Diferencias en el funcionamiento neurocognitivo e impulsividad rasgo según el patrón de consumo de alcohol en jóvenes de 18 a 30 años

Ignacio Acuña, Yanina Michelini, Juan Ignacio Guzmán, Juan Carlos Godoy

Resumen


Introducción: La adolescencia es un período caracterizado por las conductas impulsivas y la toma de decisiones (TD) riesgosas lo cual se asocia al inicio y la progresión del consumo de alcohol y de otras drogas. Objetivo: evaluar el efecto del patrón de consumo de alcohol (PCA) sobre la TD, la función ejecutiva (FE) y la impulsividad rasgo en una muestra de estudiantes universitarios de 18 a 30 años. Metodología: se usó un diseño ex post facto prospectivo para evaluar el efecto del consumo de alcohol en la TD y en la impulsividad rasgo. Para evaluar la TD se utilizó la IGT, la GDT y la CBT y, para evaluar FE, la WCST. Para medir la impulsividad rasgo se consideraron los puntajes en las sub-escalas de la Escala UPPS-P. Resultados: los participantes clasificados como PCA intensivo y PCA pesado tuvieron peor rendimiento en las tareas IGT y CBT y, además, puntuaron más alto en todas las dimensiones de impulsividad medidas con la UPPS-P. Adicionalmente, tuvieron menos respuestas correctas en la WCST. Conclusión: Los PCA más severos se asocian con un rendimiento neurocognitivo más pobre en jóvenes argentinos de 18 a 30 años de edad.


Palabras clave


Toma de decisiones; Impulsividad; Jóvenes; Patrón de Consumo de Alcohol

Texto completo:

PDF

Referencias


Acuña, I., Castillo, D., Bechara, A., & Godoy, J. C. (2013). Toma de decisiones en adolescentes: rendimiento bajo diferentes condiciones de información e intoxicación alcohólica. International Journal of Psychology and Psychological Therapy, 13(2), 195–214.

Albert, D., & Steinberg, L. (2011). Judgment and decision making in adolescence. Journal of Research on Adolescence, 21(1), 211–224. http://doi.org/10.1111/j.1532-7795.2010.00724.x

Arnett, J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480. http://doi.org/10.1037//0003-066X.55.5.469

Aron, A. (2007). The Neural Basis of Inhibition in Cognitive Control. The Neuroscientist, 13(3), 214–228. http://doi.org/10.1177/1073858407299288

Barceló, F. (2001). Does the Wisconsin Card Sorting Test Measure Prefrontal Function ? The Spanish Journal of Psychology, 4(1), 79–100. Retrieved from http://journals.cambridge.org/abstract_S1138741600005680

Bechara, A. (2005). Decision making, impulse control and loss of willpower to resist drugs: a neurocognitive perspective. Nature Neuroscience, 8(11), 1458–1463. http://doi.org/10.1038/nn1584

Bechara, A., Damasio, A., Damasio, H., & Anderson, S. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50(1–3), 7–15. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/8039375

Bechara, A., & Van der Linden, M. (2005). Decision-Making and Impulse Control after Frontal Lobe Injuries. Current Opinion in Neurology, 18(6), 734–739.

Blakemore, S.-J., & Robbins, T. (2012). Decision-making in the adolescent brain. Nature Neuroscience, 15(9), 1184–91. http://doi.org/10.1038/nn.3177

Bolla, K., Eldreth, D., Matochik, J., & Cadet, J. (2004). Sex-related differences in a gambling task and its neurological correlates. Cerebral Cortex, 14, 1226–1232.

Bosch, C., Miranda, J., Sangiorgio, M., Acuña, I., Michelini, Y., Marengo, L., & Godoy, J. C. (2016). Efecto del entrenamiento con un juego de estrategia en tiempo real sobre la toma de decisiones en adolescentes. Psiencia, Revista Latinoamericana de Ciencia Psicológica, 8(1), 1–19. http://doi.org/10.5872/psiencia/8.1.22

Brand, M., Fujiwara, E., Borsutzky, S., Kalbe, E., Kessler, J., & Markowitsch, H. (2005). Decision-making deficits of korsakoff patients in a new gambling task with explicit rules: associations with executive functions. Neuropsychology, 19(3), 267–77. http://doi.org/10.1037/0894-4105.19.3.267

Caña, M. L., Michelini, Y., Acuña, I., & Godoy, J. C. (2015). Efectos de la impulsividad y el consumo de alcohol sobre la toma de decisiones en los adolescentes. Health and Addictions/Salud Y Drogas, 15(1), 55–66.

