Sue Scheff: Alcohol and The Teen Brain

Source: Connect with Kids

“And one important difference we found…was that the kids with the heavy drinking patterns were not able to retain as much information as the kids who were non-drinkers.”
– Susan Tapert, Ph.D., clinical psychologist

16-year-old Veronica Dyer is taking part in a long-term study. The National Institutes of Health is examining the effects of alcohol on the teenage brain.

“And one important difference we found…was that the kids with the heavy drinking patterns were not able to retain as much information as the kids who were non-drinkers,“ says Susan Tapert, Ph.D., a clinical psychologist involved in the study.

“The subject on the left is a normal, healthy 15-year-old boy,” says Tapert, as she looks as brain images, “and the subject on the right is a 15-year-old boy who is actually a very heavy drinker. You can see that this is a really important area of the brain for remembering locations of things, and over here – nothing. [The heavy drinker] is not using these important brain areas to do this task, and as a result he actually didn’t perform as well on the task.”

Teens who drink twice a week consistently scored an average of ten percent lower on short-term memory tests, compared to non-drinkers.

In other words, says Tapert, “the heavy drinker is more likely to get a B, whereas the non-drinker would be able to get an A. So it’s kind of that amount of a difference.”
16-year-old K.T. Taylor says she’s been drinking heavily for four years. Now in rehab, Taylor says the alcohol has affected her memory.

“Yeah, my memory changed a lot,” she says. “I can’t remember anything anymore. I still do good on my tests – it’s just more effort than I used to have to put into it.”
Has K.T. suffered any long-term damage from drinking? No one knows. But Veronica isn’t taking that risk.

“I personally have never drunken even an entire drink of alcohol,” she says. “A lot of my friends have and I have seen how it affected them. They’re slower in school and that’s all they think about doing. And they become addicted to it in a way and I don’t want to be into that, so I don’t do it.”

Tips for Parents

Research shows that adolescents may be more vulnerable to brain damage from excessive drinking than older drinkers. Alcohol impairs brain activity in the receptors responsible for memory and learning, and young people who binge drink could be facing serious brain damage today and increased memory loss in years to come. If one begins drinking at an early age, he/she is more likely to face alcohol addiction. Consider the following …

Imaging studies have revealed a connection between heavy drinking and physical brain damage.
Neither chronic liver disease nor alcohol-induced dementia, the most common symptoms of severe alcoholism, need be present for alcohol-induced, physical brain damage to occur.
Alcohol-induced brain damage usually includes extensive shrinkage in the cortex of the frontal lobe, which is the site of higher intellectual functions.

Shrinkage has also been observed in deeper brain regions, including the cerebellum, which helps regulate coordination and balance, and brain structures associated with memory.

Alcohol abstinence has shown positive results. Even three to four weeks without alcohol can reverse effects on memory loss and problem-solving skills.

Adolescents have a better chance of recovery because they have greater powers of recuperation. If you suspect your child has alcohol-related brain damage, it is imperative to have him or her assessed by a medical doctor or psychologist. Treatment depends on the individual and the type of brain damage sustained. People with impaired brain function can be helped. Often it is necessary to reduce the demands placed on the patient. Also, a predictable routine covering all daily activities can help. Consider the following points when easing your child’s routine …
Simplify information. Present one idea at a time.

Tackle one problem at a time.

Allow your child to progress at his or her own pace.
Minimize distractions.
Avoid stressful situations.
Structure a schedule with frequent breaks and rest periods.
Consider joining an alcoholism support group.

References
Alcoholism Home Page
Better Health Channel
National Youth Violence Prevention Center
Psychological Assessment Research and Treatment Services
Substance Abuse and Mental Health Administration

Parents Universal Resource Experts (Sue Scheff) Binge Drinking and Teens

By Connect with Kids

“There’s this idea that drinking, getting drunk, being a part of a group … is somehow a part of our growing up, and everybody’s going to do it.”

