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The diagnosis of alcohol‐related brain damage: a retrospective study in alcoholics undergoing in‐patient rehabilitation
Author(s) -
CANARIS CHRISTOPHER,
JURD STEPHEN
Publication year - 1991
Publication title -
drug and alcohol review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.018
H-Index - 74
eISSN - 1465-3362
pISSN - 0959-5236
DOI - 10.1080/09595239100185111
Subject(s) - neuropsychology , medical diagnosis , medicine , retrospective cohort study , psychiatry , rehabilitation , alcohol , neuropsychological test , alcohol dependence , brain damage , psychology , clinical psychology , physical therapy , cognition , pathology , biochemistry , chemistry
Alcohol‐related brain damage (ARBD) is a common and prognostically relevant complication of alcohol dependence. Clinical sensitivity for ARBD by routine mental state examination (MSE) is important, but unlikely given the documented insensitivity of the MSE in detecting less subtle disorders. We sought to determine the predictive capacity of a well‐documented MSE in 32 detoxified alcohol‐dependent patients who had undergone neuropsychological testing. Seventeen patients were found to have impaired performance on neuropsychological testing. The initial medical diagnoses and short‐term memory tests did not correlate with neuropsychological findings. Ratings of the non‐memory component of the MSE were a weak predictor of neuropsychological impairment. In the absence of any adequate ‘screening’ procedure, we conclude that all alcohol‐dependent patients should be considered at high risk for ARBD and require full investigation. [Canaris C, Jurd S. The diagnosis of alcohol‐related brain damage: a retrospective study in alcoholics undergoing in‐patient treatment. Drug Alcohol Rev 1991; 10: 85‐88]