Casey, B., Getz, S., & Galván, A. (2008). The adolescent brain. Developmental Review, 28(1), 62–77. http://doi.org/10.1016/j.dr.2007.08.003

Coskunpinar, A., Dir, A. L., & Cyders, M. (2013). Multidimensionality in Impulsivity and Alcohol Use: A Meta-Analysis Using the UPPS Model of Impulsivity. Alcoholism: Clinical and Experimental Research, 37(9), 1441–1450. http://doi.org/10.1111/acer.12131

Crews, F., He, J., & Hodge, C. (2007). Adolescent cortical development: A critical period of vulnerability for addiction. Pharmacology, Biochemistry and Behavior, 86(2), 189–199. http://doi.org/10.1016/j.pbb.2006.12.001

Cyders, M. (2013). Impulsivity and the sexes: measurement and structural invariance of the UPPS-P Impulsive Behavior Scale. Assessment, 20(1), 86–97. http://doi.org/10.1177/1073191111428762

de Wit, H. (2009). Impulsivity as a determinant and consequence of drug use: a review of underlying processes. Addiction Biology, 14(1), 22–31. http://doi.org/10.1111/j.1369-1600.2008.00129.x

Eysenck, H. J., & Eysenck, S. B. G. (1997). Cuestionario Revisado de Personalidad de Eysenck (EPQ-R). Manual [Eysenck Personality Questionnaire Revised (EPQ-R). Manual]. Madrid: Tea Ediciones, S.A.

Goldberg, E., Harner, R., Lovell, M., Podell, K., & Riggio, S. (1994). Cognitive bias, functional cortical geometry and the frontal lobes: laterality, sex and handedness. Journal of Cognitive Neuroscience, 6(3), 276–296.

Goldstein, R. Z., & Volkow, N. D. (2002). Drug Addiction and Its Underlying Neurobiological Basis: Neuroimaging Evidence for the Involvement of the Frontal Cortex. American Journal of Psychiatry, 159(October), 1642–1652.

Goudriaan, A., Grekin, E. R., & Sher, K. (2007). Decision Making and Binge Drinking: A Longitudinal Study. Alcoholism: Clinical and Experimental Research, 31(6), 928–938. http://doi.org/10.1111/j.1530-0277.2007.00378.x

Grant, D. A., & Berg, E. A. (1948). A behavioral analysis of degree of reinforcement and ease of shifting to new responses in a Weigl-type card-sorting problem. Journal of Experimental Psychology, 38(4), 404–411.

Hall, G. S. (1904). Adolescence: Its psychology and its relations to physiology, anthropology, sociology, sex, crime, religion, and education. New York: Appleton.

Hanson, K. L., Medina, K. L., Padula, C. B., Tapert, S., & Brown, S. (2011). Impact of Adolescent Alcohol and Drug Use on Neuropsychological Functioning in Young Adulthood: 10-Year Outcomes. Journal of Child & Adolescent Substance Abuse, 20(2), 135–154. http://doi.org/10.1080/1067828X.2011.555272

Heaton, R., Chelune, G., Talley, J., Kay, G., & Curtis, G. (1993). Wisconsin Card Sorting Test Manual (1st ed.). Lutz: Psychilogical Assessment Resources.

Henrich, J., Heine, S. J., & Norenzayan, A. (2010). The weirdest people in the world? The Behavioral and Brain Sciences, 33, 1–23. http://doi.org/10.1017/S0140525X0999152X

Johnson, C. A., Xiao, L., Palmer, P., Sun, P., Wang, Q., Wei, Y., … Bechara, A. (2008). Affective decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in 10th grade Chinese adolescent binge drinkers. Neuropsychologia, 46, 714–726. http://doi.org/10.1016/j.neuropsychologia.2007.09.012

