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. 2020 Sep 10;40(2):03. doi: 10.35946/arcr.v40.2.03
What We Know Factors That Influence Research Outcomes

Acute alcohol consumption
  • * Differences in task demands

  • * Heterogeneity of response to alcohol

  • * Small sample sizes

  • * Differences in study inclusion and exclusion criteria

  • * Cross-sectional vs. longitudinal study

  • * Important to control for variables such as

    • ♦ Age

    • ♦ Education

    • ♦ Socioeconomic status (SES)

    • ♦ Depression/anxiety symptoms

    • ♦ Smoking status

    • ♦ Drinking patterns

    • ♦ Alcohol-related pharmacokinetics

    • ♦ Hormonal differences

    • ♦ Nutritional status

    • ♦ Comorbid medical conditions

      • ▪ HIV

      • ▪ Hepatitis C

      • ▪ Non-alcohol substance misuse

      • ▪ Psychiatric conditions

      • ▪ Chronic pain


Deficits reported in women
  • Divided attention

  • Psychomotor speed

  • Working memory

  • Short-term memory

  • Set-shifting

  • Decision-making


Moderate drinking

Modest beneficial effects
  • Better overall cognitive ability

  • Slower rate of cognitive decline in aging

Increased risk of
  • Breast cancer

  • Gastrointestinal disorders

  • Infectious diseases


Chronic excessive alcohol consumption

Telescoping
Compared with men:
  • Women have shorter intervals between landmark events from the inception of drinking to entering treatment.

  • Women experience medical and health-related problems earlier, even when duration and amount of alcohol consumed are comparable between the sexes.

  • Women exhibit different patterns and severity of cognitive compromise, some modulated by sex-related emotional and social factors.