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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Arch+Clin+Neuropsychol
2014 ; 29
(8
): 818-27
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Self-predictions of prospective memory in HIV-associated neurocognitive
disorders: evidence of a metamemory deficit
#MMPMID25404005
Casaletto KB
; Doyle KL
; Weber E
; Woods SP
Arch Clin Neuropsychol
2014[Dec]; 29
(8
): 818-27
PMID25404005
show ga
HIV-associated neurocognitive disorders (HAND) are associated with deficits in
prospective memory (PM; "remembering to remember"), conferring risk of daily
functioning declines. However, self-perceptions of PM functioning are not
reliably associated with PM performance in HIV, suggesting a possible deficit in
awareness of PM abilities (meta-PM). Our study examined meta-PM in HAND and its
correlates using self-predictions of laboratory-based PM performance.
Performance-based PM abilities, self-reported prediction of PM performance, and
PM complaints in everyday life were assessed in 49 individuals with HAND, 93 HIV+
without HAND (HIV+ noHAND), and 121 seronegative adults (HIV-). After controlling
for group-level differences, HAND was associated with a greater number of PM
symptoms in everyday life and worse PM performance when compared with both HIV+
noHAND and HIV- samples. Although HAND individuals reported somewhat lower
predictions regarding their laboratory PM performance relative to the other study
groups, they nevertheless exhibited significantly greater inaccurate
overconfidence in time-based PM abilities. Within the HAND group, overconfidence
in time-based meta-PM was associated with executive dysfunction and
antiretroviral (ARV) nonadherence. HAND individuals evidenced a moderate deficit
in awareness of PM functioning characterized by overconfidence in time-based PM
abilities. Overconfidence in PM may result in absence of compensatory strategy
use, and lead to increased errors in daily functioning (e.g., ARV nonadherence).