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Conceptualizing and Assessing Everyday Functioning in the Context of HIV-Associated Neurocognitive Disorders

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Neurocognitive Complications of HIV-Infection

Part of the book series: Current Topics in Behavioral Neurosciences ((CTBN,volume 50))

Abstract

Combination antiretroviral therapy has reduced the rates of severe HIV-associated neurocognitive disorders (HAND), but the prevalence of milder forms of HAND that can affect everyday functioning remains high. As HIV-infected adults approach near-normal life expectancies, they may become increasingly susceptible to declines in everyday functioning secondary to a variety of physical and mental factors, including HAND. Although impairments in everyday functioning are a hallmark of HAND diagnoses and can adversely influence quality of life, there are no gold standard measures of this fundamentally important and complex construct. This chapter provides a brief review of the various self-report, clinician-rated, and performance-based methods by which everyday functioning is measured in the setting of HIV disease, including global activities of daily living and specific domains of medication adherence, financial management, automobile driving, and vocational functioning.

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Authors and Affiliations

  1. University of Houston, Houston, TX, USA

    Victoria M. Kordovski, Savanna M. Tierney & Steven Paul Woods

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  1. Victoria M. Kordovski
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  2. Savanna M. Tierney
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  3. Steven Paul Woods
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Correspondence to Steven Paul Woods .

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Editors and Affiliations

  1. School of Psychology, The University of New South Wales, Sydney, NSW, Australia

    Lucette A. Cysique

  2. MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute St. Michael’s Hospital and Unity Health Toronto, Toronto, ON, Canada

    Sean B. Rourke

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Kordovski, V.M., Tierney, S.M., Woods, S.P. (2019). Conceptualizing and Assessing Everyday Functioning in the Context of HIV-Associated Neurocognitive Disorders. In: Cysique, L.A., Rourke, S.B. (eds) Neurocognitive Complications of HIV-Infection. Current Topics in Behavioral Neurosciences, vol 50. Springer, Cham. https://doi.org/10.1007/7854_2018_78

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