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1.
Hum Psychopharmacol ; 27(6): 559-65, 2012 Nov.
Article in English | MEDLINE | ID: mdl-23027680

ABSTRACT

OBJECTIVE: We investigated the association between mean corpuscular volume (MCV), carbohydrate-deficient transferrin (CDT), and gamma-glutamyl transferase (GGT) levels and gray and white brain matter in male drinkers to find out which if any of these biomarkers of alcohol consumption is indicative for alcohol-related differences in brain volume. METHOD: Plasma levels of CDT, GGT, and MCV and magnetic resonance imaging-determined brain gray and white matter volumes were assessed in 55 male drinkers. Current alcohol intake and lifetime alcohol intake were determined by self-report measures. The relationship between MCV, CDT, and GGT and brain volumes was explored using multiple linear regression analyses. RESULTS: There was a significant negative relationship between plasma GGT and MCV levels and gray matter volumes. Middle-aged male drinkers with highly elevated GGT and MCV levels (twice the standard deviation above the mean) have 4-12% less parietal and occipital gray matter than males with average GGT and MCV levels. There was no association between CDT levels and brain gray or white matter. CONCLUSIONS: Elevated GGT and MCV levels may be indicative of alcohol-related gray-matter decline in male drinkers. The link with GGT may reflect that elevated GGT levels are a sign of increased oxidative stress. The link with MCV levels may reflect a decreased oxygen transport to the brain.


Subject(s)
Alcohol Drinking/adverse effects , Alcohol-Induced Disorders, Nervous System/blood , Alcohol-Induced Disorders, Nervous System/pathology , Brain/pathology , Erythrocyte Indices , Transferrin/analogs & derivatives , gamma-Glutamyltransferase/blood , Adult , Alcohol-Induced Disorders, Nervous System/physiopathology , Biomarkers/blood , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Netherlands , Occipital Lobe/pathology , Organ Size , Organ Specificity , Oxidative Stress , Parietal Lobe/pathology , Self Report , Severity of Illness Index , Transferrin/analysis
2.
Psychopharmacology (Berl) ; 212(2): 277-81, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20645078

ABSTRACT

BACKGROUND: Declarative memory deficits are common in untreated adults with attention-deficit hyperactivity disorder (ADHD), but limited evidence exists to support improvement after treatment with methylphenidate. The objective of this study was to examine the effects of methylphenidate on memory functioning of adults with ADHD. METHODS: Eighteen adults with ADHD who were clinical responders to methylphenidate participated in this randomized crossover trial. After 3 days of no treatment, patients received in random order either their usual methylphenidate dose (mean: 14.7 mg; range: 10-30 mg) or placebo, separated by a 6-7-day washout period. Patients performed an immediate word recall test 1 h after treatment administration. Three hours after intake, patients performed the second part of the memory test (delayed word recall and a recognition test). RESULTS: Delayed recognition and immediate recall was similar on treatment and on placebo. Delayed word recall was significantly better in the methylphenidate than in the placebo condition (F (1, 17) = 7.0, p < 0.017). A significant correlation was found between prestudy CES-D depression scores and difference scores on delayed recall (r = 0.602, p < 0.008). CONCLUSION: Methylphenidate improves declarative memory functioning in patients with ADHD. New studies should further examine whether subclinical depressive symptoms mediate the effect of methylphenidate on declarative memory.


Subject(s)
Attention Deficit Disorder with Hyperactivity/drug therapy , Central Nervous System Stimulants/pharmacology , Memory Disorders/drug therapy , Methylphenidate/pharmacology , Adult , Attention Deficit Disorder with Hyperactivity/physiopathology , Central Nervous System Stimulants/administration & dosage , Cross-Over Studies , Dose-Response Relationship, Drug , Double-Blind Method , Female , Humans , Male , Memory Disorders/etiology , Mental Recall/drug effects , Methylphenidate/administration & dosage , Middle Aged
3.
Hum Psychopharmacol ; 24(3): 199-205, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19330800

ABSTRACT

OBJECTIVE: Some studies suggest that the effects of low to moderate drinking (about 1-3 standard glasses of alcohol per day) on the brain and cognitive performance are positive. In the present study this hypothesis is investigated. METHODS: For this purpose studies on the effects of low to moderate drinking on brain structure (Magnetic Resonance Induction (MRI) studies) and on cognitive performance were analysed and discussed RESULTS: In MRI studies, a linear negative effect of alcohol consumption on brain volume was found. Furthermore, a linear decrease in grey matter concurring with a linear increase in white matter volumes as a function of number of drinks was reported in males, but not in females. Only in elderly low to moderate drinkers (aged > 65 years) there appeared to be an U-shaped relationship between alcohol consumption and white matter integrity (grade) on the one hand and cognition on the other hand. CONCLUSIONS: The changes reported in brain shrinkage, grey matter and white matter volume, as a result of low to moderate alcohol consumption sooner offer support for the contention that such drinking decreases brain health than for its beneficial effect. An exception might hold for elderly light and moderate drinkers where less white matter damage was found than in abstainers concurring with better cognitive performance. However, methodological problems impose limits on this conclusion.


