Depressive Symptoms Differentially Predict Neurocognition in Latinx and Non-Hispanic White People Living with HIV
Depression is common in people living with HIV (PLWH) and can contribute to neurocognitive dysfunction. Depressive symptoms in PLWH are often measured by assessing only cognitive/affective symptoms. Latinx adults, however, often express depressive symptoms in a somatic/functional manner, which is no...
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| Veröffentlicht in: | Journal of the International Neuropsychological Society 2021-03, Vol.27 (3), p.249-260 |
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| container_title | Journal of the International Neuropsychological Society |
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| creator | Morris, Emily P. Byrd, Desiree Summers, Angela C. Tureson, Kayla Guzman, Vanessa Crook, Cara L. Rivera Mindt, Monica |
| description | Depression is common in people living with HIV (PLWH) and can contribute to neurocognitive dysfunction. Depressive symptoms in PLWH are often measured by assessing only cognitive/affective symptoms. Latinx adults, however, often express depressive symptoms in a somatic/functional manner, which is not typically captured in assessments of depression among PLWH. Given the disproportionate burden of HIV that Latinx adults face, examining whether variations in expressed depressive symptoms differentially predict neurocognitive outcomes between Latinx and non-Hispanic white PLWH is essential.
This cross-sectional study included 140 PLWH (71% Latinx; 72% male; mean (M) age = 47.1 ± 8.5 years; M education = 12.6 ± 2.9 years) who completed a comprehensive neurocognitive battery, Wechsler Test of Adult Reading (WTAR), and Beck Depression Inventory-II (BDI-II). Neurocognitive performance was measured using demographically adjusted T-scores. BDI-II domain scores were computed for the Fast-Screen (cognitive/affective items) score (BDI-FS) and non-FS score (BDI-NFS; somatic/functional items).
Linear regressions revealed that the BDI-NFS significantly predicted global neurocognitive function and processing speed in the Latinx group (p < .05), such that higher physical/functional symptoms predicted worse performance. In the non-Hispanic white group, the cognitive/affective symptoms significantly predicted processing speed (p = .02), with more symptoms predicting better performance. Interaction terms of ethnicity and each BDI sub-score indicated that Latinx participants with higher cognitive/affective symptoms performed worse on executive functioning.
Depressive symptoms differentially predict neurocognitive performance in Latinx and non-Hispanic white PLWH. These differences should be considered when conducting research and intervention among the increasingly culturally and ethnically diverse population of PLWH. |
| doi_str_mv | 10.1017/S1355617720000855 |
| format | Article |
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This cross-sectional study included 140 PLWH (71% Latinx; 72% male; mean (M) age = 47.1 ± 8.5 years; M education = 12.6 ± 2.9 years) who completed a comprehensive neurocognitive battery, Wechsler Test of Adult Reading (WTAR), and Beck Depression Inventory-II (BDI-II). Neurocognitive performance was measured using demographically adjusted T-scores. BDI-II domain scores were computed for the Fast-Screen (cognitive/affective items) score (BDI-FS) and non-FS score (BDI-NFS; somatic/functional items).
Linear regressions revealed that the BDI-NFS significantly predicted global neurocognitive function and processing speed in the Latinx group (p < .05), such that higher physical/functional symptoms predicted worse performance. In the non-Hispanic white group, the cognitive/affective symptoms significantly predicted processing speed (p = .02), with more symptoms predicting better performance. Interaction terms of ethnicity and each BDI sub-score indicated that Latinx participants with higher cognitive/affective symptoms performed worse on executive functioning.
