Simultaneous consumption of drugs and their implications on cognitive functioning

Main Article Content

Hugo Sánchez Castillo
Rodrigo Iván Castañeda Garrido
Diana Berenice Paz Trejo
Daniel Soltero de la Rosa
Pável Zárate González

Abstract

Introduction: drug abuse is a health problem that affects millions of people around the world. It could be defined as a concurrent condition in which the behavior has the goal of produce a pleasant sensation and reduce the discomfort produced by the interruption of the drug administration. The drug retirement produces cognitive alterations, particularly in memory and executive function. Those effects are due to the vulnerability of prefrontal cortex to the drug effects. Poly drug use is defined as the simultaneous intake, or separated in short time lapses, of several drugs. This kind of drug intake has been poorly studied in comparison to other addictions.


Objective: to evaluate the effects of poly drug use in three groups of drug consumers evaluated with a neuropsychological battery.


Method: thirty-six poly drug consumers were included and eleven non consumers integrated a control group (total sample: 47 subjects). Poly drug consumers were divided in three different groups depending on the kind of drugs consumed. All poly drug users were evaluated with the Neuropsychological battery “Neuropsi Atención y Memoria” and were compared against the performance of control group.


Conclusion and discussion: neuropsychological affections were observed, particularly in verbal memory and evocation (both verbal and visuospatial) as well as in abstract attitude and inhibition (p < 0.05). We observed several relapses and readmissions in the rehabilitation center. The findings over inhibition and abstract attitude could explain the poor adhesion to treatment, alterations in everyday life and several relapses.

Keywords:
addiction ,  prefrontal cortex ,  neuropsychological assessment ,  executive function ,  poly drug consume
Published: Dec 17, 2018

Article Details

How to Cite
Castillo, H. S., Castañeda Garrido, R. I., Paz Trejo, D. B., Soltero de la Rosa, D., & Zárate González, P. (2018). Simultaneous consumption of drugs and their implications on cognitive functioning. Revista Internacional De Investigación En Adicciones, 4(2), 1–9. https://doi.org/10.28931/riiad.2018.2.01
Section
Original Articles

References

Ardila, A., Ostrosky-Solis, F., Rosselli, M., & Gomez, C. (2000). Age-Related Cognitive Decline During Normal Aging: The Complex Effect of Education. Archives of Clinical Neuropsychology, 15(6), 495–513. doi: 10.1093/arclin/15.6.495

Bjork, J. M., Hommer, D. W., Grant, S. J., & Danube, C. (2004). Impulsivity in abstinent alcohol-dependent patients: relation to control subjects and type 1–/type 2–like traits. Alcohol, 34(2-3), 133–150. doi: 10.1016/j.alcohol.2004.06.012

Brière, F. N., Fallu, J.-S., Descheneaux, A., & Janosz, M. (2011). Predictors and consequences of simultaneous alcohol and cannabis use in adolescents. Addictive Behaviors, 36(7), 785–788. doi: 10.1016/j.addbeh.2011.02.012

Brody, A. L., Mandelkern, M. A., Olmstead, R. E., Jou, J., Tiongson, E., Allen, V., … Cohen, M. S. (2007). Neural Substrates of Resisting Craving During Cigarette Cue Exposure. Biological Psychiatry, 62(6), 642–651. doi: 10.1016/j.biopsych.2006.10.026

Fernández-Serrano, M. J., Pérez-García, M., & Verdejo-García, A. (2011). What are the specific vs. generalized effects of drugs of abuse on neuropsychological performance? Neuroscience & Biobehavioral Reviews, 35(3), 377–406. doi: 10.1016/j.neubiorev. 2010.04.008

Flores, J. (2001) Neuropsicología de lóbulos frontales. Barcelona: Crítica.

Font-Mayolas, S., Gras, M. E., Cebrián, N., Salamó, A., Planes, M., & Sullman, M. J. M. (2013). Types of polydrug use among Spanish adolescents. Addictive Behaviors, 38(3), 1605–1609. doi: 10.1016/j.addbeh.2012.09.007

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(10), 1642–1652. doi: 10.1176/appi.ajp.159. 10.1642

Goldstein, R. Z., Leskovjan, A. C., Hoff, A. L., Hitzemann, R., Bashan, F., Khalsa, S. S., … Volkow, N. D. (2004). Severity of neuropsychological impairment in cocaine and alcohol addiction: association with metabolism in the prefrontal cortex. Neuropsychologia, 42(11), 1447–1458. doi: 10.1016/j.neuropsychologia.2004.04.002

Gómez-Pérez, E., & Ostrosky-Solís, F. (2006). Attention and Memory Evaluation Across the Life Span: Heterogeneous Effects of Age and Education. Journal of Clinical and Experimental Neuropsychology, 28(4), 477–494. doi: 10.1080/13803390590949296

Goodman, A. (2008). Neurobiology of addiction. Biochemical Pharmacology, 75(1), 266–322. doi: 10.1016/j.bcp.2007.07.030

