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AIDS Behav. 2018 May;22(5):1551-1561. doi: 10.1007/s10461-017-2001-5.

Positive Psychological Factors are Linked to Successful Cognitive Aging Among Older Persons Living with HIV/AIDS.

Author information

1
Department of Psychiatry, University of California, San Diego, San Diego, CA, USA. djmoore@ucsd.edu.
2
Department of Psychiatry, University of California, San Diego, San Diego, CA, USA.
3
Department of Family, Community, and Health Systems, School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
4
Stein Institute for Research on Aging, University of California, San Diego, San Diego, CA, USA.
5
Veterans Administration San Diego Health Care System, San Diego, San Diego, CA, USA.
6
Department of Psychology, University of Houston, Houston, TX, USA.
7
Department of Medicine, University of California, San Diego, San Diego, CA, USA.

Abstract

We aimed to characterize successful cognitive aging (SCA) among older HIV-infected (HIV+) and HIV-uninfected (HIV-) adults, and to determine associations with positive psychological factors and health-related quality of life (HRQoL). Ninety-nine HIV+ and 46 HIV- older adults (≥ 50 years) completed measures of neurocognition, positive psychological factors, and HRQoL. Using study-defined SCA criteria (i.e., no cognitive or everyday impairment or major depressive disorder), we compared positive psychological factors and HRQoL across four groups: HIV+/SCA+, HIV+/SCA-, HIV-/SCA+, HIV-/SCA-. SCA was identified in 29% of the HIV+ sample compared to 61% of the HIV- sample (p < 0.01). HIV+/SCA+ participants had higher scores on 8 of 10 measures of positive psychological factors as well as better HRQoL (ps < 0.05) as compared to the HIV+/SCA- group. Furthermore, the HIV+/SCA+ participants had comparable scores on these factors as HIV- adults. Fewer HIV+ than HIV- participants met SCA criteria; however, the level of positive psychological factors among the HIV+/SCA+ group was comparable to the HIV- sample. Our findings present opportunities for interventions to optimize positive psychological factors and potentially improve SCA among older HIV+ adults.

KEYWORDS:

Aging; Cognition; HIV/AIDS; Health-related quality of life; Positive Psychology

PMID:
29264737
PMCID:
PMC5903987
DOI:
10.1007/s10461-017-2001-5
[Indexed for MEDLINE]
Free PMC Article

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