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Thought disorder in alcoholics.

M Galanter, T B Karasu, R Plutchik

    Currents in Alcoholism
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

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    Chronic alcoholics may exhibit thought disorder symptoms, previously overlooked. The Thought Disorder Rating Scale (TDRS) identified these deficits, suggesting a need for broader cognitive assessment in alcoholism research.

    Area of Science:

    • Neuroscience
    • Psychiatry
    • Clinical Psychology

    Background:

    • Cognitive impairment in chronic alcoholics is often attributed to organic brain damage.
    • Deficits resembling functional psychoses in alcoholics have been understudied due to a lack of suitable assessment tools.

    Purpose of the Study:

    • To investigate the presence of thought disorder symptoms in chronic alcoholics using the newly developed Thought Disorder Rating Scale (TDRS).
    • To explore the relationship between thought disorder, performance on the Bender-Gestalt Test, and depression levels in this population.

    Main Methods:

    • Twenty detoxified chronic alcoholics, screened for psychosis, severe withdrawal, and medical illness, were assessed.
    • A test battery including the TDRS, Bender-Gestalt Test, and Zung Self-rating Depression Scale (SDS) was administered.

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    Main Results:

    • Five subjects (25%) exhibited pathological thought disorder scores on the TDRS.
    • A significant association was found between pathological thought disorder and abnormal Bender-Gestalt Test performance (t = 2.84, p < .01).
    • Both groups showed depression scores in the clinical range, with no significant difference in SDS means.

    Conclusions:

    • The Thought Disorder Rating Scale (TDRS) can identify thought disorder symptoms in chronic alcoholics.
    • These findings suggest that functional psychiatric deficits, not just organic brain damage, should be considered in the cognitive assessment of chronic alcoholics.
    • Further research is warranted to understand the implications of these findings for treatment and prognosis.