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对具有中性或情感内容刺激的识别记忆和心理生理反应:一项关于柯萨科夫综合征患者以及近期戒酒和长期戒酒的酗酒者的研究。

Recognition memory and psychophysiological responses to stimuli with neutral or emotional content: a study of Korsakoff patients and recently detoxified and longterm abstinent alcoholics.

作者信息

Markowitsch H J, Kessler J, Denzler P

出版信息

Int J Neurosci. 1986 Mar;29(1-2):1-35. doi: 10.3109/00207458608985632.

Abstract

Possible relations between chronic alcohol abuse and impairments in cognitive functioning were tested in six groups of subjects, groups A1, A2, CGy, AA, KO, and CGo: The first three groups were about 35 years old, the last three about 50 years. Groups A1 and A2 each consisted of ten men hospitalized for the treatment of alcohol dependency, group A1 having been detoxified for less than one week, and group A2 for more than five months. Group CGy constituted the matched control group. Group AA consisted of six Alcoholics Anonymous, sober for more than five years, nine Korsakoff patients made up group KO, and group CGo was the control group matched for groups AA and KO. As the main tests, all subjects were given a number of slides showing scenes, humans, or animals, half of which had been rated as neutral while the other half was emotionally arousing (in either a negative or a positive way). In two tests, one after ten minutes, and one after two days, the subjects were required to reidentify those slides which they had seen before, and their galvanic skin response was measured simultaneously. Several psychological tests including one for paired associate learning were given as well. The main results were that alcoholics, whether they had been abstinent for a longer time or not, were inferior to nonalcoholics, but that a prolonged period of soberness nevertheless most likely leads to the recovery of cognitive functions. Though the underlying causes of the cognitive deficits found in the four experimental groups (A1, A2, AA, KO) may be due at least in part to different or even contradictory underlying causes, they provide support for "simple versions" of the so-called continuity and premature aging hypotheses.

摘要

在六组受试者(A1组、A2组、CGy组、AA组、KO组和CGo组)中测试了长期酗酒与认知功能受损之间可能存在的关系:前三组受试者年龄约为35岁,后三组约为50岁。A1组和A2组各由十名因酒精依赖而住院治疗的男性组成,A1组戒酒时间不到一周,A2组戒酒时间超过五个月。CGy组为匹配对照组。AA组由六名戒酒超过五年的匿名戒酒者组成,九名柯萨科夫综合征患者组成KO组,CGo组是与AA组和KO组匹配的对照组。作为主要测试,所有受试者都观看了一系列展示场景、人物或动物的幻灯片,其中一半被评定为中性,另一半则会引发情绪反应(无论是消极还是积极的)。在两项测试中,一项在十分钟后进行,另一项在两天后进行,要求受试者重新识别他们之前看过的幻灯片,并同时测量他们的皮肤电反应。还进行了几项心理测试,包括一项配对联想学习测试。主要结果是,酗酒者无论戒酒时间长短,都比非酗酒者差,但长时间戒酒很可能会导致认知功能的恢复。尽管在四个实验组(A1组、A2组、AA组、KO组)中发现的认知缺陷的潜在原因可能至少部分归因于不同甚至相互矛盾的潜在原因,但它们为所谓的连续性和早衰假说的“简化版本”提供了支持。

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