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Early-onset alcohol dependence increases the acoustic startle reflex
Arnt F A Schellekens1, Peter C R Mulders, Bart Ellenbroek
1Department of Psychiatry, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. a.f.a.schellekens@psy.umcn.nl
Alcoholism, Clinical and Experimental Research
|January 26, 2012
Summary
Early-onset alcohol dependence is linked to heightened acoustic startle responses, suggesting a potential trait marker. This heightened startle response is specific to early-onset alcohol dependence and not a residual state marker.
Area of Science:
- Neuroscience
- Psychiatry
- Addiction Research
Background:
- Alcohol dependence is associated with altered acoustic startle responses.
- Previous research focused on early-onset alcohol dependence, potentially limiting generalizability.
- The role of detoxification history in acoustic startle abnormalities requires further investigation.
Purpose of the Study:
- To investigate acoustic startle response differences between early-onset alcohol-dependent patients, late-onset alcohol-dependent patients, and healthy controls.
- To determine if the duration of alcohol dependence or number of prior detoxifications explains startle response variations.
- To explore the acoustic startle response as a potential trait marker in alcohol dependence.
Main Methods:
- Assessed acoustic startle reflex in 83 male alcohol-dependent patients and 86 age-matched healthy male controls.
- Measured reflex eye blink responses to auditory startle stimuli using electromyography.
- Analyzed reflex amplitudes and prepulse inhibition (PPI) levels.
Main Results:
- Early-onset alcohol-dependent patients exhibited significantly higher acoustic startle amplitudes compared to late-onset patients and controls.
- No association was found between the number of previous withdrawals and the startle response or PPI.
- No differences in prepulse inhibition (PPI) were observed across groups.
Conclusions:
- Increased acoustic startle response in early-onset alcohol dependence may serve as a specific trait marker.
- Findings do not support the hypothesis that the heightened startle response is a residual state marker of alcohol withdrawal.
- Early-onset alcohol dependence is characterized by distinct neurophysiological alterations in the acoustic startle reflex.

