Background: the objective of our study was to evaluate the evolution of cognitive functions in patients with alcohol disorders who were hospitalized for six weeks in an addictology rehabilitation unit. Each patient received an on-site cognitive remediation programme. Methods: patients who were suspected of having cognitive disorders upon admission based on a MoCA (Montreal cognitive assessment) score < 26 were retrospectively included in this study. Another MoCA was performed at discharge. Patients remained abstinent throughout their stay. Cognitive remediation was performed by different professionals. The programme was based on mental and physical training. The evolution of cognitive disorders was assessed using the MoCA score variation from admission to discharge. Results: 491 patients were included, 402 men and 89 women (mean age: 50.2 ± 9.7 years). The MoCA score was severely (≤ 21) or moderately (22-25) diminished in respectively 44.6 % and 55.4 % of patients. MoCA scores were improved in 84 % of the patients. These improvements were more pronounced in patients with greater initial cognitive dysfunction. This corresponds with an overall improvement of all measured functions, with similar kinetics in all patients. Discussion: hospitalisation in an addictology rehabilitation unit, where abstinence is strict and patients benefit from a cognitive remediation program, enables cognitive functions to improve, even in the most affected patients. The results of this study lack a control group and thus do not enable us to define the relative impacts of abstinence and cognitive remediation.
The cognitive rehabilitation (CR) for patients with alcohol use disorder (AUD) is proposed during prolonged institutional stays.However, the results of such a program remain poorly known.The aim of this study was to describe the primary results of a 6-week CR performed in an AUD treatment center.Patients and Methods: We retrospectively selected from our files AUD patients with following criteria: cognitive deficit assessed by the Montréal Cognitive Assessment (MoCA) at admission (i.e.MoCA < 26); evaluation at discharge; absence of neurological disease or a severe psychiatric trouble.The 6-week CR program is specifically adapted to the diagnosed abnormalities, and is performed by several
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