ABSTRACT

Persons with HIV can often present cognitive disorders such as those related to executive functioning, which could affect the daily life activities. The present study was designed to explore the predictive relationship between executive functions according to Miyake’s model and the basic and instrumental skills of everyday functioning in a group of persons with HIV (PWH). Participants were recruited from outpatient treatment Hospital and assessed using a neuropsychological battery, a modified version of the Lawton and Brody basic and instrumental activities of daily life (ADL) scale and the Hospital Anxiety and Depression Scale (HADS). The results showed a low score in the executive function and significant relationship between executive functioning and the instrumental skills of the patients, with set-shifting being one of the most powerful predictors. The processes of executive functioning, particularly set-shifting, are related to the level of functioning in the skills required for independent living in the community, but not the skills of independent living in the home. This study seems to suggest the utility of assessing executive functions as a preventive measure for the development of dependencies in normal daily instrumental skills and as the focus of interdisciplinary interventions.

摘要

艾滋病病毒感染者通常会出现认知障碍，例如与执行功能相关的认知障碍，这可能会影响日常生活活动。本研究旨在根据 Miyake 的模型探索执行功能与一组 HIV 感染者 (PWH) 日常功能的基本和工具技能之间的预测关系。参与者是从门诊治疗医院招募的，并使用神经心理学电池、劳顿和布罗迪日常生活基本和工具活动（ADL）量表和医院焦虑和抑郁量表（HADS）的修改版进行评估。结果显示执行功能得分较低，执行功能与患者的工具技能之间存在显着关系，设置移位是最强大的预测器之一。执行功能的过程，特别是设置转换，与在社区中独立生活所需技能的功能水平有关，但与在家中独立生活的技能无关。这项研究似乎表明评估执行功能的效用可作为一种预防措施，以发展对正常日常工具技能的依赖性，并作为跨学科干预的重点。