Acute effects of alcohol on the development of intrusive memories
Abstract
Rationale Post-traumatic stress disorder is characterised by repeated intrusive imagery of the traumatic event. Despite alcohol's impairing effect on memory and frequent involvement in real-life trauma, virtually nothing is known of the interaction between alcohol and trauma memory.Objective We aimed to investigate the acute alcohol effects on spontaneous memories following a trauma film as well as explicit memory for the film.Methods Utilising an independent-group double-blind design, 48 healthy volunteers were randomly allocated to receive alcohol of 0.4 or 0.8 g/kg or a matched placebo drink. A stressful film was viewed post-drink. Skin conductance was monitored throughout and mood and dissociative symptoms were indexed. Volunteers recorded their spontaneous memories of the film daily in an online diary over the following week. Their explicit memory for both gist and details of the film was tested on day 7.Results Intriguingly, an inverted 'U' alcohol dose-response was observed on intrusive memories with a low dose of alcohol increasing memory intrusions while a high dose decreased intrusions. In contrast, explicit memory performance after 7 days showed a linear dose-response effect of alcohol with both recall and recognition decreasing as dose increased.Conclusions These findings highlight a striking differential pattern of alcohol's effects on spontaneous memories as compared with explicit memories. Alcohol's effect on spontaneous memories may reflect a dose-dependent impairment of two separate memory systems integral to the processing of different aspects of a traumatic event.
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Alcohol had a linear effect on voluntary memory and a quadratic effect on involuntary memory.
“Alcohol had linear effect on VM and quadratic effect on IVM”
From Episodic memory, perceptual memory, and their interaction: Foundations for a theory of posttraumatic stress disorder. (2014) · cites this paper as Bisby et al. (2009)
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2022) · doi:10.1176/appi.books.9780890425787 · Cited by 23,476 · see citing works
A cognitive model of posttraumatic stress disorder
Ehlers, A., & Clark, D. M. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00123-0 · Cited by 6,147 · see citing works
Social psychology: handbook of basic principles
Higgins, E., & Kruglanski, A. (2008) · Choice Reviews Online · doi:10.5860/choice.45-3496 · Cited by 5,534 · see citing works
Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults.
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.68.5.748 · Cited by 5,254 · see citing works
Self-citationMeta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.5.748 · Cited by 5,243 · see citing works
Self-citationSocial psychology: handbook of basic principles
(1997) · Choice Reviews Online · doi:10.5860/choice.34-3595 · Cited by 4,970 · see citing works
The construction of autobiographical memories in the self-memory system
Conway, M. A., & Pleydell-Pearce, C. W. (2000) · Psychological Review · doi:10.1037/0033-295x.107.2.261 · Cited by 4,089 · see citing works
Specific impairments of planning
Shallice, T. (1982) · Philosophical Transactions of the Royal Society of London. B, Biological Sciences · doi:10.1098/rstb.1982.0082 · Cited by 3,741 · see citing works
Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis
Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.1.52 · Cited by 3,322 · see citing works
The Medial Temporal Lobe Memory System
Squire, L. R., & Zola-Morgan, S. (1991) · Science · doi:10.1126/science.1896849 · Cited by 3,282 · see citing works
Detecting Alcoholism: The CAGE Questionnaire
Ewing, J. A. (1984) · JAMA · doi:10.1001/jama.1984.03350140051025 · Cited by 3,005 · cited 1× · see citing works
“The CAGE (Ewing 1984) alcohol screening questionnaire was administered to assess individuals for problematic drinking and participants who scored 2 or more Psychopharmacology (2009) 204:655–666 657”
MethodThe use of analogue scales in rating subjective feelings
BOND, A., & LADER, M. (1974) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1974.tb02285.x · Cited by 1,972 · see citing works
A dual representation theory of posttraumatic stress disorder.
Brewin, C. R., Dalgleish, T., & Joseph, S. (1996) · Psychological Review · doi:10.1037/0033-295x.103.4.670 · Cited by 1,696 · see citing works
Self-citation(1993) · Cited by 1,279 · see citing works
β-Adrenergic activation and memory for emotional events
Cahill, L., Prins, B., Weber, M., & McGaugh, J. L. (1994) · Nature · doi:10.1038/371702a0 · Cited by 1,271 · see citing works
Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis.
Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2008) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/1942-9681.s.1.3 · Cited by 1,252 · see citing works
Psychological theories of posttraumatic stress disorder
Brewin, C. R., & Holmes, E. A. (2003) · Clinical Psychology Review · doi:10.1016/s0272-7358(03)00033-3 · Cited by 1,132 · cited 1× · see citing works
“A hallmark symptom of PTSD is the repeated intrusions of involuntary memories of the original event, predominantly in the form of sensory images (Brewin 2001; Brewin and Holmes 2003).”
BackgroundSelf-citationBremner, J. D., Krystal, J. H., Putnam, F. W., Southwick, S. M., Marmar, C., Charney, D. S., & Mazure, C. M. (1998) · Journal of Traumatic Stress · doi:10.1023/a:1024465317902 · Cited by 817 · see citing works
Fear and the brain: where have we been, and where are we going?
LeDoux, J. (1998) · Biological Psychiatry · doi:10.1016/s0006-3223(98)00282-0 · Cited by 782 · see citing works
A cognitive neuroscience account of posttraumatic stress disorder and its treatment
Brewin, C. R. (2001) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(00)00087-5 · Cited by 588 · see citing works
Self-citationMemory deficits for implicit contextual information in amnesic subjects with hippocampal damage
Chun, M. M., & Phelps, E. A. (1999) · Nature Neuroscience · doi:10.1038/12222 · Cited by 554 · see citing works
Working memory and retrieval: A resource-dependent inhibition model.
Conway, A. R. A., & Engle, R. W. (1994) · Journal of Experimental Psychology General · doi:10.1037//0096-3445.123.4.354 · Cited by 538 · see citing works
Murray, J., Ehlers, A., & Mayou, R. A. (2002) · British Journal of Psychiatry · doi:10.1192/bjp.180.4.363 · Cited by 505 · see citing works
Baddeley, A., Wilson, B. A., & Watts, F. (1995) · Cited by 487 · see citing works
Elzinga, B. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(01)00351-2 · Cited by 473 · see citing works
Trauma films, information processing, and intrusive memory development
Holmes, E. A., Brewin, C. R., & Hennessy, R. G. (2004) · Journal of Experimental Psychology: General · doi:10.1037/0096-3445.133.1.3 · Cited by 457 · see citing works
Self-citationInducing and modulating intrusive emotional memories: A review of the trauma film paradigm
Holmes, E. A., & Bourne, C. (2008) · Acta Psychologica · doi:10.1016/j.actpsy.2007.11.002 · Cited by 410 · see citing works
Working memory and retrieval: A resource-dependent inhibition model.
Conway, A. R. A., & Engle, R. W. (1994) · Journal of Experimental Psychology General · doi:10.1037/0096-3445.123.4.354 · Cited by 394 · see citing works
What happened? Alcohol, memory blackouts, and the brain.
White, A. M. (2003) · Europe PMC (PubMed Central) · Cited by 348 · see citing works
Objective assessment of peritraumatic dissociation: psychophysiological indicators
(1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.8.1081 · Cited by 347 · see citing works
Weissenborn, R., & Duka, T. (2003) · Psychopharmacology · doi:10.1007/s00213-002-1281-1 · Cited by 310 · see citing works
Drug Abuse as a Problem of Impaired Control: Current Approaches and Findings
Fillmore, M. T. (2003) · Behavioral and Cognitive Neuroscience Reviews · doi:10.1177/1534582303257007 · Cited by 292 · see citing works
The Continuum and Specificity of the Effects of Alcohol on Memory; A Review
Ryback, R. S. (1971) · Quarterly Journal of Studies on Alcohol · doi:10.15288/qjsa.1971.32.995 · Cited by 283 · see citing works
Autobiographical memory for trauma: update on four controversies
Brewin, C. R. (2007) · Memory · doi:10.1080/09658210701256423 · Cited by 242 · see citing works
Self-citationPitman, R. K., Orr, S. P., Forgue, D. F., Altman, B., de Jong, J. B., & Herz, L. R. (1990) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.99.1.49 · Cited by 239 · see citing works
Townshend, J. M. (2002) · Alcohol and Alcoholism · doi:10.1093/alcalc/37.2.187 · Cited by 221 · see citing works
Physiologic responses to loud tones in Vietnam veterans with posttraumatic stress disorder.