Kim, Y.-T., Sohn, H., & Jeong, J. (2011). Delayed transition from ambiguous to risky decision making in alcohol dependence during Iowa Gambling Task. Psychiatry Research, 190(2–3), 297–303. http://doi.org/10.1016/j.psychres.2011.05.003

Littlefield, A., Sher, K. J., & Steinley, D. (2010). Developmental trajectories of impulsivity and their association with alcohol use and related outcomes during emerging and young adulthood i. Alcoholism: Clinical and Experimental Research, 34(8), 1409–1416. http://doi.org/10.1111/j.1530-0277.2010.01224.x

Martínez-Selva, J. M., Sánchez-Navarro, J. P., Bechara, A., Román, F., (2006). Mecanismos cerebrales de la toma de decisiones. Revista de Neurología, 42(7), 411–418.

Martínez, M. V., & Manoiloff, L. M. V. (2010). Evaluación Neuropsicológica de la Función Ejecutiva en Adolescentes con diferentes patrones de consumo de alcohol. Revista Argentina de Ciencias Del Comportamiento, 2(1), 14–23.

Michelini, Y., Acuña, I., & Godoy, J. C. (2016). Emociones, toma de decisiones y consumo de alcohol en jóvenes universitarios. Suma Psicológica, 23, 42–50. http://doi.org/10.1016/j.sumpsi.2016.01.001

Montero, I., & León, O. G. (2007). A guide for naming research studies in Psychology. International Journal of Clinical and Health Psychology, 7(3), 847–862.

Mota, N., Parada, M., Crego, A., Doallo, S., Caamaño-Isorna, F., Rodríguez Holguín, S., … Corral-Varela, M. (2013). Binge drinking trajectory and neuropsychological functioning among university students: a longitudinal study. Drug and Alcohol Dependence, 133(1), 108–14. http://doi.org/10.1016/j.drugalcdep.2013.05.024

National Institute on Alcohol Abuse and Alcoholism. (2013). Alcohol Overdose: The Dangers of Drinking Too Much. National Institute on Alcohol Abuse and Alcoholism.

Nyhus, E., & Barceló, F. (2009). The Wisconsin Card Sorting Test and the cognitive assessment of prefrontal executive functions: A critical update. Brain and Cognition, 71(3), 437–451. http://doi.org/10.1016/j.bandc.2009.03.005

Organización Mundial de la Salud. (2014). Global status report on alcohol and health 2014. Global status report on alcohol. Luxemburg. Retrieved from http://www.who.int/substance_abuse/publications/global_alcohol_report/msbgsruprofiles.pdf

Parada, M., Corral-Varela, M., Caamaño-Isorna, F., Mota, N., Crego, A., Rodríguez Holguín, S., … Cadaveira, F. (2011). Definición del concepto de consumo intensivo de alcohol adolescente (binge drinking). Adicciones, 23(1), 53–63.

Parada, M., Corral-Varela, M., Mota, N., Crego, A., Holguín, S. R., & Cadaveira Mahía, F. (2012). Executive functioning and alcohol binge drinking in university students. Addictive Behaviors, 37(2), 167–172. http://doi.org/10.1016/j.addbeh.2011.09.015

Pilatti, A., Brussino, S., & Godoy, J. C. (2013). Factores que influyen en el

consumo de alcohol de adolescentes argentinos: un path análisis prospectivo. Revista de Psicología, 22(1), 22–36. http://doi.org/10.5354/0719-0581.2013.27716

Pilatti, A., Caneto, F., Garimaldi, J. A., Vera, B. del V., & Pautassi, R. M. (2014). Contribution of time of drinking onset and family history of alcohol problems in alcohol and drug use behaviors in argentinean college students. Alcohol and Alcoholism, 49(2), 128–137. http://doi.org/10.1093/alcalc/agt176

Pilatti, A., Godoy, J. C., Brussino, S., & Pautassi, R. M. (2013). Underage drinking: Prevalence and risk factors associated with drinking experiences among Argentinean children. Alcohol, 47(4), 323–31. http://doi.org/10.1016/j.alcohol.2013.02.001

Quinn, P. D., & Harden, K. P. (2013). Differetial Changes in impulsivity and

sensation seeking and the escalation of substance use from adolescence to early adulthood. Developmental Psychopathology, 25(1), 223–239. http://doi.org/10.1017/S0954579412000284.Differential

Reyna, C., & Brussino, S. (2011). Revisión de los fundamentos del análisis de clases latentes y ejemplo de aplicación en el área de las adicciones. Trastornos Adictivos, 13(1), 11–19.

