Pharmacopsychiatry 2018; 51(04): 136-143
DOI: 10.1055/s-0043-118664
Review
© Georg Thieme Verlag KG Stuttgart · New York

Drink and Think: Impact of Alcohol on Cognitive Functions and Dementia – Evidence of Dose-Related Effects

Stefan Gutwinski
1   Department of Psychiatry and Psychotherapy, Charité – Universitätsmedizin/Psychiatric Hospital of the Charité in the St. Hedwigs Hospital, Berlin, Germany
,
Stefanie Schreiter
1   Department of Psychiatry and Psychotherapy, Charité – Universitätsmedizin/Psychiatric Hospital of the Charité in the St. Hedwigs Hospital, Berlin, Germany
,
Josef Priller
2   Department of Neuropsychiatry, Charité – Universitätsmedizin Berlin, DZNE and BIH, Berlin, Germany
,
Jonathan Henssler
1   Department of Psychiatry and Psychotherapy, Charité – Universitätsmedizin/Psychiatric Hospital of the Charité in the St. Hedwigs Hospital, Berlin, Germany
,
Corinde E. Wiers
3   National Institutes of Health, National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA
,
Andreas Heinz
1   Department of Psychiatry and Psychotherapy, Charité – Universitätsmedizin/Psychiatric Hospital of the Charité in the St. Hedwigs Hospital, Berlin, Germany
› Author Affiliations
Further Information

Publication History

received 03 July 2017
revised 03 July 2017

accepted 16 August 2017

Publication Date:
26 September 2017 (online)

Abstract

Regular alcohol consumption affects cognitive performance and the development of dementia. So far, findings are contradicting, which might be explained in part by dose-related effects. For this narrative review, we undertook a literature search for surveys investigating the impact of alcohol consumption on cognitive performance and the development of dementia. The majority of studies observed a U-shaped relationship between regular alcohol consumption and cognitive function: frequent heavy consumption of alcohol alters brain functions and decreases cognitive performance; regular light and moderate consumption may have protective impact. In many studies, total abstainers show an inferior cognitive performance than people with moderate or light consumption. Nevertheless, policy implications are difficult to draw for at least 2 reasons: (1) the possible risks associated with alcohol consumption and (2) the potential confounders in the group of non-consumers and heavy consumers.

 
  • References

  • 1 WHO. World Health Organization. Global status report on alcohol and health.
  • 2 Döblin A. Gedächtnisstörungen bei der Korsakoffschen Psychose. Berlin: Tropen Verlag; 1905. /2006
  • 3 Peele S, Brodsky A. Exploring psychological benefits associated with moderate alcohol use: A necessary corrective to assessments of drinking outcomes?. Drug Alcohol Depend 2000; 60: 221-247
  • 4 Britton A, Singh-Manoux A, Marmot M. Alcohol consumption and cognitive function in the Whitehall II Study. Am J Epidemiol 2004; 160: 240-247
  • 5 Ruitenberg A, van Swieten JC, Witteman JC. et al. Alcohol consumption and risk of dementia: the Rotterdam Study. Lancet 2002; 359: 281-286
  • 6 Ding J, Eigenbrodt ML, Mosley Jr. TH. et al. Alcohol intake and cerebral abnormalities on magnetic resonance imaging in a community-based population of middle-aged adults: the Atherosclerosis Risk in Communities (ARIC) study. Stroke 2004; 35: 16-21