Subject(s)
Alcohol Drinking/pathology , Alcohol Drinking/physiopathology , Brain , Brain/drug effects , Brain/pathology , Brain/physiopathology , Cognition Disorders/chemically induced , Databases, Bibliographic/statistics & numerical data , Humans , Magnetic Resonance Imaging , Retrospective Studies
4.
Int J Neuropsychopharmacol ; 12(6): 823-32, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19154656

ABSTRACT

Antagonists of the N-methyl-D-aspartate (NMDA) receptors such as ketamine, induce abnormalities in healthy subjects similar to those found in schizophrenia. However, recent evidence, suggests that most of the currently known NMDA antagonists have a broader receptor profile than originally thought. Besides exerting an antagonistic effect on NMDA receptors, they have agonistic effects on dopamine D2 receptors. Can haloperidol (D2 antagonist) counteract the disruptive effects of ketamine on psychophysiological parameters of human attention? In a randomized, double-blind, placebo-controlled experiment 18 healthy male volunteers received placebo/placebo, placebo/ketamine (0.3 mg/kg i.v.) and haloperidol (2 mg)/ketamine (0.3 mg/kg i.v.) on three separate test days, after which they were tested in an auditory selective-attention paradigm. Haloperidol/ketamine reduced task performance compared to placebo/placebo, while the task performance in these two treatments did not differ from placebo/ketamine. Furthermore, placebo/ketamine reduced processing negativity compared to both placebo/placebo and haloperidol/ketamine, while processing negativity did not differ between placebo/placebo and haloperidol/ketamine treatments. However, both placebo/ketamine and haloperidol/ketamine reduced P300 amplitude compared to placebo/placebo, while P300 amplitude did not differ between placebo/ketamine and haloperidol/ketamine treatments. The combined effects of haloperidol and ketamine reduced task performance, suggesting that this is dependent on dopaminergic D2 activity, probably in the prefrontal cortex. In addition, ketamine reduced both P300 amplitude and processing negativity. In contrast to the P300 amplitude, the disruptive effects of ketamine on processing negativity could be prevented by pretreatment with haloperidol. The current results suggest that ketamine reduced P300 amplitude by its antagonistic effect on glutamatergic activity, while it reduced processing negativity by its agonistic effect on dopaminergic D2 activity.


Subject(s)
Contingent Negative Variation/drug effects , Dopamine Antagonists/pharmacology , Event-Related Potentials, P300/drug effects , Excitatory Amino Acid Antagonists/pharmacology , Haloperidol/pharmacology , Ketamine/pharmacology , Acoustic Stimulation/methods , Adult , Affect/drug effects , Attention/drug effects , Behavior/drug effects , Blood Pressure/drug effects , Double-Blind Method , Drug Interactions , Electroencephalography/methods , Electrooculography/methods , Heart Rate/drug effects , Homovanillic Acid/blood , Humans , Ketamine/blood , Male , Multivariate Analysis , Neuropsychological Tests , Prolactin/blood , Psychiatric Status Rating Scales , Reaction Time/drug effects , Time Factors , Young Adult
5.
Biol Psychiatry ; 65(7): 614-9, 2009 Apr 01.
Article in English | MEDLINE | ID: mdl-19103443

ABSTRACT

BACKGROUND: The ability to revise one's action plans, as reflected in so-called stopping performance, is of fundamental importance to adaptive behavior. Previous studies in children and adults with attention-deficit/hyperactivity disorder (ADHD) have revealed impaired stopping, which improved after the administration of methylphenidate (MPH). Event-related brain potentials revealed that one crucial mechanism in adequate stopping is the link between the cortical areas that process the signal to stop and the motor system (stop N1). This stop N1 was severely compromised in adults with ADHD. The present study investigates whether methylphenidate can restore the stop N1, in addition to improving stopping performance. The acute effect of a serotonergic reuptake inhibition on these parameters was also assessed. METHODS: Twelve adult combined-type ADHD patients received either placebo, MPH .4 mg/kg or .6 mg/kg, or 20 mg paroxetine in a double-blind, randomized, within-subjects design. RESULTS: The .6 mg/kg dose of methylphenidate improved stopping performance, whereas it did not affect go reaction time (RT). It also restored the stop N1 that was absent under placebo. Methylphenidate reduced a later stop-related potential, the stop P3, which may reflect monitoring of failed stops. Paroxetine had no effect on stopping performance or on stop N1, but it reduced stop P3. CONCLUSIONS: A .6 mg/kg dose of methylphenidate improves stopping performance and directly targets a stop-related brain mechanism that has been reported before to be compromised in a group of ADHD patients. This mechanism was not influenced by acute serotonergic reuptake inhibition.


