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酗酒家族史与亚急性戒断期的认知恢复

Family history of alcoholism and cognitive recovery in subacute withdrawal.

作者信息

Moriyama Yasushi, Muramatsu Taro, Kato Motoichiro, Mimura Masaru, Kashima Haruo

机构信息

Department of Psychiatry, Komagino Hospital, Tokyo, Japan.

出版信息

Psychiatry Clin Neurosci. 2006 Feb;60(1):85-9. doi: 10.1111/j.1440-1819.2006.01464.x.

Abstract

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.

摘要

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。

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