title: Cognitive performance of detoxified alcoholic Korsakoff syndrome patients remains stable over two years.
abstract: Excessive alcohol consumption is assumed to promote cognitive decline, eventually increasing the risk of dementia. However, little is known about the time course of cognitive functions in patients with chronic alcoholic Korsakoff syndrome (KS). Therefore, we assessed neuropsychological performance in 20 detoxified chronic KS inpatients at time 1 (T1) with a follow-up after two years (T2). The neuropsychological tests assessed verbal and visual short- and long-term memory, working memory, basic executive functions, language, general knowledge, and visual-spatial abilities. Surveys with caregivers and medical records provided information about current and previous disease-related parameters, drinking history, additional pathologies, as well as psychosocial and cognitive therapy within the two-year period. At both sessions, the majority of the KS patients' results were inferior to those of normal subjects. Comparing T1 and T2 revealed no significant decline in any of the investigated functions. Instead, general knowledge, visual long-term memory, and verbal fluency improved slightly after two years, though they still remained within pathological range. Comparing most improved and most deteriorated patients, better outcome occurred more frequently in men than women and was associated with higher premorbid education and fewer detoxifications in the past. In this sample of detoxified KS patients there was no indication of accelerated cognitive decline or onset of dementia-like symptoms over two years.
authors.affiliation: Physiological Psychology, University of Bielefeld, Bielefeld, Germany. efujiwara@ualberta.ca
authors.forename: Esther
authors.initials: E
authors.lastname: Fujiwara
authors.forename: Matthias
authors.initials: M
authors.lastname: Brand
authors.forename: Sabine
authors.initials: S
authors.lastname: Borsutzky
authors.forename: Hans-P
authors.initials: HP
authors.lastname: Steingass
authors.forename: Hans J
authors.initials: HJ
authors.lastname: Markowitsch
mesh_terms: D000368:Aged; D000425:Alcohol Amnestic Disorder / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D000437:Alcoholism / Q000534:rehabilitation*; D003072:Cognition Disorders / Q000175:diagnosis* / Q000523:psychology; D015928:Cognitive Behavioral Therapy; D003704:Dementia / Q000175:diagnosis / Q000523:psychology; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D008609:Mental Status Schedule / Q000706:statistics & numerical data; D008875:Middle Aged; D009483:Neuropsychological Tests / Q000706:statistics & numerical data*; D009735:Nursing Homes; D011594:Psychometrics / Q000706:statistics & numerical data; D012016:Reference Values; D012959:Socioeconomic Factors; D012960:Socioenvironmental Therapy