Subject(s)
Attention Deficit Disorder with Hyperactivity/physiopathology , Central Nervous System Stimulants/pharmacology , Inhibition, Psychological , Methylphenidate/pharmacology , Paroxetine/pharmacology , Reaction Time/drug effects , Selective Serotonin Reuptake Inhibitors/pharmacology , Adult , Attention Deficit Disorder with Hyperactivity/drug therapy , Central Nervous System Stimulants/therapeutic use , Cerebral Cortex/drug effects , Cerebral Cortex/physiopathology , Double-Blind Method , Female , Humans , Male , Methylphenidate/therapeutic use , Paroxetine/therapeutic use , Placebos , Selective Serotonin Reuptake Inhibitors/therapeutic use
6.
J Psychopharmacol ; 22(3): 230-7, 2008 May.
Article in English | MEDLINE | ID: mdl-18308788

ABSTRACT

Although patients with attention-deficit hyperactivity disorder (ADHD) have reported improved driving performance on methylphenidate, limited evidence exists to support an effect of treatment on driving performance and some regions prohibit driving on methylphenidate. A randomized, crossover trial examining the effects of methylphenidate versus placebo on highway driving in 18 adults with ADHD was carried out. After three days of no treatment, patients received either their usual methylphenidate dose (mean: 14.7 mg; range: 10-30 mg) or placebo and then the opposite treatment after a six to seven days washout period. Patients performed a 100 km driving test during normal traffic, 1.5 h after treatment administration. Standard deviation of lateral position (SDLP), the weaving of the car, was the primary outcome measure. Secondary outcome measurements included the standard deviation of speed and patient reports of driving performance. Driving performance was significantly better in the methylphenidate than in the placebo condition, as reflected by the SDLP difference (2.3 cm, 95% CI = 0.8-3.8, P = 0.004). Variation in speed was similar on treatment and on placebo (-0.05 km/h, 95% CI = -0.4 to 0.2, P = 0.70). Among adults with ADHD, with a history of a positive clinical response to methylphenidate, methylphenidate significantly improves driving performance.


Subject(s)
Automobile Driving/psychology , Central Nervous System Stimulants/therapeutic use , Methylphenidate/therapeutic use , Psychomotor Performance/drug effects , Adult , Cross-Over Studies , Double-Blind Method , Female , Humans , Male , Middle Aged , Psychiatric Status Rating Scales , Regression Analysis , Treatment Outcome
7.
Hum Psychopharmacol ; 22(3): 157-66, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17397096

ABSTRACT

In alcohol dependent individuals, abnormalities in brain functioning have been revealed using event-related potential (ERP) methods. In the present study, we investigated whether in non-alcohol dependent drinkers functioning of the brain is also compromised as a function of recent and lifetime drinking history (LDH). An ERP verb generation task consisting of two conditions (generating verbs describing the use of visually presented nouns versus reading nouns aloud) was used; subtracting ERPs in the latter condition from those in the former should reveal the sequence of brain processes involved in verb generation. Four groups were included, consisting of individuals drinking either lightly, moderately, heavily, or excessively (overall mean age 46.6 years). Participants were sober at the time of testing. Although the excessive group had the highest per cent retrieval errors, there was no continuous relationship between this score and amount of alcohol consumption. However, number of glasses per week affected differential ERPs associated with verb generation both at short (120-220 ms, mid-frontal sites) and at longer latencies (from 700 ms on),left-temporal and right-frontal electrode sites (T7, F6). It is concluded that moderate, heavy, and excessive drinkers, compared to light drinkers, show abnormal brain potentials associated with verb generation over frontal and temporal areas. Moderate to excessive drinking alters some but not all brain processes involved in verb generation. In particular the frontal and temporal brain areas appear to be vulnerable for the effects of chronic lifetime drinking.


Subject(s)
Alcohol Drinking/physiopathology , Brain/physiopathology , Evoked Potentials/physiology , Language , Verbal Behavior/physiology , Acoustic Stimulation/methods , Adult , Aged , Alcohol Drinking/pathology , Brain Mapping , Electroencephalography/methods , Humans , Male , Middle Aged , Photic Stimulation/methods , Reaction Time/physiology , Time Factors
8.
Psychiatry Res ; 143(2-3): 147-58, 2006 Aug 30.
Article in English | MEDLINE | ID: mdl-16879870

