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香港艾滋病毒/艾滋病患者的主观记忆抱怨、情绪和记忆缺陷。

Subjective memory complaints, mood, and memory deficits among HIV/AIDS patients in Hong Kong.

机构信息

Department of Applied Social Science, Hong Kong Polytechnic University, Hong Kong, China.

出版信息

J Clin Exp Neuropsychol. 2008 Apr;30(3):338-48. doi: 10.1080/13803390701416189. Epub 2007 Jul 25.

Abstract

Diagnosis of HIV-associated neurobehavioral disorders often heavily relies upon patient complaints of cognitive difficulties. Yet, research in North America suggests that such complaints may be heavily influenced by affective factors. However, no work in this area has been done in China. The present study examined the relationships among depressed mood, anxiety, memory performance and subjective memory complaints among HIV/AIDS patients in Hong Kong. A total of 90 individuals with HIV were administered the Beck Depression Inventory (BDI), State-Trait Anxiety Inventory, Patient's Assessment of Own Functioning Inventory (PAOF), and Hong Kong List Learning Test. Forward regression analysis indicated that the BDI Cognitive-Affective score was the most significant predictor of subjective memory complaints on the PAOF. Furthermore, present results also supported previous findings that some individuals with HIV infection are more "accurate" than others in the self-appraisal of their memory ability. Given inaccuracies that exist in subjective memory complaints, these findings highlight the importance of comprehensive cognitive assessment when evaluating the neuropsychological status of individuals of HIV.

摘要

艾滋病毒相关神经行为障碍的诊断通常严重依赖于患者对认知困难的抱怨。然而,北美的研究表明,这些抱怨可能受到情感因素的严重影响。然而,在这一领域还没有在中国进行的工作。本研究考察了香港艾滋病毒/艾滋病患者的抑郁情绪、焦虑、记忆表现和主观记忆抱怨之间的关系。共有 90 名艾滋病毒感染者接受了贝克抑郁量表(BDI)、状态特质焦虑量表、患者自身功能评估量表(PAOF)和香港列表学习测试。正向回归分析表明,BDI 认知-情感评分是 PAOF 主观记忆抱怨的最显著预测因子。此外,目前的结果也支持了以前的发现,即一些艾滋病毒感染者在自我评估记忆能力方面比其他人更“准确”。鉴于主观记忆抱怨中存在的不准确性,这些发现强调了在评估艾滋病毒感染者的神经心理状态时进行全面认知评估的重要性。

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