Neuropsychological impairments in alcoholism: reviewing working memory and executive cognitive functioning
DOI:
https://doi.org/10.20882/adicciones.417Keywords:
Alcoholism, Neuropsychological impairment, Working memory, Executive cognitive functioning, VulnerabilityAbstract
Research into neuropsychological deficit in alcoholics has acquired a special prominence in the last decade. This is due to its importance for both the therapeutic outcome and the therapeutic design. A review of the main studies on memory impairments and on executive cognitive functioning in alcoholics is presented in this article. Results show a disturbance in the memory, especially in the working memory and in the learning strategies, although there are some discrepancies. In addition, data supporting the existence of a dysexecutive syndrome in alcoholics have been reported. Lastly, the influence of the executive cognitive function as a vulnerability factor in developing alcoholism is analysed.References
Acker W, Ron MA, Lishman WA y Shaw GK (1984): A multivariate analysis of psychological, clinical and CT scanning measures in detoxified chronic alcoholics. British Journal of Adiction, 79: 293-301.
Ambrose ML, Bowden SC y Whelan G (2001): Working memory impairments in alcohol-dependent participants without clinical amnesia. Alcoholism: Clinical and Experimental Research, 25:185-191.
Aragón CM y Miquel M (1995): Alcoholismo. En A Belloch, B Sandín, F Ramos (Eds.): Manual de Psicopatología. Madrid. Mc Graw Hill.
Baddeley AD y Hitch GJ (1974): Working memory. En Bower (Eds.): Recent advances in learning and motivation, vol VIII, New York. Academic Press.
Baddeley AD y Wilson BB (1988 ): Frontal amnesia and dysexecutive syndrome. Brain and Cognition,7: 212-30.
Becker JT y Jaffe JH (1984): Impaired memory for treatment relevant information in inpatient men alcoholics. Journal of Studies on Alcohol,45: 339-343.
Bertera JH y Parsons OA (1978): Impaired visual search in alcoholics. Alcoholism: Clinical and Experimental Research,2: 9-14.
Brandt J, Butters N, Ryan C y Bayog R (1983):Cognitive loss and recovery in long-term alcohol abusers. Archives of General Psychiatry,40 : 435-442.
Caballero Martínez L (2000): Adicción a la cocaína: de la neurobiología a la clínica humana. JANO. Psiquiatría y humanidades. Vol II, 1:5-9.
Cermak LS y Peck E (1982): Continuum versus premature aging theories of chronic alcoholism. Alcoholism: Clinical and Experimental Research,6 : 89-95.
Cloninger CR, Bohman M y Siguardson S (1981): Inheritance of alcohol abuse: Cross fostering analysis of adopted men. Archives of General Psychiatry, 38 : 861-867.
C o r r a l M M , R o d r i g u ez S y C a d ave i r a F ( 19 9 9 ) : Neuropsychological characteristics in children of alcoholics: familial density. Journal of Studies on Alcohol,60 : 509-13.
Corral MM, Rodríguez, S y Cadaveira F (2002): Perfil neuropsicológico de alcohólicos con alta densidad familiar de alcoholismo tras abstinencia prolongada: h all azg o s p relimin ares . R evista Es p a ño l a d e drogodependencias, 27: 148-158.
Cutting J (1978): Specific psychological deficits in alcoholism. British Journal of Psychiatry,133:119-122.
Deckel AW, Hesselbrock V y Basuer L (1996): Antisocial personality disorder, childhood delinquency, and frontal brain functioning: EEG and neuropsychological findings. Journal of Clinical Psychology,52: 639-50.
Díaz, RM, Gual, A, Serrano, l, Costa, S, Ferri, MJ y Grau, C (2001): Programa ALFIL: evaluación de marcadores de riesgo e intervención preventiva en hijos de alcohólicos. Adicciones,13: 39-49.
