Given pharmaceutical advancements, more people with HIV will be living to old age. Cognitive declines have been observed both during normal aging and in people with HIV; whether there are cumulative cognitive declines in adults aging with HIV remains unknown. Based on current literature, adults aging with HIV may be at risk for psychomotor declines that resemble parkinsonianism.
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References
1.
AylwardE. H.HendererJ. D.McArthurJ. C.BrettschneiderP. D.HarrisG. J.BartaP. E., & PearlsonG. D. (1993) Reduced basal ganglia volume in HIV-1 associated dementia: Results from quantitative neuroimaging. Neurology, 43, 2099–2104.
2.
BachusM. A. (1998) HIV and the older adult. Journal of Gerontological Nursing, 24, 41–46.
3.
BelzieL. R. (1996) Risperidone for AIDS-associated dementia: A case series. AIDS Patient Care & STDs, 10, 246–249.
4.
Ben-ShlomoY. (1997) The epidemiology of Parkinson's disease. Baillieres Clinical Neurology, 6, 55–68.
5.
BornsteinR. A.PaceP.RosenbergerP.NasrallahH. A.ParaM. F.WhitacreC. C., & FassR. J. (1993) Depression and neuropsychological performance in asymptomatic HIV infection. American Journal of Psychiatry, 150, 922–927.
6.
BrinkJ. M., & McDowdJ. M. (1999) Aging and selective attention: An issue of complexity or multiple mechanism?Journals of Gerontology, 54, P30–33.
7.
Caparros-LefebvreD.PecheuxN.PetitV.DuhamelA., & PetitH. (1995) Which factors predict cognitive decline in Parkinson's disease?Journal of Neurology, Neurosurgery, and Psychiatry, 58, 51–55.
8.
Centers for Disease Control and Prevention. (1998) AIDS among persons aged >50 years—United States, 1991–1996. Morbidity and Mortality Weekly Report, 47, 21–27.
9.
ChristenssonB.LjungbergB.RydingE.SvensonG., & RosenI. (1999) SPECT with 99mTc-HMPAO in subjects with HIV infections: Cognitive dysfunction correlates with high uptake. Scandinavian Journal of Infectious Disease, 31, 349–354.
10.
CorlessI. B.BakkenS.NicholasP. K.HolzemerW. L.McGibbonC. A.InouyeJ.NokesK. M.TurnerJ. G.Powell-CopeG. M.BrownM. A., & PortilloC. J. (2000) Predictors of perception of cognitive functioning in HIV/AIDS. Journal of the Association of Nurses in AIDS Care, 11(3), 19–26.
11.
de RijkM. C.TzourioC.BretelerM. M. B.DartiguesJ. F.AmaducciL.Lopez-PousaS.Manubens-BertranJ. M.AlperovitchA., & RoccaW. A. (1997) Prevalence of parkinsonianism and Parkinson's disease in Europe: The Europarkinson Collaborative Study. Journal of Neurology, Neurosurgery, and Psychiatry, 62, 10–15.
12.
EdwardsJ. D.WadleyV. G.MyersR. S.RoenkerD. L.CissellG. M., & BallK. K. (2002) Transfer of a speed of processing intervention to near and far cognitive functions. Gerontology, 47, 1–22.
13.
EverallI. P.LuthertP. J., & LantosP. L. (1991) Neuronal loss in the frontal cortex in HIV infection. Lancet, 337, 1119–1121.
14.
FlahertyJ. H. (1998) Commonly prescribed and over-the-counter remedies: Causes of confusion. Clinics in Geriatric Medicine, 14, 101–127.
15.
FloydM., & ScoginF. (1997) Effects of memory training on the subjective memory functioning and mental health of older adults: A meta-analysis. Psychology and Aging, 12, 150–161.
16.
FryA. F., & HaleS. (1996) Processing speed, working memory, and fluid intelligence: Evidence for a developmental cascade. Psychological Science, 1, 237–241.
17.
GrassiM. P.ClericiF.PerinC.ZocchettiC.BorellaM.CargnelA., & MangoniA. (1995) HIV infection and drug use: Influence on cognitive function. AIDS, 9, 165–170.
18.
GrovesP. M., & RebecG. V. (1992) Introduction to biological psychology.Dubuque, IA: Brown.
19.
HarrisG. J.PearlsonG. D.McArthurJ. C.ZegerS., & LaFranceN. D. (1994) Altered cortical blood flow in HIV-seropositive individuals with and without dementia: A single photon emission computed tomography study. AIDS, 8, 495–499.
20.
HeathK. V.HoggR. S.ChanK. J.HarrisM.MontessoriV.O'ShaughnessyM. V., & MontaneraJ. S. (2001) Lipodystrophy-associated morphological, cholesterol and triglyceride abnormalities in a population-based HIV/AIDS treatment database. AIDS, 15, 231–239.
21.
HoD. D.NeumannA. U.PerelsonA. S.ChenW.LeonardJ. M., & MarkowitzM. (1995) Rapid turnover of plasma virions and CD4 lymphocytes in HIV-1 infection. Nature, 373(6510), 123–126.
22.
JulienR. M. (1998) A primer of drug action.New York: Freeman.
23.
KailR., & SalthouseT. A. (1994) Processing speed as a mental capacity. Acta Psychologica, 86, 199–225.
24.
KolsonD. L., & Gonzalez-ScaranoF. (2002) The effects of human immunodeficiency virus in the central nervous system. Advances in Virus Research, 50, 1–47.
25.
KortenA. E.HendersonA. S.ChristensenH.JormA. F.RodgersB.JacombP., & MacKinnonA. J. (1997) A prospective study of cognitive function in the elderly. Psychological Medicine, 27, 919–930.
26.
