Semantic Networks in Alcohol Use Disorder Patients: Exploratory Study

Alcohol Use Disorder (AUD) is a major public health problem, characterized by a high rate of relapse. Chronic and excessive alcohol consumption notably induces frontal brain alterations and cognitive impairments such as executive dysfunction and an attentional bias for alcohol, participating to the risk of relapse. In effect, AUD patients preferentially process alcohol-related cues, which could reflect a reorganization of the patients' semantic network. The investigators hypothesize that in AUD patients, semantic associations in memory are reorganized with a higher centrality of alcohol-related elements. To the investigators knowledge, no studies have explored semantic associations and/or semantic networks in AUD.A study, conducted in patients with neurological damage, showed that frontal lesions are associated with excessive strength in semantic associations, and difficulties to generate remote associations. This excessive strength in semantic associations could reduce the ability to inhibit automatisms and to adapt to new context.Objective: The objective of this study is to explore whether and how AUD patients have a different organization of semantic associations than healthy controls, and whether this reorganization influences the alcohol consumption over the months following the withdrawal. The investigators will also explore how it relates to neuropsychological assessment of flexibility, executive functions, and impulsivity. To these purposes, the investigators will use two original verbal tasks (Free Generation of Associates Task, FGAT and Associative Judgment Task, AJT) assessing word associations and allowing the estimation of semantic networks using graph theory, in combination with neuropsychological testing, in AUD patients and in healthy controls.Methods: This study will include a group of 30 AUD patients and a group of 30 healthy controls. Both groups will be assessed twice, at baseline (T1; early in abstinence for AUD patients) and after a three-month period (T3). For the two groups, T1 and T3 assessments will include the two semantic association tasks (FGAT and AJT). For AUD patients, assessments will also involve neuropsychological testing of impulsivity, flexibility, and attentional bias. Besides, in AUD patients, data about alcohol consumptions will be collected six weeks (T2) and three months (T3) following the baseline assessment to classify patients as relapsers or abstainers.

Inclusion Criteria:For alcohol use disorder patientsSevere alcohol use disorderFrench as mother tongueRight-handerPatient abstinent from alcohol since 15 to 30 days at the inclusionPatient free from benzodiazepine since at least 48hours at the inclusionPatient who gave his informed written consentCurrently in outpatient or inpatient careFor healthy controlsFrench as mother tongueRight-handerParticipant who gave his informed written consentExclusion Criteria:For alcohol use disorder patientsPatient under guardianship or under justice safeguard measuresPatient under measure of therapeutic injunctionPregnancy or breastfeeding declaredMeeting Diagnostic and Statistical Manual 5 (DSM) criteria for substance use disorder other than TobaccoMeeting DSM-5 criteria for non substance use disorderPatient presenting severe or progressive disease that interfere with experimental tasks, such as neurological diseases (TBI, epilepsy, stoke) , hepatic diseases, cancer, HIV, Hepatitis C Virus (HCV), and unstable psychiatric comorbidities.For healthy controlsParticipant under guardianship or under justice safeguard measuresParticipant under measure of therapeutic injunctionPregnancy or breastfeeding declaredMeeting DSM-5 criteria for alcohol use disorderMeeting DSM-5 criteria for substance use disorder other than TobaccoMeeting DSM-5 criteria for non substance use disorderCurrently under benzodiazepineParticipant presenting severe or progressive disease that interfere with experimental tasks, such as neurological diseases (TBI, epilepsy, stoke) , hepatic diseases, cancer, HIV, HCV, and unstable psychiatric comorbidities.