Susan Wagner Glenn

Prediction of resumption of drinking in posttreatment alcoholics.

The ability of five factors (depressive symptomatology, neuropsychological performance, psychosocial maladjustment, previous treatment history, and childhood attention deficit disorder symptomatology) to predict relapse was examined in a follow-up experimental design. Fifty-eight male and 45 female alcoholics were interviewed immediately following release from inpatient treatment units. Fourteen months later, 41 subjects (41%) were classified as resumers; 62 (59%) were abstainers. Resumers showed significantly poorer scores than abstainers on all five of the predictor variables. Discriminant function analysis resulted in 75% correct classification of resumers and abstainers (chi 2 = 22.1, p less than .001). Stepwise multiple regression resulted in isolation of depressive symptomatology as the best single predictor of relapse.

Does neuropsychological test performance predict resumption of drinking in posttreatment alcoholics

The prediction of resumption of drinking in posttreatment alcoholics was investigated as a function of five possible confounding variables: depression, anxiety, childhood symptoms of attention deficit and conduct disorders and family history of alcoholism. Male and female detoxified alcoholics (n = 103) in inpatient treatment programs were administered a neuropsychological battery and retested as outpatients 14 months later; peer nonalcoholics (n = 73), given the same battery, had a similar interest interval. Alcoholics who resumed drinking (N = 41) performed significantly poorer on an overall neuropsychological performance index than abstainers (N = 62) who performed significantly poorer than nonalcoholics. Stepwise multiple regression equations using the variables noted above revealed that depressive symptoms, ADD and the performance index were the only variables to enter the prediction (R2 = .26, p less than .001); depression accounted for most of the variance. At retest all three groups improved significantly, but not differentially, and were as significantly different at retest as at initial testing. Implications of these results are discussed.

Drinking variables, affective measures and neuropsychological performance: Familial alcoholism and gender correlates

The relationships between five measures of alcohol consumption and five summary measures of diverse neuropsychological test performances were studied in 76 male and 67 female alcoholics as a function of family history of alcoholism and affective symptomatology. No significant relationships were obtained between drinking variables and neuropsychological performance scores for the overall groups of male and female alcoholics. In family history positive (FH+) males, correlations between a number of drinking variables and neuropsychological measures neared significance. The Beck Depression Inventory (BDI) scores correlated most strongly with the overall impairment index in both family history positive (FH+) and family history negative (FH-) alcoholics. Depression and anxiety scores in the female alcoholics significantly correlated with three of the five alcohol consumption variables. Possible confounding factors in the relationships between alcohol intake measures and cognitive functioning were discussed.

Impaired Efficiency in Female Alcoholics' Neuropsychological Performance

Forty-eight female detoxified alcoholics and 36 female nonalcoholic controls were administered a short computerized neuropsychological test battery; accuracy and speed were assessed for each item. The accuracy and speed scores were used to create summary efficiency ratios (accuracy/speed) for each test. Alcoholics had significantly lower efficiency ratios than controls on each of the tests, and this deficit was maintained across instructional conditions (emphasizing speed, accuracy, or speed and accuracy equally) and level of task difficulty. In addition, alcoholics and controls manifested similar types of relationships between response speed and correctness of the response, with these relationships varying as a function of type of task. The results of this study illustrate the benefits of including speed of response as a performance variable, and provide further support for the use of efficiency as a measure sensitive to alcoholic neuropsychological impairment.