Hadjiefthyvoulou, F., Fisk, J. E., Montgomery, C., & Bridges, N. (2012). Self-reports of Executive Dysfunction in Current Ecstasy/Polydrug Users. Cognitive And Behavioral Neurology, 25(3), 128–138. doi: 10.1097/wnn.0b013e318261459c

Jasinska, A. J., Stein, E. A., Kaiser, J., Naumer, M. J., & Yalachkov, Y. (2014). Factors modulating neural reactivity to drug cues in addiction: A survey of human neuroimaging studies. Neuroscience & Biobehavioral Reviews, 38, 1–16. doi: 10.1016/j.neubiorev.2013.10.013

Klingberg, T., Vaidya, C. J., Gabrieli, J. D. E., Moseley, M. E., & Hedehus, M. (1999). Myelination and organization of the frontal white matter in children. NeuroReport, 10(13), 2817–2821. doi: 10.1097/00001756-199909090-00022

Koob, G. F., & Volkow, N. D. (2009). Neurocircuitry of Addiction. Neuropsychopharmacology, 35(1), 217–238. doi: 10.1038/npp. 2009.110

Moreno-López, L., Stamatakis, E. A., Fernández-Serrano, M. J., Gómez-Río, M., Rodríguez-Fernández, A., Pérez-García, M., & Verdejo-García, A. (2012). Neural correlates of hot and cold executive functions in polysubstance addiction: Association between neuropsychological performance and resting brain metabolism as measured by positron emission tomography. Psychiatry Research: Neuroimaging, 203(2-3), 214–221. doi: 10.1016/j.pscychresns.2012.01.006

Noël, X., Van der Linden, M., Schmidt, N., Sferrazza, R., Hanak, C., Le Bon, O., … Verbanck, P. (2001). Supervisory Attentional System in Nonamnesic Alcoholic Men. Archives of General Psychiatry, 58(12), 1152–1158. doi: 10.1001/archpsyc.58.12.1152

Oscar-Berman, M., & Marinkovié, K. (2007). Alcohol: Effects on Neurobehavioral Functions and the Brain. Neuropsychology Review, 17(3), 239–257. doi: 10.1007/s11065-007-9038-6

Ostrosky-Solís, F., Ardila, A., & Rosselli, M. (1999). NEUROPSI: A brief neuropsychological test battery in Spanish with norms by age and educational level. Journal of the International Neuropsychological Society, 5(05), 413–433. doi: 10.1017/s1355617799555045

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

Pedrero-Pérez, E., Rojo-Mota, G., Ruíz-Sánchez de León, J., Llanero-Luque, M., & Puerta-García, C. (2011) Rehabilitación cognitiva en el tratamiento de las adicciones. Revista de Neurología, 52(3), 163-72.

Ruiz-Sánchez de León, J., Pedrero-Pérez, E. J., Rojo-Mota, G., Llanero-Luque, M., & Puerta-García, C. (2011) Propuesta de un protocolo para la evaluación neuropsicológica de las adicciones. Revista de Neurología, 53(8), 483–93.

Schensul, J. J., Convey, M., & Burkholder, G. (2005). Challenges in measuring concurrency, agency and intentionality in polydrug research. Addictive Behaviors, 30(3), 571–574. doi: 10.1016/j.addbeh.2004.05.022

Stuss, D. T., & Alexander, M. P. (2000). Executive functions and the frontal lobes: a conceptual view. Psychological Research, 63(3-4), 289–298. doi: 10.1007/s004269900007

Sullivan, E. V. (2007). Alcohol and Drug Dependence: Brain Mechanisms and Behavioral Impact. Neuropsychology Review, 17(3), 235–238. doi: 10.1007/s11065-007-9039-5

United Nations Office on Drugs and Crime (2015). World Drug Report. Viena: United Nations.

Verdejo, A., Orozco-Giménez, C., Sánchez-Jofré, M., Aguilar, F., & Pérez-García, M. (2004) Impacto de la gravedad del consumo de drogas sobre distintos componentes de la función ejecutiva. Revista de Neurología, 38(12), 1109–1116.

Villalba Ruiz, E., & Verdejo-García, A. (2012). Procesamiento emocional, interocepción y funciones ejecutivas en policonsumido-res de drogas en tratamiento. Trastornos Adictivos, 14(1), 10-20. doi: 10.1016/s1575-0973(12)70038-7

Villatoro, J. A., Resendiz, E., Mujica, A., Bretón, M., Cañas, V., Soto, I., & Mendoza, L. (2017). Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco 2016-2017: Reporte de Drogas. Ciudad de México: Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz.

Wollenweber, F. A., Halfter, S., Brügmann, E., Weinberg, C., Cieslik, E. C., Müller, V. I., … Eickhoff, S. B. (2012). Subtle cognitive deficits in severe alcohol addicts - Do they show a specific profile? Journal of Neuropsychology, 8(1), 147–153. doi: 10.1111/jnp.12001

Yalachkov, Y., Kaiser, J., & Naumer, M. J. (2009). Brain Regions Related to Tool Use and Action Knowledge Reflect Nicotine Dependence. Journal of Neuroscience, 29(15), 4922–4929. doi: 10.1523/jneurosci.4891-08.2009