Moriyama Yasushi, Muramatsu Taro, Kato Motoichiro, Mimura Masaru, Kashima Haruo
Department of Psychiatry, Komagino Hospital, Tokyo, Japan.
Psychiatry Clin Neurosci. 2006 Feb;60(1):85-9. doi: 10.1111/j.1440-1819.2006.01464.x.
A family history of alcoholism has been demonstrated to be an important factor affecting cognitive function. However, no studies have yet been conducted to compare cognitive recovery of family history-positive (FH+) and family history-negative (FH-) alcoholics in the subacute withdrawal period. To tackle this problem, a neuropsychological test battery consisting of six computerized tests was administered to 19 FH+ and 20 FH- alcoholics at 2 and 7 weeks after abstinence. At 2 weeks after abstinence, overall performance of both FH+ and FH- groups was significantly poorer than that of healthy controls. At 7 weeks, these performances tended to recover, but in Trail Making A and Figure Position, performances of FH+ alcoholics remained worse than those of controls, while those of FH- alcoholics did not. Thus cognitive recovery during the subacute withdrawal period was worse among FH+ alcoholics than FH- alcoholics, and this finding should be considered when planning alcohol rehabilitation programs.
酗酒家族史已被证明是影响认知功能的一个重要因素。然而,尚未有研究对有酗酒家族史阳性(FH+)和无酗酒家族史阴性(FH-)的酗酒者在亚急性戒断期的认知恢复情况进行比较。为解决这一问题,在戒酒2周和7周时,对19名FH+酗酒者和20名FH-酗酒者进行了由六项计算机化测试组成的神经心理测试组。戒酒2周时,FH+组和FH-组的整体表现均显著低于健康对照组。在7周时,这些表现趋于恢复,但在连线测验A和图形位置测试中,FH+酗酒者的表现仍比对照组差,而FH-酗酒者则不然。因此,FH+酗酒者在亚急性戒断期的认知恢复比FH-酗酒者差,在规划酒精康复项目时应考虑这一发现。