Future and Past Autobiographical Memory in Persons With HIV Disease
Objective: While HIV disease is associated with declarative memory impairment, the ability of people with HIV (PWH) to describe past and future autobiographical events is not known. The constructive episodic simulation hypothesis asserts that one’s ability to imagine future autobiographical events relies on the construction of details from past autobiographical memories and plays a role in adaptive behavior. Method: Participants included 63 PWH and 28 seronegative individuals ages 50 and older who completed standardized neurocognitive and everyday functioning assessments. Participants described four events from the recent past and four imagined events in the near future, details from which were classified as internal or external to the main event. Results: PWH produced fewer autobiographical details with a small-to-medium effect sizes, but did not differ from seronegative participants in meta-cognitive ratings of their performance. The study groups did not vary across past or future probes or internal versus external details; however, within the entire sample, past events were described in greater detail than future events, and more external than internal details were produced. Within PWH, the production of fewer internal details for future events was moderately associated with poorer prospective memory, executive dysfunction, and errors on a laboratory-based task of medication management. Conclusions: Older PWH may experience difficulty generating autobiographical details from the past and simulated events in the future, which may be related to executive dyscontrol of memory processes. Future studies might examine the role of these deficits in health behaviors such as medication adherence and retention in healthcare.