Neuropsychology Review

, Volume 19, Issue 2, pp 186–203 | Cite as

Functional Consequences of HIV-Associated Neuropsychological Impairment

  • Ashley A. Gorman
  • Jessica M. Foley
  • Mark L. Ettenhofer
  • Charles H. Hinkin
  • Wilfred G. van Gorp
Review

Abstract

This review focuses on the “real world” implications of infection with HIV/AIDS from a neuropsychological perspective. Relevant literature is reviewed which examines the relationships between HIV-associated neuropsychological impairment and employment, driving, medication adherence, mood, fatigue, and interpersonal functioning. Specifically, the relative contributions of medical, cognitive, psychosocial, and psychiatric issues on whether someone with HIV/AIDS will be able to return to work, adhere to a complicated medication regimen, or safely drive a vehicle will be discussed. Methodological issues that arise in the context of measuring medication adherence or driving capacity are also explored. Finally, the impact of HIV/AIDS on mood state, fatigue, and interpersonal relationships are addressed, with particular emphasis on how these variables interact with cognition and independent functioning. The purpose of this review is to integrate neuropsychological findings with their real world correlates of functional behavior in the HIV/AIDS population.

Keywords

HIV/AIDS Neuropsychology Medication adherence Employment Driving 

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Ashley A. Gorman
    • 1
  • Jessica M. Foley
    • 2
  • Mark L. Ettenhofer
    • 2
  • Charles H. Hinkin
    • 2
    • 3
  • Wilfred G. van Gorp
    • 1
  1. 1.Department of PsychiatryColumbia University Medical CenterNew YorkUSA
  2. 2.David Geffen School of Medicine at UCLALos AngelesUSA
  3. 3.VA Greater Los Angeles Health Care SystemLos AngelesUSA

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