School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Behav Neurol. 2021 Jul 30;2021:5548623. doi: 10.1155/2021/5548623. eCollection 2021.
This cross-sectional study is aimed at assessing the effects of opium use disorder (OUD) on attention, working memory, and information-processing speed. Thirty outpatients with OUD and 20 healthy controls (HCs) were assessed using a neuropsychological battery consisted of Auditory Verbal Learning Test-Revised (AVLT-R), Brief Visuospatial Memory Test-Revised (BVMT-R), Digit Forward and Backward Tests (DFT and DBT), and WAIS-R Digit Symbol Substitution Test (DSST). The most affected cognitive functions in patients with OUD were detected by DBT and DSST. However, we found no significant difference between patients according to the route of administration. Within patients with OUD, DBT score was associated with opium use quantity (OUQ) ( = -0.385), and DBT ( = 0.483) and DSST ( = 0.542) scores were correlated with duration of use. Our findings indicated that working memory and information-processing speed are the most affected domains of cognitive functioning. DBT and DSST could be used as brief assessments in clinical settings to screen for cognitive deficits in patients with OUD.
本横断面研究旨在评估阿片类使用障碍(OUD)对注意力、工作记忆和信息处理速度的影响。30 名 OUD 门诊患者和 20 名健康对照(HC)使用神经心理学成套测验进行评估,包括听觉词语学习测验修订版(AVLT-R)、简明视觉空间记忆测验修订版(BVMT-R)、数字正向和数字反向测验(DFT 和 DBT)以及韦氏智力测验-R 数字符号替代测验(DSST)。通过 DBT 和 DSST 检测到 OUD 患者最受影响的认知功能。然而,我们发现根据给药途径,患者之间没有显著差异。在 OUD 患者中,DBT 评分与阿片使用量(OUQ)相关( = -0.385),DBT( = 0.483)和 DSST( = 0.542)评分与使用时间相关。我们的研究结果表明,工作记忆和信息处理速度是认知功能最受影响的领域。DBT 和 DSST 可在临床环境中用作简短评估,以筛查 OUD 患者的认知缺陷。