Morgan Erin E, Woods Steven Paul, Iudicello Jennifer E, Grant Igor, Villalobos Javier
Department of Psychiatry, University of California, San Diego, San Diego, CA, USA.
Department of Psychiatry (8231), University of California, San Diego, 220 Dickinson St., Suite B, San Diego, CA, 92103, USA.
J Clin Psychol Med Settings. 2019 Mar;26(1):13-24. doi: 10.1007/s10880-018-9560-0.
Two factors that influence HIV health behaviors and therefore may contribute to gaps in the HIV treatment continuum are poor health-related self-efficacy and HIV-associated neurocognitive disorders (HAND). However, the relationship between HAND and self-efficacy has not been assessed. In an HIV sample, 91 individuals with intact cognition (HAND-) and 40 individuals with HAND (HAND+) were administered a measure of self-efficacy for healthcare interactions with providers. Participants with HAND had significantly lower scores on this measure, which were correlated with poorer episodic and semantic memory performance, as well as self-reported memory symptoms in daily life. Findings suggest that neurocognitive impairment, and particularly memory dysfunction, may play an important role in self-efficacy for healthcare interactions in HIV. Further examination of the interplay between HAND and self-efficacy is warranted as these two factors may be important for the public health goal of identifying targets for improving access, delivery, and maintenance of HIV care.
影响艾滋病病毒（HIV）健康行为、进而可能导致HIV治疗连续过程中出现差距的两个因素是健康相关的自我效能感低下和HIV相关神经认知障碍（HAND）。然而，HAND与自我效能感之间的关系尚未得到评估。在一个HIV样本中，对91名认知功能完好（HAND-）的个体和40名患有HAND（HAND+）的个体进行了一项针对与医疗服务提供者进行医疗互动的自我效能感测量。患有HAND的参与者在该测量中的得分显著更低，这与较差的情景记忆和语义记忆表现以及日常生活中自我报告的记忆症状相关。研究结果表明，神经认知障碍，尤其是记忆功能障碍，可能在HIV感染者与医疗服务提供者互动的自我效能感中起重要作用。鉴于这两个因素对于确定改善HIV护理的可及性、提供和维持的目标这一公共卫生目标可能很重要，因此有必要进一步研究HAND与自我效能感之间的相互作用。
