Cognitive rehabilitation of chronic alcohol abusers

被引:49
作者
Allen, DN
Goldstein, G
Seaton, BE
机构
[1] UNIV PITTSBURGH, DEPT NEUROL, PITTSBURGH, PA 15260 USA
[2] HIGHLAND DR VET ADM MED CTR, PSYCHOL SERV, PITTSBURGH, PA USA
[3] HIGHLAND DR VET ADM MED CTR, MED RES SERV, PITTSBURGH, PA USA
[4] UNIV S DAKOTA, DEPT PSYCHOL, VERMILLION, SD 57069 USA
关键词
alcoholism; treatment outcome; cognitive rehabilitation;
D O I
10.1007/BF02876971
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The current literature suggests that individuals who chronically abuse alcohol exhibit a wide variety of cognitive deficits resulting from cerebral dysfunction that is either directly or indirectly related to their alcohol consumption history. Cognitive deficits have been hypothesized as having implications for standard alcohol treatment efficacy as they may directly affect cognitively impaired individuals' abilities to utilize various treatment modalities. Although evidence is accumulating that suggests this is actually the case, the majority of alcohol treatment programs neither directly consider the impact cognitive deficits have on treatment efficacy nor do they employ cognitive rehabilitation treatment strategies to remediate identified cognitive deficits. Few studies exist that investigate the remediate identified neurobehavioral deficits or the efficacy of integrating cognitive rehabilitation strategies into more traditional treatment programs. Empirical investigations conducted to date indicate that some cognitive deficiencies secondary to alcoholism are amenable to cognitive rehabilitation and this remediation is generalizable. Rigorous well-controlled treatment outcome investigations,are needed in order to determine the efficacy of cognitive rehabilitation techniques in naturalistic settings using ecological outcome measures. Also, emphasis should be placed on integrating cognitive rehabilitation techniques with proven efficacy into traditional alcoholism treatment programs.
引用
收藏
页码:21 / 39
页数:19
相关论文
共 107 条
[11]  
BOON JC, 1982, THESIS VANDERBILT U
[12]  
BRACY OL, 1987, COGNITIVE REHABILITA
[13]  
BRANDT J, 1983, ARCH GEN PSYCHIAT, V40, P435
[14]   WHAT CAN AMNESIC PATIENTS LEARN [J].
BROOKS, DN ;
BADDELEY, AD .
NEUROPSYCHOLOGIA, 1976, 14 (01) :111-122
[15]  
BROOKS DN, 1983, REHABILITATION HEAD
[16]   ALCOHOLIC KORSAKOFFS SYNDROME - SOME UNRESOLVED ISSUES CONCERNING ETIOLOGY, NEUROPATHOLOGY, AND COGNITIVE DEFICITS [J].
BUTTERS, N .
JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY, 1985, 7 (02) :181-210
[17]  
Butters N., 1980, Alcoholic Korsakoff's Syndrome: An Information-Processing Approach to Amnesia
[18]   TREATMENT OF RECIDIVIST ALCOHOLIC [J].
CASTER, DU .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 1977, 1 (01) :87-90
[19]  
Cermak L. S., 1994, NEUROPSYCHOLOGICAL E, P31
[20]   DEPTH OF PROCESSING AND RETENTION OF WORDS BY ALCOHOLIC KORSAKOFF PATIENTS [J].
CERMAK, LS ;
REALE, L .
JOURNAL OF EXPERIMENTAL PSYCHOLOGY-HUMAN LEARNING AND MEMORY, 1978, 4 (02) :165-174