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Neurocognitive Effects of Methamphetamine: A Critical Review and Meta-analysis
Authors:J Cobb Scott  Steven Paul Woods  Georg E Matt  Rachel A Meyer  Robert K Heaton  J Hampton Atkinson  Igor Grant
Institution:(1) Joint Doctoral Program in Clinical Psychology, San Diego State University and University of California, San Diego, CA 92120, USA;(2) Department of Psychiatry (0847), School of Medicine, University of California, San Diego, La Jolla, CA 92093, USA;(3) Department of Psychology, San Diego State University, San Diego, CA 92182, USA;(4) HIV Neurobehavioral Research Center, Department of Psychiatry (0847), University of California, San Diego, 150 West Washington Street, 2nd floor, San Diego, CA 92103, USA
Abstract:This review provides a critical analysis of the central nervous system effects of acute and chronic methamphetamine (MA) use, which is linked to numerous adverse psychosocial, neuropsychiatric, and medical problems. A meta-analysis of the neuropsychological effects of MA abuse/dependence revealed broadly medium effect sizes, showing deficits in episodic memory, executive functions, information processing speed, motor skills, language, and visuoconstructional abilities. The neuropsychological deficits associated with MA abuse/dependence are interpreted with regard to their possible neural mechanisms, most notably MA-associated frontostriatal neurotoxicity. In addition, potential explanatory factors are considered, including demographics (e.g., gender), MA use characteristics (e.g., duration of abstinence), and the influence of common psychiatric (e.g., other substance-related disorders) and neuromedical (e.g., HIV infection) comorbidities. Finally, these findings are discussed with respect to their potential contribution to the clinical management of persons with MA abuse/dependence.
Keywords:Central nervous system  Methamphetamine  Abuse  Dependence  Neuropsychological assessment  Cognition
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