ABSTRACT

Patients with schizophrenia exhibit reduced levels of both prepulse inhibition of the startle reflex (PPI) and condition-test suppression of the P50 event-related potential. This study investigated the extent to which PPI and P50 suppression, which exhibit similar parametric sensitivities, are intrinsically auditory phenomena or can be induced cross-modally, and reflect common or distinct neural mechanisms of inhibition. PPI, N100, and P50 were assessed in 20 healthy male volunteers, using auditory test probes and both visual and auditory lead stimuli, separated by 100- or 500-ms interstimulus intervals (ISIs). PPI was found in the auditory-lead condition across the complete group, and with visual-lead stimuli in approximately half of the subjects. Intra-modal auditory PPI was significantly higher with the 100-ms ISI than with the 500-ms ISI. P50 suppression was found only with the 500-ms ISI, with no difference between the auditory and visual conditions. Source analyses revealed that suppression was associated with frontal cortical activity. N100 suppression was found only in the auditory condition, with no difference between 100- and 500-ms ISIs. Although both phenomena are considered to provide operational measures of gating, PPI and P50 suppression are differentially sensitive to ISI and therefore reflect partly different neural mechanisms. They are not intrinsically auditory phenomena, and both appear to involve frontal cortical activity. In contrast, N100 suppression is most likely based on refractory mechanisms intrinsic to the auditory system.


Subject(s)
Attention/physiology , Auditory Perception/physiology , Electroencephalography , Evoked Potentials/physiology , Inhibition, Psychological , Reflex, Startle/physiology , Schizophrenia/physiopathology , Visual Perception/physiology , Acoustic Stimulation , Adult , Brain Mapping , Cerebral Cortex/physiopathology , Electromyography , Electrooculography , Frontal Lobe/physiopathology , Humans , Loudness Perception/physiology , Male , Photic Stimulation , Reaction Time/physiology , Schizophrenia/diagnosis , Signal Processing, Computer-Assisted
9.
Int J Psychophysiol ; 60(3): 304-14, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16150505

ABSTRACT

In alcohol-dependent individuals, synchronization of brain activity is different from that in non-alcohol-dependent individuals as reflected by EEG differences at alpha and beta frequencies (8-30 Hz). These EEG differences may not only be related to long-term alcohol intake but also to genetic factors that are associated with alcohol dependence. Thus, it is not known what the pure effect of long-term alcohol intake on synchronization of brain activity is. Therefore, we investigated whether EEG synchronization differs between light (0.5-6 drinks per week), moderate (7-20 drinks per week), and heavy (21-53 drinks per week) drinkers. All participants (49 males and 47 females) were free of a personal and family history of alcohol dependence. Eyes-closed EEG was recorded at rest and during mental rehearsal of pictures. EEG synchronization was determined by computing Synchronization Likelihood for six frequency bands (0.5-4 Hz, 4-8 Hz, 8-12 Hz, 12-20 Hz, 20-30 Hz, 30-45 Hz). Both male and female heavy drinkers displayed a loss of lateralization in alpha (8-12 Hz) and slow-beta (12-20 Hz) synchronization. In addition, moderately and heavily drinking males had lower fast-beta (20-30 Hz) synchronization than lightly drinking males. It is concluded that both male and female drinkers who drink 21 alcoholic drinks per week or more have impaired synchronization of brain activity during rest and mental rehearsal at alpha and beta frequencies as compared to individuals who drink less. As individuals with a personal or family history of alcohol dependence were excluded, the confounding effects of genetic factors related to alcohol dependence on synchronization of brain activity were minimized.


Subject(s)
Alcohol Drinking/physiopathology , Central Nervous System Depressants/administration & dosage , Cortical Synchronization/drug effects , Ethanol/administration & dosage , Mental Processes/physiology , Resting Phase, Cell Cycle/physiology , Adult , Brain Mapping , Electroencephalography/methods , Female , Functional Laterality/physiology , Humans , Male , Middle Aged , Sex Factors
10.
Eur Psychiatry ; 21(8): 544-7, 2006 Dec.
Article in English | MEDLINE | ID: mdl-15994064

ABSTRACT

PURPOSE: The effect of methylphenidate (MPH) on inhibitory control as assessed by the stop task in children with attention-deficit/hyperactivity disorder (ADHD) could be influenced by task difficulty and may be mediated by attention. SUBJECTS AND METHODS: Fifteen children with ADHD performed the stop and the change task after placebo, 0.5 and 1.0 mg/kg MPH in a within-subject design. RESULTS: Linear-trend analysis showed a similar effect of MPH in both tasks and a stronger effect for inhibitory control than for attention. Furthermore, a correlation was found between blood serum metabolites of norepinephrine and dopamine for attentional measures and inhibitory control measures, respectively. DISCUSSION AND CONCLUSION: In children with ADHD MPH could act primarily on inhibitory control, and is not influenced by task difficulty. Also, attention and inhibitory control could have differential pharmacological profiles.


