Diagnostic Utility of the International HIV Dementia Scale for HIV-Associated Neurocognitive Impairment and Disorder in South Africa.

Journal: The Journal of neuropsychiatry and clinical neurosciences

Volume: 26

Issue: 4

Year of Publication: 2015

Affiliated Institutions:  From the Dept. of Mental Health, AIDS Healthcare Foundation, Los Angeles, CA (KG); Dept. of Psychiatry and Behavioral Sciences, Quillen College of Medicine, East Tennessee State University, Johnson City, TN (KG); Dept. of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA (EL, DJH); Dept. of Psychology, Loyola Marymount University, Los Angeles, CA (DJH); Dept. of Psychiatry, McCord Hospital, Durban, South Africa (DS); and Dept. of Psychiatry and Behavioral Neurosciences, Cedars-Sinai Medical Center, Los Angeles, CA (EL).

Abstract summary 

Studies in sub-Saharan Africa indicate that most HIV seropositive persons have HIV-associated neurocognitive disorder (HAND). HAND diagnosis is facilitated by specific screening. Seventy participants were recruited from an HIV voluntary counseling and testing clinic in Durban, South Africa. The diagnostic utility of the International HIV Dementia Scale (IHDS) was analyzed using a receiver operating characteristic (ROC) model. The ROC analysis comparing any HAND diagnosis (based on two neuropsychological tests) versus no diagnosis was statistically significant, with an optimal cut-off score of 10.5, sensitivity of 69%, and specificity of 74%. Sensitivity of the IHDS was highest for HIV-associated dementia.

Authors & Co-authors:  Goodkin Karl K Hardy David J DJ Singh Dinesh D Lopez Enrique E

Study Outcome 

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Statistics
Citations :  Grant I. Neurocognitive disturbances in HIV. Int Rev Psychiatry. 2008;20:33–47.
Authors :  4
Identifiers
Doi : 10.1176/appi.neuropsych.13080178
SSN : 1545-7222
Study Population
Male,Female
Mesh Terms
AIDS Dementia Complex
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
United States