University of Illinois College of Medicine-Chicago, Chicago, IL 60612, USA.
J Clin Exp Neuropsychol. 2011 Jan;33(1):112-20. doi: 10.1080/13803395.2010.493150. Epub 2010 Aug 5.
The literature suggests that nondeclarative, or nonconscious, learning might be impaired among HIV-seropositive (HIV+) individuals compared with HIV-seronegative (HIV-) matched control groups, but these studies have included relatively few women. We administered measures of motor skill and probabilistic learning, tasks with a nondeclarative or procedural learning component that are dependent on integrity of prefrontal-striatal systems, to well-matched groups of 148 men and 65 women with a history of substance dependence that included 45 men and 30 women seropositive for HIV. All participants were abstinent at testing. Compared to HIV- women, HIV+ women performed significantly more poorly on both tasks, but HIV+ men's performance did not differ significantly from that of HIV- men on either task. These different patterns of performance indicate that features of HIV-associated neurocognitive disorder (HAND) cannot always be generalized from men to women. Additional studies are needed to address directly the possibility of sex differences in HAND and the possibility that women might be more vulnerable to the effects of HIV and substance dependence on some neurocognitive functions.
文献表明,与 HIV 血清阴性(HIV-)匹配的对照组相比,HIV 血清阳性(HIV+)个体的非陈述性或非意识学习可能受损,但这些研究纳入的女性相对较少。我们对 148 名有物质依赖史的男性和 65 名有物质依赖史的女性(包括 45 名 HIV 阳性的男性和 30 名 HIV 阳性的女性)进行了运动技能和概率学习的测量,这些任务具有非陈述性或程序性学习成分,依赖于前额叶-纹状体系统的完整性。所有参与者在测试时均处于禁欲状态。与 HIV-女性相比,HIV+女性在这两项任务中的表现明显更差,但 HIV+男性在这两项任务中的表现与 HIV-男性无显著差异。这些不同的表现模式表明,与 HIV 相关的神经认知障碍(HAND)的特征不能总是从男性推广到女性。需要进一步的研究来直接解决 HAND 中可能存在的性别差异,以及女性可能更容易受到 HIV 和物质依赖对某些神经认知功能影响的可能性。