Orr, S. P., Lasko, N. B., Shalev, A. Y., & Pitman, R. K. (1995) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.104.1.75 · Cited by 213 · see citing works
A Questionnaire Measure of Habitual Alcohol Use
Mehrabian, A., & Russell, J. A. (1978) · Psychological Reports · doi:10.2466/pr0.1978.43.3.803 · Cited by 191 · see citing works
The principle of short‐circuiting of threat: further evidence1
Lazarus, R. S., Opton, E. M., Nomikos, M. S., & Rankin, N. O. (1965) · Journal of Personality · doi:10.1111/j.1467-6494.1965.tb01408.x · Cited by 189 · see citing works
Pitman, R. K., Orr, S. P., Forgue, D. F., et al. (1990) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.99.1.49 · Cited by 183 · see citing works
Animal defensive reactions as a model for trauma-induced dissociative reactions
Nijenhuis, E. R. S., Vanderlinden, J., & Spinhoven, P. (1998) · Journal of Traumatic Stress · doi:10.1023/a:1024447003022 · Cited by 182 · see citing works
Noradrenergic modulation of working memory and emotional memory in humans
Chamberlain, S. R., Müller, U., Blackwell, A. D., Robbins, T. W., & Sahakian, B. J. (2006) · Psychopharmacology · doi:10.1007/s00213-006-0391-6 · Cited by 170 · see citing works
The amygdala's role in long-term declarative memory for gist and detail.
Adolphs, R., Denburg, N. L., & Tranel, D. (2001) · Behavioral Neuroscience · doi:10.1037//0735-7044.115.5.983 · Cited by 169 · see citing works
Physiologic responses to loud tones in Vietnam veterans with posttraumatic stress disorder.
Orr, S. P., Lasko, N. B., Shalev, A. Y., et al. (1995) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.104.1.75 · Cited by 169 · see citing works
The amygdala's role in long-term declarative memory for gist and detail.
Adolphs, R., Denburg, N. L., & Tranel, D. (2001) · Behavioral Neuroscience · doi:10.1037/0735-7044.115.5.983 · Cited by 169 · see citing works
The organisation and content of trauma memories in survivors of road traffic accidents
Jones, C., Harvey, A. G., & Brewin, C. R. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.02.004 · Cited by 141 · see citing works
Self-citationFinn, P., Zeitouni, N. C., & Pihl, R. O. (1990) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.99.1.79 · Cited by 138 · see citing works
Phenomenological Aspects of the Alcoholic “Blackout”
Goodwin, D. W., CRANE, J. B., & Guzé, S. B. (1969) · The British Journal of Psychiatry · doi:10.1192/bjp.115.526.1033 · Cited by 128 · see citing works
The effect of dissociation at encoding on intrusive memories for a stressful film
Brewin, C. R., & Saunders, J. (2001) · British Journal of Medical Psychology · doi:10.1348/000711201161118 · Cited by 127 · see citing works
Self-citationIntact retention in acute alcohol amnesia.
Hashtroudi, S., Parker, E. S., DeLisi, L. E., Wyatt, R. J., & Mutter, S. A. (1984) · Journal of Experimental Psychology Learning Memory and Cognition · doi:10.1037//0278-7393.10.1.156 · Cited by 117 · see citing works
Acute alcohol-induced impairment of cognitive functions: Past and present findings
Fillmore, M. T. (2007) · International Journal on Disability and Human Development · doi:10.1515/ijdhd.2007.6.2.115 · Cited by 107 · see citing works
Dissociation in the laboratory: a comparison of strategies
Leonard, K. N., Telch, M. J., & Harrington, P. J. (1999) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00072-2 · Cited by 103 · see citing works
Dissociation of the acute effects of alcohol on implicit and explicit memory processes
Lister, R. G., Gorenstein, C., Risher‐Flowers, D., Weingartner, H. J., & Eckardt, M. J. (1991) · Neuropsychologia · doi:10.1016/0028-3932(91)90034-6 · Cited by 97 · see citing works
PREDICTORS OF ANALOGUE POST-TRAUMATIC INTRUSIVE COGNITIONS
Davis, M. H., & Clark, D. M. (1998) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465898264022 · Cited by 93 · see citing works
The influence of a visuospatial grounding task on intrusive images of a traumatic film
Stuart, A. D. P., Holmes, E. A., & Brewin, C. R. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.04.004 · Cited by 88 · see citing works
Self-citationPsychic Trauma: Return of Images After a Stress Film
Horowitz, M. J. (1969) · Archives of General Psychiatry · doi:10.1001/archpsyc.1969.01740170056008 · Cited by 86 · see citing works
Kindt, M., & van den Hout, M. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00135-8 · Cited by 77 · see citing works
Alcohol and memory: Storage and state dependency
Parker, E. S., Birnbaum, I. M., & Noble, E. P. (1976) · Journal of Verbal Learning and Verbal Behavior · doi:10.1016/0022-5371(76)90061-x · Cited by 75 · see citing works
State-dependent effects of alcohol on explicit memory: the role of semantic associations
Weissenborn, R., & Duka, T. (2000) · Psychopharmacology · doi:10.1007/s002139900349 · Cited by 64 · see citing works
Dissociative Effects of Alcohol on Recollective Experience
Curran, H. V., & Hildebrandt, M. (1999) · Consciousness and Cognition · doi:10.1006/ccog.1999.0417 · Cited by 62 · see citing works
Kindt, M., Van den Hout, M., & Buck, N. (2005) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2004.11.005 · Cited by 60 · see citing works
State-dependent effects of alcohol on recollective experience, familiarity and awareness of memories
Duka, T., Weissenborn, R., & Dienes, Z. P. (2000) · Psychopharmacology · doi:10.1007/s002130000564 · Cited by 59 · see citing works
Does alcohol affect memory for emotional and non-emotional experiences in different ways?