Subject(s)
Attention Deficit Disorder with Hyperactivity/drug therapy , Attention/drug effects , Central Nervous System Stimulants/pharmacology , Inhibition, Psychological , Internal-External Control , Methylphenidate/pharmacology , Adolescent , Attention Deficit Disorder with Hyperactivity/blood , Attention Deficit Disorder with Hyperactivity/psychology , Child , Child Behavior/drug effects , Child Behavior/psychology , Dopamine/blood , Dose-Response Relationship, Drug , Female , Humans , Male , Norepinephrine/blood , Reaction Time/drug effects , Task Performance and Analysis
11.
Alcohol Clin Exp Res ; 29(11): 2029-38, 2005 Nov.
Article in English | MEDLINE | ID: mdl-16340461

ABSTRACT

BACKGROUND: In alcohol-dependent individuals changes in brain functioning, as measured with Event Related Potentials (ERP) have been reported. METHODS: In the present study a visual attention and an auditory oddball task were used to investigate possible differences between light, moderate, and heavy social drinkers and excessive drinkers. It was hypothesized that with increasing alcohol intake an increasing number of ERP components elicited in the visual attention task and the auditory oddball task would show diminished amplitudes. RESULTS: No differences were found between light, moderate, and heavy social drinkers. A trend for a smaller P3 amplitude in the visual attention task was found when comparing the alcohol-dependent participants with the light social drinkers. It is argued that this difference might be an effect of alcohol dependence and/or a reflection of possible unknown or undetected family history of alcohol-related disturbances. CONCLUSIONS: In the current study, even at rather large amounts of regular alcohol intake, no evidence was found for any toxic effect of social alcohol use neither in a visual attention task nor in an auditory oddball task.


Subject(s)
Alcohol Drinking/adverse effects , Ethanol/adverse effects , Ethanol/pharmacology , Evoked Potentials/drug effects , Psychomotor Performance/drug effects , Acoustic Stimulation , Adult , Aged , Alcoholism/diagnosis , Alcoholism/physiopathology , Attention/drug effects , Attention/physiology , Auditory Perception/drug effects , Auditory Perception/physiology , Electroencephalography/drug effects , Electroencephalography/statistics & numerical data , Evoked Potentials/physiology , Humans , Male , Middle Aged , Photic Stimulation , Psychomotor Performance/physiology , Social Behavior , Task Performance and Analysis , Visual Perception/drug effects , Visual Perception/physiology
12.
Arch Gen Psychiatry ; 62(10): 1129-36, 2005 Oct.
Article in English | MEDLINE | ID: mdl-16203958

ABSTRACT

CONTEXT: A lack of inhibitory control has been suggested to be the core deficit in attention-deficit/hyperactivity disorder (ADHD), especially in adults. This means that a primary deficit in inhibition mediates a cascade of secondary deficits in other executive functions, such as attention. Impaired stopping has been claimed to support the inhibition hypothesis. However, executive functions such as inhibition and attention are hard to disentangle. OBJECTIVE: To use event-related potentials in adult patients with ADHD to show that impaired stopping is associated with abnormalities of attention. DESIGN: The stop signal task was presented to 24 adults with ADHD combined subtype and 24 controls. Stop event-related potentials are distorted by overlap from event-related potentials to other stimuli in close temporal proximity, but we applied a method (Adjar level 2) to effectively remove this overlap. RESULTS: In line with an inhibitory control deficit, the stop signal reaction time was longer in adults with ADHD (F(1,46) = 7.12, P<.01) whereas there was no significant difference for go stimulus reaction time. Overlap-free stop event-related potentials revealed smaller stop P3s in adults with ADHD (F(1,44) = 4.20, P<.05). In children with ADHD, this has been interpreted to reflect deficient inhibitory control. However, controls were also found to have larger early responses in the auditory cortex (N1) when stop signals resulted in successful stops, relative to failed stops, signifying increased attention (F(1,23) = 11.88, P<.01). This difference was completely absent in adults with ADHD. CONCLUSIONS: Disturbed attentional processing of the stop signal contributed to impaired stopping in adults with ADHD. This finding may have implications for treatment.


Subject(s)
Attention Deficit Disorder with Hyperactivity/diagnosis , Attention/physiology , Evoked Potentials/physiology , Frontal Lobe/physiopathology , Inhibition, Psychological , Psychomotor Performance/physiology , Adolescent , Adult , Age Factors , Attention Deficit Disorder with Hyperactivity/physiopathology , Auditory Cortex/physiopathology , Brain Mapping , Child , Cognition Disorders/diagnosis , Cognition Disorders/physiopathology , Electroencephalography/statistics & numerical data , Evoked Potentials, Auditory/physiology , Humans , Middle Aged , Neuropsychological Tests , Psychiatric Status Rating Scales , Reaction Time/physiology , Task Performance and Analysis
13.
J Abnorm Psychol ; 114(2): 216-22, 2005 May.
Article in English | MEDLINE | ID: mdl-15869352

