Impaired perceptual--cognitive functioning in women alcoholics. Cross-validated findings.

Fabian, Marjorie S.; Parsons, Oscar A.; Silberstein, J.

doi:10.15288/jsa.1981.42.217

Cited by 26 publications

(6 citation statements)

References 24 publications

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“…Based on rigorous, quantitative assessments, cognitive deficits associated with chronic heavy drinking in women have been reported since the early 1980s. 19 , 40 One of the earliest studies compared 33 recently sober women (10 to 23 days since last drink) with 44 age- and education-matched control women on a number of cognitive and motor domains. Impairments were observed in visuospatial processing (block design), psychomotor speed (trail making), information processing (digit symbol substitution), and memory (verbal and visual recognition and recall).…”

Section: Alcohol’s Effects On Cognition In Womenmentioning

confidence: 99%

Alcohol's Unique Effects on Cognition in Women: A 2020 (Re)view to Envision Future Research and Treatment

Fama

Berre

Sullivan

2020

ARCR

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Alcohol use and misuse is increasing among women. Although the prevalence of drinking remains higher in men than women, the gender gap is narrowing. This narrative review focuses on the cognitive sequelae of alcohol consumption in women. Studies of acute alcohol effects on cognition indicate that women typically perform worse than men on tasks requiring divided attention, memory, and decision-making. Beneficial effects of moderate alcohol consumption on cognition have been reported; however, a number of studies have cautioned that other factors may be driving that association. Although chronic heavy drinking affects working memory, visuospatial abilities, balance, emotional processing, and social cognition in women and men, sex differences mark the severity and specific profile of functional deficits. The accelerated or compressed progression of alcohol-related problems and their consequences observed in women relative to men, referred to as “telescoping,” highlights sex differences in the pharmacokinetics, pharmacodynamics, cognitive, and psychological consequences of alcohol. Brain volume deficits affecting multiple systems, including frontolimbic and frontocerebellar networks, contribute to impairment. Taken together, sex-related differences highlight the complexity of this chronic disease in women and underscore the relevance of examining the roles of age, drinking patterns, duration of abstinence, medical history, and psychiatric comorbidities in defining and understanding alcohol-related cognitive impairment.

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Section: Alcohol’s Effects On Cognition In Womenmentioning

confidence: 99%

Alcohol's Unique Effects on Cognition in Women: A 2020 (Re)view to Envision Future Research and Treatment

Fama

Berre

Sullivan

2020

ARCR

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“…Additionally, the effects of heavy alcohol use in older individuals appear to be associated with more impairment than in younger alcoholics (Ryan & Butters, 1980). As to the influence of gender, several studies conducted by Fabian, Parsons and their colleagues (e.g., Fabian, Jenkins, & Parsons, 1981; Fabian, Parsons, & Silberstein, 1981) have shown that there is little difference between the HRB performance of male and female alcoholics. Unfortunately, the effects of education and previous (pre-alcohol) cognitive abilities have been less systematically investigated in alcoholic populations, although Parsons (1986) has questioned whether previous cognitive ability influences the alcoholic's current neuropsychological performance and current drinking habits.…”

Section: % (5)mentioning

confidence: 99%

The influence of age, education, IQ, gender, and alcohol abuse on Halstead-Reitan neuropsychological test battery performance

