Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Helsinki, Finland.
Psychol Med. 2011 Mar;41(3):641-51. doi: 10.1017/S0033291710001194. Epub 2010 Jun 9.
Cognitive deficits in alcohol dependence (AD) have been observed, poorer verbal ability being among the most consistent findings. Genetic factors influence both cognitive ability and AD, but whether these influences overlap is not known.
A subset of 602 monozygotic (MZ) and dizygotic (DZ) twins from FinnTwin16, a population-based study of Finnish twins, was used to study the associations of verbal ability with DSM-III-R diagnosis and symptoms of AD, the maximum number of drinks consumed in a 24-h period, and the Rutgers Alcohol Problem Index (RAPI) scores. These twins, most of them selected for within-pair discordance or concordance for their RAPI scores at age 18.5 years, were studied with neuropsychological tests and interviewed with the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA) in young adulthood (mean age 26.2 years, range 23-30 years).
All alcohol problem measures were associated with lower scores on the Vocabulary subtest of the Wechsler Adult Intelligence Scale - Revised (WAIS-R), a measure of verbal ability. In bivariate genetic models, Vocabulary and the alcohol problem measures had moderate heritabilities (0.54-0.72), and their covariation could be explained by correlated genetic influences (genetic correlations -0.20 to -0.31).
Poorer verbal ability and AD have partly overlapping biological etiology. The genetic and environmental influences on the development of cognitive abilities, alcohol problems and risk factors for AD should be studied further with prospective longitudinal designs.
在酒精依赖(AD)中观察到认知缺陷,言语能力较差是最一致的发现之一。遗传因素既影响认知能力,也影响 AD,但这些影响是否重叠尚不清楚。
使用来自 FinnTwin16 的 602 对同卵(MZ)和异卵(DZ)双胞胎的子样本,这是一项对芬兰双胞胎的基于人群的研究,研究言语能力与 DSM-III-R 诊断和 AD 症状、24 小时内饮用的最大酒精量以及罗格斯酒精问题指数(RAPI)评分的关联。这些双胞胎大多数是根据他们在 18.5 岁时的 RAPI 评分在双胞胎内的不一致或一致选择的,在成年早期(平均年龄 26.2 岁,范围 23-30 岁)用神经心理学测试进行研究,并使用半结构化酒精遗传评估(SSAGA)进行访谈。
所有酒精问题衡量标准都与韦氏成人智力量表修订版(WAIS-R)词汇子测验的得分较低相关,这是言语能力的衡量标准。在双变量遗传模型中,词汇和酒精问题衡量标准具有中等的遗传力(0.54-0.72),它们的相关性可以用相关的遗传影响来解释(遗传相关性为-0.20 到-0.31)。
言语能力较差和 AD 具有部分重叠的生物学病因。应进一步使用前瞻性纵向设计研究认知能力、酒精问题和 AD 风险因素的遗传和环境影响。