ABSTRACT

This review discusses whether deficient inhibitory motor control is the core deficit of attention-deficit/hyperactivity disorder (ADHD). Inhibitory motor control is commonly assessed using the stop-signal paradigm. Since the last meta-analysis that was performed, 33 new studies have appeared. The current meta-analysis revealed a significant difference between ADHD patients and matched controls in stop latency (stop-signal reaction time) in both children and adults. Basic reaction time was significantly longer in children with ADHD, but not in adults, and there was a significant interaction between the elongation of the latency to stop and to respond in adults, but not in children. Deficient inhibitory motor control may be less crucial in children than in adults with ADHD.


Subject(s)
Attention Deficit Disorder with Hyperactivity/diagnosis , Motor Activity/physiology , Psychomotor Performance/physiology , Reaction Time/physiology , Adolescent , Adult , Age Factors , Attention/physiology , Attention Deficit Disorder with Hyperactivity/physiopathology , Attention Deficit Disorder with Hyperactivity/psychology , Child , Cognition Disorders/diagnosis , Cognition Disorders/physiopathology , Cognition Disorders/psychology , Female , Humans , Inhibition, Psychological , Male
14.
Neuroimage ; 26(2): 536-45, 2005 Jun.
Article in English | MEDLINE | ID: mdl-15907310

ABSTRACT

The purpose of this study was to investigate whether current or lifetime alcohol intake is related to focal gray and white matter in healthy non-alcohol-dependent drinkers, and, if so, whether these densities are related to functional brain activity associated with visual attention. Voxel-based morphometric analyses of gray- and white-matter densities, and event-related potentials in response to a visual-attention task were determined in 47 male drinkers (current alcohol intake 20 drinks per week, lifetime alcohol intake 240 kg) and 44 female drinkers (current alcohol intake 15 drinks per week, lifetime alcohol intake 170 kg). All participants had a negative personal and family history of alcohol dependence to reduce possible confounding by genetic factors related to alcohol dependence. In males, mean lifetime alcohol intake was negatively associated with gray-matter density and positively associated with white-matter density in the right frontal gyrus (BA 6) and the right parietal region (BA 40). Right frontal (but not right parietal) gray and white matter in males correlated with the P3 amplitude of the event-related potentials elicited in a visual-attention task. In females, mean lifetime alcohol intake was not associated with gray- or white-matter density. Current alcohol intake was unrelated to gray or white matter in both males and females. In conclusion, lifetime alcohol intake is associated with focal gray-matter decreases and white-matter increases in the right frontal and right parietal brain regions in non-alcohol-dependent males, but not in females. These alcohol-related differences in focal brain matter in males are associated with differences in brain function related to visual attention. As the confounding effects of genetic factors were reduced, the present results may selectively relate to the effects of alcohol intake on focal brain matter.


Subject(s)
Alcohol Drinking/pathology , Alcohol Drinking/psychology , Alcoholism/pathology , Alcoholism/psychology , Attention/physiology , Brain/pathology , Visual Perception/physiology , Evoked Potentials, Visual/drug effects , Female , Functional Laterality/physiology , Humans , Image Interpretation, Computer-Assisted , Magnetic Resonance Imaging , Male , Middle Aged , Neuropsychological Tests , Predictive Value of Tests , Sex Characteristics
15.
Alcohol Clin Exp Res ; 29(4): 656-63, 2005 Apr.
Article in English | MEDLINE | ID: mdl-15834232

ABSTRACT

BACKGROUND: Alcohol-dependent individuals have brain volume loss. Possibly, moderate drinkers who are not alcohol dependent have similar but less prominent brain damage. The authors investigated whether current or lifetime alcohol intake is related to volumes of total brain, cerebellum, ventricles, peripheral cerebrospinal fluid, and cerebral gray and white matter in moderate drinkers. METHODS: The relation between current or lifetime alcohol intake and brain volumes of 47 male moderate drinkers (current alcohol intake 20 drinks per week, lifetime alcohol intake 240 kg) and 44 female moderate drinkers (current alcohol intake 15 drinks per week, lifetime alcohol intake 170 kg), all without a personal or family history of alcohol dependence, was determined using high-resolution magnetic resonance images, corrected for intracranial volume, age, and sex. RESULTS: In males, mean lifetime alcohol intake was positively associated with cerebral white matter volume, particularly in the frontal region. In females, mean lifetime alcohol intake was not associated with brain volumes. Current alcohol intake was unrelated to brain volumes in either males or females. CONCLUSIONS: Neither current nor lifetime alcohol intake is associated with decreases in brain volumes in male or female moderate drinkers. Because all participants had a negative personal and family history of alcohol dependence, the current results relatively purely concern the effects of moderate alcohol intake on brain volumes.


