Neuropsychological test performance before and after HIV-1 seroconversion: the Multicenter AIDS Cohort Study

The objective of this study is to compare neuropsychological test performance before and after HIV-1 seroconversion in order to identify possible acute changes in psychomotor speed, memory, attention, and concentration secondary to seroconversion. The study utilized mixed effects models to examine l...

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Veröffentlicht in:Journal of neurovirology 2013-02, Vol.19 (1), p.24-31
Hauptverfasser: Vo, Quynh T., Cox, Christopher, Li, Xiuhong, Jacobson, Lisa P., McKaig, Rosemary, Sacktor, Ned, Selnes, Ola A., Martin, Eileen, Becker, James T., Miller, Eric N.
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container_end_page 31
container_issue 1
container_start_page 24
container_title Journal of neurovirology
container_volume 19
creator Vo, Quynh T.
Cox, Christopher
Li, Xiuhong
Jacobson, Lisa P.
McKaig, Rosemary
Sacktor, Ned
Selnes, Ola A.
Martin, Eileen
Becker, James T.
Miller, Eric N.
description The objective of this study is to compare neuropsychological test performance before and after HIV-1 seroconversion in order to identify possible acute changes in psychomotor speed, memory, attention, and concentration secondary to seroconversion. The study utilized mixed effects models to examine longitudinal neuropsychological test data. We conducted a nested cohort study of 362 male HIV-1 seroconverters enrolled in the Multicenter AIDS Cohort Study. We used linear mixed models with random subject effects to compare repeated neuropsychological test outcomes from 5 years before seroconversion to 2 years after seroconversion on the Trail Making Test (parts A and B), Symbol-Digit Test, Grooved Pegboard (dominant and non-dominant hands), Stroop Color-Interference Test, Rey Auditory Verbal Learning Test, and the CalCAP Reaction Time Test. We found no significant changes in the time-dependent score after seroconversion for the majority of neuropsychological tests used in the Multicenter AIDS Cohort Study. There was a significant change in time trend after seroconversion on part B of the Trail Making Test ( p  = 0.042), but the difference only represented a 2 % decrease in performance. We found the following characteristics to be associated with worse neuropsychological test performance: lower education levels, history of depression, older age, and no previous neurocognitive testing ( p  
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We found the following characteristics to be associated with worse neuropsychological test performance: lower education levels, history of depression, older age, and no previous neurocognitive testing ( p  &lt; .05). 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subjects Adult
Biomedical and Life Sciences
Biomedicine
Cohort Studies
HIV Infections - complications
HIV Infections - psychology
HIV Seropositivity - complications
HIV Seropositivity - psychology
HIV-1 - immunology
Human immunodeficiency virus 1
Humans
Immunology
Infectious Diseases
Male
Neurology
Neuropsychological Tests
Neurosciences
Virology
title Neuropsychological test performance before and after HIV-1 seroconversion: the Multicenter AIDS Cohort Study
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