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Everyday Impact of HIV-Associated Neurocognitive Disorders 

Everyday Impact of HIV-Associated Neurocognitive Disorders
Chapter:
Everyday Impact of HIV-Associated Neurocognitive Disorders
Author(s):

Thomas D. Marcotte

, J. Cobb Scott

, Charles H. Hinkin

, and Robert K. Heaton

DOI:
10.1093/med/9780195399349.003.0076
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date: 23 May 2019

Rates of HIV-associated neurocognitive disorders (HAND) are not markedly different now from what they were during the pre-HAART era, though the most severe form of HAND, dementia, is less common now than previously and, overall, there has been a shift within the HAND spectrum towards mild-to-moderate impairments. There is now substantial evidence that HIV-associated neurocognitive impairments less severe than dementia can significantly affect daily functioning. In this chapter, we detail research regarding the effects of HAND on survival, quality of life, instrumental activities of daily living, medication adherence, vocational functioning, automobile driving, and other specific cognitive aspects of everyday functioning. We conclude with recommendations for future research.

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