Subject(s)
Alcohol Drinking/pathology , Brain/anatomy & histology , Adult , Aging/physiology , Alcohol Drinking/cerebrospinal fluid , Brain/drug effects , Cerebellum/anatomy & histology , Cerebellum/drug effects , Female , Humans , Image Processing, Computer-Assisted , Lateral Ventricles/anatomy & histology , Lateral Ventricles/drug effects , Magnetic Resonance Imaging , Male , Middle Aged , Neuropsychological Tests , Sex Characteristics , Third Ventricle/anatomy & histology , Third Ventricle/drug effects
16.
Brain Res Cogn Brain Res ; 22(2): 221-31, 2005 Feb.
Article in English | MEDLINE | ID: mdl-15653295

ABSTRACT

Previous source analyses of event-related potential (ERP) data elicited in Go/NoGo tasks have suggested that the anterior cingulate cortex (ACC) plays an important role in response inhibition. So far, however, source models were derived for the difference wave Go stimulus minus NoGo stimulus. This difference wave is confounded with motor- and attention-related activity. To avoid these confounds, we alternatively derived source models for NoGo stimuli only. The problem of the NoGo-N2 being superimposed on a positive deflection was addressed in two ways. First, a baseline correction was applied using the time points just preceding and succeeding the NoGo-N2. Second, a separate source model was derived at the maximum amplitude of this positive deflection. Subjects were presented with a cued version of the continuous performance task (CPT; ABX). In a second study, the probability of the Go stimulus was gradually increased to heighten subjects' tendency to respond and, as a consequence, to enhance the amplitude of the NoGo-N2. The source models of the NoGo-N2 consistently indicated bilateral dipole pairs in medial frontal regions. This is in accordance with a generator in the anterior cingulate cortex.


Subject(s)
Cues , Discrimination Learning/physiology , Evoked Potentials/physiology , Gyrus Cinguli/physiology , Inhibition, Psychological , Psychomotor Performance/physiology , Adult , Brain Mapping , Contingent Negative Variation/physiology , Electroencephalography/methods , Female , Functional Laterality/physiology , Humans , Male , Models, Psychological , Probability Learning , Reaction Time/physiology
17.
Clin Neurophysiol ; 116(2): 376-85, 2005 Feb.
Article in English | MEDLINE | ID: mdl-15661115

ABSTRACT

OBJECTIVE: The Wisconsin Card Sorting Task (WCST) is one of the most widely used neuropsychological tests of frontal lobe function, which is thought to be affected by regular alcohol use. The present study used a computer-adapted version of the WCST to assess the effects of chronic alcohol consumption on the brain. METHODS: Participants (N=59) sorted cards according to an initially unknown sorting rule, which referred to shape, number, or color. The correctness of the chosen sorting rule was indicated by a feedback stimulus. This correct sorting rule had to be followed for a number of stimuli, and when it changed participants had to find out which rule had to be followed next. A distinction was made between early (correct sorting rule is unknown) and late trials (correct sorting rule is known and applied). To measure brain activity related during the task event related potentials (ERPs) were recorded to the target and feedback stimulus in light (N=14), moderate (N=16) and heavy (N=19) social drinkers and excessive alcohol users (N=10). RESULTS: No differences in number of series completed or the reaction time in each trial, were found between the four groups. In contrast, a mid-frontal N1 component in reaction to the feedback stimuli did reveal differences between the four groups. In the light and moderate drinkers, on early feedback trials the N1 was larger relative to late feedback trials, but this effect was absent in the heavy social drinkers and excessive drinkers. CONCLUSIONS: The reduced N1 effect with increasing alcohol intake could reflect abnormal allocation of attention or impaired conflict monitoring, possibly based on activity in the anterior cingulate cortex. SIGNIFICANCE: Heavy social drinking and excessive drinking leads to changes in the mid-frontal N1 during feedback trials of the WCST.


Subject(s)
Alcohol Drinking/physiopathology , Brain/physiopathology , Evoked Potentials , Mental Processes , Neuropsychological Tests , Social Behavior , Adult , Electroencephalography , Humans , Male , Medical Records , Middle Aged , Photic Stimulation , Reaction Time , Task Performance and Analysis , Time Factors
18.
Int J Psychophysiol ; 55(2): 191-8, 2005 Feb.
Article in English | MEDLINE | ID: mdl-15649550

ABSTRACT

In the stop-signal task, subjects should withhold their response in a choice reaction time task when a stop-signal, usually a tone, is presented. Successful stops have been associated with event-related potentials (ERPs) featuring a larger frontocentral positivity relative to failed stops. The functional interpretation of this stop-P3 has been disputed, because stop-ERPs are distorted by overlap from ERPs elicited by preceding go-stimuli. We effectively removed confounding potentials with the 'adjacent response filter method (ADJAR)'. Confirming an interpretation in terms of response inhibition, the stop-P3 remained and overlap removal resulted in a more anterior distribution. As a new finding, the N1 was larger on trials with successful stops, which suggests that inhibitory performance at least partly depended on the ability to switch attention to the stop-signal. Finally, the parietal P3 tended to peak earlier for successful than for failed stops. This is in line with the Horse Race Model, which states that faster stop-processes have a higher chance of winning the race against the go-process.


