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Angerville B, Jurdana MA, Martinetti MP, Sarba R, Nguyen-Khac É, Naassila M, Dervaux A. Alcohol-related cognitive impairments in patients with and without cirrhosis. Alcohol Alcohol 2024; 59:agae008. [PMID: 38366913 DOI: 10.1093/alcalc/agae008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Revised: 01/17/2024] [Accepted: 01/26/2024] [Indexed: 02/19/2024] Open
Abstract
AIMS up to 80% of patients with alcohol use disorder display cognitive impairments. Some studies have suggested that alcohol-related cognitive impairments could be worsened by hepatic damage. The primary objective of this study was to compare mean scores on the Brief Evaluation of Alcohol-Related Neurocognitive Impairments measure between alcohol use disorder patients with (CIR+) or without cirrhosis (CIR-). METHODS we conducted a prospective case-control study in a hepatology department of a university hospital. All patients were assessed using the Evaluation of Alcohol-Related Neuropsychological Impairments test. RESULTS a total of 82 patients (50 CIR+, 32 CIR-) were included in this study. CIR- patients were significantly younger than CIR+ patients (respectively, 45.5 ± 6.8 vs 60.1 ± 9.0; P < .0001). After adjusting for age and educational level, the mean Evaluation of Alcohol-Related Neuropsychological Impairments total scores in the CIR+ group were significantly lower than in the group of CIR- patients (14.1 ± 0.7 vs 7.8 ± 0.4, respectively, P < .0001). The mean subscores on delayed verbal memory, alphabetical ordination, alternating verbal fluency, visuospatial abilities, and ataxia subtests were also significantly lower in the CIR+ than in the CIR- group (respectively, 1.9 ± 0.2 vs 2.8 ± 0.2; 1.8 ± 0.2 vs 2.7 ± 0.2; 2.2 ± 0.2 vs 3.6 ± 0.2; 0.7 ± 0.2 vs 1.6 ± 0.2; 0.7 ± 0.2 vs 3.1 ± 0.2; P < .0001 for all comparisons). CONCLUSIONS in the present study, alcohol use disorder patients with cirrhosis presented more severe cognitive impairments than those without cirrhosis. Longitudinal studies are needed to investigate how cirrhosis can influence cognitive impairments.
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Affiliation(s)
- Bernard Angerville
- Filière universitaire d'addictologie, EPS Barthélémy Durand, Étampes, 91150, France
- Université de Picardie Jules Verne, Centre Universitaire de Recherche en Santé, INSERM UMR 1247, Groupe de Recherche sur l'Alcool & les Pharmacodépendances, Amiens, 80000, France
| | - Marie-Alix Jurdana
- Université de Picardie Jules Verne, Centre Universitaire de Recherche en Santé, INSERM UMR 1247, Groupe de Recherche sur l'Alcool & les Pharmacodépendances, Amiens, 80000, France
| | | | - Ruxandra Sarba
- Département d'Hépato-Gastroenterologie, CHU d'Amiens, Amiens, 80000, France
| | - Éric Nguyen-Khac
- Université de Picardie Jules Verne, Centre Universitaire de Recherche en Santé, INSERM UMR 1247, Groupe de Recherche sur l'Alcool & les Pharmacodépendances, Amiens, 80000, France
- Département d'Hépato-Gastroenterologie, CHU d'Amiens, Amiens, 80000, France
| | - Mickael Naassila
- Université de Picardie Jules Verne, Centre Universitaire de Recherche en Santé, INSERM UMR 1247, Groupe de Recherche sur l'Alcool & les Pharmacodépendances, Amiens, 80000, France
| | - Alain Dervaux
- Filière universitaire d'addictologie, EPS Barthélémy Durand, Étampes, 91150, France
- Université de Picardie Jules Verne, Centre Universitaire de Recherche en Santé, INSERM UMR 1247, Groupe de Recherche sur l'Alcool & les Pharmacodépendances, Amiens, 80000, France
- Laboratoire de recherche PSYCHOMADD, Université paris Saclay, Villejuif, 94800, France
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Kumar R, Kumar KJ, Benegal V, Roopesh BN, Ravi GS. Effects of an integrated intervention program for alcoholism (IIPA) on learning, memory and quality of life (QOL) in persons with alcohol dependence at the Centre for Addiction Medicine, Bengaluru, India. JOURNAL OF HEALTH RESEARCH 2021. [DOI: 10.1108/jhr-03-2020-0057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
PurposeThis study aims to examine the effectiveness of an integrated intervention program for alcoholism (IIPA) for improving verbal encoding and memory, visuospatial construction, visual memory and quality of life (QoL) in persons with alcohol dependence.Design/methodology/approachThe sample comprised treatment-seeking alcohol-dependent persons (n = 50), allotted into two groups: (1) the treatment as usual (TAU) group (n = 25) and (2) the treatment group (n = 25)]. The groups were matched on age (±1 year) and education (±1 year). The TAU group received standard pharmacological treatment, psychotherapeutic sessions on relapse prevention and yoga for 18 days, while the treatment group received IIPA sessions in addition to the usual treatment. Auditory verbal learning test, complex figure test and QoL scale were administered at pre- and post-treatment along with screening measures.FindingsThe two groups were comparable on demographic variables, clinical characteristics and outcome measures at baseline. Pre- to post-treatment changes (gain scores) comparison between the treatment and TAU groups revealed a significant difference in verbal encoding, verbal and visual memory, verbal recognition, visuospatial construction and QoL.Research limitations/implicationsThis study suggests that IIPA is effective for improving learning and memory in both modality (verbal and visual) and QoL in persons with alcoholism. The IIPA may help in better treatment recovery.Practical implicationsThe IIPA may help in treatment for alcoholism and may enhance treatment efficacy.Originality/valueIIPA is effective for improving learning and memory in both modalities and QoL in persons with alcohol dependence. The IIPA may help in better treatment recovery.