Knowles, S. K. Z., & Duka, T. (2004) · Behavioural Pharmacology · doi:10.1097/00008877-200403000-00003 · Cited by 52 · see citing works
Morgan, C. J. A., Rossell, S. L., Pepper, F., Smart, J., Blackburn, J., Brandner, B., & Curran, H. V. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.06.018 · Cited by 49 · see citing works
Buchanan, T. W., Karafin, M. S., & Adolphs, R. (2003) · Behavioral Neuroscience · doi:10.1037/0735-7044.117.3.517 · Cited by 33 · see citing works
Neutral and emotional episodic memory: global impairment after lorazepam or scopolamine
Kamboj, S. K., & Curran, H. V. (2006) · Psychopharmacology · doi:10.1007/s00213-006-0552-7 · Cited by 30 · see citing works
Giesbrecht, T., Merckelbach, H. L. G. J., ter Burg, L., Cima, M., & Simeon, D. (2008) · Journal of Traumatic Stress · doi:10.1002/jts.20323 · Cited by 21 · see citing works
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Brewin, C. R. (2014) · Psychological Bulletin · doi:10.1037/a0033722 · Cited by 492 · see citing works
Self-citationJames, E. L., Lau-Zhu, A., Clark, I. A., Visser, R. M., Hagenaars, M. A., & Holmes, E. A. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.04.010 · Cited by 300 · see citing works
Iyadurai, L., Visser, R. M., Lau-Zhu, A., Porcheret, K., Horsch, A., Holmes, E. A., & James, E. L. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.08.005 · Cited by 255 · see citing works
Bisby, J. A., King, J. A., Brewin, C. R., Burgess, N., & Curran, H. V. (2010) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.01.010 · Cited by 65 · see citing works
Self-citationDas, R. K., Tamman, A., Nikolova, V., Freeman, T. P., Bisby, J. A., Lazzarino, A. I., & Kamboj, S. K. (2016) · Psychological Medicine · doi:10.1017/s003329171600026x · Cited by 49 · see citing works
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Lau-Zhu, A., Holmes, E. A., & Porcheret, K. (2018) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-018-0141-1 · Cited by 36 · see citing works
Ball, S. C., & Brewin, C. R. (2012) · Journal of Experimental Psychopathology · doi:10.5127/jep.019511 · Cited by 32 · see citing works
Self-citationMalik, A., Goodwin, G. M., Hoppitt, L., & Holmes, E. A. (2014) · Clinical Psychological Science · doi:10.1177/2167702614527433 · Cited by 26 · see citing works
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- Authors
- Bisby, J. A., Brewin, C. R., Leitz, J. R., & Valerie Curran, H.
- Affiliations
- University College London (GB)
- Corresponding author
- Bisby, James A.
- Venue
- Psychopharmacology
- Published
- 2009-02-27
- Volume
- 204
- Issue
- 4
- Pages
- 655-666
- ISSN
- 0033-3158 (ISSN-L)
- 1432-2072
- OpenAlex
- W1992149145
- Cited by
- 46
- References
- 68
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 3 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 3 · 2013: 2 · 2012: 3
- FWCI
- 5.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Keywords
- acute alcohol effects, intrusive memories, post-traumatic stress disorder, traumatic memory, declarative memory, dose-response relationship, skin conductance, dissociative symptoms, memory impairment
- MeSH terms
- Adult, Ethanol, Central Nervous System Depressants, Dose-Response Relationship, Drug, Double-Blind Method, Female, Follow-Up Studies, Humans, Male, Memory, Motion Pictures, Mental Recall, Stress Disorders, Post-Traumatic, Time Factors, Recognition, Psychology, Young Adult
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