Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Resilience attenuates the association between neurocognitive functioning and everyday functioning in individuals aging with HIV in the Deep South

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Additional Information
    • Author(s):
    • Abstract:
      Objectives: Adults aging with HIV are at risk for poorer neurocognitive and daily functioning. Identifying factors to protect such outcomes is a significant research priority. The aim of this study was to explore the role of resilience in cognitive and everyday functioning in a largely African American and low socioeconomic status sample of adults and older adults with HIV in the Deep South.Methods/design: In this cross-sectional study 100 HIV+ middle-aged and older adults (range 40-73; 61% aged 50+) completed a comprehensive neurocognitive battery along with self-reported measures of resilience and everyday functioning.Results: Higher resilience was associated with better global neurocognitive functioning (rho = 0.31, P < 0.01), as well as better functioning in all domains (verbal fluency, executive functioning, speed of information processing, learning, working memory) except recall and motor skills. Resilience was also significantly associated with instrumental activities of daily living (IADL) dependence, with lower resilience observed in those with IADL dependence compared with those who were IADL independent (P < 0.01). In a multiple regression adjusting for data-driven covariates (verbal IQ, income, depression), and global neurocognitive impairment, resilience was the only significant (P = 0.02) correlate of IADL dependence. A follow-up mediation showed that the direct relationship between neurocognitive functioning and IADL declines was fully attenuated after accounting for shared variance with resilience.Conclusions: Resilience is associated with better cognitive and functional outcomes in people aging with HIV. While further work is needed to understand these associations over time, results suggest interventions to build resilience may promote successful aging in this vulnerable population. ABSTRACT FROM AUTHOR (Copyright of International Journal of Geriatric Psychiatry is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.)
    • Accession Number:
      AFRICAN Americans; daily functioning; HIV/AIDS; neurocognition
    • Publication Information:
      Publication Type: Journal Article ISSN: 0885-6230
    • Accession Number:
      EP133626962
  • Citations
    • ABNT:
      FAZELI, P. L.; MOORE, R. C.; VANCE, D. E. Resilience attenuates the association between neurocognitive functioning and everyday functioning in individuals aging with HIV in the Deep South. International Journal of Geriatric Psychiatry, [s. l.], v. 34, n. 1, p. 72–78, 2019. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP133626962. Acesso em: 29 out. 2020.
    • AMA:
      Fazeli PL, Moore RC, Vance DE. Resilience attenuates the association between neurocognitive functioning and everyday functioning in individuals aging with HIV in the Deep South. International Journal of Geriatric Psychiatry. 2019;34(1):72-78. Accessed October 29, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP133626962
    • APA:
      Fazeli, P. L., Moore, R. C., & Vance, D. E. (2019). Resilience attenuates the association between neurocognitive functioning and everyday functioning in individuals aging with HIV in the Deep South. International Journal of Geriatric Psychiatry, 34(1), 72–78.
    • Chicago/Turabian: Author-Date:
      Fazeli, Pariya L., Raeanne C. Moore, and David E. Vance. 2019. “Resilience Attenuates the Association between Neurocognitive Functioning and Everyday Functioning in Individuals Aging with HIV in the Deep South.” International Journal of Geriatric Psychiatry 34 (1): 72–78. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP133626962.
    • Harvard:
      Fazeli, P. L., Moore, R. C. and Vance, D. E. (2019) ‘Resilience attenuates the association between neurocognitive functioning and everyday functioning in individuals aging with HIV in the Deep South’, International Journal of Geriatric Psychiatry, 34(1), pp. 72–78. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP133626962 (Accessed: 29 October 2020).
    • Harvard: Australian:
      Fazeli, PL, Moore, RC & Vance, DE 2019, ‘Resilience attenuates the association between neurocognitive functioning and everyday functioning in individuals aging with HIV in the Deep South’, International Journal of Geriatric Psychiatry, vol. 34, no. 1, pp. 72–78, viewed 29 October 2020, .
    • MLA:
      Fazeli, Pariya L., et al. “Resilience Attenuates the Association between Neurocognitive Functioning and Everyday Functioning in Individuals Aging with HIV in the Deep South.” International Journal of Geriatric Psychiatry, vol. 34, no. 1, Jan. 2019, pp. 72–78. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP133626962.
    • Chicago/Turabian: Humanities:
      Fazeli, Pariya L., Raeanne C. Moore, and David E. Vance. “Resilience Attenuates the Association between Neurocognitive Functioning and Everyday Functioning in Individuals Aging with HIV in the Deep South.” International Journal of Geriatric Psychiatry 34, no. 1 (January 1, 2019): 72–78. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP133626962.
    • Vancouver/ICMJE:
      Fazeli PL, Moore RC, Vance DE. Resilience attenuates the association between neurocognitive functioning and everyday functioning in individuals aging with HIV in the Deep South. International Journal of Geriatric Psychiatry [Internet]. 2019 Jan 1 [cited 2020 Oct 29];34(1):72–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP133626962