Evidence map›Paper›PMID 34826006›Full record

ReviewNeuropsychology review2022

Cognitive Intra-individual Variability in HIV: an Integrative Review.

David E Vance, Victor A Del Bene, Jennifer Sandson Frank, Rebecca Billings, Kristen Triebel, Alison Buchholz, Leah H Rubin, Steven Paul Woods, Wei Li, Pariya L Fazeli

Abstract readReview
In one paragraph

Review in Neuropsychology review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Cognitive dispersion profiles and prediction of cognitive change in early-onset dementias: Results from LEADS.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  14. Executive Functions are Independently Associated with Cognitive Dispersion in HIV Disease.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

David E VanceSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA. devance@uab.edu.ORCID 0000-0002-0498-6263
Victor A Del BeneDepartment of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.
Jennifer Sandson FrankSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Rebecca BillingsUAB Libraries, University of Alabama at Birmingham, Birmingham, AL, USA.
Kristen TriebelDepartment of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.
Alison BuchholzDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Leah H RubinDepartment of Neurology, Psychiatry, and Epidemiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Steven Paul WoodsDepartment of Psychology, University of Houston, Houston, TX, USA.
Wei LiDepartment of Clinical and Diagnostic Sciences, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA.
Pariya L FazeliSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.

Funding

Clinical Research Sites for the MACS/WIHS Combined Cohort Study (MACS/WIHS-CCS) - Baltimore/Wash DC Center - Admin Supplement: Vision and dual sensory loss in HIV-infected older adultsU01HL146201 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TODD T BROWN, Joseph B. Margolick · 2019 to 2026
$33.7M
An RCT of Speed of Processing Training in Middle-Aged and Older Adults with HIVR01MH106366 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI VANCE, DAVID E · 2016 to 2020
$2.6M
Testing the Efficacy and Mechanisms of an Adapted Resilience Building Intervention in People Aging with HIVR21AG076377 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WHEELER, PARIYA FAZELI · 2022 to 2023
$520k
NHLBI NIH HHS U01 HL146201NIA NIH HHS R21 AG076377NIMH NIH HHS R01 MH106366
6 · The paper itself

Abstract

Nearly 30-50% of people living with HIV experience HIV-Associated Neurocognitive Disorder (HAND). HAND indicates performance at least one standard deviation below the normative mean on any two cognitive domains. This method for diagnosing or classifying cognitive impairment has utility, however, cognitive intraindividual variability provides a different way to understand cognitive impairment. Cognitive intraindividual variability refers to the scatter in cognitive performance within repeated measures of the same cognitive test (i.e., inconsistency) or across different cognitive tests (i.e., dispersion). Cognitive intraindividual variability is associated with cognitive impairment and cognitive decline in various clinical populations. This integrative review of 13 articles examined two types of cognitive intraindividual variability in people living with HIV, inconsistency and dispersion. Cognitive intraindividual variability appears to be a promising approach to detect subtle cognitive impairments that are not captured by traditional mean-based neuropsychological testing. Greater intraindividual variability in people living with HIV has been associated with: 1) poorer cognitive performance and cognitive decline, 2) cortical atrophy, both gray and white matter volume, 3) poorer everyday functioning (i.e., driving simulation performance), specifically medication adherence, and 4) even mortality. This inspires future directions for research. First, greater cognitive intraindividual variability may reflect a greater task demand on executive control to harness and regulate cognitive control over time. By improving executive functioning through cognitive training, it may reduce cognitive intraindividual variability which could slow down cognitive decline. Second, cognitive intraindividual variability may be reconsidered in prior cognitive intervention studies in which only mean-based cognitive outcomes were used. It is possible that such cognitive interventions may actually improve cognitive intraindividual variability, which could have clinical relevance.

Indexed as

Cognitive DysfunctionHIV InfectionsHumansNeuropsychological TestsCognitionDispersionExecutive dysfunctionHIV/AIDSInconsistencyIntra-individual variability

Identifiers

PMID34826006
PMCPMC9944348

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.