Díaz R, Polo MD, Escera C, Sánchez-Turet M, y Grau C (1999): Marcadores neurogenéticos de riesgo para el alcoholismo. En M. Sanchez-Turet (Ed.): Enfermedades y problemas relacionados con el alcohol. Barcelona. Ediciones ESPAX.
Eckardt MJ, Stapleton JM, Rawlings RR, Davis EZ y Grodin DM (1995): Neuropsychological functioning in detoxified alcoholics between 18 and 35 years of age. American Journal of Psychiatry,152:53-59.
Fassino S, Piero A, Daga GA, Leombruni P, Mortara P y Rovera GG (2002): Attentional biases and frontal functioning in anorexia nervosa. International Journal of Eating Disorders, 31:274-83.
Fein G, Bachman L, Fisher S y Davenport L (1990): Cognitive impairments in abstinent alcoholics. Addiction Medicine, 152: 531-537.
Fernández-Espejo (2002): Bases neurobiológicas de la drogadicción. Revista de Neurología,34: 659-64.
Giancola PR, Zeichner A, Yarnell JE y Dickson KE (1996): Relation between executive cognitive functioning and the adverse consequences of alcohol use in social drinkers. Alcoholism: Clinical and Experimental Research, 20 :1094-1098.
Giancola PR y Moss HB (1998): Executive cognitive functioning
in alcohol use disorders. Recent developments in alcoholism,vol.14: The consecuences of alcoholism, New York. Plenun Press.
Giancola PR y Parker AM (2001): A six year prospective study of pathways toward drug use in adolescent boys with and without a family history of a substance use disorder. Journal of Studies on Alcohol, 62:166-78.
Goldman-Rakic PS (1984): The frontal lobes: uncharted provinces
of the brain. TINS, 7:425-9.
Goldstein G y Shelly C,(1982): Neuropsychological investigation
of brain lesion localisation in alcoholism. En H Begleiter y B Kissin (Eds.): International Symposium on biological Research in alcoholism, New York. Plenum Press.
Gómez Bosque P (1992): Memoria y cerebro. En D Barcia Salorio: Trastornos de la memoria. Barcelona. MCR.
Graham FK y Kendall BS, (1960): Memory-For-Designs-Test: Revised General Manual(Monograph). Perceptual and Motor Skills,11:147-188.
Head D, Bolton D y Hymas N (1989): Deficits in cognitive shifting ability in patients with OCD. Biological Psychiatry, 25: 929-37.
Heaton RK, Chelune CJ, Talley JL, Kay GG y Curtiss G (1993): Wisconsin Card Shorting Test. Odessa FL: Psychological Assessment Resources. (Edición Española. TEA.1997)
Hightower MG y Anderson RP (1986): Memory evaluation of alcoholics with Russell’s revised wechsler memory Scale. Journal of Clinical Psychology,42: 1000-1005.
Hill SY (1980): Comprehensive assessment of brain dysfunction in alcoholic individuals. Acta Psychiatrica Scandinavica, 62: 57-75.
Ihara H, Berrios GE y London M (2000): Group and case study of the dysexecutive syndrome in alcoholism without amnesia. Journal of Neurology, Neurosurgery and Psychiatry, 68 : 731-737.
Iruarrizaga I, Miguel-Tobal JJ, Cano A (2001): Alteraciones neuropsicológicas del alcoholismo crónico. Un apoyo a la hipótesis del continuo. Psicothema,13: 571-580.
Jones B y Parsons OA (1971): Impaired abstracting ability in
chronic alcoholics. Archives of General Psychiatry,24 : 71-75.
Kapur N y Butters N (1977): Visuoperceptive deficts in long term alcoholics and alcoholics with Koooorsakoff’s psychosis. Journal of Studies on Alcohol,38 : 2025-2035.
Knight RG y Longmore BE (1994): Clinical Neuropsychology of Alcoholism. LEA. Hove.
Krabbendam L, Visser PJ, Derix MM, Verhey F, Hofman P, Verhoe W, Tuinier S y Jolles J (2000): Normal cognitive performance in patients with chronic alcoholism in contrast to patients with korsakoff´s syndrome. Journal of Neuropsychiatry and Clinical Neuroscience, 12: 44-50.
