ABSTRACT
The relationship between olfactory identification ability and MRI volumetric indices of specific cortical and subcortical brain regions was investigated in 36 recently detoxified male alcoholics. The results of correlational analyses between MRI indices and score on the University of Pennsylvania Smell Identification Test (UPSIT) revealed that impairment in olfactory identification was associated with elevated cortical and ventricular CSF volumes as well as with reduced tissue volumes in the cortical and subcortical grey matter. The volume of the thalamus was found to be a significant unique predictor of UPSIT score, even after accounting for variance shared with other MRI indices. These findings provide the first empirical support for existing hypotheses that olfactory loss in alcoholic subjects may be mediated by both cortical and subcortical structures.
Subject(s)
Alcoholism/physiopathology , Cerebral Cortex/pathology , Magnetic Resonance Imaging , Smell , Alcoholism/diagnosis , Alcoholism/psychology , Cognition , Humans , Image Processing, Computer-Assisted , Male , Reference ValuesABSTRACT
Olfactory functioning was evaluated in 37 male detoxified alcoholics and in 21 age-matched nonalcoholic controls using the University of Pennsylvania Smell Identification Test (UPSIT). Of the original subjects, 23 alcoholics and 14 controls returned for reevaluation 3-4 months following initial testing. The results showed that alcoholics had significantly lower UPSIT scores than did the controls, both at baseline and follow-up testing. Thirty-two percent of the alcoholics' UPSIT scores, in comparison to five percent of the controls' scores, fell into the clinically impaired range. Although current smoking patterns correlated significantly with UPSIT indices, comparisons limited to nonsmokers still indicated that the alcoholics were significantly impaired on this olfactory task. Correlational analyses indicated that olfactory performance was unrelated to alcoholics' scores on visuoconceptual and language tasks. Correlations with MR-derived indices of CSF volume showed a highly significant relationship between UPSIT scores and cortical sulcal volumes. Additionally, alcoholics (N = 15) who remained abstinent had significantly higher scores at follow-up than those who were not abstinent (N = 8). These findings demonstrate that alcoholism is associated with basic olfactory impairments which are only partially reversible with abstinence and that cortical structures play an important role in this sensory loss.
Subject(s)
Alcoholism/physiopathology , Smell/drug effects , Adult , Alcoholism/cerebrospinal fluid , Alcoholism/rehabilitation , Brain/pathology , Follow-Up Studies , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Smell/physiology , Smoking/physiopathologyABSTRACT
The P300 component of the event-related potential elicited with a two-tone auditory discrimination task and two-trial block replication procedure was obtained from 16 introverted and 16 extraverted undergraduate students. P300 demonstrated no overall significant effects for either the personality variable or the block variable. However, P300 amplitude to the target stimuli declined significantly between Block 1 and Block 2 for the extraverted subjects, but did not change across trial blocks for the introverted group. Female subjects tended to have larger P3 amplitudes than male subjects, but this factor did not interact with either the personality variable or the trial block variable. The results suggest that P3 amplitude habituates more rapidly for extraverts than for introverts.
