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Related Experiment Video

Updated: Jul 23, 2026

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
05:53

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Published on: July 24, 2013

Executive functioning and compliance in HIV patients.

L S Mann1, T Westlake, T N Wise

  • 1Department of Psychiatry, Inova Fairfax Hospital, Falls Church, VA 22042, USA. Lee.Mann@Inova.com

Psychological Reports
|April 16, 1999
PubMed
Summary

The Executive Interview (EXIT) effectively identified cognitive issues in adult HIV patients. Better medication adherence and fewer countertransference issues correlated with higher EXIT scores in this patient group.

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Area of Science:

  • Neuropsychology
  • Infectious Diseases
  • Psychiatry

Background:

  • Human Immunodeficiency Virus (HIV) infection can present with cognitive impairments.
  • Assessing cognitive function is crucial for managing HIV patients, impacting treatment adherence and overall health outcomes.
  • Understanding the relationship between cognitive status, treatment adherence, and psychological factors is essential for comprehensive HIV care.

Purpose of the Study:

  • To evaluate the utility of the Executive Interview (EXIT) in assessing cognitive difficulties in adult HIV patients.
  • To explore the correlation between cognitive assessment scores and adherence to medication and sexual activity restrictions.
  • To investigate the relationship between countertransference issues and cognitive function in this population.

Main Methods:

  • A cohort of 25 adult patients diagnosed with HIV was assessed.
  • The Executive Interview (EXIT) was administered to evaluate cognitive function.
  • Data on medication compliance and adherence to sexual activity restrictions were collected.
  • Countertransference issues were also assessed in relation to patient management.

Main Results:

  • The Executive Interview (EXIT) demonstrated utility in identifying cognitive difficulties among adult HIV patients.
  • A negative correlation was observed between EXIT scores and compliance with medication.
  • A negative correlation was also found between EXIT scores and countertransference issues.

Conclusions:

  • The EXIT is a valuable tool for cognitive screening in adult HIV patients.
  • Cognitive impairment may be associated with challenges in medication adherence and psychological management.
  • Further research is warranted to explore interventions addressing cognitive deficits and improving adherence in HIV care.