Declines in metacognitive ability occur more with aging and HIV such that some people aging with HIV may be even less able to report accurately on the status of their cognitive functioning. This is problematic because clinicians and allied health professionals rely on clients' self-reports of cognition to help judge if they are developing cognitive impairments. Such self-reports of cognition may be moderated by mood disturbance, histories of alcoholism or drug abuse, or even limited educational achievement. In this review, implications of this phenomenon and suggestions for researching this topic and assessing at-risk clients are posited.
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References
1.
BasselC.SmithM. L.RourkeS. B., & HalmanM. H. (2002) Working memory performance predicts subjective cognitive complaints in HIV infection. Neuropsychology, 16, 400–410.
2.
BeckerJ. T.LopezO. L.DewM. A., & AizensteinH. J. (2004) Prevalence of cognitive disorders differs as a function of age in HIV virus infection. AIDS, 18, S11–S18.
3.
BroadbentD. E.CopperP. F.FitzgeraldP., & ParkesK. R. (1982) The Cognitive Failures Questionnaire (CFQ) and its correlates. British Journal of Clinical Psychology, 21, 1–16.
4.
CarterS. L.RourkeS. B.MurjiS.ShoreD., & RourkeB. P. (2003) Cognitive complaints, depression, medical symptoms, and their association with neuropsychological functioning in HIV infection: a structural equation model analysis. Neuropsychology, 17, 410–419.
5.
ChernerM.EllisR. J.LazzarettoD.YoungC.MindtM. R.AtkinsonJ. H.GrantI.HeatonR. K., & HNRC Group. (2004) Effects of HIV-1 infection and aging on neurobehavioral functioning: preliminary findings. AIDS, 18, S27–S34.
6.
DixonR. A., & HultschD. F. (1984) Metamemory in adulthood instrument. Psychological Documents, 14, 37–45.
7.
HinkinC. H.van GorpW. G.SatzP.MarcotteT.DurvasulaR. S.WoodS.CampbellL., & BaludaM. R. (1996) Actual versus self-reported cognitive dysfunction in HIV-1 infection: memory-metamemory dissociations. Journal of Clinical and Experimental Neuropsychology, 18, 431–443.
8.
JusticeA. C.McGinnisK. A.AtkinsonJ. H.HeatonR.YoungC.SadekJ.MadenwaldT.BeckerJ. T.ConigliaroJ.BrownS. T.RimlandD.CrystalS., & SimberkoffM. (2004) Psychiatric and neurocognitive disorders among HIV-positive and negative veterans in care: Veterans Aging Cohort Five-site Study. AIDS, 18, S49–S59.
9.
MackK. A., & OryM. G. (2003) AIDS and older Americans at the end of the Twentieth Century. Journal of Acquired Immune Deficiency Syndromes, 33, S68–S75.
10.
MooreL. H.van GorpW. G.HinkinC. H.SternM. J.SwalesT., & SatzP. (1998) Subjective complaints versus actual cognitive deficits in predominantly symptomatic HIV-1 seropositive individuals. The Journal of Neuropsychiatry and Clinical Neurosciences, 9, 37–44.
11.
NelsonT., & NarensL. (1990) Metamemory: a theoretical framework and new findings. Psychology of Learning and Motivation, 26, 125–322.
12.
SouchayC., & IsingriniM. (2004) Age related difference in metacognitive control: role of executive functioning. Brain and Cognition, 56, 89–99.
13.
van GorpW. G.SatzP.HinkinC.SelnesO.MillerE. N.McArthurJ.CohenB., & PazD. (1991) Metacognition in HIV-1 seropositive asymptomatic individuals: self-ratings versus objective neuropsychological performance. Journal of Clinical and Experimental Neuropsychology, 13, 812–819.
14.
VanceD. E., & BurrageJ.Jr. (2005) Cognitive complaints in adults aging with HIV. Physical and Occupational Therapy in Geriatrics, 24, 35–51.
15.
VanceD. E., & RobinsonF. P. (2004) Reconciling successful aging with HIV: a biopsychosocial overview. Journal of HIV/AIDS and Social Services, 3, 59–78.
16.
VanceD. E., & StruzickT. C. (in press) Addressing risk factors of cognitive impairment in adults aging with HIV: a social work model. Journal of Gerontological Social Work.