Leber WR, Jenkins RL y Parsons OA (1981): Recovery of visual spatial learning and memory in chronic alcoholics. Journal of Clinical Psychology,37, 192-197.
Lezak MD (1982): The problem of assesing executive functions. International Journal of Psychology,17: 281-97.
Lezak MD (1987): Relationship between personality disorders, social disturbances and physical disability following traumatic brain injury. Journal of Head Trauma Rehabilitation,2: 57-69.
Long JA y McLachlan JF (1974): Abstract reasonig and perceptual
motor efficiency in alcoholics. Impairmente and reversibility. Quaterly Journal of Studies on Alcohol, 35:1220-29.
Mann K, Günter A, Setter F y Ackerman K (1999): Rapid recovery from cognitive deficits in abstinent alcoholics: a controlled test-retest study. Alcohol and alcoholism, 34: 567-574.
McCrady BS y Smith DE (1986): Implications of cognitive impairment for the treatment of alcoholism. Alcoholism Clinical and Experimental Research, 10 :145-9.
Moshely HF, Georgiou G y Kahn A (2001): Frontal lobe changes
in alcoholism: a review of the literature. Alcohol and Alcoholism, 36 : 357-68.
Nixon SJ y Bowlby D (1996): Evidence of alcohol-related efficiency deficits in an episodic learning task. Alcoholism Clinical and Experimental Research, 20 : 21-4.
Nixon SJ, Kujawski A, Parsons OA y Yohman JR (1987): Semantic (verbal) and figural memory impairment in alcoholics. Journal of Clinical and Experimental Neuropsychology, 9 : 311-322.
Nöel X, Van der Linden M, Schmidt N, Sferraza R, Hanak C, Le Bon O, De Mol J, Kornreich Ch, Pelc I y Verbank P (2001): Supervisory Attentional System in nonamnesic alcoholic men. Archives of General Psychiatry, 58: 1152-1158.
Oscar-Berman M y Ellis RJ (1987): Cognitive deficits related to memory impairments in alcoholism. En M Galanter (Eds.): Recent developments in alcoholism. New York. Plenun Press.
Parsons OA (1987): Neuropsychological consequences of alcohol abuse: many questions, some answers. En O Parsons, N Butters, P Nathan, (Eds.): Neuropsychology of Alcoholism: Implications for Diagnoses and Treatment, 153-173. New York. Guildford Press.
Pelegrín C y Tirapu J (1995): Neuropsiquiatría del daño prefrontal
traumático. Monografías de Psiquiatría,7:11-21.
Query WT y Berger RA (1980): AVLT memory scores as a function of age among general medical, neurologic and alcoholic patients. Journal of Clinical Psychology, 36 :1009-1012.
Ratti MT, Bo P, Giardini A y Soragna D, (2002): Chronic alcoholism and the frontal lobe: which executive functions are impaired? Acta Neurologica Scandinavica, 105, 276.
Ratti MT, Soragna D, Sibilla L, Giardini A, Albergati A, Savoldi F y Bo P: Cognitive impairment and cerebral atrophy in “heavy drinkers”. Pro Neuropsychopharmacol biol Psychiatry, 23: 243-58.
Riege WH, Tomaszewewski R, Lanto A y Metter EJ (1984): Age and alcoholism: Independent memory decrements. Alcoholism: Clinical and experimental Research,8 : 42-47.
Rusell EW (1975): A multiple scoring method for the assessment of complex memory functions. Journal of Consulting and Clinical Psychology, 43: 800-809.
Ryan C y Butters N, (1980): Further evidence for a continuum of impairment encompassing male alcoholic korsakoff patients and chronic alcoholic men. Alcoholism: Clinical and Experimental Research,4: 190-198.
Shallice T (1988): From neuropsychology to mental structure.
Cambridge: Cambridge University Press.
