Smoking makes it harder for brains of problem drinkers to recover from alcohol abuse, according to a new study.
Previous research has shown that alcohol-dependent individuals (ALC) sustain neurocognitive impairment even after detoxification.
The new study examined specific domains of cognitive recovery in conjunction with smoking status.
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"There have been few longitudinal studies that have specifically studied the effects of cigarette smoking on cognitive recovery in ALC during abstinence," said Timothy C Durazzo, associate professor in the department of radiology and biomedical imaging at the University of California San Francisco, and corresponding author for the study.
Durazzo and his colleagues examined a total of 133 ALC participants - 30 had never smoked, 28 were former smokers, and 75 were active smokers - as well as 39 never-smoking "control" participants.
Approximately 89 per cent of the participants were male. All of the participants were given standardised measures of auditory-verbal and visuospatial learning and memory, processing speed, and working memory.
Assessments after one week, four weeks, and eight months of abstinence for the ALC group allowed a comparison of the rates of neurocognitive changes from one to four weeks versus one to eight months of abstinence.
The controls completed a baseline assessment and a follow-up approximately nine months later.
"We found that, overall, the ALC as a group showed the greatest rate of recovery on most abilities during the first month of abstinence," said Durazzo.
"Over eight months of sustained abstinence from alcohol, active-smoking ALC showed poorer recovery than never-smoking ALC on measures of learning, and both former-smoking ALC and active-smoking ALC recovered less than never-smoking ALC on processing speed measures.
"In addition, after eight months of abstinence, active-smoking ALC performed worse than both controls and never-smoking ALC on most measures, former-smoking ALC performed worse than never-smoking ALC on several tests, but never-smoking ALC were not different from controls on any measure.
"Overall, the findings indicated never-smoking ALC showed full recovery on all measures after 8 months of sustained abstinence from alcohol," Durazzo said.
The study will be published in the journal Alcoholism: Clinical & Experimental Research.