  • 7 Charlet K, Heinz A. Harm reduction-a systematic review on effects of alcohol reduction on physical and mental symptoms. Addict Biol 2016 [Epub ahead of print]
  • 8 Elias PK, Elias MF, D’Agostino RB. et al. Alcohol consumption and cognitive performance in the Framingham Heart Study. Am J Epidemiol 1999; 150: 580-589
  • 9 Townshend JM, Duka T. Binge drinking, cognitive performance and mood in a population of young social drinkers. Alcohol Clin Exp Res 2005; 29: 317-325
  • 10 Thayanukulvat C, Harding T. Binge drinking and cognitive impairment in young people. Br J Nurs 2015; 24: 401-407
  • 11 Obernier JA, White AM, Swartzwelder HS. et al. Cognitive deficits and CNS damage after a 4-day binge ethanol exposure in rats. Pharmacol Biochem Behav 2002; 72: 521-532
  • 12 Obernier JA, Bouldin TW, Crews FT. Binge ethanol exposure in adult rats causes necrotic cell death. AAlcohol Clin Exp Res 2002; 26: 547-557
  • 13 Horvat P, Richards M, Kubinova R. et al. Alcohol consumption, drinking patterns, and cognitive function in older Eastern European adults. Neurology 2015; 84: 287-295
  • 14 Crego A, Holguin SR, Parada M. et al. Binge drinking affects attentional and visual working memory processing in young university students. Alcohol Clin Exp Res 2009; 33: 1870-1879
  • 15 Collins MA, Corso TD, Neafsey EJ. Neuronal degeneration in rat cerebrocortical and olfactory regions during subchronic “binge” intoxication with ethanol: possible explanation for olfactory deficits in alcoholics. Alcohol Clin Exp Res 1996; 20: 284-292
  • 16 Tapert SF, Granholm E, Leedy NG. et al. Substance use and withdrawal: neuropsychological functioning over 8 years in youth. J Int Neuropsychol Soc 2002; 8: 873-883
  • 17 Tapert SF, Brown GG, Kindermann SS. et al. fMRI measurement of brain dysfunction in alcohol-dependent young women. Alcohol Clin Exp Res 2001; 25: 236-245
  • 18 Pfefferbaum A, Sullivan EV, Rosenbloom MJ. et al. A controlled study of cortical gray matter and ventricular changes in alcoholic men over a 5-year interval. Arch Gen Psychiatry 1998; 55: 905-912
  • 19 Pfefferbaum A, Rosenbloom M, Rohlfing T. et al. Degradation of association and projection white matter systems in alcoholism detected with quantitative fiber tracking. Biol Psychiatry 2009; 65: 680-690
  • 20 Pitel AL, Chanraud S, Rohlfing T. et al. Face-name association learning and brain structural substrates in alcoholism. Alcohol Clin Exp Res 2012; 36: 1171-1179
  • 21 Heinz A, Beck A, Grusser SM. et al. Identifying the neural circuitry of alcohol craving and relapse vulnerability. Addict Biol 2009; 14: 108-118
  • 22 Gan G, Guevara A, Marxen M. et al. Alcohol-induced impairment of inhibitory control is linked to attenuated brain responses in right fronto-temporal cortex. Biol Psychiatry 2014; 76: 698-707
  • 23 Orban C, McGonigle J, Kalk NJ. et al. Resting state synchrony in anxiety-related circuits of abstinent alcohol-dependent patients. Am J Drug Alcohol Abuse 2013; 39: 433-440
  • 24 Volkow ND, Hitzemann R, Wang GJ. et al. Decreased brain metabolism in neurologically intact healthy alcoholics. Am J Psychiatry 1992; 149: 1016-1022
  • 25 Gupta S, Warner J. Alcohol-related dementia: a 21st-century silent epidemic?. Br J Psychiatry 2008; 193: 351-353
  • 26 Norberg A, Jones AW, Hahn RG. et al. Role of variability in explaining ethanol pharmacokinetics: research and forensic applications. Clin Pharmacokinet 2003; 42: 1-31
