessment</topic><topic>Sensitivity</topic><topic>Sensitivity and Specificity</topic><topic>Surveys and Questionnaires</topic><topic>Techniques and methods</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lyon, Maureen E., Ph.D</creatorcontrib><creatorcontrib>McCarter, Robert, D.Sc</creatorcontrib><creatorcontrib>D'Angelo, Lawrence J., M.D., M.P.H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of adolescent health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lyon, Maureen E., Ph.D</au><au>McCarter, Robert, D.Sc</au><au>D'Angelo, Lawrence J., M.D., M.P.H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detecting HIV Associated Neurocognitive Disorders in Adolescents: What Is the Best Screening Tool?</atitle><jtitle>Journal of adolescent health</jtitle><addtitle>J Adolesc Health</addtitle><date>2009-02-01</date><risdate>2009</risdate><volume>44</volume><issue>2</issue><spage>133</spage><epage>135</epage><pages>133-135</pages><issn>1054-139X</issn><eissn>1879-1972</eissn><coden>JAHCD9</coden><abstract>Abstract Purpose To examine the ability of the HIV-Dementia Scale (HDS) and Mini Mental State Exam (MMSE) to detect encephalopathy in adolescents living with human immunodeficiency virus (HIV) and/or acquired immunodeficency syndrome (AIDS). Method The study was based on chart review (N = 71) from 1999 to 2006, extracting data from psychological testing, disease classification, and demographic variables. HDS and MMSE scores were independent. Diagnosis of encephalopathy used American Academy of Neurology Criteria. Receiver Operating Characteristic Curves were plotted. Results Six patients had encephalopathy. The HDS identified five of these cases (83% sensitivity, 76% specificity). The MMSE identified three cases (50% sensitivity, 92% specificity). Conclusion Based on the study results, the HDS appears to be clinically useful.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19167661</pmid><doi>10.1016/j.jadohealth.2008.06.023</doi><tpages>3</tpages></addata></record>
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subjects Acquired Immunodeficiency Syndrome - complications
Adolescent
Adolescent HIV
Adolescents
AIDS Dementia Complex - diagnosis
Biological and medical sciences
Encephalopathy
Female
HIV
HIV Infections - complications
HIV-associated neurocognitive disorders (HAND)
HIV-Dementia Scale
Human immunodeficiency virus
Human viral diseases
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infectious diseases
Male
Medical sciences
Mental Status Schedule
Mini-Mental State Exam
Minimental State Examination
Neurocognitive functioning
Pediatrics
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
ROC Curve
Self-Assessment
Sensitivity
Sensitivity and Specificity
Surveys and Questionnaires
Techniques and methods
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Young Adult
title Detecting HIV Associated Neurocognitive Disorders in Adolescents: What Is the Best Screening Tool?
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