- Casaletto, Kaitlin Blackstone;
- Doyle, Katie L;
- Weber, Erica;
- Woods, Steven Paul;
- Heaton, Robert K;
- Grant, Igor;
- Atkinson, J Hampton;
- Ellis, Ronald J;
- Letendre, Scott;
- Marcotte, Thomas D;
- Marquie-Beck, Jennifer;
- Sherman, Melanie;
- Ellis, Ronald J;
- Letendre, Scott;
- McCutchan, J Allen;
- Best, Brookie;
- Schrier, Rachel;
- Rosario, Debra;
- Heaton, Robert K;
- Atkinson, J Hampton;
- Woods, Steven Paul;
- Psy, D;
- Marcotte, Thomas D;
- Cherner, Mariana;
- Moore, David J;
- Dawson, Matthew;
- Fennema-Notestine, Christine;
- Buchsbaum, Monte S;
- Hesselink, John;
- Archibald, Sarah L;
- Brown, Gregory;
- Buxton, Richard;
- Dale, Anders;
- Liu, Thomas;
- Masliah, Eliezer;
- Achim, Cristian;
- Smith, David M;
- Richman, Douglas;
- McCutchan, J Allen;
- Cherner, Mariana;
- Achim, Cristian;
- Lipton, Stuart;
- Atkinson, J Hampton;
- Marquie-Beck, Jennifer;
- Gamst, Anthony C;
- Cushman, Clint;
- Abramson, Ian;
- Vaida, Florin;
- Deutsch, Reena;
- Umlauf, Anya
HIV-associated neurocognitive disorders (HAND) are associated with deficits in prospective memory (PM; "remembering to remember"), conferring risk of daily functioning declines. However, self-perceptions of PM functioning are not reliably associated with PM performance in HIV, suggesting a possible deficit in awareness of PM abilities (meta-PM). Our study examined meta-PM in HAND and its correlates using self-predictions of laboratory-based PM performance. Performance-based PM abilities, self-reported prediction of PM performance, and PM complaints in everyday life were assessed in 49 individuals with HAND, 93 HIV+ without HAND (HIV+ noHAND), and 121 seronegative adults (HIV-). After controlling for group-level differences, HAND was associated with a greater number of PM symptoms in everyday life and worse PM performance when compared with both HIV+ noHAND and HIV- samples. Although HAND individuals reported somewhat lower predictions regarding their laboratory PM performance relative to the other study groups, they nevertheless exhibited significantly greater inaccurate overconfidence in time-based PM abilities. Within the HAND group, overconfidence in time-based meta-PM was associated with executive dysfunction and antiretroviral (ARV) nonadherence. HAND individuals evidenced a moderate deficit in awareness of PM functioning characterized by overconfidence in time-based PM abilities. Overconfidence in PM may result in absence of compensatory strategy use, and lead to increased errors in daily functioning (e.g., ARV nonadherence).