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Biomedical subjects

L L Judd

Publications and source records attributed to L L Judd.

At least 109 records · Page 6Linked to original sources

The effect of lithium carbonate on the cognitive functions of normal subjects.

The responses of 24 normal male subjects were compared after weeks of placebo administration and two weeks of lithium carbonate administration (mean serum lithium level, 0.9 mEq/liter) on a series of tasks of intellectual function, aesthetic judgement, and semantic creativity. This was a placebo-controlled, split-half crossover, double-blind design. There were no significant changes on semantic creativity or aesthetic perception measures following lithium carbonate maintenance. There were lithium carbonate-related performance deficits on three of five performance tasks concerned with cognitive and/or motor functions. The deficit is probably due to a lithium carbonate-induced slowing of performance, consistent with our previous report of subjective effects in normal subjects. The implications of slowing on possible behavioral mediating mechanisms by which lithium carbonate exerts its clinical effects are discussed.

Adult↗

Lithium carbonate and ethanol induced "highs" in normal subjects.

The responses of twenty-three normal male subjects to a standardized dose of 95% ethanol (1.32 ml/kg of body weight) were compared after two weeks of placebo and two weeks of therapeutic serum lithium ion levels (mean 0.91 mEq/liter). The study was a placebo controlled, split-half crossover, double-blind design. Prealcohol and postalcohol responses were assessed by self-rating scales of affect and mood, independent rater observation, perceptual-motor, and cognitive performance tasks. Pretreatment by lithium carbonate neither blocked nor dampened an alcohol-induced subjective "high" in normal subjects. A complex reciprocal interaction may exist between the effects of lithium and alcohol upon other behavioral attributes. Alcohol was seen to reverse aspects of lithium-induced dysphoria and there is a suggestion that lithium may attenuate alcohol-induced cognitive inefficiency.

Adult↗

Neuropsychological and EEG disturbances in polydrug users.

EEG and neuropsychological evaluation of 66 polydrug users revealed that 43% had EEG abnormalities and 45% had neuropsychological impairment 3 weeks after admission to a polydrug study unit. At 5-month follow-up, 27% of 30 retested subjects were still impaired neuropsychologically. Impairment may be related to extensive involvement with sedatives, alcohol, or heavy polydrug use. The authors suggest that cerebral dysfunction in polydrug users might be the result of organicity of intermediate duration and that deficits may be experienced by some beyond 5 months of reduced use or abstinence. Organicity may dictate structured, reality-based intervention techniques, especially early in treatment.

Adolescent↗

The effects of lithium carbonate upon subjective state changes induced by sodium pentobarbital.

Behavioral and mood changes were measured for 8 normal male subjects after oral administration of sodium pentobarbital (3 mg/kg body weight). This procedure was repeated on three occasions: firstly a drug-free condition; then a condition following two weeks of maintenance 0.7 to 1.2 MEQ/L lithium carbonate; and then another drug-free condition. Intial analyses indicated a lowering of the level of euphoria reached in the lithium pentobarbital condition below that achieved after pentobarbital alone. Examination of this effect showed that the reduction after pentobarbital plus lithium was mirrored by a reduction in the baseline for the same response items due to lithium alone. The lessening of euphoria appeared to result from a general lowering of affect due to lithium maintenance. More detailed analyses showed that the quantitative response to pentobarbital was in no case reduced by lithium condition. Certain reversal effects were also discovered in which lithium plus pentobarbital acted in the opposite direction from pentobarbital alone.

Adult↗