The assessment of cognitive function in advanced HIV-1 infection and AIDS dementia complex using a new computerised cognitive test battery

Arch Clin Neuropsychol. 2006 Feb;21(2):185-94. doi: 10.1016/j.acn.2005.07.011. Epub 2005 Dec 15.

Abstract

The validity of a new computerised battery called CogState was determined in 60 individuals with advanced human immunodeficiency virus-1 (HIV-1) infection from which eleven were assessed as AIDS dementia complex (ADC) stage 1 or 2. Twenty-one seronegative individuals were recruited as controls. Participants were evaluated with a brief computerised examination, lasting 10-15 min, assessing reaction time, accuracy in working memory and learning. They were also assessed with a standard neuropsychological examination lasting 1h 30 min on average. The computerised assessment demonstrated a good sensitivity of 81.1% and specificity of 69.9% as well as good positive predictive value (81%) and acceptable construct validity (.45-.62). Slowed reaction time and learning deficits in the computerised battery were characteristic of ADC. This study supports the utility of a brief computerised battery in the detection of HIV-associated neurocognitive impairment that could be used for wide-scale screening.

MeSH terms

  • AIDS Dementia Complex / diagnosis*
  • AIDS Dementia Complex / epidemiology*
  • Association Learning
  • Cohort Studies
  • Diagnosis, Computer-Assisted / methods*
  • Female
  • HIV Infections / epidemiology
  • HIV-1*
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests*
  • Predictive Value of Tests
  • Reaction Time
  • Severity of Illness Index