Depressive symptoms differentially predict neurocognitive performance in Latinx and non-Hispanic white PLWH. These differences should be considered when conducting research and intervention among the increasingly culturally and ethnically diverse population of PLWH.</description><identifier>ISSN: 1355-6177</identifier><identifier>EISSN: 1469-7661</identifier><identifier>DOI: 10.1017/S1355617720000855</identifier><identifier>PMID: 32967753</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Adult ; Anxiety ; Asian Americans ; Cognition ; Cognitive ability ; Cross-Sectional Studies ; Cultural differences ; Depression - etiology ; Drug therapy ; Executive Function ; Female ; Hispanic Americans ; HIV ; HIV Infections - complications ; Human immunodeficiency virus ; Humans ; Influence ; Male ; Mental depression ; Middle Aged ; Population ; Regular Research ; Sociocultural factors ; Westernization</subject><ispartof>Journal of the International Neuropsychological Society, 2021-03, Vol.27 (3), p.249-260</ispartof><rights>Copyright © INS. Published by Cambridge University Press, 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-60ffce77f1f2ce9c68150aa5b1bb52cad7a70e3f17b9a9cf7180c63d552922d83</citedby><cites>FETCH-LOGICAL-c471t-60ffce77f1f2ce9c68150aa5b1bb52cad7a70e3f17b9a9cf7180c63d552922d83</cites><orcidid>0000-0002-9709-6023</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1355617720000855/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,230,314,776,780,881,27901,27902,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32967753$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morris, Emily P.</creatorcontrib><creatorcontrib>Byrd, Desiree</creatorcontrib><creatorcontrib>Summers, Angela C.</creatorcontrib><creatorcontrib>Tureson, Kayla</creatorcontrib><creatorcontrib>Guzman, Vanessa</creatorcontrib><creatorcontrib>Crook, Cara L.</creatorcontrib><creatorcontrib>Rivera Mindt, Monica</creatorcontrib><title>Depressive Symptoms Differentially Predict Neurocognition in Latinx and Non-Hispanic White People Living with HIV</title><title>Journal of the International Neuropsychological Society</title><addtitle>J Int Neuropsychol Soc</addtitle><description>Depression is common in people living with HIV (PLWH) and can contribute to neurocognitive dysfunction. Depressive symptoms in PLWH are often measured by assessing only cognitive/affective symptoms. Latinx adults, however, often express depressive symptoms in a somatic/functional manner, which is not typically captured in assessments of depression among PLWH. Given the disproportionate burden of HIV that Latinx adults face, examining whether variations in expressed depressive symptoms differentially predict neurocognitive outcomes between Latinx and non-Hispanic white PLWH is essential.
This cross-sectional study included 140 PLWH (71% Latinx; 72% male; mean (M) age = 47.1 ± 8.5 years; M education = 12.6 ± 2.9 years) who completed a comprehensive neurocognitive battery, Wechsler Test of Adult Reading (WTAR), and Beck Depression Inventory-II (BDI-II). Neurocognitive performance was measured using demographically adjusted T-scores. BDI-II domain scores were computed for the Fast-Screen (cognitive/affective items) score (BDI-FS) and non-FS score (BDI-NFS; somatic/functional items).
Linear regressions revealed that the BDI-NFS significantly predicted global neurocognitive function and processing speed in the Latinx group (p < .05), such that higher physical/functional symptoms predicted worse performance. In the non-Hispanic white group, the cognitive/affective symptoms significantly predicted processing speed (p = .02), with more symptoms predicting better performance. Interaction terms of ethnicity and each BDI sub-score indicated that Latinx participants with higher cognitive/affective symptoms performed worse on executive functioning.
Depressive symptoms differentially predict neurocognitive performance in Latinx and non-Hispanic white PLWH. These differences should be considered when conducting research and intervention among the increasingly culturally and ethnically diverse population of PLWH.</description><subject>Adult</subject><subject>Anxiety</subject><subject>Asian Americans</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Cross-Sectional Studies</subject><subject>Cultural differences</subject><subject>Depression - etiology</subject><subject>Drug therapy</subject><subject>Executive Function</subject><subject>Female</subject><subject>Hispanic Americans</subject><subject>HIV</subject><subject>HIV Infections - complications</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Influence</subject><subject>Male</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Population</subject><subject>Regular Research</subject><subject>Sociocultural factors</subject><subject>Westernization</subject><issn>1355-6177</issn><issn>1469-7661</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1u1DAUhSMEoqXlAdggS2y6CfgntpMNEmopU2nUVmqBpeU41zOuEju1k6Hz9rjqUKAIb2zpnPtdH52ieEPwe4KJ_HBFGOeCSElxPjXnz4p9UommlEKQ5_md5fJe3ytepXSDMWEE45fFHqONkJKz_eL2BMYIKbkNoKvtME5hSOjEWQsR_OR032_RZYTOmQmdwxyDCSvvJhc8ch4t9eT8HdK-Q-fBlwuXRu2dQd_XbgJ0CWHsAS3dxvkV-uGmNVqcfTssXljdJ3i9uw-Kr6efr48X5fLiy9nxp2VpKkmmUmBrDUhpiaUGGiNqwrHWvCVty6nRndQSA7NEto1ujJWkxkawjnPaUNrV7KD4-MAd53aAzuQ4UfdqjG7QcauCdupvxbu1WoWNko1oGKcZcLQDxHA7Q5rU4JKBvtcewpwUrSreyIoznK3vnlhvwhx9jqcox6TmhAmRXeTBZWJIKYJ9_AzB6r5Q9U-heebtnykeJ341mA1sB9VDG123gt-7_4_9CcAnrH4</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Morris, Emily P.