{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T06:36:46Z","timestamp":1777963006946,"version":"3.51.4"},"reference-count":63,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T00:00:00Z","timestamp":1599696000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Rutgers School of Health Professions Office of the Dean"},{"name":"Tier 2 Canada Research Chair in Episodic Disability and Rehabilitation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of this study was to compare disability in people with HIV and peripheral neuropathy with those without neuropathy and explore how neuropathy and other relevant factors are associated with disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross-sectional study, participants completed the Brief pain inventory, Beck Depression Inventory II, World Health Organization Disability Assessment Schedule (WHODAS 2.0), and a health and demographic questionnaire. Additional data were extracted from the medical record. A raw score of \u22651 on the Subjective Peripheral Neuropathy Screen questions about lower extremity numbness or paresthesia was used to identify peripheral neuropathy. Predictors of disability (as determined by association with World Health Organization Disability Assessment Schedule 2.0 scores) were evaluated bivariately and in a multivariable model. Path modeling was used to identify a parsimonious model to elucidate the mediated effects of peripheral neuropathy on disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants with peripheral neuropathy had more depression symptoms, more pain (severity and interference), and higher disability scores compared with participants without neuropathy. The relationship between neuropathy and disability was mediated by pain interference and depression (standardized root mean residual\u00a0=\u00a0.056).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this sample of people with HIV, those with lower extremity peripheral neuropathy reported more severe disability, worse pain, and more depression symptoms than those without neuropathy. The relationship between peripheral neuropathy and disability may be mediated though pain interference and depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Impact<\/jats:title><jats:p>Distal sensory polyneuropathy is a common comorbidity experienced by people living with HIV and frequently causes pain. This study can help providers direct care toward lessening disability experienced among people with HIV and peripheral neuropathy by targeting interventions for treatment of pain and depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Lay Summary<\/jats:title><jats:p>People living with HIV may experience disabling painful neuropathy. Treatment for pain and depression may help reduce the disability associated with painful neuropathy.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ptj\/pzaa161","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T03:45:01Z","timestamp":1599795901000},"page":"2174-2185","source":"Crossref","is-referenced-by-count":6,"title":["Self-Reported Disability in Persons With HIV-Related Neuropathy Is Mediated by Pain Interference and Depression"],"prefix":"10.1093","volume":"100","author":[{"given":"David M","family":"Kietrys","sequence":"first","affiliation":[{"name":"Department of Rehabilitation and Movement Sciences, School of Health Professions, Rutgers, The State University of New Jersey , 200 College Dr, Jefferson Hall #308, Blackwood, NJ 08012 (USA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James Scott","family":"Parrott","sequence":"additional","affiliation":[{"name":"Department of Interdisciplinary Studies, School of Health Professions , Rutgers, The State University of New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Lou","family":"Galantino","sequence":"additional","affiliation":[{"name":"Physical Therapy Program, School of Health Sciences, Stockton University , Galloway, New Jersey; Family Medicine and Community Health, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania; and University of Witwatersrand, Johannesburg, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Interdisciplinary Studies, School of Health Professions , Rutgers, The State University of New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd","family":"Levin","sequence":"additional","affiliation":[{"name":"School of Osteopathic Medicine, Rowan University , Stratford, New Jersey; and Jefferson Health, Voorhees, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly K","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of Toronto , Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto; and Rehabilitation Sciences Institute, University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,9,10]]},"reference":[{"key":"2023011806105149300_ref1","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1007\/s11904-014-0215-y","article-title":"Functional impairment, disability, and frailty in adults aging with HIV-infection","volume":"11","author":"Erlandson","year":"2014","journal-title":"Curr HIV\/AIDS Rep"},{"key":"2023011806105149300_ref2","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1089\/apc.2012.0329","article-title":"Co-morbidities in persons infected with HIV: increased burden with older age and negative effects on health-related quality of life","volume":"27","author":"Rodriguez-Penney","year":"2013","journal-title":"AIDS Patient Care STDS"},{"key":"2023011806105149300_ref3","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/1477-7525-2-46","article-title":"Impairments, activity limitations and participation restrictions: prevalence and associations among persons living with HIV\/AIDS in British Columbia","volume":"2","author":"Rusch","year":"2004","journal-title":"Health Qual Life Outcomes"},{"key":"2023011806105149300_ref4","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1186\/1477-7525-6-76","article-title":"Exploring disability from the perspective of adults living with HIV\/AIDS: development of a conceptual framework","volume":"6","author":"O'Brien","year":"2008","journal-title":"Health Qual Life Outcomes"},{"key":"2023011806105149300_ref5","volume-title":"International Classification Of Functioning, Disability And Health: ICF","author":"World Health Organizaion","year":"2001"},{"key":"2023011806105149300_ref6","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/1758-2652-12-30","article-title":"Putting episodic disability into context: a qualitative study exploring factors that influence disability experienced by adults living with HIV\/AIDS","volume":"12","author":"O'Brien","year":"2009","journal-title":"J Int AIDS Soc"},{"key":"2023011806105149300_ref7","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1097\/01.phm.0000179521.70639.83","article-title":"International Classification of Functioning, Disability, and Health (ICF): a promising framework and classification for rehabilitation medicine","volume":"84","author":"Stucki","year":"2005","journal-title":"Am J Phys Med Rehabil"},{"key":"2023011806105149300_ref8","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1080\/09540121.2012.668175","article-title":"What factors are associated with patient self-reported health status among HIV outpatients? 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