De Wilde Bieke, Dom Geert, Hulstijn Wouter, Sabbe Bernard
Psychiatrisch Centrum Broeders Alexianen, Boechout, Belgium.
Alcohol Clin Exp Res. 2007 Nov;31(11):1820-5. doi: 10.1111/j.1530-0277.2007.00484.x. Epub 2007 Sep 14.
Autopsy and neuroimaging research in stably abstinent alcoholics illuminated structural and functional abnormalities in brain areas that organize and coordinate motor functioning. Researchers that used behavioural tasks to measure motor functioning found that abstinent alcoholics perform worse than healthy controls. These researchers however did not analyze timed responses into their cognitive and motor components. They thus were unable to decide which aspects of information processing are impaired. We here used a Fitts' task to examine differences in cognitive and motor components between abstinent alcoholics and healthy controls.
Fifty-two abstinent alcoholics and 52 healthy controls participated in this research design. Fine motor functioning was assessed by means of the Fitts' task.
Abstinent alcoholics needed more time to perform timed responses than healthy controls. As both reaction and movement times were higher in abstinent alcoholics, both cognitive and motor processes seem to be impaired. When the task became more difficult (small targets instead of large targets) abstinent alcoholics needed proportionally more time to give the correct response than healthy controls. This phenomenon solely applied to movement times.
These research data indicate that abstinent alcoholics are somewhat impaired on a behavioral level. The execution of timed responses indeed was lengthier in abstinent alcoholics than in healthy controls. As both cognitive and motor processes were impaired, we here assume that both central and peripheral processes are affected by progressive alcohol intake. Abstinent alcoholics also have more difficulties to adapt their motor responses to changing task conditions.
对已稳定戒酒的酗酒者进行的尸检和神经影像学研究揭示了在组织和协调运动功能的脑区中存在结构和功能异常。使用行为任务来测量运动功能的研究人员发现,戒酒的酗酒者表现比健康对照组差。然而,这些研究人员并未将定时反应分析为认知和运动成分。因此,他们无法确定信息处理的哪些方面受到了损害。我们在此使用菲茨任务来检查戒酒的酗酒者与健康对照组在认知和运动成分上的差异。
52名戒酒的酗酒者和52名健康对照者参与了本研究设计。通过菲茨任务评估精细运动功能。
与健康对照组相比,戒酒的酗酒者执行定时反应需要更多时间。由于戒酒的酗酒者的反应时间和运动时间都更长,认知和运动过程似乎都受到了损害。当任务变得更困难(小目标而非大目标)时,与健康对照组相比,戒酒的酗酒者做出正确反应所需的时间按比例增加。这种现象仅适用于运动时间。
这些研究数据表明,戒酒的酗酒者在行为层面存在一定程度的损害。戒酒的酗酒者执行定时反应的时间确实比健康对照组更长。由于认知和运动过程均受损,我们在此假设中枢和外周过程均受到长期饮酒的影响。戒酒的酗酒者在使运动反应适应不断变化的任务条件方面也有更多困难。