Subject(s)
Choice Behavior/physiology , Event-Related Potentials, P300/physiology , Inhibition, Psychological , Reaction Time/physiology , Adolescent , Adult , Brain Mapping , Electroencephalography/methods , Female , Humans , Male , Photic Stimulation/methods , Psychomotor Performance
19.
Psychiatry Res ; 127(3): 195-205, 2004 Jul 15.
Article in English | MEDLINE | ID: mdl-15296819

ABSTRACT

In schizophrenia both an involvement of a reduced prefrontal dopaminergic activity and an enhanced noradrenergic activity have been suggested. In addition, patients suffering from schizophrenia show reduced sensorimotor gating and reduced habituation. If there is a causality between these neurotransmitters and these processes, then either a reduction in dopaminergic activity or an enhanced noradrenergic activity in healthy volunteers would result in reduced sensorimotor gating and reduced habituation. In the present study, a group of 12 healthy male volunteers was tested four times in a prepulse inhibition (PPI) paradigm 2.5 h following administration of placebo/placebo, placebo/desipramine (50 mg), placebo/haloperidol (2 mg) and desipramine (50 mg)/haloperidol (2 mg). A significant reduction of percentage PPI was found in all active treatments compared with placebo/placebo, while no treatment effects on habituation were found. Furthermore, a significant increase in heart rate was found in both desipramine treatments, from 120 min following oral intake onwards. Both desipramine and haloperidol reduced PPI, which suggests that an enhanced noradrenergic activity and a reduced dopaminergic activity lead to a reduction in sensorimotor gating. Since reduced sensorimotor gating is found in schizophrenia, these results supply further evidence for a reduced prefrontal dopaminergic activity and an enhanced noradrenergic activity in schizophrenia. Furthermore, the combination of haloperidol and desipramine did not have a synergistic effect on PPI, which indicates an interaction between the compounds. The site for this interaction is most likely located in the prefrontal cortex, since evidence is accumulating that extracellular dopamine concentration is regulated by noradrenergic terminals, particularly in the frontal areas of the brain. Since no effects on habituation were found, this suggests that neither enhanced noradrenergic nor decreased dopaminergic activity is involved in this process.


Subject(s)
Adrenergic Uptake Inhibitors/pharmacology , Antipsychotic Agents/pharmacology , Desipramine/pharmacology , Habituation, Psychophysiologic/drug effects , Haloperidol/pharmacology , Psychomotor Performance/drug effects , Adrenergic Uptake Inhibitors/administration & dosage , Adult , Antipsychotic Agents/administration & dosage , Cross-Over Studies , Desipramine/administration & dosage , Dose-Response Relationship, Drug , Double-Blind Method , Drug Administration Schedule , Electromyography , Haloperidol/administration & dosage , Heart Rate/drug effects , Humans , Inhibition, Psychological , Male , Reflex, Startle/drug effects , Time Factors
20.
Clin Neurophysiol ; 115(9): 2048-55, 2004 Sep.
Article in English | MEDLINE | ID: mdl-15294207

ABSTRACT

OBJECTIVE: In alcoholics, grey and white brain matter is damaged. In addition, functional brain connectivity as measured by EEG coherence is abnormal. We investigated whether heavily drinking students, although drinking for a shorter period than alcoholics, already show differences in functional connectivity compared to light-drinking controls. METHODS: EEG was recorded in 11 light and 11 heavy male student drinkers during eyes closed, and eyes closed plus mental rehearsal of pictures. Functional connectivity was assessed with the Synchronisation Likelihood method. RESULTS: Heavily drinking students had more synchronisation in the theta (4-8 Hz) and gamma (30-45 Hz) band than lightly drinking students during eyes closed, both with and without a mental-rehearsal task. CONCLUSIONS: Heavy student drinkers have increases in EEG synchronisation that are indicative of changes in hippocampal-neocortical connectivity. SIGNIFICANCE: Heavy student drinkers show differences in functional connectivity as compared to their lightly drinking counterparts, even though they have a relatively short drinking history.


Subject(s)
Alcohol Drinking/physiopathology , Hippocampus/physiopathology , Neocortex/physiopathology , Theta Rhythm , Adult , Bulimia , Dominance, Cerebral , Hippocampus/cytology , Humans , Male , Memory , Neocortex/cytology , Neural Pathways , Smoking , Students
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