Sher KJ (1991): Children of alcoholics. Acritical appraisal of theory and research. Chicago and London. University of Chicago Press.
Smith MA, Burt DW y Chapman RF (1973): Intelligence and brain damage in alcoholics. A study in patients of middle and upper social class. Quaterly Journal of Studies on Alcohol 34: 414-422.
Squire LR (1975): Short term memory as a biological entity. En: Short term memory. New York Academic Press. Squire LR y Butters N.(1992): Neuropsychology of memory.(2ª ed) New York. Guildford Press.
Sullivan EV, Fama R, Rosenbloom MJ y Pfefferbaum A (2002): A profile of neuropsychological deficits in alcoholic women. Neuropsychology, 16: 74-83.
Sullivan EV, Mathalon DH, Zipursky RB, Kersteen-Tucker Z, Knight RT y Pfefferbaum A (1993): Factors of the Winsconsin Card Sorting Test as measures of frontal lobe function in schizoprenia and in chronic alcoholism. Psychiatry Research, 46:175-199.
Sullivan EV, Rosenbloom MJ y Pfefferbaum A (2000 ): Pattern of motor and cognitive deficits in detoxified alcoholic men. Alcoholism: Clinical and Experimental Research, 24: 611-621.
Tapert SF, Baratta MV, Abrantes AM y Brown SA (2002): Attention dysfunction predicts substance involvement in community youths. Journal of American Academic Children and Adolescent Psychiatry,41: 680-686.
Tarquini D y Masullo C (1981):Cognitive impairments and chronic alcohol abuse: A neuropsychological study. Drug and Alcohol Dependence, 8: 103-109.
Tarter RE (1975): Brain damage associated with chronic alcoholics, Disease of Nervous System,36 : 185-87.
Tarter RE (1976 ): Neuropsychological investigations of alcoholism. En: G Goldstein, C Neuringer ( Eds.): Empirical Studies of alcoholism: 231-256. Cambridge, Mass.Ballinger.
Tirapu Ustárroz J, Casi Arbonies A y Ugarteburu I, (1997): Aplicación de las técnicas de modificación de conducta al daño cerebral. En C Pelegrín, JM Muñoz Céspedes, JI Quemada (Eds.): Neuropsiquiatría del daño cerebral traumático. Aspectos clínicos y terapéuticos. Barcelona. Prous Science.
Tirapu Ustárroz J, Muñoz Céspedes JM y Pelegrín Valero C (2002): Funciones ejecutivas: necesidad de una integración conceptual. Revista de Neurología,34:673-85.
Tuck RR, Jackson M, (1991): Social, neurological and cognitive disorders in alcoholics. Medical Journal of Australia, 155: 225-9.
Tulving E, (1972): Episodic and semantic memory. En E Tulving y W Donaldson (Eds.): Organization of memory. Nueva York: Academic Press.
Tulving E, (1993): Varieties of consciusness and levels of awareness in memory. En A Baddeley y L Weiskrantz (Eds.): Attention: Selection, awareness and control. Atribute to Donald Broadbent. Oxford : Oxford University Press.
Vallar G: Neuropsychological disorders of memory. En G Denes, L Pizzamiglio (Eds.): Handbook of clinical and experimental neuropsychology. UK. Psychology Press. Taylor & Francis.
Walker K (1976): Memory. En: Clinical methods. The history of the physical and laboratoty examination. Butterworth, Boston.
Wilkinson DA , Carlen PL (1980) : Chronic organic brain Syndromes associated with alcoholism: Neuropsychological and other aspects. En Research Advances in alcohol and Drug Problems. Vol.6: 107-145.
Plenun Press.
Yohman JR, Parsons OA, (1985): intact verbal pairedassociate learning in alcoholics. Journal of Clinical Psychology,41: 844-851.
Zola S (1997): Amnesia: neuroanatomic and clinical aspects. En: T Feimberg, MJ Farah (Eds.): Behavioral neurologic and neuropsicologic. New York. Mc Graw Hill.
