title: Decline in working memory associated with HIV infection. HNRC Group.
abstract: HIV infection has been associated with decline in a number of cognitive functions that are components of 'working memory'. Thus, tests of working memory that require the interaction of these components may be particularly sensitive to cognitive dysfunction that arises from HIV infection. To assess this possibility, working memory was examined in 147 HIV-seropositive (HIV+) and 38 HIV-seronegative (HIV-) males using the Reading Span Test and the Digit Span subtest from the Wechsler Memory Scale-Revised (WMS-R). Speed of information processing, a component of some working memory tasks, was assessed with a version of the Sternberg Memory Scanning task. Results indicated that symptomatic HIV+ subjects were impaired relative to HIV- control subjects on the Reading Span and Digit Span tests. Asymptomatic and mildly symptomatic HIV+ groups exhibited a trend toward impairment on these tests, and on the whole, a greater proportion of HIV+ subjects than HIV- subjects were impaired. The groups did not differ significantly in information processing speed. These results indicate that deficits in working memory are apparent in at least a subset of HIV-infected individuals. These deficits are most apparent in symptomatic HIV+ individuals, but the decline may begin during the asymptomatic phase of infection.
authors.affiliation: San Diego Veterans Affairs Medical Center, USA.
authors.forename: J C
authors.initials: JC
authors.lastname: Stout
authors.forename: D P
authors.initials: DP
authors.lastname: Salmon
authors.forename: N
authors.initials: N
authors.lastname: Butters
authors.forename: M
authors.initials: M
authors.lastname: Taylor
authors.forename: G
authors.initials: G
authors.lastname: Peavy
authors.forename: W C
authors.initials: WC
authors.lastname: Heindel
authors.forename: D C
authors.initials: DC
authors.lastname: Delis
authors.forename: L
authors.initials: L
authors.lastname: Ryan
authors.forename: J H
authors.initials: JH
authors.lastname: Atkinson
authors.forename: J L
authors.initials: JL
authors.lastname: Chandler
mesh_terms: D000328:Adult; D000998:Antiviral Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001921:Brain / Q000503:physiopathology; D006679:HIV Seropositivity / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008569:Memory Disorders / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D012720:Severity of Illness Index; D006377:T-Lymphocytes, Helper-Inducer; D050378:T-Lymphocytes, Regulatory; D014888:Wechsler Scales; D015215:Zidovudine / Q000008:administration & dosage / Q000627:therapeutic use
chemical_list: D000998:Antiviral Agents; D015215:Zidovudine