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Cognitive impairment and spontaneous recovery in patients with diagnosis of alcohol harmful use or alcohol dependence syndrome

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dc.creator Lage, Manuel
dc.creator Risso, Alicia
dc.date 2020-11-20
dc.date.accessioned 2023-03-20T15:55:10Z
dc.date.available 2023-03-20T15:55:10Z
dc.identifier https://reviberopsicologia.ibero.edu.co/article/view/rip.13315
dc.identifier 10.33881/2027-1786.rip.13315
dc.identifier.uri https://biblioteca-repositorio.clacso.edu.ar/handle/CLACSO/215553
dc.description The aim of this study was to determine the extent of the deterioration of cognitive functions due to alcohol abuse and its possible spontaneous recovery, as well as to observe the temporal evolution of this recovery, from the beginning to 24 months of abstinence. One hundred patients of both sexes participate voluntarily. All were in treatment for harmful drinking cessation or alcohol dependency syndrome, and they were grouped into cohorts according to withdrawal time. The control group consisted of 20 people with no history of alcoholism, paired with the patients in the variables of age, sex and educational level. Socio-demographic and clinical data were collected through a standardized anamnesis, while the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MOCA), in their Spanish versions, were used to assess cognitive impairment. Eight clinical and socio-demographic variables and 27 seven cognitive variables were obtained for each participant. Significant differences were observed between measures of the same cognitive variables provided by both instruments, with MOCA being more discriminating. The results showed that both the deterioration at the beginning of abstinence and its subsequent spontaneous recovery are different for each variable, and that the most outstanding changes occur 6 months after starting abstinence, and later on, between 18 and 24 months. According the obtained evidence, Attention and Language are the variables most likely to benefit from a cognitive rehabilitation program, which should be implemented between 6 and 18 months of abstinence. en-US
dc.description El objetivo de este trabajo era conocer el alcance del deterioro de las funciones cognitivas debido al consumo abusivo de alcohol y su posible recuperación espontánea, así como observar la evolución temporal de esta recuperación, desde el inicio hasta los 24 meses de la abstinencia. Participaron voluntariamente 100 pacientes de ambos sexos, en tratamiento de deshabituación de consumo perjudicial o síndrome de dependencia alcohólico, agrupados en cohortes según tiempo de abstinencia. El grupo control estuvo formado por 20 personas sin antecedentes de alcoholismo, equiparadas con los pacientes en las variables edad, sexo y nivel de estudios. Los datos socio-demográficos y clínicos se recogieron con una anamnesis protocolizada, mientras que para evaluar el deterioro cognitivo se emplearon el Mini-Mental State Examination (MMSE) y el Montreal Cognitive Assessment (MOCA), en sus versiones al español. Para cada participante se obtuvieron 8 variables clínicas y socio-demográficas y 27 variables cognitivas. Se observaron diferencias significativas entre las medidas de las mismas variables cognitivas proporcionadas por ambos instrumentos, siendo más discriminativo el MOCA. Los resultados mostraron que el deterioro y la recuperación espontánea varían para las distintas funciones cognitivas y que los cambios más significativos se dan seis meses después de iniciada la deshabituación y entre los 18 y 24 meses. En base a la evidencia obtenida, atención, memoria y lenguaje se perfilan como las funciones más susceptibles de beneficiarse de un programa de rehabilitación cognitiva, que convendría implementar entre los 6 y 18 meses de abstinencia. es-ES
dc.format application/pdf
dc.language spa
dc.publisher ĬbērAM es-ES
dc.relation https://reviberopsicologia.ibero.edu.co/article/view/rip.13315/1657
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dc.rights Derechos de autor 2021 Corporación Universitaria Iberoamericana es-ES
dc.source Revista Iberoamericana de Psicología; Vol. 13 Núm. 3 (2020): Revista Iberoamericana de Psicología; 149-158 es-ES
dc.source 2500-6517
dc.source 2027-1786
dc.subject alcohol use disorder en-US
dc.subject cognitive impairment en-US
dc.subject spontaneous remission en-US
dc.subject cognitive rehabilitation en-US
dc.subject detoxification en-US
dc.subject cognitive assessment en-US
dc.subject alcoholismo es-ES
dc.subject deterioro cognitivo es-ES
dc.subject remisión espontánea es-ES
dc.subject rehabilitación cognitiva es-ES
dc.subject desintoxicación es-ES
dc.subject evaluación cognitiva es-ES
dc.subject alcoolismo pt-BR
dc.subject deficiência cognitiva pt-BR
dc.subject remissão espontânea pt-BR
dc.subject reabilitação cognitiva pt-BR
dc.subject desintoxicação pt-BR
dc.subject avaliação cognitiva pt-BR
dc.title Cognitive impairment and spontaneous recovery in patients with diagnosis of alcohol harmful use or alcohol dependence syndrome en-US
dc.title Deterioro cognitivo y recuperación espontánea en pacientes con diagnóstico de Consumo Perjudicial o Síndrome de Dependencia Alcohólico es-ES
dc.title Deficiência cognitiva e recuperação espontânea em pacientes diagnosticados com uso nocivo ou Síndrome de Dependência do Álcool pt-BR
dc.type info:eu-repo/semantics/article
dc.type info:eu-repo/semantics/publishedVersion


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