Commentary on Maurage et al.: Theory of Mind Difficulties in Patients with Alcohol Dependence

Fein, George

doi:10.1111/acer.12761

Cited by 3 publications

(4 citation statements)

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“…[71][72][73] These difficulties could underlie the phenomenon of self-medication with alcohol in SAUD individuals when confronted with negative affect and sensitive interpersonal situations. 74 In conclusion, our study shows that at the end of the detoxification stage, the intensity of depressive and anxiety symptoms is associated with reduced cortical thickness of regions involved in emotions-related processes. It suggests that in the minority of patients in whom depressive and anxious symptoms persist, alterations in cortical thickness are observed and these alterations are located in exactly the same regions as those found in patients suffering from severe depression or anxiety alone.…”

Section: Discussionmentioning

confidence: 53%

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Links between psychopathological symptoms and cortical thickness in men with severe alcohol use disorder: A Magnetic Resonance Imaging study

Petit

Leclercq²,

Quoilin³

et al. 2023

Neuropsychopharm Rep

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BackgroundAnxiety and depression are psychopathological states frequently co‐occurring with severe alcohol use disorder (SAUD). These symptoms generally disappear with abstinence but may persist in some patients, increasing the relapse risk.MethodsThe cerebral cortex thickness of 94 male patients with SAUD was correlated with symptoms of depression and anxiety, both measured at the end (2–3 weeks) of the detoxification treatment. Cortical measures were obtained using surface‐based morphometry implemented with Freesurfer.ResultsDepressive symptoms were associated with reduced cortical thickness in the superior temporal gyrus of the right hemisphere. Anxiety level was correlated with lower cortical thickness in the rostral middle frontal region, inferior temporal region, and supramarginal, postcentral, superior temporal, and transverse temporal regions of the left hemisphere, as well as with a large cluster in the middle temporal region of the right hemisphere.ConclusionsAt the end of the detoxification stage, the intensity of depressive and anxiety symptoms is inversely associated with the cortical thickness of regions involved in emotions‐related processes, and the persistence of the symptoms could be explained by these brain deficits.

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Section: Discussionmentioning

confidence: 53%

“…Studies conducted in people with SAUD have shown impairments in ToM abilities 70 leading to a reduction in the quality of social interactions 71‐73 . These difficulties could underlie the phenomenon of self‐medication with alcohol in SAUD individuals when confronted with negative affect and sensitive interpersonal situations 74 …”

Section: Discussionmentioning

confidence: 99%

Links between psychopathological symptoms and cortical thickness in men with severe alcohol use disorder: A Magnetic Resonance Imaging study

Petit

Leclercq²,

Quoilin³

et al. 2023

Neuropsychopharm Rep

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show abstract

“…It has also been proposed that mentalizing deficits in SUD share similarities with such impairments in developmental disorders, such as autism and borderline personality disorder, which argues that such deficits may be rather predisposed (151). The notion that drugs might be instrumentalized by some users to self-medicate social-cognitive deficits has also been suggested (152). However, predispositions to, as well as chronic drug-effects on, social cognition deficits might be substance-as well as function-specific and future longitudinal studies are needed to delineate and characterize these different factors for each substance-using population.…”

Section: Open Questionsmentioning

confidence: 99%

Social cognition in addiction

Quednow

Verdejo-García²

2020

Cognition and Addiction

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Social problems and the neglect of social relationships and activities are essential features of substance use disorders (SUDs). Recently, social impairments of individuals with specific SUD have begun to be characterized at the cognitive, emotional, and behavioral level by neuropsychological and social neuroscience methods. Growing evidence suggests that specific SUDs are associated with specific dysfunctions in social cognition and interaction, and that these impairments likely contribute to the social dysfunctions occurring in the daily life of SUD-affected people. It has also been proposed that sociocognitive deficits-such as decreased emotional empathy, worsened mental perspective-taking, and a blunted ability to perceive reward from social interactions-play a prominent role in the establishment, development, and course of therapeutic relationships, where they potentially hamper treatment success. This chapter provides a brief overview of the current status of social cognition research in SUD and discusses future directions for the assessment and treatment of social impairments in SUD.

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“…I N HIS COMMENTARY (Fein, 2015) on Maurage and colleagues' paper (2015), Prof. Fein discussed the place that theory of mind (ToM) deficits play in our understanding of alcohol dependence's etiology and treatment. Prof. Fein acknowledged the important role played by impaired mentalizing abilities in alcohol dependence, as this deficit could hamper the ability to cope with social pressure (which constitutes an important relapse factor; Zywiak et al, 2003), and could partly explain the anxiety and depression symptoms frequently observed in this population (Schuckit, 2006).…”

mentioning

confidence: 99%

Considering Cognitive Mentalizing Deficits as a Transient and Reversible Impairment in Alcohol Dependence: A Response to Fein's Commentary on Maurage et al.'s Paper

Timary

Maurage

2016

Alcoholism Clin & Exp Res

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Commentary on Maurage et al.: Theory of Mind Difficulties in Patients with Alcohol Dependence

Cited by 3 publications

References 10 publications

Links between psychopathological symptoms and cortical thickness in men with severe alcohol use disorder: A Magnetic Resonance Imaging study

Links between psychopathological symptoms and cortical thickness in men with severe alcohol use disorder: A Magnetic Resonance Imaging study

Social cognition in addiction

Considering Cognitive Mentalizing Deficits as a Transient and Reversible Impairment in Alcohol Dependence: A Response to Fein's Commentary on Maurage et al.'s Paper

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