GRACE MATHAI, M.A. M.Phil, P.G., Trainee, Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore - 560029.
Indian J Psychiatry. 1998 Jul;40(3):280-8.
Alcoholism is associated with impairment of information processing attention, memory and concept formation, which hamper the patients response to psychotherapy aimed at treating alcoholism. We improved cognitive functioning in abstinent alcoholics through cognitive retraining. Eight detoxified male alcoholics, comparable on age, education, marital status, medication and years of alcohol consumption were assigned, four each to the treatment and control groups. Cognitive retraining given to the treatment group improved attention, information processing, memory, planning and reasoning. Daily, individual, one hour sessions were conducted for six weeks. Patients in the control groups were seen weekly once and counselled if necessary. In the treatment group, significant improvement of information processing, memory, and reduction of neuropsychological deficits resulted from retraining. Control group showed no changes in cognitive function. Family functioning and long term abstinence were not influenced by cognitive retraining. Neuropsychological rehabilitation is effective in improving cognitive deficits of abstinent alcoholics.
酒精中毒与信息处理注意、记忆和概念形成障碍有关，这些障碍会影响患者对旨在治疗酒精中毒的心理治疗的反应。我们通过认知再训练来改善戒酒者的认知功能。将 8 名已戒毒的男性酒精中毒者按年龄、教育程度、婚姻状况、用药情况和饮酒年限进行匹配，每组 4 人，分别进入治疗组和对照组。治疗组的认知再训练改善了注意力、信息处理、记忆、计划和推理能力。每周进行 6 周，每天进行一次，每次 1 小时。对照组每周仅就诊一次，如果需要则进行咨询。在治疗组中，再训练导致信息处理、记忆显著改善，神经心理缺陷减少。对照组的认知功能没有变化。家庭功能和长期戒酒不受认知再训练的影响。神经心理康复可有效改善戒酒者的认知缺陷。
