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10.1093/arclin/acu061

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suck abstract from ncbi


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pmid25404005
      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).
  • |*Memory, Episodic [MESH]
  • |*Self-Assessment [MESH]
  • |AIDS Dementia Complex/*physiopathology [MESH]
  • |Adult [MESH]
  • |Awareness/physiology [MESH]
  • |Female [MESH]
  • |HIV Infections/*physiopathology [MESH]
  • |Humans [MESH]
  • |Male [MESH]


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