Health-Related Decision-Making in HIV Disease |
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Authors: | Katie?L.?Doyle Steven?Paul?Woods Erin?E.?Morgan Jennifer?E.?Iudicello Marizela?V.?Cameron Paul?E.?Gilbert Jessica?Beltran The HIV Neurobehavioral Research Program Group |
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Affiliation: | 1.Joint Doctoral Program in Clinical Psychology,San Diego State University/University of California, San Diego,San Diego,USA;2.Department of Psychiatry,University of California, San Diego,La Jolla,USA;3.Department of Psychology,University of Houston,Houston,USA;4.Department of Psychology,San Diego State University,San Diego,USA |
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Abstract: | Individuals living with HIV show moderate decision-making deficits, though no prior studies have evaluated the ability to make optimal health-related decisions across the HIV healthcare continuum. Forty-three HIV+ individuals with HIV-associated neurocognitive disorders (HAND+), 50 HIV+ individuals without HAND (HAND?), and 42 HIV? participants were administered two measures of health-related decision-making as part of a comprehensive neuropsychological battery: (1) The Decisional Conflict Scale (DCS), and (2) The Modified UCSD Brief Assessment for Capacity to Consent (UBACC-T). Multiple regression analyses revealed that HAND was an independent predictor of both the DCS and the UBACC-T, such that the HAND+ sample evidenced significantly poorer scores relative to comparison groups. Within the HIV+ sample, poorer health-related decision-making was associated with worse performance on tests of episodic memory, risky decision-making, and health literacy. Findings indicate that individuals with HAND evidence moderate deficits in effectively comprehending and evaluating various health-related choices. |
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