COSMIN database

Comprehensive assessment of alcohol-related brain damage (ARBD): gap or chasm in the evidence?

Horton, L., Duffy, T., Hollins Martin, C., and Martin, C. R.
ACCESSIBLE SUMMARY: Alcohol-related brain damage (ARBD) causes a broad range of both neurological and neurocognitive impairment. Mental health nurses are required to provide programmes designed to facilitate individuals with chronic alcohol dependency to radically change their drinking behaviour, invariably with an abstinence focus. No evidence that related to the nutritional and physical intervention needs of this group was found. Most instruments used to access domains relevant to ARBD in terms of providing a comprehensive assessment have not been validated in this group. Alcohol-related brain damage (ARBD) is primarily caused by chronic alcohol misuse and thiamine deficiency, and results in a broad range of impairments. Despite the increasing incidence of ARBD in the UK in recent decades, it is currently underdiagnosed, managed inappropriately and treated inadequately. Moreover, information about assessments for individuals with ARBD is currently absent from clinical guidelines and policy documents. The aim of this paper was to review the evidence relating to the neurological, neuropsychological, psychosocial, physical and nutritional assessment of individuals with ARBD to identify appropriate assessment tools that could be used to measure and monitor the impact of ARBD over time. A systematic online database search revealed a total of 160 separate references, 133 of which were rejected and two of which could not be accessed. Twenty-five papers were included in the review, including six neuroimaging studies, 17 neuropsychological studies and two studies using psychosocial methods of assessment. A lack of evidence for nutritional and physical assessment of individuals with ARBD was found. The review findings are inconclusive; most instruments currently used in ARBD research have not specifically been validated for use within an ARBD context. Further research is required to identify comprehensive methods of ARBD assessment.
J Psychiatr Ment Health Nurs
1365-2850 (Electronic)
Publication year:
Biological and physiological variables:
Biological and physiological variables
Symptom status:
Cognitive/mental state
Physical state
Functional status:
Cognitive/mental functioning
Physical functioning
Adults (18-65)
Seniors (65+)
Diseases of and symptoms related to the nervous system
Mental and behavioural disorders and related symptoms
PRO / non-PRO:
Non-patient Reported Outcome
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
2 - Interviews
4 - Performance-based tests
6 - Clinical rating scales
7 - Observations
8 - Imaging tests
Achievement Measurement System
Affective Word Test
Auditory-Verbal Learning Test
BADS - Behavioural Assessment of the Dysexecutive Syndrome
Behavioural Face Recall and Recognition tests
BPRS - Brief Psychiatric Rating Scale
Brown-Peterson Paradigm
BSAT - Brixton Spatial Anticipation Test
Cambridge Mental Disorders of the Elderly Examination
CANTAB - Cambridge Neuropsychological Test Automated Battery (versions: CANTAB-Mobile; CANTAB-Spatial working memory)
CB-TT - Corsi Block Tapping Task
CDR - Clinical Dementia Rating scale
CES-D - Centre for Epidemiologic Studies-Depression Scale   
CET - Cognitive Estimation Test
Concurrent Object Discrimination Task
DPT - Doors and People Test
Ecological Memory Test
Emotional Picture Task
FAS - Word Naming (FAS) Test
fMRI - Functional magnetic resonance imaging
Fragmented Pictures Test
Game of Dice Task
GDS - Geriatric Depression Scale   
Graded Naming Test
Grober and Buschke Test
Groningen Intelligence Test
HAM-D - Hamilton Rating Scale for Depression [alias: HDRS][alias: HRSD]   
LSP - Life Skills Profile
Memory Assessment Scales
Memo Test
Mirror Reading Test
MMSE - Mini-Mental State Examination   
MRI - Magnetic Resonance Imaging (versions: 2D MRI; 3D MRI)
N-2 Paradigm
NART - National Adult Reading Test
OPIE-3 - Oklahoma Premorbid Intelligence Estimate-3
PET - Positron Emission Tomography
POMS - Profile of Mood States
Porteus Mazes
Progressive Planning Test
Public Events Recognition List
Qualidem scale
Raven’s Standard Progressive Matrices
RAVLT - Rey Auditory Verbal Learning Test
RBMT - Rivermead Behavioural Memory Test (AND - RMBT extended version)
Reading Speed Priming Test
Release from Proactive Interference
Remember/Know/Guess Paradigm
Rey Osterreith Complex Figure
Ruff Figural Fluency Test
Semantic Classification Test
Signoret’s Memory Battery
Spondee Test
Stroop test(s) [alias: Visual Stroop Test] [alias: Auditory Stroop Test]
Test Battery for Attentional Performance
TMT - Trail Making Test
ToH - Tower of Hanoi puzzle
ToL - Tower of London Task [alias: London Tower]
Verbal and Spatial Span tasks
VOSP - Visual Object Space Perceptual Battery
WAIS - Wechsler Adult Intelligence Scale
Warrington Recognition Memory Test
WCST - Wisconsin Card Sorting Test
Wechsler Memory Scales - (WMS-R, WMS-III, WMS-IV)
Williams Delayed Recall Test