Alcohol and Alcoholism Advance Access originally published online on May 29, 2008
Alcohol and Alcoholism 2008 43(4):498; doi:10.1093/alcalc/agn038
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Letter to the Editor
Residual Effects of Alcohol on Skilled Performance
National Drug and Alcohol Research Centre, UNSW, Sydney 2052, Australia
* Corresponding author: E-mail: jim.lemon{at}unsw.edu.au
;
On reading the paper by Stephens et al., 2008
, I note some minor inaccuracies concerning a study on which I collaborated (Lemon et al., 1993
). The study was criticized for not verifying zero BAL at testing, while in fact BAL was tested to ensure lack of intoxication in the post-intoxication phase (see Lemon et al., 1993
; Table 1) although as noted in Table 1 in Stephens et al., 2008
, the values were not reported. The lack of detectable BAL was not surprising given the interval of twelve and one-quarter hours (Stephens et al., 2008
; Table 1 suggests that this was 11 h) between the end of drinking and the commencement of post-intoxication testing. This interval would ensure virtually complete clearance of the highest dose of alcohol administered, even in subjects with unusually slow absorption rates (Norberg et al., 2003
). The divided attention task used to assess skilled performance showed a strong dose-dependent deterioration in performance during intoxication, but there was no indication of such a deterioration during post-intoxication testing. This outcome, although unexpected, emphasized the difference between hangover and post-intoxication performance (Lemon, 1993
) and alerted us to the fact that there is more to the association of drinking with poor performance on the following day than just alcohol. As Verster (2008
) points out in the accompanying comment, fatigue often follows lengthy drinking sessions and our subjects were in general well rested.
References
Lemon J. Alcoholic hangover and performance: a review. Drug Alcohol Rev (1993) 12:299–314.[CrossRef][Medline]
Lemon J, Chesher G, Fox A, et al. Investigation of the hangover effects of an acute dose of alcohol on psychomotor performance. Alcohol Clin Exp Res (1993) 17:665–8.[CrossRef][Web of Science][Medline]
Norberg A, Jones AW, Hahn RG, et al. Role of variability in explaining ethanol pharmacokinetics: research and forensic applications. Clin Pharmacokinet (2003) 42:1–31.[CrossRef][Web of Science][Medline]
Stephens R, Ling J, Heffernan TM, et al. A review of the literature on the cognitive effects of alcohol hangover. Alcohol Alcohol (2008) 43:163–70.
Verster J. The alcohol hangover—a puzzling phenomenon. Alcohol Alcohol (2008) 34:124–6.
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