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Auditory working memory in HIV-1 infection

Published online by Cambridge University Press:  09 February 2001

EILEEN M. MARTIN
Affiliation:
Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612 VA Chicago Health Care System—West Side Division, Chicago, IL 60612
T. SHAWN SULLIVAN
Affiliation:
Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612
ROBYN A. REED
Affiliation:
Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612
TONY A. FLETCHER
Affiliation:
Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612
DAVID L. PITRAK
Affiliation:
VA Chicago Health Care System—West Side Division, Chicago, IL 60612 Department of Medicine-Section of Infectious Disease, University of Illinois College of Medicine, Chicago, IL 60612
WILLIAM WEDDINGTON
Affiliation:
Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612 VA Chicago Health Care System—West Side Division, Chicago, IL 60612
MARTIN HARROW
Affiliation:
Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612

Abstract

We evaluated auditory working memory in 41 HIV-seropositive (HIV+) and 37 HIV-seronegative (HIV−) male drug users, employing a modified version of the Letter-Number Span Task developed by Gold and colleagues. We added a control condition to the standard task in order to evaluate more directly the contribution of the processing component to the working memory deficits with the effects of storage demands minimized. HIV+ subjects performed significantly more poorly compared to controls on an index of working memory processing derived from raw scores obtained under the two testing conditions. These findings are consistent with our previous reports that HIV-related working memory deficits are evident across multiple informational domains; further, the deficit appears to involve multiple-component functions of working memory. Converging findings from recent working memory studies and from primate and neuroimaging investigations suggest that functional abnormalities of prefrontal cortex should receive greater emphasis in models of neurocognitive aspects of HIV-1 infection, which have typically emphasized “subcortical” deficits. (JINS, 2001, 7, 20–26.)

Type
Research Article
Copyright
© 2001 The International Neuropsychological Society

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