</creator><creator>Byrd, Desiree</creator><creator>Summers, Angela C.</creator><creator>Tureson, Kayla</creator><creator>Guzman, Vanessa</creator><creator>Crook, Cara L.</creator><creator>Rivera Mindt, Monica</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9709-6023</orcidid></search><sort><creationdate>20210301</creationdate><title>Depressive Symptoms Differentially Predict Neurocognition in Latinx and Non-Hispanic White People Living with HIV</title><author>Morris, Emily P. ; Byrd, Desiree ; Summers, Angela C. ; Tureson, Kayla ; Guzman, Vanessa ; Crook, Cara L. ; Rivera Mindt, Monica</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-60ffce77f1f2ce9c68150aa5b1bb52cad7a70e3f17b9a9cf7180c63d552922d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Anxiety</topic><topic>Asian Americans</topic><topic>Cognition</topic><topic>Cognitive ability</topic><topic>Cross-Sectional Studies</topic><topic>Cultural differences</topic><topic>Depression - etiology</topic><topic>Drug therapy</topic><topic>Executive Function</topic><topic>Female</topic><topic>Hispanic Americans</topic><topic>HIV</topic><topic>HIV Infections - complications</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Influence</topic><topic>Male</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Population</topic><topic>Regular Research</topic><topic>Sociocultural factors</topic><topic>Westernization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morris, Emily P.</creatorcontrib><creatorcontrib>Byrd, Desiree</creatorcontrib><creatorcontrib>Summers, Angela C.</creatorcontrib><creatorcontrib>Tureson, Kayla</creatorcontrib><creatorcontrib>Guzman, Vanessa</creatorcontrib><creatorcontrib>Crook, Cara L.</creatorcontrib><creatorcontrib>Rivera Mindt, Monica</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the International Neuropsychological Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morris, Emily P.</au><au>Byrd, Desiree</au><au>Summers, Angela C.</au><au>Tureson, Kayla</au><au>Guzman, Vanessa</au><au>Crook, Cara L.</au><au>Rivera Mindt, Monica</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depressive Symptoms Differentially Predict Neurocognition in Latinx and Non-Hispanic White People Living with HIV</atitle><jtitle>Journal of the International Neuropsychological Society</jtitle><addtitle>J Int Neuropsychol Soc</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>27</volume><issue>3</issue><spage>249</spage><epage>260</epage><pages>249-260</pages><issn>1355-6177</issn><eissn>1469-7661</eissn><abstract>Depression is common in people living with HIV (PLWH) and can contribute to neurocognitive dysfunction. Depressive symptoms in PLWH are often measured by assessing only cognitive/affective symptoms. Latinx adults, however, often express depressive symptoms in a somatic/functional manner, which is not typically captured in assessments of depression among PLWH. Given the disproportionate burden of HIV that Latinx adults face, examining whether variations in expressed depressive symptoms differentially predict neurocognitive outcomes between Latinx and non-Hispanic white PLWH is essential.
This cross-sectional study included 140 PLWH (71% Latinx; 72% male; mean (M) age = 47.1 ± 8.5 years; M education = 12.6 ± 2.9 years) who completed a comprehensive neurocognitive battery, Wechsler Test of Adult Reading (WTAR), and Beck Depression Inventory-II (BDI-II). Neurocognitive performance was measured using demographically adjusted T-scores. BDI-II domain scores were computed for the Fast-Screen (cognitive/affective items) score (BDI-FS) and non-FS score (BDI-NFS; somatic/functional items).
Linear regressions revealed that the BDI-NFS significantly predicted global neurocognitive function and processing speed in the Latinx group (p < .05), such that higher physical/functional symptoms predicted worse performance. In the non-Hispanic white group, the cognitive/affective symptoms significantly predicted processing speed (p = .02), with more symptoms predicting better performance. Interaction terms of ethnicity and each BDI sub-score indicated that Latinx participants with higher cognitive/affective symptoms performed worse on executive functioning.
Depressive symptoms differentially predict neurocognitive performance in Latinx and non-Hispanic white PLWH. These differences should be considered when conducting research and intervention among the increasingly culturally and ethnically diverse population of PLWH.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>32967753</pmid><doi>10.1017/S1355617720000855</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-9709-6023</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Anxiety Asian Americans Cognition Cognitive ability Cross-Sectional Studies Cultural differences Depression - etiology Drug therapy Executive Function Female Hispanic Americans HIV HIV Infections - complications Human immunodeficiency virus Humans Influence Male Mental depression Middle Aged Population Regular Research Sociocultural factors Westernization |
| title | Depressive Symptoms Differentially Predict Neurocognition in Latinx and Non-Hispanic White People Living with HIV |
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