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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1995-12-18
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pubmed:abstractText |
This study tries to demonstrate the importance of using follow-up trials and taking anxio-depressive status into account while interpreting cognitive impairment in HIV-infected subjects. Subjects included were: 18 HIV carriers, mostly homosexual, belonging to CDC groups II (4), III or IVC2 (7) and IV (7), selected within a cohort of 63, as having been assessed 3 times, with no focal or identified brain disease at entry. Our methods were: 1) psychiatric interview based on DSM III-R criteria, clinical scales (Spielberger's STAXI and the MADRS) and cognitive questionnaires; 2) neuropsychological evaluation including 16 subtests screening attention, memory, visuo-spatial function, motor dexterity, psychomotor speed, and language; 3) repeated assessment within a period ranging from 6 to 21 months. Results: At entry, cognitive status was impaired for 14 subjects (2 II, 5 III or IVC2, 7 IV). Disorders had disappeared for 7 subjects (2 II, 2 IVC2 and 3 IV) at following assessments allowing us to conclude on a psychogenic origin. For 7 subjects, cognitive status had either remained constant (3 III and 2 II) or had worsened within 7 to 17 months (2 IV), whereas psychiatric symptoms had decreased, implying HIV encephalopathy. Follow-up trials including 3 neuropsychological and psychiatric assessments and neuroimagery, if necessary, were required to ascertain the causes of cognitive impairment consequently attributed to anxio-depressive symptoms or HIV encephalopathy in 14 subjects.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0013-7006
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
21
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
285-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7588167-AIDS Dementia Complex,
pubmed-meshheading:7588167-Adult,
pubmed-meshheading:7588167-Aged,
pubmed-meshheading:7588167-Anxiety Disorders,
pubmed-meshheading:7588167-Cohort Studies,
pubmed-meshheading:7588167-Depressive Disorder,
pubmed-meshheading:7588167-Female,
pubmed-meshheading:7588167-HIV Seropositivity,
pubmed-meshheading:7588167-Homosexuality, Male,
pubmed-meshheading:7588167-Humans,
pubmed-meshheading:7588167-Male,
pubmed-meshheading:7588167-Middle Aged,
pubmed-meshheading:7588167-Neuropsychological Tests,
pubmed-meshheading:7588167-Personality Inventory,
pubmed-meshheading:7588167-Sick Role
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pubmed:articleTitle |
[Anxious-depressive state and cognitive deficit in HIV infection].
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pubmed:affiliation |
U158 INSERM, Hôpital Necker-Enfants Malades, Paris.
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pubmed:publicationType |
Journal Article,
English Abstract
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