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Executive Dysfunction Related to Binge Drinking in Ischemic Stroke.

Siiri P K Laari1,2, Tatu V Kauranen3, Katri E A Turunen1

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Cognitive and Behavioral Neurology : Official Journal of the Society for Behavioral and Cognitive Neurology
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Binge drinking, even without an alcohol use disorder, negatively impacts executive functions. This history of binge drinking worsens cognitive deficits following an ischemic stroke.

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Area of Science:

  • Neuroscience
  • Clinical Neurology
  • Psychiatry

Background:

  • Adolescent binge drinking is linked to cognitive dysfunction, but adult studies on subdiagnostic binge drinking and cognitive impairment are inconclusive.
  • No prior research has examined the combined impact of binge drinking and ischemic stroke on cognitive function.

Purpose of the Study:

  • To investigate the association between subdiagnostic binge drinking patterns and cognitive dysfunction, specifically executive and memory impairments, in first-ever ischemic stroke patients.

Main Methods:

  • A study involving 228 participants (189 ischemic stroke patients, 39 healthy adults) with no alcohol use disorder was conducted.
  • Participants were categorized into binge-drinking (76) and non-binge-drinking (152) groups.
  • Multivariate analysis of covariance compared nine cognitive functions, controlling for age, education, and stroke severity.

Main Results:

  • Binge drinking significantly impaired executive functions (P<0.001).
  • The binge-drinking group performed worse on executive function tests, including the Stroop Test, Trail Making Test, and phonemic fluency test.
  • A significant interaction between binge drinking and stroke severity indicated that binge drinking amplified stroke-related executive dysfunction (P=0.037).

Conclusions:

  • Subdiagnostic binge drinking negatively affects executive functions in ischemic stroke patients.
  • History of binge drinking exacerbates the cognitive deficits caused by ischemic stroke, particularly in executive functions.