– Robert Margolis, Ph.D., clinical psychologist

Binge drinking is considered to be a rite of passage for teenagers across the country. “I drank a liter of tequila in an hour, and I went to this pizza place, and I passed out in the parking lot. I woke up the next morning,” remembers Cleophus Randolph, a 22-year-old college student.

Suzanne Graham had a similar experience: “This summer I went kind of crazy, the summer after senior year, I passed out in someone’s backyard. It was not good, and I was throwing up pretty heavily the next day and all that night.”

The consequences can range from sickness to far worse — “where they don’t get a second chance because they get alcohol poisoning. Their heart rate and their body metabolism slows down and, for whatever reason, they don’t recover from it. If you drink enough alcohol you die,” explains Dr. Robert Margolis, clinical psychologist.

His advice is to set clear boundaries for your children. Tell them what to expect, teach them how to say no, and, most of all, start early. He says middle school is the perfect time. “Those are the years when you really need to start talking about those messages, so you can help them form appropriate expectations about drinking, particularly in regard to important issues like, you can be accepted without having to drink.”

Dr. Margolis empathizes with parents who feel they’re standing alone against a part of the culture that believes teenage drinking is inevitable. “There’s this idea that drinking, getting drunk, being a part of a group, that we’re all gonna go out and get drunk, is somehow a part of our growing up, and everybody’s going to do it.”

And, sadly every year some kids die — an estimated 1,400 students die from alcohol related causes. Another 500,000 suffer serious injuries. In fact, getting “wasted” is so common that some kids even think it’s funny, like 18-year-old Jason Morgan: “I’ve had friends just outside the door, heaving. It wasn’t bad, it was a good time for most, and entertaining for the sober people to laugh at them, so it was pretty fun.”

Tips for Parents

Research defines binge drinking as having five or more drinks in a row. Reasons adolescents give for binge drinking include: to get drunk, the status associated with drinking, the culture of drinking on campus, peer pressure and academic stress. Binge drinkers are 21 times more likely to: miss class, fall behind in schoolwork, damage property, injure themselves, engage in unplanned and/or unprotected sex, get in trouble with the police, and drink and drive.

Young people who binge drink could be risking serious damage to their brains now and increasing memory loss later in adulthood. Adolescents may be even more vulnerable to brain damage from excessive drinking than older drinkers. Consider the following:

The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.

Underage drinking causes over $53 billion in criminal, social and health problems.

Seventy-seven percent of young drinkers get their liquor at home, with or without permission.

Students who are binge drinkers in high school are three times more likely to binge drink in college.

Nearly 25 percent of college students report frequent binge drinking, that is, they binged three or more times in a two-week period.

Autopsies show that patients with a history of chronic alcohol abuse have smaller, less massive and more shrunken brains.

Alcohol abstinence can lead to functional and structural recovery of alcohol-damaged brains.
Alcohol is America’s biggest drug problem. Make sure your child understands that alcohol is a drug and that it can kill him/her. Binge drinking is far more pervasive and dangerous than boutique pills and other illicit substances in the news. About 1,400 students will die of alcohol-related causes this year. An additional 500,000 will suffer injuries.

A study by the Harvard School of Public Health showed that 51 percent of male college students and 40 percent of female college students engaged in binge drinking in the previous two weeks. Half of these drinkers binged frequently (more than three times per week). College students who binge drink report:

Interruptions in sleep or study habits (71 percent).
Caring for an intoxicated student (57 percent).
Being insulted or humiliated (36 percent).
An unwanted sexual experience (23 percent).
A serious argument (23 percent).
Damaging property (16 percent).
Being pushed, hit or assaulted (11 percent).
Being the victim of a sexual advance assault or date rape (1 percent).

Students must arrive on college campuses with the ability to resist peer pressure and knowing how to say no to alcohol. For many youngsters away from home for the first time, it is difficult to find the courage to resist peer pressure and the strength to answer peer pressure with resounding no. Parents should foster such ability in their child's early years and nurture it throughout adolescence. Today’s youth needs constant care from parents and community support to make the best decisions for their wellbeing.

References
Centers for Disease Control and Prevention
Harvard School of Public Health
National Youth Violence Prevention Center