  • 27 Narahashi T, Kuriyama K, Illes P. et al. Neuroreceptors and ion channels as targets of alcohol. Alcohol Clin Exp Res 2001; 25: 182S-188S
  • 28 Harris RA. Ethanol actions on multiple ion channels: which are important?. Alcohol Clin Exp Res 1999; 23: 1563-1570
  • 29 Brust JC. Ethanol and cognition: indirect effects, neurotoxicity and neuroprotection: a review. Int J Environ Res Public Health 2010; 7: 1540-1557
  • 30 Sinforiani E, Zucchella C, Pasotti C. et al. The effects of alcohol on cognition in the elderly: from protection to neurodegeneration. Funct Neurol 2011; 26: 103-106
  • 31 Gutwinski S, Kienast T, Lindenmeyer J. et al. Alkoholabhängigkeit - Ein Leitfaden zur Gruppentherapie. Stuttgart: Kohlhammer; 2016
  • 32 Harper C, Matsumoto I. Ethanol and brain damage. Curr Opin Pharmacol 2005; 5: 73-78
  • 33 Harper C. The neurotoxicity of alcohol. Hum Exp Toxicol 2007; 26: 251-257
  • 34 Littleton JM, Lovinger D, Liljequist S. et al. Role of polyamines and NMDA receptors in ethanol dependence and withdrawal. Alcohol Clin Exp Res 2001; 25: 132S-136S
  • 35 Siggins GR, Martin G, Roberto M. et al. Glutamatergic transmission in opiate and alcohol dependence. Ann N Y Acad Sci 2003; 1003: 196-211
  • 36 Roberto M, Schweitzer P, Madamba SG. et al. Acute and chronic ethanol alter glutamatergic transmission in rat central amygdala: an in vitro and in vivo analysis. J Neurosci 2004; 24: 1594-1603
  • 37 de la Monte SM, Kril JJ. Human alcohol-related neuropathology. Acta Neuropathol 2014; 127: 71-90
  • 38 Self RL, Smith KJ, Mulholland PJ. et al. Ethanol exposure and withdrawal sensitizes the rat hippocampal CA1 pyramidal cell region to beta-amyloid (25-35)-induced cytotoxicity: NMDA receptor involvement. Alcohol Clin Exp Res 2005; 29: 2063-2069
  • 39 Reynolds AR, Berry JN, Sharrett-Field L. et al. Ethanol withdrawal is required to produce persisting N-methyl-D-aspartate receptor-dependent hippocampal cytotoxicity during chronic intermittent ethanol exposure. Alcohol 2015; 49: 219-227
  • 40 Cui C, Shurtleff D, Harris RA. Neuroimmune mechanisms of alcohol and drug addiction. Int Rev Neurobiol 2014; 118: 1-12
  • 41 Mayfield J, Ferguson L, Harris RA. Neuroimmune signaling: a key component of alcohol abuse. Curr Opin Neurobiol 2013; 23: 513-520
  • 42 Crews FT, Bechara R, Brown LA. et al. Cytokines and alcohol. Alcohol Clin Exp Res 2006; 30: 720-730
  • 43 Marshall SA, McClain JA, Kelso ML. et al. Microglial activation is not equivalent to neuroinflammation in alcohol-induced neurodegeneration: the importance of microglia phenotype. Neurobiol Dis 2013; 54: 239-251
  • 44 He J, Crews FT. Increased MCP-1 and microglia in various regions of the human alcoholic brain. Exp Neurol 2008; 210: 349-358
  • 45 Hillmer AT, Sandiego CM, Hannestad J et al. In vivo imaging of translocator protein, a marker of activated microglia, in alcohol dependence. Mol Psychiatry 2017 [Epub ahead of print]
  • 46 Kalk NJ, Guo Q, Owen D. et al. Decreased hippocampal translocator protein (18 kDa) expression in alcohol dependence: a [11C]PBR28 PET study. Transl Psychiatry 2017; 7: e996
  • 47 Martin PR, Singleton CK, Hiller-Sturmhofel S. The role of thiamine deficiency in alcoholic brain disease. Alcohol Res Health 2003; 27: 134-142
  • 48 Sullivan EV, Pfefferbaum A. Neuroimaging of the Wernicke-Korsakoff syndrome. Alcohol Alcohol 2009; 44: 155-165
