Document 0114 DOCN M9550114 TI High false alarm rates on a vigilance task may indicate recreational drug use. DT 9505 AU Damos DL; Parker ES; Institute of Safety and Systems Management, University of; Southern California 90089-0021. SO J Clin Exp Neuropsychol. 1994 Oct;16(5):713-22. Unique Identifier : AIDSLINE MED/95138234 AB Neuropsychologists need more sensitive methods to detect and measure recreational drug use in both research and clinical settings. In a study comparing the sensitivity of information processing tasks and neuropsychological instruments to detect early HIV-related cognitive decrements, 18 of 129 subjects tested positive for recreational drugs. Sixteen of these 18 subjects had elevated false alarm rates on one of the information processing tasks, the vigilance task. Another 45 subjects who tested negative for recreational drugs also had elevated false alarm rates. Neuropsychological measures of premorbid functioning, attention, speed of information processing, and manual dexterity were lower in the high false alarm subjects than in the remaining 66 drug-negative, low false alarm subjects. These results suggest that a high false alarm rate may reflect long-standing cognitive disturbances and the effects of drug use. The vigilance task may be a sensitive and efficient screening tool for recreational drug use. DE Adult Affect/DRUG EFFECTS Alcoholism/DIAGNOSIS/PSYCHOLOGY Attention/*DRUG EFFECTS AIDS Dementia Complex/DIAGNOSIS/PSYCHOLOGY Human HIV Seropositivity/DIAGNOSIS/PSYCHOLOGY Intelligence Tests Male Middle Age *Neuropsychological Tests Psychomotor Performance/*DRUG EFFECTS *Psychotropic Drugs Reaction Time/*DRUG EFFECTS Recall/DRUG EFFECTS *Street Drugs Substance Abuse/DIAGNOSIS/*PSYCHOLOGY Substance Abuse Detection Support, U.S. Gov't, Non-P.H.S. JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).