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Publication Abstracts

Anti-retroviral therapy and cognitive function

Damos DL, John RS, Parker ES, Levine AM
Aviat Space Environ Med 1997; 68:900-5

Abstract

Background: The effect of anti-retroviral medications on the cognitive functions important in flying has not been determined. Hypothesis: Anti-retroviral medications have no effect on the cognitive performance of individuals at the CDC 4C2 (symptomatic HIV disease with no illness indicative of full-blown AIDS) stage of infection. Methods: A two-group study using a cross-sectional design was used. The participants in each group represented a sample of convenience obtained from a larger, naturalistic study. Each group consisted of 10 HIV+ males at the CDC 4C2 stage of infection. The two groups were found to be comparable on age, education, pre-morbid intelligence, and ethnicity. All members of the anti-retroviral medication group had been receiving medications for at least 3 mo. Those in the control group (no anti-retroviral medication) had received no anti-retroviral medications for at least 6 mo. Cognitive functioning was assessed using a computerized information processing battery that included tests similar to those under consideration for inclusion in military pilot selection batteries and a neuropsychological battery. As part of the larger study, the participants were carefully and repetitively screened on factors known to affect performance on neuropsychological instruments. Results: The groups showed little difference in cognitive functioning. Conclusion: Although more research is needed, anti-retroviral medication does not impair, and may improve, the cognitive process of individuals with symptomatic HIV infection who do not have AIDS.


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Table of Contents for Volume 68, Number 10 of the ASEM journal.