Cognitive |
Binge/heavy drinking vs control: |
Sustained effects into adulthood: |
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↓ Immediate recall (short-term memory) (53, 63) |
↓ Executive functioning (92–94) |
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↓ Delayed retention, recall (long-term memory) (53, 57, 58, 63) |
↑ Risk-taking (94, 95, 97–100) |
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↓ Learning (57, 58) |
↑ Impulsivity (94, 95, 97–100) |
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↓ Visuospatial function (58) |
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↓ Working memory (52, 53) |
Adolescent-specific effects: |
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↓ Learning (101–103) |
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Dose-dependent relationships: |
↓ Memory (101–103) |
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↑ Alcohol use = |
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↓ General cognitive functioning (57) |
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↓ Verbal memory (54, 60, 61) |
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↓ Executive functioning (60) |
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↓ Semantic clustering (60) |
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↓ Reading skills (60) |
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↓ Visuospatial function (54) (females only (62)) |
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↑ Impulsivity (59) |
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↑ Withdrawal / hangovers symptoms = |
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↓ General cognitive functioning (60) |
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↓ Psychomotor speed (54) |
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↓ Attention (males) (62) |
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Neural |
Binge/heavy drinking vs control: |
Sustained effects into adulthood: |
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↓ Gray matter volume, particularly frontal, temporal (65–69) |
↓ Gray matter volume (106) |
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↓ White matter growth (66–70) |
↓ Cortical thickness (107) |
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↓ White matter integrity (71–73) |
↓ White matter integrity (106, 109–112) |
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↑ Cerebrospinal fluid volume cerebellum (66) |
↓ Synaptic plasticity (101) |
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↑ Brain activation during executive functioning (79, 80) |
↓ Connectivity between brain regions (108) |
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↓ Brain activation during reward |
↓ Neurogenesis (129–135) |
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sensitivity tasks (81, 82) |
↑ Neuroinflammation (138) |
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↑ P3 amplitdue, particular fronto-parietal during executive functioning and attentional control (85–87) |
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Dose-dependent relationships: |
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Dose-dependent relationships: |
↑ GABA inhibitory tone on dopamine system = |
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↑ Alcohol use = |
↑ Risky decision-making (124) |
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↑ Gray matter frontal volume (65) |
↑ Cholinergic tone = |
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↑ Brain activation during reward sensitivity tasks (81) |
↑ Disinhibition (99) |
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↑ Risk-taking (125) |
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↓ Executive functioning (127) |