Tureson Kayla, Byrd Desiree A, Guzman Vanessa, Summers Angela C, Morris Emily P, Rivera Mindt Monica
Department of Psychology, University of Southern California.
Department of Psychology, Queens College.
Neuropsychology. 2021 May;35(4):411-422. doi: 10.1037/neu0000732.
Prospective memory (PM), a salient component of neurocognitive functioning for people living with HIV (PLH), is necessary for planning and coordinating health-related behaviors and instrumental tasks of daily living. However, little is known regarding the impact of sociocultural factors on PM in diverse populations, particularly Latinx PLH. The aim of this study was to examine ethnic group differences and sociocultural factors related to PM.
The sample of 127 PLH (91 Latinx and 36 non-Latinx white) completed measures of quality of education, socioeconomic status (SES), and a validated PM measure, the Memory for Intentions Screening Test (MIST). The Latinx group also completed a bicultural acculturation measure.
Results revealed the Latinx and the non-Latinx white groups did not significantly differ in overall MIST performance (all p > .05). In the entire sample, better quality of education was associated with better MIST performance (all p < .05). Within the Latinx group, higher Latinx acculturation was associated with worse MIST performance (p = .02), whereas higher U.S. acculturation was associated with better MIST performance at a trend level (p = .07). Multivariate regressions revealed quality of education and Latinx acculturation significantly predicted MIST performance and PM errors (all p < .05). SES was not related to the MIST (all p > .10).
In sum, clinicians must take sociocultural factors into consideration when working with Latinx PLH, as these factors influence cognitive functions (i.e., PM) vital to health-related behaviors. Integrating culturally-informed psychoeducation into care plans is an imperative first step. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
前瞻性记忆(PM)是艾滋病毒感染者(PLH)神经认知功能的一个重要组成部分,对于规划和协调与健康相关的行为以及日常生活中的工具性任务至关重要。然而,关于社会文化因素对不同人群,特别是拉丁裔艾滋病毒感染者的前瞻性记忆的影响,我们所知甚少。本研究的目的是探讨与前瞻性记忆相关的种族差异和社会文化因素。
127名艾滋病毒感染者(91名拉丁裔和36名非拉丁裔白人)的样本完成了教育质量、社会经济地位(SES)的测量,以及一项经过验证的前瞻性记忆测量工具——意图记忆筛查测试(MIST)。拉丁裔组还完成了一项双文化适应测量。
结果显示,拉丁裔组和非拉丁裔白人组在MIST总体表现上没有显著差异(所有p>.05)。在整个样本中,更好的教育质量与更好的MIST表现相关(所有p<.05)。在拉丁裔组中,更高的拉丁裔文化适应与更差的MIST表现相关(p=.02),而更高的美国文化适应在趋势水平上与更好的MIST表现相关(p=.07)。多元回归显示,教育质量和拉丁裔文化适应显著预测了MIST表现和前瞻性记忆错误(所有p<.05)。社会经济地位与MIST无关(所有p>.10)。
总之,临床医生在为拉丁裔艾滋病毒感染者提供治疗时必须考虑社会文化因素,因为这些因素会影响对健康相关行为至关重要的认知功能(即前瞻性记忆)。将具有文化针对性的心理教育纳入护理计划是势在必行的第一步。(PsycInfo数据库记录(c)2021美国心理学会,保留所有权利)