title: Health-Related Decision-Making in HIV Disease.
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.
authors.affiliation: Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, San Diego, CA, USA.
authors.forename: Katie L
authors.initials: KL
authors.lastname: Doyle
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA. spwoods@uh.edu.|Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX, 77204-5022, USA. spwoods@uh.edu.
authors.forename: Steven Paul
authors.initials: SP
authors.lastname: Woods
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Erin E
authors.initials: EE
authors.lastname: Morgan
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Iudicello
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Marizela V
authors.initials: MV
authors.lastname: Cameron
authors.affiliation: Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, San Diego, CA, USA.|Department of Psychology, San Diego State University, San Diego, CA, USA.
authors.forename: Paul E
authors.initials: PE
authors.lastname: Gilbert
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Beltran
mesh_terms: D003072:Cognition Disorders / Q000209:etiology*; D003657:Decision Making; D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006801:Humans; D009483:Neuropsychological Tests
keywords: Episodic memory; HIV/AIDS; Health literacy; Neurocognition; Neuropsychology