艾滋病毒感染者的认知障碍:为一种新的方法提出共识建议
Sam Nightingale1, Beau Ances2, Paola Cinque3
1HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, Neuroscience Institute, University of Cape Town, Cape Town, South Africa. sam.nightingale@uct.ac.za.
Nature reviews. Neurology
|June 13, 2023
概括
目前的艾滋病毒相关神经认知障碍 (HAND) 标准可能会高估损伤. 一个由包括艾滋病毒感染者在内的全球工作组开发的新方法强调临床背景,而不仅仅是神经心理测试,以更好地诊断和研究.
科学领域:
- 神经科学是一个神经科学.
- 传染性疾病 传染性疾病
- 精神病学是一个精神病学.
背景情况:
- 目前对艾滋病毒相关神经认知障碍 (HAND) 的标准可能会高估艾滋病毒感染者的认知障碍.
- 弗拉斯卡蒂标准可以错误地分类超过20%的认知健康个体,可能不适合多样化的人口.
- 不准确的分类阻碍了研究,生物标志物发现和治疗试验,并可能增加耻辱感.
研究的目的:
- 为了解决当前HAND分类系统的局限性.
- 开发一种新的,更准确的方法来诊断和分类艾滋病毒感染者的认知障碍.
- 为临床管理和研究提供一个更清晰的框架.
主要方法:
- 建立具有全球代表性的国际艾滋病毒认知工作组,包括艾滋病毒感染者.
- 在修订诊断和分类方法的六项建议上达成共识.
- 建议从概念上将与艾滋病毒相关的脑损伤与其他原因分开.
主要成果:
- 制定了六项共识建议,用于一种新的方法来对艾滋病毒感染者认知障碍进行分类.
- 倡导将与艾滋病毒有关的脑损伤与其他病因分开.
- 建议从纯粹的定量神经心理学方法转变为强调临床背景.
结论:
- 提出的建议旨在提高艾滋病毒感染者认知障碍分类的准确性.
- 这一新框架旨在更好地反映全球认知障碍不断变化的特征.
- 修订后的方法旨在提高艾滋病毒相关认知变化的临床管理和研究清晰度.
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