  • 49 Sechi G, Serra A. Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol 2007; 6: 442-455
  • 50 Galvin R, Brathen G, Ivashynka A. et al. EFNS guidelines for diagnosis, therapy and prevention of Wernicke encephalopathy. Eur J Neurol 2010; 17: 1408-1418
  • 51 Rimm EB, Klatsky A, Grobbee D. et al. Review of moderate alcohol consumption and reduced risk of coronary heart disease: is the effect due to beer, wine, or spirits. BMJ 1996; 312: 731-736
  • 52 Berger K, Ajani UA, Kase CS. et al. Light-to-moderate alcohol consumption and risk of stroke among U.S. male physicians. N Engl J Med 1999; 341: 1557-1564
  • 53 Doll R, Peto R, Hall E. et al. Mortality in relation to consumption of alcohol: 13 years’ observations on male British doctors. BMJ 1994; 309: 911-918
  • 54 Fenn CG, Littleton JM. Inhibition of platelet aggregation by ethanol in vitro shows specificity for aggregating agent used and is influenced by platelet lipid composition. Thromb Haemost 1982; 48: 49-53
  • 55 Miller NE, Bolton CH, Hayes TM. et al. Associations of alcohol consumption with plasma high density lipoprotein cholesterol and its major subfractions: the Caerphilly and Speedwell Collaborative Heart Disease Studies. J Epidemiol Community Health 1988; 42: 220-225
  • 56 Perry E, Walker M, Grace J. et al. Acetylcholine in mind: a neurotransmitter correlate of consciousness?. Trends Neurosci 1999; 22: 273-280
  • 57 Henn C, Loffelholz K, Klein J. Stimulatory and inhibitory effects of ethanol on hippocampal acetylcholine release. Naunyn Schmiedebergs Arch Pharmacol 1998; 357: 640-647
  • 58 Sebold M, Schad DJ, Nebe S. et al. Don’t think, just feel the music: individuals with strong Pavlovian-to-instrumental transfer effects rely less on model-based reinforcement learning. J Cogn Neurosci 2016; 28: 985-995
  • 59 Sebold M, Deserno L, Nebe S. et al. Model-based and model-free decisions in alcohol dependence. Neuropsychobiology 2014; 70: 122-131
  • 60 Schad DJ, Junger E, Sebold M. et al. Processing speed enhances model-based over model-free reinforcement learning in the presence of high working memory functioning. Front Psychol 2014; 5: 1450
  • 61 Garbusow M, Schad DJ, Sebold M. et al. Pavlovian-to-instrumental transfer effects in the nucleus accumbens relate to relapse in alcohol dependence. Addict Biol 2016; 21: 719-731
  • 62 Verbaten MN. Chronic effects of low to moderate alcohol consumption on structural and functional properties of the brain: beneficial or not?. Hum Psychopharmacol 2009; 24: 199-205
  • 63 Harper C. The neuropathology of alcohol-specific brain damage, or does alcohol damage the brain?. J Neuropathol Exp Neurol 1998; 57: 101-110
  • 64 Harper C. The neuropathology of alcohol-related brain damage. Alcohol Alcohol 2009; 44: 136-140
  • 65 Crews FT, Braun CJ, Hoplight B. et al. Binge ethanol consumption causes differential brain damage in young adolescent rats compared with adult rats. Alcohol Clin Exp Res 2000; 24: 1712-1723
  • 66 Franke H, Kittner H, Berger P. et al. The reaction of astrocytes and neurons in the hippocampus of adult rats during chronic ethanol treatment and correlations to behavioral impairments. Alcohol 1997; 14: 445-454
  • 67 Novier A, Diaz-Granados JL, Matthews DB. Alcohol use across the lifespan: an analysis of adolescent and aged rodents and humans. Pharmacol Biochem Behav 2015; 133: 65-82
