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Journal of Clinical Psychology in Medical Settings

Published in:

01-06-2016

Health-Related Decision-Making in HIV Disease

Authors: Katie L. Doyle, Steven Paul Woods, Erin E. Morgan, Jennifer E. Iudicello, Marizela V. Cameron, Paul E. Gilbert, Jessica Beltran, The HIV Neurobehavioral Research Program (HNRP) Group

Published in: Journal of Clinical Psychology in Medical Settings | Issue 2/2016

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.

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Title: Health-Related Decision-Making in HIV Disease
Authors: Katie L. Doyle
Steven Paul Woods
Erin E. Morgan
Jennifer E. Iudicello
Marizela V. Cameron
Paul E. Gilbert
Jessica Beltran
The HIV Neurobehavioral Research Program (HNRP) Group
Publication date: 01-06-2016
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 2/2016
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-016-9455-x

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Health-Related Decision-Making in HIV Disease

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