Advances in Psychology and Neuroscience
Volume 2, Issue 2-1, March 2017, Pages: 27-30
Received: Sep. 28, 2016;
Accepted: Sep. 30, 2016;
Published: Feb. 14, 2017
Views 2647 Downloads 85
Piwuna C. G., Department of Psychiatry, University of Jos, Jos, Nigeria
Piwuna T. O., Department of Hematology, University of Jos, Jos, Nigeria
Obindo J. T., Department of Psychiatry, University of Jos, Jos, Nigeria
Tungchama F. P., Department of Psychiatry, University of Jos, Jos, Nigeria
Bankat M. A., Department of Psychiatry, University of Jos, Jos, Nigeria
Human Immuno-deficiency (HIV) Virus is usually among other disorders associated with cognitive impairment and dementia adding to the burden of the disease in affected individuals and the quality of care. A cross-sectional descriptive study was carried out in a non-governmental organization caring for patients with the disease in Jos, North Central Nigeria. A total of 220 patients attending the Faith Alive Clinic in Jos were randomly selected and studied using instruments such as the Mini-Mental State Examination (MMSE) Modified – HIV Associated Dementia Scale (M-HDS) and the Center for Epidemiologic Study Depression Scale – Revised (CES-D). Most of the patients were female (60.9%), male 31.9% with 48.6% married. Analysis of the different subscales of M-HAD the MMSE reveals significant impairment Psychomotor, memory and recall and the construction functions of the subjects P ≤ 0.000. The prevalence of cognitive impairment/dementia in the study population was 70.9% on M-HDS and 35% on MMSE. The implication of these findings is that clinicians should have reasonable index of suspicion when managing patients that are HIV Sero-positive to be able to identify patients with cognitive problems.
Piwuna C. G.,
Piwuna T. O.,
Obindo J. T.,
Tungchama F. P.,
Bankat M. A.,
Cognitive Impairment/Dementia in HIV Patients in a Faith Based Clinic, Advances in Psychology and Neuroscience. Special Issue: Substance Abuse: Perspectives, Trends, Issues and the Way Forward.
Vol. 2, No. 2-1,
2017, pp. 27-30.
WHO. Global Programme on AIDS current and future dimensions of the HIV/AIDS pandemic: A Capsule Summary, Geneva, Switzerland, 1992.
Rispel, C. L, Allanise, C, Metalf, C. A Experiences of stigma and discrimination among HIV- discordant couples in South –Africa, Tanzania and Ukraine. Journal of Social Aspects of HIV/AIDS, vol.12 (1), pp.10-17, 2015.
Wong, M. H, Robertson, K. Nakasujja, M. B. Frequency of and risk factors for HAD in an HIV clinic in Sub-Saharan Africa. Neurology, vol. 68 (5), pp.350-355, 2007.
Major, M. Satz, P, Janssen, R, Zaudig, M, Starace, F. WHO Neuropsychiatric Aids Study – Cross sectional phase Neuropsychological and Neurological Findings. Archives of General Psychiatry Vol. 51 pp. 51-61, 1994.
Sacktor, N The epidemiology of HIV associated Neurological disease in the era of HAART. Journal of Neurology, vol. 8 (12), pp. 115 –121, 2002.
Forstein, M. Neuropsychiatric aspects of HIV infection. HIV Medical Alert, vol. 7 (1), pp.1–4, 2003.
Cassels, C. Prevalence of HIV related dementia second only to Alzheimer’s and stroke. Neurology, vol. 68, pp.380-385, 2007.
Power, C, Selnes, O. A, Grim, J. A, JMcArthur, J. C. HIV dementia scale. A rapid screening test. Journal of Acquired Immune Deficiency Syndrome, vol.8, pp. 273–278, 1995.
Howard, E, Grant, I, Ian, P. E, Stuart, A. L Susan. S. Prevalence of Cognitive dysfunction in HIV/AIDS. Neurology of AIDS 2nd ed; London. Oxford University Press, 2005, pp.326–337.
Patel, V. N. Mungwira, R. G, Tarumbiswa, T. F, Heikinheimo, T, van Oosterhou, J. J. High Prevalence of suspected HIV-associated dementia in adult Malawian HIV patients. International Journal for STD AIDS, vol. 21 (5), pp. 356-8, 2010.
Hinkin, C Comparing the accuracy of two methods in diagnosing HIV–Associated Cognitive Impairment. Journal of Clinical Experiment and Neuropsychology, vol.13 (3), pp. 462–470, 2007.
Baiyewu, O, Unverzagt, F. W, Lane, K. A, Gureje, O. The stick design. Journal of International Neuropsychology, vol. 11, pp. 598–605, 2005.
Heaton, R. K, Grant, I, Butters, N. The HNRC 500–Neuropsychology of HIV infection at different disease stages. HIV Neuro-behavioral Research Centre. Journal of International Neuropsychology, vol. 1 (3), pp. 231–251, 1995.