  • 68 Phillips SC. The threshold concentration of dietary ethanol necessary to produce toxic effects on hippocampal cells and synapses in the mouse. Exp Neurol 1989; 104: 68-72
  • 69 Durand D, Saint-Cyr JA, Gurevich N. et al. Ethanol-induced dendritic alterations in hippocampal granule cells. Brain Res 1989; 477: 373-377
  • 70 Bengoechea O, Gonzalo LM. Effects of alcoholization on the rat hippocampus. Neurosci Lett 1991; 123: 112-114
  • 71 Ferrer I, Galofre E, Fabregues I. et al. Effects of chronic ethanol consumption beginning at adolescence: increased numbers of dendritic spines on cortical pyramidal cells in the adulthood. Acta Neuropathol 1989; 78: 528-532
  • 72 Lundqvist C, Alling C, Knoth R. et al. Intermittent ethanol exposure of adult rats: hippocampal cell loss after one month of treatment. Alcohol Alcohol 1995; 30: 737-748
  • 73 Arendt T, Henning D, Gray JA. et al. Loss of neurons in the rat basal forebrain cholinergic projection system after prolonged intake of ethanol. Brain Res Bull 1988; 21: 563-569
  • 74 Heinz AJ, Beck A, Meyer-Lindenberg A. et al. Cognitive and neurobiological mechanisms of alcohol-related aggression. Nat Rev Neurosci 2011; 12: 400-413
  • 75 Sullivan EV, Harding AJ, Pentney R. et al. Disruption of frontocerebellar circuitry and function in alcoholism. Alcohol Clin Exp Res 2003; 27: 301-309
  • 76 Moselhy HF, Georgiou G, Kahn A. Frontal lobe changes in alcoholism: a review of the literature. Alcohol Alcohol 2001; 36: 357-368
  • 77 Mechtcheriakov S, Brenneis C, Egger K. et al. A widespread distinct pattern of cerebral atrophy in patients with alcohol addiction revealed by voxel-based morphometry. J Neurol Neurosurg Psychiatry 2007; 78: 610-614
  • 78 Geibprasert S, Gallucci M, Krings T. Alcohol-induced changes in the brain as assessed by MRI and CT. Eur Radiol 2010; 20: 1492-1501
  • 79 Wobrock T, Falkai P, Schneider-Axmann T. et al. Effects of abstinence on brain morphology in alcoholism: A MRI study. Eur Arch Psychiatry Clin Neurosci 2009; 259: 143-150
  • 80 Gazdzinski S, Durazzo TC, Meyerhoff DJ. Temporal dynamics and determinants of whole brain tissue volume changes during recovery from alcohol dependence. Drug Alcohol Depend 2005; 78: 263-273
  • 81 Shear PK, Butters N, Jernigan TL. et al. Olfactory loss in alcoholics: correlations with cortical and subcortical MRI indices. Alcohol 1992; 9: 247-255
  • 82 Agartz I, Momenan R, Rawlings RR. et al. Hippocampal volume in patients with alcohol dependence. Arch Gen Psychiatry 1999; 56: 356-363
  • 83 Nicolas JM, Fernandez-Sola J, Robert J. et al. High ethanol intake and malnutrition in alcoholic cerebellar shrinkage. QJM 2000; 93: 449-456
  • 84 Sullivan EV, Rosenbloom MJ, Lim KO. et al. Longitudinal changes in cognition, gait, and balance in abstinent and relapsed alcoholic men: relationships to changes in brain structure. Neuropsychology 2000; 14: 178-188
  • 85 Hayakawa K, Kumagai H, Suzuki Y. et al. MR imaging of chronic alcoholism. Acta Radiol 1992; 33: 201-206
  • 86 Estruch R, Nicolas JM, Salamero M. et al. Atrophy of the corpus callosum in chronic alcoholism. J Neurol Sci 1997; 146: 145-151
  • 87 Pfefferbaum A, Rosenbloom M, Crusan K. et al. Brain CT changes in alcoholics: effects of age and alcohol consumption. Alcohol Clin Exp Res 1988; 12: 81-87
  • 88 Mukamal KJ, Longstreth Jr. WT, Mittleman MA. et al. Alcohol consumption and subclinical findings on magnetic resonance imaging of the brain in older adults: the cardiovascular health study. Stroke 2001; 32: 1939-1946
