Recent evidence suggests that changes in brain structure associated
with alcohol abuse are compounded in individuals dually diagnosed with
alcohol abuse and schizophrenia. To investigate the separate, and possibly
interacting, effects of these diagnoses, an event-related brain potential
(ERP) measure of auditory information processing (P50 sensory gating
paradigm) and neuropsychological measures were administered to healthy
control participants with either (1a) no history of alcohol
abuse/dependence, or (1b) a remote history of alcohol
abuse/dependence, and patients with schizophrenia with either (2a) no
history of alcohol abuse/dependence, or (2b) a remote history of
alcohol abuse/dependence. Schizophrenia was associated with impaired
P50 sensory gating and poorer performance across neuropsychological scores
compared to measurements in healthy control participants. Those with a
positive alcohol history had impaired gating ratios in contrast to those
with a negative alcohol history. There were additive effects of
schizophrenia diagnosis and alcohol history for P50 sensory gating and for
neuropsychological scores: attention, working memory, and behavioral
inhibition. For executive attention and general memory there was an
interaction, suggesting that the combination of schizophrenia and history
of alcohol abuse results in greater impairment than that predicted by the
presence of either diagnosis alone. (JINS, 2006, 12,
34–44.)