Leckliter

Matarazzo

1989

J. Clin. Psychol.

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This article highlights trends that show the influence of age, education, IQ, gender, and alcohol abuse on Halstead-Reitan Neuropsychological Test Battery (HRB) performance. These factors must be considered as possible competing hypotheses that might account for a patient's HRB performance. HRB scores among normal, community-living persons can resemble scores of individuals with known neuropsychological impairment due only to the effects of these variables. Accordingly, when clinical neuropsychologists use "levels of current performance" or research based "cut-off score" methods to make inferences about the adequacy of brain function, appropriate comparison norms must be used to minimize the likelihood of false-positive errors. This paper summarizes and provides references to some of these comparison norms. Additionally, robust estimates of premorbid ability are essential when one is making neuropsychological inferences. Such estimates can be obtained from nationally standardized measures of intellectual ability found on most grade and high school transcripts, as well as Scholastic Aptitude Test, military, and related aptitude test scores, plus the individual's social and occupational history. 14 to 33% of the variability between mean HRB scores in their comparison of one group of 50-to 62-year-olds to a second group of 67-to 86-year-olds. Their sample of normal, community volunteers included both males and females, but was rather small (n = 30) and of relatively high education (M = 14 years, SD = 2.4). Other studies that have reported correlations between age and HRB performance in apparently neurologically intact individuals have found results similar to those of Bak and Greene. Specifically, Vega and Parsons (1967) found that age accounted for 7 to 40% variance in HRB performance among their hospitalized, medical, and psychiatric control sample of 50 15to 74-year-old men and women with a mean age of 40.8 years (SD = 13.1). Similarly, Prigatano and Parsons (1976) found that age accounted for 18 to 59% variance in HRB performance among their hospitalized psychiatric control sample of 25 16-to 61-yearold men and women with a mean age of 33.2 years (SD = 15.8). Heaton, Grant, and Matthews (1986), in an impressively large and comprehensive study of demographic variables that affect HRB performance, documented that age accounted for half of one percent to 31% of the variance in HRB performance among their 553 "normal controls" of 15-to 81-year-old men and women with a mean age of 39.3 years (SD = 17.5). Interestingly, Yeudall, Reddon, Gill, and Stefanyk (1987) did not find an association between age and HRB performance that was as clear, or as strong, as indicated by these

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“…It assesses verbal age (VA) and abstraction age (AA). Alcoholics typically show VA scores that are roughly equiv-alent to those of nonalcoholics but have significantly lower scores on the latter (Fabian, Parsons, & Silberstein, 1981).…”

Section: Materials and Proceduresmentioning

confidence: 99%

“…The Memory-For-Designs Test (MFD; Kendall, 1962) consists of a standardized set of 15 white cards, on each of which is reproduced a simple geometric design. The subject is required to reproduce with pencil and paper each drawing immediately following its exposure for 5 s. Alcoholics perform more poorly on this test than do nonalcoholics (Fabian, Parsons, & Silberstein, 1981). The Shipley Institute for Living scale (Shipley, 1940) is a standardized paper-and-pencil test of cognitive impairment.…”

Section: Materials and Proceduresmentioning

confidence: 99%

Verbal and visuospatial performance in male alcoholics: A test of the premature-aging hypothesis.

Shelton¹,

Parsons²,

Leber³

1984

Journal of Consulting and Clinical Psychology

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Two versions exist of the premature-aging hypothesis for neuropsychological deficits in alcoholics: (a) accelerated lateralized hemispheric differences and (b) generalized dysfunction. Evidence for the former version is inconsistent, and the latter has not been formally tested. Using a paired-associate learning test that has separate verbal and visuospatial subtests of the same structure and method, elderly control subjects (N = 24) performed significantly worse than middle-aged control subjects (N = 36) on both learning subtests. For subjects between 30-and 80-years-old, increasing age resulted in increasing errors. According to the generalized dysfunction hypothesis, performance of alcoholics should be similar to that of the elderly, showing impairment compared to control subjects on both learning tests. However, alcoholics (N = 36) performed at the same level as the middle-aged control subjects on verbal learning and were significantly poorer on visuospatial learning. The generalized dysfunction version of the premature-aging hypothesis for performance of alcoholics on neuropsychological tests was not supported.

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Impaired perceptual--cognitive functioning in women alcoholics. Cross-validated findings.

Cited by 26 publications

References 24 publications

Alcohol's Unique Effects on Cognition in Women: A 2020 (Re)view to Envision Future Research and Treatment

Alcohol's Unique Effects on Cognition in Women: A 2020 (Re)view to Envision Future Research and Treatment

The influence of age, education, IQ, gender, and alcohol abuse on Halstead-Reitan neuropsychological test battery performance

Verbal and visuospatial performance in male alcoholics: A test of the premature-aging hypothesis.

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