  • 89 Zuccala G, Onder G, Pedone C. et al. Dose-related impact of alcohol consumption on cognitive function in advanced age: Results of a multicenter survey. Alcohol Clin Exp Res 2001; 25: 1743-1748
  • 90 Kalmijn S, van Boxtel MP, Verschuren MW. et al. Cigarette smoking and alcohol consumption in relation to cognitive performance in middle age. Am J Epidemiol 2002; 156: 936-944
  • 91 Cervilla JA, Prince M, Mann A. Smoking, drinking, and incident cognitive impairment: a cohort community based study included in the Gospel Oak project. J Neurol Neurosurg Psychiatry 2000; 68: 622-626
  • 92 Elwood PC, Gallacher JE, Hopkinson CA. et al. Smoking, drinking, and other life style factors and cognitive function in men in the Caerphilly cohort. J Epidemiol Community Health 1999; 53: 9-14
  • 93 Herbert LE, Scherr PA, Beckett LA. et al. Relation of smoking and low-to-moderate alcohol consumption to change in cognitive function: a longitudinal study in a defined community of older persons. Am J Epidemiol 1993; 137: 881-891
  • 94 Kalapatapu RK, Ventura MI, Barnes DE. Lifetime alcohol use and cognitive performance in older adults. J Addict Dis 2017; 36: 38-47
  • 95 Santin LJ, Rubio S, Begega A. et al. Effects of chronic alcohol consumption on spatial reference and working memory tasks. Alcohol 2000; 20: 149-159
  • 96 Santucci AC, Mercado M, Bettica A. et al. Residual behavioral and neuroanatomical effects of short-term chronic ethanol consumption in rats. Brain Res Cogn Brain Res 2004; 20: 449-461
  • 97 Walker DW, Hunter BE. Short-term memory impairment following chronic alcohol consumption in rats. Neuropsychologia 1978; 16: 545-553
  • 98 Baydas G, Yasar A, Tuzcu M. Comparison of the impact of melatonin on chronic ethanol-induced learning and memory impairment between young and aged rats. J Pineal Res 2005; 39: 346-352
  • 99 Lukoyanov NV, Madeira MD, Paula-Barbosa MM. Behavioral and neuroanatomical consequences of chronic ethanol intake and withdrawal. Physiol Behav 1999; 66: 337-346
  • 100 Blokland A, Prickaerts J, Raaijmakers W. Absence of impairments in spatial and temporal discrimination learning in Lewis rats after chronic ethanol consumption. Pharmacol Biochem Behav 1993; 46: 27-34
  • 101 Gal K, Bardos G. The effect of chronic alcohol treatment on the radial maze performance of rats. Neuroreport 1994; 5: 421-424
  • 102 Brown SA, Tapert SF, Tate SR. et al. The role of alcohol in adolescent relapse and outcome. J Psychoactive Drugs 2000; 32: 107-115
  • 103 Brown SA, Tapert SF, Granholm E. et al. Neurocognitive functioning of adolescents: effects of protracted alcohol use. Alcohol Clin Exp Res 2000; 24: 164-171
  • 104 Hanson KL, Medina KL, Padula CB. et al. Impact of adolescent alcohol and drug use on neuropsychological functioning in young adulthood: 10-year outcomes. J Child Adolesc Subst Abuse 2011; 20: 135-154
  • 105 Peeters M, Vollebergh WA, Wiers RW. et al. Psychological changes and cognitive impairments in adolescent heavy drinkers. Alcohol Alcohol 2014; 49: 182-186
  • 106 Nigg JT, Wong MM, Martel MM. et al. Poor response inhibition as a predictor of problem drinking and illicit drug use in adolescents at risk for alcoholism and other substance use disorders. J Am Acad Child Adolesc Psychiatry 2006; 45: 468-475
