Cognitive Deficits in Alcohol Dependence Syndrome
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Introduction: Apart from physical complications, chronic alcoholism is associated with mild to severe cognitive disturbances. Cognitive disturbances persist even when abstinent up to five years. Thus cognitive disturbance is not only rendering them into ineffective members of society but also poses a burden on the society, due to frequent conflicts with the law. Aims & Objectives: To detect any cognitive deficits in alcoholics in a tertiary care teaching hospital by evaluating their cognitive functions and to identify the causes thereof. Materials & Method: This study included both in-patient and out-patients meeting the inclusion criteria. Detailed case history was taken for all the patients. Each subject was screened by AUDIT, the severity of alcohol addiction was assessed by the SADD. Each patient was screened for color blindness by using Ishihara Test. To evaluate the working memory and executive functions, Wisconsin card sorting test & MMSE were used. Results: The results of the current study showed that individuals with medium and high dependence on alcohol differed in all the categories of WCST. The study also showed significant differences between medium and high dependent individuals in their scores on the WCST and MMSE. This indicates that severity of alcohol dependence is related to the level of cognitive decline in these subjects. Conclusion: From the present study we can conclude that the cognitive deficits have considerable effect on the socio occupational functions of an individual with alcohol dependence. It can be one of the factors affected in patients with alcohol dependence and as a physician we need to address these issues which help in formulating a comprehensive treatment plan for a better outcome.
Authors and Affiliations
Dr Deepak R S, Dr Mruthyunjaya Nagaraj, Dr Alok Ghanate
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