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Martelli C, Petillion A, Brunet-Lecomte M, Miranda Marcos R, Chanraud S, Amirouche A, Letierce A, Kostogianni N, Lemaitre H, Aubin HJ, Blecha L, Reynaud M, Martinot JL, Benyamina A. Neuropsychological Impairment in Detoxified Alcohol-Dependent Subjects with Preserved Psychosocial Functioning. Front Psychiatry 2017; 8:193. [PMID: 29033861 PMCID: PMC5626858 DOI: 10.3389/fpsyt.2017.00193] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Accepted: 09/19/2017] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Chronic alcoholism and its related cognitive impairments are associated with increased social, relational, and professional deficits which have a variable overall impact on social integration. These impairments are known to have varying severities and have rarely been studied among healthy alcohol-dependent subjects with preserved psychosocial functioning. Thus, the objective of this study is to describe neuropsychological performance in this particular population. METHOD Twenty-nine socially adjusted alcohol-dependent men, hospitalized for a first or second withdrawal and abstinent for 3 weeks minimum, were compared to 29 healthy non-alcoholic controls. All subjects underwent clinical and psychiatric examination, neuropsychological tests of memory (M), working memory (WM), and executive functions (EF). Comparisons were performed using Student's t-tests or Mann-Whitney U tests. RESULTS No group differences were found on the Self-Reported Social Adjustment Scale (SAS-SR) or in the Mini-Mental State Examination. Compared to controls, patients had greater episodic, spatial, and WM deficits as well as slightly altered executive functions. In contrast, their executive functions (spontaneous flexibility, criteria generation, rule maintenance, and inhibitory control) were relatively preserved. CONCLUSION Our sample of socially and professionally integrated alcoholic patients shows fewer cognitive deficits than described in previous studies. Our results suggest that early on, alcohol-dependent subjects develop compensatory adaptation processes to preserve social function and adaptation. Minor cognitive impairments should be screened early in the disease to integrate cognitive interventions into the health-care plan to thus eventually prevent further socio-professional marginalization.
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Affiliation(s)
- Catherine Martelli
- AP-HP, Paul Brousse Hospital, Department of Psychiatry and Addictology, Villejuif, France.,INSERM U1018, Centre de recherche en Epidémiologie et Santé des Populations, Villejuif, France.,Université Paris-Sud, Le Kremlin Bicêtre, France
| | - Amélie Petillion
- AP-HP, Paul Brousse Hospital, Department of Psychiatry and Addictology, Villejuif, France
| | - Marine Brunet-Lecomte
- AP-HP, Paul Brousse Hospital, Department of Psychiatry and Addictology, Villejuif, France
| | - Rubén Miranda Marcos
- INSERM, U1000 "Neuroimaging & Psychiatry", IFR49, Orsay, France.,CEA, "Neuroimaging & Psychiatry" U1000 Unit, Hospital Department Frédéric Joliot, Orsay, France
| | - Sandra Chanraud
- Bordeaux University, INCIA, UMR 5287, Talence, France.,CNRS, INCIA, UMR 5287, Talence, France
| | - Ammar Amirouche
- AP-HP, Paul Brousse Hospital, Department of Psychiatry and Addictology, Villejuif, France.,INSERM U1018, Centre de recherche en Epidémiologie et Santé des Populations, Villejuif, France.,Université Paris-Sud, Le Kremlin Bicêtre, France
| | - Alexia Letierce
- AP-HP, Bicêtre Hospital, Clinical Research Unit, Le Kremlin Bicêtre, France
| | - Nikoleta Kostogianni
- AP-HP, Paul Brousse Hospital, Department of Psychiatry and Addictology, Villejuif, France
| | - Hervé Lemaitre
- INSERM, U1000 "Neuroimaging & Psychiatry", IFR49, Orsay, France.,Bordeaux University, INCIA, UMR 5287, Talence, France.,CNRS, INCIA, UMR 5287, Talence, France
| | - Henri-Jean Aubin
- AP-HP, Paul Brousse Hospital, Department of Psychiatry and Addictology, Villejuif, France.,Université Paris-Sud, Orsay, France.,Université Paris Descartes, UMR U797, Paris, France
| | - Lisa Blecha
- AP-HP, Paul Brousse Hospital, Department of Psychiatry and Addictology, Villejuif, France.,INSERM U1018, Centre de recherche en Epidémiologie et Santé des Populations, Villejuif, France.,Université Paris-Sud, Le Kremlin Bicêtre, France
| | - Michel Reynaud
- AP-HP, Paul Brousse Hospital, Department of Psychiatry and Addictology, Villejuif, France.,INSERM U1018, Centre de recherche en Epidémiologie et Santé des Populations, Villejuif, France.,Université Paris-Sud, Le Kremlin Bicêtre, France
| | - Jean-Luc Martinot
- INSERM, U1000 "Neuroimaging & Psychiatry", IFR49, Orsay, France.,CEA, "Neuroimaging & Psychiatry" U1000 Unit, Hospital Department Frédéric Joliot, Orsay, France.,Bordeaux University, INCIA, UMR 5287, Talence, France.,CNRS, INCIA, UMR 5287, Talence, France
| | - Amine Benyamina
- AP-HP, Paul Brousse Hospital, Department of Psychiatry and Addictology, Villejuif, France.,INSERM U1018, Centre de recherche en Epidémiologie et Santé des Populations, Villejuif, France.,Université Paris-Sud, Le Kremlin Bicêtre, France
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