title: Addressing risk factors of cognitive impairment in adults aging with HIV: a social work model.
abstract: With advances in life-extending medications and later- life infections, the number of older adults with HIV is increasing. Unfortunately, the synergistic effects of aging with HIV may place many people at risk of developing cognitive impairments which can disrupt everyday functioning. Fortunately, cognitive reserve may be maintained, or in some cases improved, by taking action to prevent or mitigate such loss. Preventative and treatment strategies that support biopsychosocial aspects of cognition include reducing alcohol and substance use; improving nutrition; diminishing the effects of comorbidities; increasing social contact; reducing depression and stress levels; engaging in cognitively stimulating activities; applying cognitive remediation therapies; and incorporating psychopharmacological interventions. Such strategies can improve the physiological integrity and health of the brain, thus supporting neuroplasticity and increasing cognitive reserve. Social workers are in a favorable position to recognize cognitive decline in clients and recommend or administer solutions to address such problems. A model for social workers advocating for older clients with HIV who have cognitive problems is provided.
authors.affiliation: Center for Translational Research in Aging and Mobility, Center for Aging, Center for AIDS Research, and Department of Psychology, University of Alabama at Birmingham, 924 19th Street South, Suite 110, Birmingham, AL 35294-2100, USA.
authors.forename: David E
authors.initials: DE
authors.lastname: Vance
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Struzick
mesh_terms: D000437:Alcoholism / Q000517:prevention & control; D003072:Cognition Disorders / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D017831:Diagnosis, Dual (Psychiatry); D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D008960:Models, Psychological; D009473:Neuronal Plasticity; D009752:Nutritional Status; D012307:Risk Factors; D012949:Social Work, Psychiatric; D019966:Substance-Related Disorders / Q000517:prevention & control; D014481:United States / Q000453:epidemiology