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Relating cognitive function to military aviator performance in early HIV infection
R L Mapou1, J R Rundell, G G Kay
1Henry M. Jackson Foundation For the Advancement of Military Medicine, Rockville, MD 20850.
Vaccine
|January 1, 1993
Summary
Cognitive changes in early human immunodeficiency virus (HIV) disease may impact military aviator performance. This paper explores empirical measurement methods for assessing potential HIV-related performance decrements in this demanding profession.
Area of Science:
- Neuroscience
- Military Medicine
- Psychology
Background:
- Controversy exists regarding cognitive changes in early human immunodeficiency virus (HIV) disease.
- Reported cognitive changes are often subclinical and their impact on occupational functioning is not well-understood.
- Cognitive demands in military aviation necessitate assessment of potential HIV-related performance impacts.
Purpose of the Study:
- To explore empirical measurement methodologies for assessing potential HIV-related military performance decrements in aviators.
- To review existing research on cognitive changes in early HIV disease.
- To discuss the application of cognitive assessment measures to HIV research in aviation.
Main Methods:
- Review of studies from Walter Reed Army Medical Center (WRAMC) on cognitive changes in early HIV disease.
- Summary of presentations and discussions from the 'HIV and Military Performance: Assessment Methodologies' conference (November 1990).
- Description of a research program developing cognitive difficulty measures for civilian aviators and their application to HIV research.
Main Results:
- Studies from WRAMC indicate cognitive changes in early HIV disease.
- Conference discussions highlighted the need for assessment methodologies for HIV and military performance.
- Ongoing research aims to develop and apply measures for detecting cognitive difficulties relevant to aviators.
Conclusions:
- Empirical measurement of HIV-related cognitive changes is crucial for understanding potential impacts on military aviator performance.
- Developing and applying sensitive assessment tools are key to addressing this issue.
- Further research is needed to examine the specific impact of HIV-related cognitive changes on military aviator performance.