LangJ. P.HalleguenO.PicardA.LangJ. M., & DanionJ. M. (2001) Apropos of atypical melancholia with Sustiva (efavirenz). Encephale, 21, 290–293.
27.
LinjakumpuT.HartikainenS.KlaukkaT.VeijolaJ.KivelaS. L., & IsoahoR. (2002) Use of medications and polypharmacy are increasing among the elderly. Journal of Clinical Epidemiology, 55, 809–817.
28.
MacPhersonS. E.PhillipsL. H., & SalaDella S. (2002) Age, executive function, and social decision making: A dorsolateral prefrontal theory of cognitive aging. Psychology & Aging, 17, 598–609.
29.
Martin-GarciaJ.KolsonD. L., & Gonzalez-ScaranoF. (2002) Chemokine receptors in the brain: Their role in HIV infection and pathogensis. AIDS, 16, 1709–1730.
30.
MasliahE.GeN.MoreyM.DeTeresaR.TerryR. D., & WileyC. A. (1992) Cortical dendritic pathology in human immunodeficiency virus encephalitis. Laboratory Investigation, 66, 285–291.
31.
MattayV. S.FeraF.TessitoreA.HaririA. R.DasS.CallicottJ. H., & WeinbergerD. R. (2002) Neurophysiological correlates of age-related changes in human motor function. Neurology, 58, 630–635.
32.
McDowdJ. M. (1997) Inhibition in attention and aging. Journals of Gerontology, 52, 265–273.
33.
MerrillJ. E., & ChenI. S. (1991) HIV-1, macrophages, glial cells, and cytokines in AIDS nervous system disease. FASEB Journal, 5, 2391–2397.
34.
MillerE. N.SelnesO. A.McArthurJ. C.SatzP.BeckerJ. T.CohenB. A.SheridanK.MachadoA. M.Van GorpW. B., & VisscherB. (1990) Neuropsychological performance in HIV-1 infected homosexual men: The Multicenter AIDS Cohort Study (MACS). Neurology, 40, 197–203.
35.
MooreL. W., & AmburgeyL. B. (2000) Older adults with HIV. AJORN Journal, 71, 873–876.
NathA.AndersonC.JonesM.MaragosW.BoozeR.MactutusC.BellJ.HauserK. F., & MattsonM. (2000) Neurotoxicity and dysfunction of dopaminergic systems associated with AIDS dementia. Journal of Psychopharmacology, 14, 222–227.
38.
OsowieckiD. M.CohenR. A.MorrowK. M.PaulR. H.CarpenterC. C.FlaniganT., & BolandR. J. (2000) Neurocognitive and psychological contributions to quality of life in HIV-1 infected women. AIDS, 14, 1327–1332.
39.
PapellaF. J.DelaneyK. M.MoormanA. C.LovelessM. O.FuhrerJ.SattenG. A.AschmanD. J., Holmberg, S. D., & the HIV Outpatient Study. (1998) Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. New England Journal of Medicine, 338, 853–860.
40.
PaulsenJ. S.ButterN.SadekJ. R.JohnsonS. A.SalmonD. P.SwerdlowN. R., & SwensonM. R. (1995) Distinct cognitive profiles of cortical and subcortical dementia in advanced illness. Neurology, 45, 951–956.
41.
PowerC.KongP. A.CrawfordT. O.WesselinghS.GlassJ. D.McArthurJ. C., & TrappB. D. (1993) Cerebral white matter changes in acquired immunodeficiency syndrome dementia: Alteration of the blood-brain barrier. Annals of Neurology, 34, 339–350.
42.
PriceR. W.BrewB.SidtisJ.RosenblumM.ScheckA. D., & ClearyP. (1988) The brain in AIDS: Central nervous system HIV-1 infection and AIDS dementia complex. Science, 239, 586–596.
43.
PughK. G., & LipsitzL. A. (2002) The microvascular frontal-subcortical syndrome of aging. Neurobiology of Aging, 23, 421–431.
44.
RichelsonE. (1996) Preclinical pharmacology of neuroleptics: Focus on new generation compounds. Journal of Clinical Psychiatry, 57, 4–11.
SchaieK. W. (1996) Intellectual development in adults: The Seattle Longitudinal Study.New York: Cambridge.
47.
SchutL. J. (1998) Motor system changes in the aging brain: What is normal and what is not. Geriatrics, 53, 16–19.
48.
SternR. (1994) Neuropsychiatric aspects of HIV, with a note on psychoneuroimmunology. Advances: Journal of the Institute for the Advancement of Health, 10, 28–31.
49.
SuarezS.BarilL.StankoffB.KhellafM.DuboisB.LubetzkiC.BricaireF., & HauwJ. J. (2001) Outcome of patients with HIV-1-related cognitive impairment on highly active antiretroviral therapy. AIDS, 15, 195–200.
50.
VanceD. E. (2002) Aging successfully with HIV. Presented at American Society on Aging Conference, Denver, CO.
51.
VanceD. E. (2003) The psychological effects of aging with HIV. Presented at American Society on Aging Conference, Chicago, IL.
52.
WestR. L. (1996) An application of prefrontal cortex function theory to cognitive aging. Psychological Bulletin, 120, 488–507.
53.
WileyC. A.MasliahE.MoreyM.LemereC.DeTeresaR.GrafeM.HansenL., & TerryR. (1991) Neocortical damage during HIV infection. Annals of Neurology, 29, 651–657.
54.
WilliamsK. C., & HickeyW. F. (2002) Central nervous system damage, monocytes and macrophages, and neurological disorders in AIDS. Annual Review of Neuroscience, 25, 537–562.
55.
WilsonR. S., & GilleyD. W. (1992) Ideational fluency in Parkinson's disease. Brain and Cognition, 20, 236–244.