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Personal factors contributing to deficits in self-awareness of cognitive impairment

Juengst, Shannon (2007) Personal factors contributing to deficits in self-awareness of cognitive impairment. Master's Thesis, University of Pittsburgh. (Unpublished)

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Abstract

75 subjects, 52 HIV+ and 23 HIV- but considering themselves to be at risk for HIV, completed a psychosocial interview based on the Structured Clinical Interview for DSM-IV (SCID), the Patient's Assessment of Own Functioning (PAOF) questionnaire, and a battery of neuropsychological tests. Subjects were then categorized into one of three clinical impairment groups and one of three self-reported impairment groups. Based upon the differences between their clinical impairment group and self-reported impairment group, subjects were classified as being aware, having limited awareness, or having poor awareness. Factors correlated with deficits in awareness included age and performance on the Digit Symbol test and a test of simple reaction time. In addition, those with more severe cognitive impairment were less aware than those who were normal or borderline. A one-way ANOVA suggested that the poor awareness group differed significantly from both the aware and limited awareness groups on the Digit Symbol test and the Rey Figure Immediate and Delayed Recall. The aware and limited awareness groups were not significantly different for any factor. Overall, poor awareness was associated with poorer test performance. In those with HIV/AIDS, age was inversely related to self-awareness, with those who were older and impaired demonstrating better awareness than those who were younger and impaired. This research has implications for understanding poor awareness in HIV/AIDS and for creating appropriate and effective rehabilitation plans.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Juengst, Shannonsbj3@pitt.eduSBJ3
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairPramuka, Michael
Committee MemberSkidmore, Elizabeth
Committee MemberBecker, James
Committee MemberMcCue, Michael
Date: 12 September 2007
Date Type: Completion
Defense Date: 28 March 2007
Approval Date: 12 September 2007
Submission Date: 31 July 2007
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: School of Health and Rehabilitation Sciences > Health and Rehabilitation Sciences
Degree: MS - Master of Science
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: cognitive disability
Other ID: http://etd.library.pitt.edu/ETD/available/etd-07312007-140625/, etd-07312007-140625
Date Deposited: 10 Nov 2011 19:55
Last Modified: 15 Nov 2016 13:47
URI: http://d-scholarship.pitt.edu/id/eprint/8765

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