Kang Jae-Gu, Kim Myung-Sun
Department of Psychology, Sungshin Women's University, Seoul, South Korea.
Front Psychol. 2022 Apr 15;13:873654. doi: 10.3389/fpsyg.2022.873654. eCollection 2022.
This study investigated the neuropsychological profile of college students who engage in binge drinking (BD) using comprehensive neuropsychological tests evaluating verbal/non-verbal memory, executive functions, and attention. Groups were determined based on scores on the Korean version of the Alcohol Use Disorder Identification Test (AUDIT-K) and Alcohol Use Questionnaire (AUQ). There were 79 and 81 participants in the BD and non-BD groups, respectively. We administered the Korean version of the California Verbal Learning Test (K-CVLT) and Rey-Osterrieth Complex Figure Test (RCFT) to evaluate verbal and non-verbal memory, respectively, and measured executive functions using the Wisconsin Card Sorting Test (WCST), Trail-Making Test, Controlled Oral Word Association Test and Stroop Color-Word Test. We administered the d2 test to evaluate attention. Neuropsychological performance was analyzed by multivariate analysis of variance. The BD group showed significantly poorer performance in the long-term free recall condition of the K-CVLT and delayed recall condition of the RCFT and completed significantly fewer categories on the WCST than the non-BD group. In addition, there were significant negative associations among the AUDIT-K total score, AUQ binge score, and long-term free recall score of the K-CVLT. There were significant negative associations between the total AUDIT-K score and delayed recall RCFT score, and between the total AUDIT-K total score and numbers of completed categories on the WCST. These results indicate that college students who participate in BD have difficulties with verbal/non-verbal memory and executive functions, and further suggest that excessive alcohol use could have detrimental effects on the hippocampal-prefrontal circuit even with a relatively short period of alcohol use.
本研究使用评估言语/非言语记忆、执行功能和注意力的综合神经心理学测试,调查了参与暴饮(BD)的大学生的神经心理学概况。根据韩国版酒精使用障碍识别测试(AUDIT-K)和酒精使用问卷(AUQ)的得分确定分组。BD组和非BD组分别有79名和81名参与者。我们分别使用韩国版加利福尼亚言语学习测试(K-CVLT)和雷-奥斯特里思复杂图形测试(RCFT)来评估言语和非言语记忆,并使用威斯康星卡片分类测试(WCST)、连线测验、受控口头词语联想测验和斯特鲁普色词测验来测量执行功能。我们使用d2测试来评估注意力。通过多变量方差分析对神经心理学表现进行分析。BD组在K-CVLT的长期自由回忆条件和RCFT的延迟回忆条件下表现明显较差,并且在WCST上完成的类别明显少于非BD组。此外,AUDIT-K总分、AUQ暴饮得分与K-CVLT的长期自由回忆得分之间存在显著的负相关。AUDIT-K总分与RCFT延迟回忆得分之间,以及AUDIT-K总分与WCST上完成的类别数量之间存在显著的负相关。这些结果表明,参与暴饮的大学生在言语/非言语记忆和执行功能方面存在困难,并进一步表明,即使饮酒时间相对较短,过度饮酒也可能对海马体-前额叶回路产生有害影响。