Neurobiological and Cognitive Profile of Young Binge Drinkers: a Systematic Review and Meta-Analysis
Open accessAbstract
This review provides the first systematic and quantitative synthesis of the literature examining the relationship between binge drinking, cognition, brain structure and function in youth aged 10 to 24 years. PubMed, EMBASE, Medline, PsychINFO and ProQuest were searched for neuroimaging, neurophysiological, and neuropsychological studies. A total of 58 studies (21 neuroimaging, 16 neurophysiological, 21 neuropsychological) met the eligibility criteria and were included in the review. Overall, abnormal or delayed development of key frontal executive-control regions may predispose youth to binge drink. These abnormalities appear to be further exacerbated by the uptake of binge drinking, in addition to alcohol-related neural aberrations in reward-seeking and incentive salience regions, indexed by cognitive deficits and maladaptive alcohol associations. A meta-analysis of neuropsychological correlates identified that binge drinking in youth was associated with a small overall neurocognitive deficit (g = -0.26) and specific deficits in decision-making (g = -1.70), and inhibition (g = -0.39). Using the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) Evidence Profile, the certainty in outcomes ranged from very low to low. Future prospective longitudinal studies should address concomitant factors, exposure thresholds, and age-related vulnerabilities of binge drinking, as well as the degree of recovery following discontinuation of use.
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There is a well-established relationship between adolescent alcohol exposure, brain development, and cognitive functioning.
“Furthermore, there is a well-established relationship between adolescent alcohol exposure (AAE), brain development, and cognitive functioning [20, 30]”
From Consequences of adolescent drug use (2023) · cites this paper as [30]
The Introduction reports associations between youth binge drinking, brain development, and cognitive differences. But the Conclusion says findings on binge drinking’s impact on brain and cognitive development are not yet consistent or replicated. Calling the relationship with adolescent alcohol exposure generally “well-established” overstates this source’s narrower, qualified findings. (LLM, conf=0.85)
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Effect of alcohol use on the adolescent brain and behavior
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“Furthermore, there is a well-established relationship between adolescent alcohol exposure (AAE), brain development, and cognitive functioning [20, 30], as well as data indicating that AAE is associated with increased rate and severity of stress-related psychopathologies [31].”
BackgroundHealey, K. L., Kibble, S., Hodges, S., Reissner, K. J., Testen, A., Wills, T. A., Acheson, S. K., Siemsen, B. M., McFaddin, J. A., Scofield, M. D., et al. (2020) · Neural Regeneration Research · doi:10.4103/1673-5374.274339 · Cited by 27 · see citing works
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- Authors
- Lees, B., Mewton, L., Stapinski, L. A., Squeglia, L. M., Rae, C. D., & Teesson, M.
- Affiliations
- The University of Sydney (AU)
- UNSW Sydney (AU)
- Medical University of South Carolina (US)
- Corresponding author
- Lees, Briana
- ORCID
- Venue
- Neuropsychology Review
- Published
- 2019-09
- Volume
- 29
- Issue
- 3
- Pages
- 357-385
- ISSN
- 1040-7308 (ISSN-L)
- 1573-6660
- PMC
- PMC7231524
- OpenAlex
- W2972850215
- Cited by
- 109
- References
- 147
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 14 · 2023: 16 · 2022: 17 · 2021: 22 · 2020: 22
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neuropsychology Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Health and Medical Research Council, Australia (GNT1169377, GNT1132853)
- National Institute on Alcohol Abuse and Alcoholism (K23 AA025399)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- binge drinking, adolescent alcohol use, youth, neurocognitive impairment, decision-making, inhibition, executive function, frontal lobe development, reward processing, incentive salience, brain structure and function, alcohol-related cognitive impairment
- MeSH terms
- Adolescent, Brain, Decision Making, Humans, Inhibition, Psychological, Neuropsychological Tests, Executive Function, Binge Drinking
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