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| ID | Type | Description | Link |
|---|---|---|---|
| 2022-A01903-40 | Registry Identifier | ID RCB |
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Alcohol Use Disorder (AUD) is a major public health problem, characterized by a high rate of relapse. Chronic and excessive alcohol consumption notably induces frontal brain alterations and cognitive impairments such as executive dysfunction and an attentional bias for alcohol, participating to the risk of relapse. In effect, AUD patients preferentially process alcohol-related cues, which could reflect a reorganization of the patients' semantic network. The investigators hypothesize that in AUD patients, semantic associations in memory are reorganized with a higher centrality of alcohol-related elements. To the investigators knowledge, no studies have explored semantic associations and/or semantic networks in AUD.
A study, conducted in patients with neurological damage, showed that frontal lesions are associated with excessive strength in semantic associations, and difficulties to generate remote associations. This excessive strength in semantic associations could reduce the ability to inhibit automatisms and to adapt to new context.
Objective: The objective of this study is to explore whether and how AUD patients have a different organization of semantic associations than healthy controls, and whether this reorganization influences the alcohol consumption over the months following the withdrawal. The investigators will also explore how it relates to neuropsychological assessment of flexibility, executive functions, and impulsivity. To these purposes, the investigators will use two original verbal tasks (Free Generation of Associates Task, FGAT and Associative Judgment Task, AJT) assessing word associations and allowing the estimation of semantic networks using graph theory, in combination with neuropsychological testing, in AUD patients and in healthy controls.
Methods: This study will include a group of 30 AUD patients and a group of 30 healthy controls. Both groups will be assessed twice, at baseline (T1; early in abstinence for AUD patients) and after a three-month period (T3). For the two groups, T1 and T3 assessments will include the two semantic association tasks (FGAT and AJT). For AUD patients, assessments will also involve neuropsychological testing of impulsivity, flexibility, and attentional bias. Besides, in AUD patients, data about alcohol consumptions will be collected six weeks (T2) and three months (T3) following the baseline assessment to classify patients as relapsers or abstainers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Alcohol use disorder patients | |||
| Healthy controls |
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| Measure | Description | Time Frame |
|---|---|---|
| Description of the semantic associations using FGAT | The Free Generation Associated Tasks will be used in Alcohol use disorder patients and Healthy controls | At baseline (T1) |
| Description of the semantic associations using AJT | The Associative Judgment Task will be used in Alcohol use disorder patients and Healthy controls | At baseline (T1) |
| Measure | Description | Time Frame |
|---|---|---|
| Impact of medications on the semantic association performance | At baseline (T1) | |
| Impact of age on the semantic association performance | At baseline (T1) | |
| Impact of the study level on the semantic association performance |
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Inclusion Criteria:
For alcohol use disorder patients
For healthy controls
Exclusion Criteria:
For alcohol use disorder patients
For healthy controls
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Two groups of participants will be included in this study. The first one consists of a pool of alcohol use disorder, the second one consists of a pool of healthy controls ; they will be matched as much as possible on age, gender, and educational level.
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| Name | Affiliation | Role |
|---|---|---|
| Alexandra Dereux, PH (MD) | APHP | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fernand Widal Hospital | Paris | Île-de-France Region | 75010 | France |
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| ID | Term |
|---|---|
| D000437 | Alcoholism |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| At baseline (T1) |
| Impact of gender on the semantic association performance | At baseline (T1) |
| Impact of the duration of dependence on the semantic association performance | At baseline (T1) |
| Impact of cognitive performance on the semantic association performance | The Go /No Go performance will be collected in Alcohol use disorder patients | At baseline (T1) |
| Test of the predictive value of FGAT performance assessed at T1 on alcohol consumption during the six weeks following the Baseline | Baseline (T1) for FGAT ; T2 (6 weeks after T1) for alcohol consumption |
| Test of the predictive value of AJT performance assessed at T1 on alcohol consumption during the six weeks following the Baseline | Baseline (T1) for AJT ; T2 (6 weeks after T1) for alcohol consumption |
| Test of the predictive value of FGAT performance assessed at T1 on alcohol consumption during the three months following the Baseline | Baseline (T1) for FGAT ; T3 (3 months after T1) for alcohol consumption |
| Test of the predictive value of AJT performance assessed at T1 on alcohol consumption during the three months following the Baseline | Baseline (T1) for AJT ; T3 (3 months after T1) for alcohol consumption |
| Evolution of FGAT performance, comparison between alcohol use disorder patients and healthy controls | T1 (baseline) and T3 (3 months after baseline) |
| Evolution of AJT performance, comparison between alcohol use disorder patients and healthy controls | T1 (baseline) and T3 (3 months after baseline) |
| Link between the evolution of FGAT performance and the level of alcohol consumption | The level of alcohol consumption will be assessed using the Timeline Followback method | Baseline (T1) for FGAT and 3 months after baseline (T3) for FGAT and the level of alcohol consumption) |
| Link between the evolution of AJT performance and alcohol consumption | The level of alcohol consumption will be assessed using the Timeline Followback method | Baseline (T1) for AJT and 3 months after baseline (T3) for AJT and the level of alcohol consumption) |
| Link between the evolution of FGAT performance and the evolution of cognitive performance | The Go /No Go performance will be used in alcohol use disorder patients | Baseline (T1) and 3 months after baseline (T3) |
| Link between the evolution of AJT performance and the evolution of cognitive performance | The Go /No Go performance will be used in alcohol use disorder patients | Baseline (T1) and 3 months after baseline (T3) |