  • 107 Gould JF, Anderson AJ, Yelland LN. et al. Association of cord blood vitamin D with early childhood growth and neurodevelopment. J Paediatr Child Health 2017; 53: 75-83
  • 108 Stampfer MJ, Kang JH, Chen J. et al. Effects of moderate alcohol consumption on cognitive function in women. N Engl J Med 2005; 352: 245-253
  • 109 Hunt PS, Levillain ME, Spector BM. et al. Post-training ethanol disrupts trace conditioned fear in rats: effects of timing of ethanol, dose and trace interval duration. Neurobiol Learn Mem 2009; 91: 73-80
  • 110 Hayes DM, Deeny MA, Shaner CA. et al. Determining the threshold for alcohol-induced brain damage: new evidence with gliosis markers. Alcohol Clin Exp Res 2013; 37: 425-434
  • 111 Virtaa JJ, Jarvenpaa T, Heikkila K. et al. Midlife alcohol consumption and later risk of cognitive impairment: A twin follow-up study. J Alzheimers Dis 2010; 22: 939-948
  • 112 Scaife JC, Duka T. Behavioural measures of frontal lobe function in a population of young social drinkers with binge drinking pattern. Pharmacol Biochem Behav 2009; 93: 354-362
  • 113 Squeglia LM, Schweinsburg AD, Pulido C. et al. Adolescent binge drinking linked to abnormal spatial working memory brain activation: differential gender effects. Alcohol Clin Exp Res 2011; 35: 1831-1841
  • 114 Nguyen-Louie TT, Tracas A, Squeglia LM. et al. Learning and memory in adolescent moderate, binge, and extreme-binge drinkers. Alcohol Clin Exp Res 2016; 40: 1895-1904
  • 115 Stephens DN, Duka T. Review. Cognitive and emotional consequences of binge drinking: role of amygdala and prefrontal cortex. Philos Trans R Soc Lond B Biol Sci 2008; 363: 3169-3179
  • 116 Stephens DN, Ripley TL, Borlikova G. et al. Repeated ethanol exposure and withdrawal impairs human fear conditioning and depresses long-term potentiation in rat amygdala and hippocampus. Biol Psychiatry 2005; 58: 392-400
  • 117 Piazza-Gardner AK, Gaffud TJ, Barry AE. The impact of alcohol on Alzheimer’s disease: A systematic review. Aging Ment Health 2013; 17: 133-146
  • 118 Bachman DL, Green RC, Benke KS. et al. Comparison of Alzheimer’s disease risk factors in white and African American families. Neurology 2003; 60: 1372-1374
  • 119 Deng J, Zhou DH, Li J. et al. A 2-year follow-up study of alcohol consumption and risk of dementia. Clin Neurol Neurosurg 2006; 108: 378-383
  • 120 Ritchie K, Villebrun D. Epidemiology of alcohol-related dementia. Handb Clin Neurol 2008; 89: 845-850
  • 121 Ilomaki J, Jokanovic N, Tan EC. et al. Alcohol consumption, dementia and cognitive decline: An overview of systematic reviews. Curr Clin Pharmacol 2015; 10: 204-212
  • 122 Huang W, Qiu C, Winblad B. et al. Alcohol consumption and incidence of dementia in a community sample aged 75 years and older. J Clin Epidemiol 2002; 55: 959-964
  • 123 Lindsay J, Laurin D, Verreault R. et al. Risk factors for Alzheimer’s disease: A prospective analysis from the Canadian Study of Health and Aging. Am J Epidemiol 2002; 156: 445-453
  • 124 Weyerer S, Schaufele M, Wiese B. et al. Current alcohol consumption and its relationship to incident dementia: Results from a 3-year follow-up study among primary care attenders aged 75 years and older. Age Ageing 2011; 40: 456-463
  • 125 Saunders PA, Copeland JR, Dewey ME. et al. Heavy drinking as a risk factor for depression and dementia in elderly men. Findings from the Liverpool longitudinal community study. Br J Psychiatry 1991; 159: 213-216
