Intellectual impairment in alcoholics: persistent issues
Abstract
Intellectual impairment in sober intermediate stage alcoholics has been well established. However, a number of persistent issues remain to be explored. Three of the most important concern 1) variability in cognitive-perceptual functioning in samples of alcoholics, 2) differential vulnerability of cognitive-perceptual functions to alcohol abuse and 3) the relationship of cognitive-perceptual impairment to treatment behaviour and benefit. Consideration of these issues resulted in the following conclusions. There is a substantial minority of alcoholics who do not manifest impairment on any given cognitive test. Variability of findings with different samples of alcoholics may be, in part, a function of family history of alcoholism and/or severity of alcoholism. Verbal and rote learning functions are less sensitive to alcohol abuse than non-verbal, or complex verbal, abstracting/problem-solving skills. Alcoholics' impersonal and interpersonal problem-solving abilities are both impaired but appear to be uncorrelated. Impairment in cognitive-perceptual functioning in alcoholics does predict therapists' ratings of treatment behaviour and benefit.
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Chronic alcoholism is associated with impaired judgment, blunted affect, poor insight, social withdrawal, reduced motivation, distractibility, and attentional and impulse control deficits.
“Chronic alcoholism is associated with impaired judgment, blunted affect, poor insight, social withdrawal, reduced motivation, distractability, attentional and impulse control deficits (Oscar-Berman and Hutner, 1993; Parsons, 1987).”
From Impulsivity, frontal lobes and risk for addiction (2009) · cites this paper as Parsons, 1987
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Impulsivity, frontal lobes and risk for addiction
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“Chronic alcoholism is associated with impaired judgment, blunted affect, poor insight, social withdrawal, reduced motivation, distractability, attentional and impulse control deficits (Oscar-Berman and Hutner, 1993; Parsons, 1987).”
Background
- Authors
- Parsons, O. A.
- Affiliations
- University of Oklahoma Health Sciences Center (US)
- Corresponding author
- Parsons, Oscar A
- Venue
- Acta Medica Scandinavica
- Publisher
- Wiley
- Published
- 1987-01-12
- Volume
- 221
- Issue
- S717
- Pages
- 33-46
- ISSN
- 0001-6101 (ISSN-L)
- OpenAlex
- W1983441520
- Cited by
- 42
- References
- 32
- Citations by year
- 2023: 1 · 2020: 1 · 2015: 3 · 2014: 4 · 2013: 2 · 2012: 4
- FWCI
- 1.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Medica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA 01464, AA06135)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Neurology › Alcoholism and Thiamine Deficiency
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- alcoholism, intellectual disability, alcohol abuse, verbal learning, rote learning, problem-solving skills, social problem solving, family history of alcoholism, alcoholism severity, treatment outcomes
- MeSH terms
- Alcoholism, Cognition, Female, Humans, Intelligence, Learning, Male, Middle Aged, Perception, Problem Solving, Psychological Tests
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