Rogers, R. D., Moeller, F. G., Swann, A. C., & Clark, L. (2010). Recent research on impulsivity in individuals with drug use and mental health disorders: Implications for alcoholism. Alcoholism: Clinical and Experimental Research, 34(8), 1319–1333. http://doi.org/10.1111/j.1530-0277.2010.01216.x

Shulman, E., Smith, A. R., Silva, K., Icenogle, G., Duell, N., Chein, J., & Steinberg, L. (2016). The dual systems model: Review, reappraisal, and reaffirmation. Developmental Cognitive Neuroscience, 17, 103–117. http://doi.org/10.1016/j.dcn.2015.12.010

Spear, L. (2013). Adolescent Neurodevelopment. Journal of Adolescent Health, 52(2), S7–S13. http://doi.org/10.1016/j.jadohealth.2012.05.006

Spear, L. (2015). Adolescent alcohol exposure: Are there separable vulnerable periods within adolescence? Physiology & Behavior, 148, 122–30. http://doi.org/10.1016/j.physbeh.2015.01.027

Stautz, K., & Cooper, A. (2013). Impulsivity-related personality traits and adolescent alcohol use: A meta-analytic review. Clinical Psychology Review, 33(4), 574–592. http://doi.org/10.1016/j.cpr.2013.03.003

Steinberg, L. (2008). A social neuroscience perspective on adolescent risk-taking. Developmental Review, 28(1), 1–27.

Tabachnick, B., & Fidell, L. (2007). Using Multivariate Statistics (5th ed.). Boston: Pearson Education.

Verdejo-García, A., Lozano, Ó., Moya, M., Alcázar, M. Á., & Pérez-García, M. (2010). Psychometric properties of a Spanish version of the UPPS-P impulsive behavior scale: reliability, validity and association with trait and cognitive impulsivity. Journal of Personality Assessment, 92(1), 70–7. http://doi.org/10.1080/00223890903382369

Verdejo-García, A., Vilar-López, R., Pérez-García, M., Podell, K., & Goldberg, E. (2006). Altered adaptive but not veridical decision-making in substance dependent individuals. Journal of the International Neuropsychological Society, 12(1), 90–99. http://doi.org/10.1017/S1355617706060127

White, H. R., Marmorstein, N. R., Crews, F., Bates, M. E., Mun, E., & Loeber, R. (2011). Associations Between Heavy Drinking and Changes in Impulsive Behavior Among Adolescent Boys. Alcoholism: Clinical and Experimental Research, 35(2), 1–9. http://doi.org/10.1111/j.1530-0277.2010.01345.x

Wood, P. K., Sher, K., & Rutledge, P. C. (2007). College Student Alcohol Consumption, Day of the Week, and Class Schedule. Alcoholism: Clinical and Experimental Research, 31(7), 1195–1207. http://doi.org/10.1111/j.1530-0277.2007.00402.x

Xiao, L., Bechara, A., Gong, Q., Huang, X., Li, X., Xue, G., … Johnson, C. A. (2013). Abnormal affective decision making revealed in adolescent binge drinkers using a functional magnetic resonance imaging study. Psychology of Addictive Behaviors, 27(2), 443–54. http://doi.org/10.1037/a0027892




DOI: http://dx.doi.org/10.21134/haaj.v17i2.305

DOI (PDF): http://dx.doi.org/10.21134/haaj.v17i2.305.g295

Enlaces refback

  • No hay ningún enlace refback.


Health and Addictions Journal/Revista Salud y Drogas
ISSN Impresión: 1578-5319
ISSN Electrónico: 1988-205X
INID - Instituto de Investigación de Drogodependencias
Universidad Miguel Hernández - Campus de Sant Joan
Crta. Nacional 332, s/n
03550-Sant Joan D'Alacant (Alicante). España.
Teléfono: 965 919 319 - Fax: 965 919 566
Email: inid@umh.es

umh inid observatorio ISAJE


Síguenos en 1 facebook