  • 126 Harwood DG, Kalechstein A, Barker WW. et al. The effect of alcohol and tobacco consumption, and apolipoprotein E genotype, on the age of onset in Alzheimer’s disease. Int J Geriatr Psychiatry 2010; 25: 511-518
  • 127 Harwood DG, Barker WW, Loewenstein DA. et al. A cross-ethnic analysis of risk factors for AD in white Hispanics and white non-Hispanics. Neurology 1999; 52: 551-556
  • 128 Fratiglioni L, Ahlbom A, Viitanen M. Winblad. Risk factors for late-onset Alzheimer’s disease: A population-based, case-control study. Ann Neurol 1993; 33: 258-266
  • 129 Panza F, Frisardi V, Seripa D. et al. Alcohol consumption in mild cognitive impairment and dementia: harmful or neuroprotective?. Int J Geriatr Psychiatry 2012; 27: 1218-1238
  • 130 Anstey KJ, Windsor TD, Rodgers B. et al. Lower cognitive test scores observed in alcohol abstainers are associated with demographic, personality, and biological factors: the PATH Through Life Project. Addiction 2005; 100: 1291-1301
  • 131 den Heijer T, Vermeer SE, van Dijk EJ. et al. Alcohol intake in relation to brain magnetic resonance imaging findings in older persons without dementia. Am J Clin Nutr 2004; 80: 992-997
  • 132 Galanis DJ, Joseph C, Masaki KH. et al. A longitudinal study of drinking and cognitive performance in elderly Japanese American men: the Honolulu-Asia Aging Study. Am J Public Health 2000; 90: 1254-1259
  • 133 Kubota M, Nakazaki S, Hirai S. et al. Alcohol consumption and frontal lobe shrinkage: study of 1432 non-alcoholic subjects. J Neurol Neurosurg Psychiatry 2001; 71: 104-106
  • 134 Lindeman RD, Wayne SJ, Baumgartner RN. et al. Cognitive function in drinkers compared to abstainers in the New Mexico elder health survey. J Gerontol A Biol Sci Med Sci 2005; 60: 1065-1070
  • 135 Wright CB, Elkind MS, Luo X. et al. Reported alcohol consumption and cognitive decline: the northern Manhattan study. Neuroepidemiology 2006; 27: 201-207
  • 136 Taki Y, Goto R, Evans A. et al. Voxel-based morphometry of human brain with age and cerebrovascular risk factors. Neurobiol Aging 2004; 25: 455-463
  • 137 Zhang Y, Heeren T, Curtis Ellison R. Education modifies the effect of alcohol on memory impairment: the third national health and nutrition examination survey. Neuroepidemiology 2005; 24: 63-69
  • 138 Wiers CE, Stelzel C, Gladwin TE. et al. Effects of cognitive bias modification training on neural alcohol cue reactivity in alcohol dependence. Am J Psychiatry 2015; 172: 335-343
  • 139 Wiers CE, Gladwin TE, Ludwig VU. et al. Comparing three cognitive biases for alcohol cues in alcohol dependence. Alcohol Alcohol. 2017; 9: 242-248
  • 140 Wiers CE, Gawron CK, Gropper S. et al. Decreased gray matter volume in inferior frontal gyrus is related to stop-signal task performance in alcohol-dependent patients. Psychiatry Res 2015; 233: 125-130
  • 141 Stuke H, Gutwinski S, Wiers CE. et al. To drink or not to drink: harmful drinking is associated with hyperactivation of reward areas rather than hypoactivation of control areas in men. J Psychiatry Neurosci 2016; 41: E24-E36
  • 142 Gropper S, Spengler S, Stuke H. et al. Behavioral impulsivity mediates the relationship between decreased frontal gray matter volume and harmful alcohol drinking: A voxel-based morphometry study. J Psychiatr Res 2016; 83: 16-23