Screening Cognitive Impairment in Alcohol Abusers

Taylor, Joanne; McGown, Anne; Anson, Jon

doi:10.3928/0279-3695-19970701-22

Cited by 4 publications

(8 citation statements)

References 16 publications

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“…Eight studies [ 9 , 14 , 26 – 31 ] included participants with alcohol-related dementia or ARCI and were included in the summary of evidence addressing our primary objective relating to new or adapted diagnostic or screening criteria for ARCI. Twelve studies [ 14 , 26 , 27 , 32 – 42 ] were included in the summary of evidence addressing our secondary objective relating to cognitive assessment tools. Seven studies [ 26 , 27 , 34 , 35 , 37 , 38 , 41 ] evaluated the accuracy, validity and/or reliability of a cognitive assessment tool; two studies [ 26 , 27 ] included patients with a diagnosis of ARCI and five studies [ 34 , 35 , 37 , 38 , 41 ] with patients with a diagnosis of AUD.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies [ 26 , 27 , 34 , 35 , 37 , 38 , 41 ] evaluated the accuracy, validity and/or reliability of a cognitive assessment tool; two studies [ 26 , 27 ] included patients with a diagnosis of ARCI and five studies [ 34 , 35 , 37 , 38 , 41 ] with patients with a diagnosis of AUD. Seven further studies [ 14 , 32 , 33 , 36 , 39 , 40 , 42 ] were descriptive reports about the use of cognitive assessment tools in screening and/or assessment. Two studies [ 14 , 36 ] included patients with a diagnosis of ‘alcohol-related brain damage’ and five studies [ 32 , 33 , 39 , 40 , 42 ] included samples with an AUD diagnosis.…”

Section: Resultsmentioning

confidence: 99%

“…Seven further studies [ 14 , 32 , 33 , 36 , 39 , 40 , 42 ] were descriptive reports about the use of cognitive assessment tools in screening and/or assessment. Two studies [ 14 , 36 ] included patients with a diagnosis of ‘alcohol-related brain damage’ and five studies [ 32 , 33 , 39 , 40 , 42 ] included samples with an AUD diagnosis.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies [ 32 , 33 , 36 , 39 , 40 , 42 ] provided descriptive reports about a cognitive assessment tool ( Table 5 ).…”

Section: Resultsmentioning

confidence: 99%

“…Five further studies [ 32 , 33 , 39 , 40 , 42 ] were descriptive reports of cognitive functioning among AUD patients. A range of different cognitive assessment tools were used across the included studies.…”

Section: Resultsmentioning

confidence: 99%

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Informing the development of diagnostic criteria for differential diagnosis of alcohol-related cognitive impairment (ARCI) among heavy drinkers: A systematic scoping review

et al. 2023

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Background Early detection and diagnosis of alcohol-related cognitive impairment (ARCI) among heavy drinkers is crucial to facilitating appropriate referral and treatment. However, there is lack of consensus in defining diagnostic criteria for ARCI. Uncertainty in attributing a diagnosis of suspected ARCI commonly arises in clinical practice and opportunities to intervene are missed. A systematic scoping review approach was taken to (i) summarise evidence relating to screening or diagnostic criteria used in clinical studies to detect ARCI; and (ii) to determine the extent of the research available about cognitive assessment tools used in ‘point-of-care’ screening or assessment of patients with suspected non-Korsakoff Syndrome forms of ARCI. Methods We searched Medline, PsycINFO, Cinahl and the Web of Science, screened reference lists and carried out forward and backwards citation searching to identify clinical studies about screening, diagnosis or assessment of patients with suspected ARCI. Results In total, only 7 studies met our primary objective and reported on modifications to existing definitions or diagnostic criteria for ARCI. These studies revealed a lack of coordinated research and progress towards the development and standardisation of diagnostic criteria for ARCI. Cognitive screening tools are commonly used in practice to support a diagnosis of ARCI, and as a secondary objective we included an additional 12 studies, which covered a range of settings and patient populations relevant to screening, diagnosis or assessment in acute, secondary or community ‘point-of-care’ settings. Across two studies with a defined ARCI patient sample and a further four studies with an alcohol use disorder patient sample, the accuracy, validity and/or reliability of seven different cognitive assessment tools were examined. The remaining seven studies reported descriptive findings, demonstrating the lack of evidence available to draw conclusions about which tools are most appropriate for screening patients with suspected ARCI. Conclusion This review confirms the scarcity of evidence available on the screening, diagnosis or assessment of patients with suspected ARCI. The lack of evidence is an important barrier to the development of clear guidelines for diagnosing ARCI, which would ultimately improve the real-world management and treatment of patients with ARCI.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Six studies [ 32 , 33 , 36 , 39 , 40 , 42 ] provided descriptive reports about a cognitive assessment tool ( Table 5 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Informing the development of diagnostic criteria for differential diagnosis of alcohol-related cognitive impairment (ARCI) among heavy drinkers: A systematic scoping review

et al. 2023

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Out-patient behaviour therapy in alcoholism: impact of personality disorders and cognitive impairments

Wölwer

Burtscheidt

Redner

et al. 2001

Acta Psychiatr Scand

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Out‐patient behaviour therapy in alcoholism: impact of personality disorders and cognitive impairments

Wölwer¹,

Burtscheidt²,

Redner³

et al. 2001

Acta Psychiatr Scand

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Objective: We investigated whether alcoholic patients with comorbid personality disorders and those with cognitive impairments would benefit in a different way from different behaviour therapy strategies. Method: After detoxification, 120 alcoholics were assigned randomly to one of three out‐patient treatment programmes comprising ‘coping skills training’, ‘cognitive behaviour therapy’ or unspecific supportive control therapy. Personality disorders and cognitive impairments were assessed at the beginning of the 6‐month treatment period. Results: The impact of concomitant personality disorders or cognitive impairments was generally only moderate and mainly independent from treatment condition. However, alcoholic patients relapsing within 6 months after detoxification showed a higher rate of personality disorders (especially antisocial and borderline) and slightly more cognitive deficits (especially in verbal memory and visuomotor functions) than abstainers even before therapy. Conclusion: The high amount of early relapses and drop‐outs probably hindered larger differentiated treatment effects. Hypotheses will be retested in treatment completers using forthcoming follow‐up data.

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Screening Cognitive Impairment in Alcohol Abusers

Cited by 4 publications

References 16 publications

Informing the development of diagnostic criteria for differential diagnosis of alcohol-related cognitive impairment (ARCI) among heavy drinkers: A systematic scoping review

Informing the development of diagnostic criteria for differential diagnosis of alcohol-related cognitive impairment (ARCI) among heavy drinkers: A systematic scoping review

Out-patient behaviour therapy in alcoholism: impact of personality disorders and cognitive impairments

Out‐patient behaviour therapy in alcoholism: impact of personality disorders and cognitive impairments

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