ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2017
Multifocal cognitive dysfunction in high-dose benzodiazepine users: a cross-sectional study.
Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A Systematic Review of Cognition in Cervical Dystonia.Neuropsychology review · 2024Pooled it
- The Effects of Benzodiazepine Use and Abuse on Cognition in the Elders: A Systematic Review and Meta-Analysis of Comparative Studies.Frontiers in psychiatry · 2020Pooled it
- Corticosteroids and Cognition: A Meta-Analysis.Neuropsychology review · 2019Pooled it
- Hypnotic doses of fazamorexant induced less impairment on balance and cognition than zolpidem in healthy younger and elderly individuals.British journal of clinical pharmacology · 2026Trial
- Benzodiazepine Use Among Individuals with Opioid Use Disorder: A Narrative Review.Substance abuse and rehabilitation · 2025Review
- Electrophysiological and Neuropsychological Indices of Cognitive Dysfunction in Patients with Chronic Insomnia and Severe Benzodiazepine Use Disorder.Brain sciences · 2023Article
- Benzodiazepines in sport, an underestimated problem: Recommendations for sports medicine physicians' practice.Frontiers in psychiatry · 2022Article
- Benzodiazepine high-doses: The need for an accurate definition.International journal of methods in psychiatric research · 2021Review
- Cognitive Behavioral Therapy and Acceptance and Commitment Therapy for the Discontinuation of Long-Term Benzodiazepine Use in Insomnia and Anxiety Disorders.International journal of environmental research and public health · 2021Review
- Adult attention-deficit/hyperactivity disorder symptoms, cognitive dysfunction and quality of life in high-dose use of benzodiazepine and Z-drug.Journal of neural transmission (Vienna, Austria : 1996) · 2021Article
- Risk of hospitalization associated with benzodiazepines and z-drugs in Italy: a nationwide multicentre study in emergency departments-comment.Internal and emergency medicine · 2021Article
- High-dose lormetazepam dependence: strange case of Dr. Jekyll and Mr. Hyde-reply.Internal and emergency medicine · 2020Article
- High-Dose Dependence and Cognitive Side Effects to Medical Prescription of Etizolam.Frontiers in psychiatry · 2020Article
- Towards a Redefinition of Cognitive Frailty.Journal of Alzheimer's disease : JAD · 2020Review
- Detoxification Improves Multidomain Cognitive Dysfunction in High-Dose Benzodiazepine Abusers.Frontiers in neuroscience · 2020Article
- Is Long-Term Benzodiazepine Use a Risk Factor for Cognitive Decline? Results of a Systematic Review.Journal of addiction · 2020Review
- Beyond Prescriptions Monitoring Programs: The Importance of Having the Conversation about Benzodiazepine Use.Journal of clinical medicine · 2019Article
- High-dose lormetazepam dependence: strange case of Dr. Jekyll and Mr. Hyde.Internal and emergency medicine · 2019Article
- Rare Diseases Day and Brain Awareness Week: the active participation of Neurological Sciences.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019Article
- A Review of Cognitive Outcomes Across Movement Disorder Patients Undergoing Deep Brain Stimulation.Frontiers in neurology · 2019Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Benzodiazepines (BZDs) are the most widely prescribed drug class in developed countries, but they have high potential for tolerance, dependence and abuse. Cognitive deficits in long-term BZD users have long been known, but previous results might have been biased by patients' old age, coexisting neurological or psychiatric conditions or concurrent alcohol or psychotropic drug dependence. The study was aimed to explore the neuropsychological effect of high-dose BZD dependence, which represents an emerging addiction phenomenon. We recruited a group of high-dose BZD users with neither neurological or psychiatric comorbidity except anxiety or depression nor concurrent alcohol or psychotropic drug dependence. They underwent a battery of cognitive tests to explore verbal, visuospatial memory, working memory, attention, and executive functions. All the neuropsychological measures were significantly worse in patients than controls, and some of them were influenced by the BZD cumulative dose. The severity of depression and anxiety had a minimal influence on cognitive tests. Patients with high-dose BZD intake show profound changes in cognitive function. The impact of cognition should be considered in this population of patients, who may be involved in risky activities or have high work responsibilities.
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