Social Psychiatry and Psychiatric Epidemiology

, Volume 48, Issue 12, pp 1993–2005 | Cite as

Associations between IQ and alcohol consumption in a population of young males: a large database analysis

  • Mario Müller
  • R. Kowalewski
  • S. Metzler
  • A. Stettbacher
  • W. Rössler
  • S. Vetter
Original Paper

Abstract

Purpose

This study aimed at exploring the relationship between intelligence quotient (IQ) and alcohol consumption in a large sample of young males. This study explored whether IQ influences alcohol drinking and which pathways might be involved. We further hypothesized that IQ differences between lifetime abstainers and former drinkers exist, and that they primarily result from different group characteristics.

Method

Within a psychiatric-epidemiological survey using a cross-sectional design IQ-tests were administered to approximately 50,000 Swiss conscripts at age of about 20 years. The sample was divided into four alcohol consumption categories (rare, occasional, moderate and daily drinking) and two non-drinker categories (former drinking and lifetime abstinence). Probabilities for different levels of consumption or former drinking against lifetime abstention in relation to IQ were estimated using multinomial logistic regression. Models were adjusted for education, disability pension, tobacco/cannabis use, migration, parental alcohol disorders, and mental health.

Results

After adjusting for confounders full-scale IQ displayed positive associations with being a rare (OR 1.13; CI 95 % 1.07–1.19), occasional (OR 1.41; CI 95 % 1.33–1.48), and moderate drinker (OR 1.53; CI 95 % 1.45–1.62), and negative associations with being a former drinker (OR 0.85; CI 95 % 0.79–0.93). Daily drinking was positively associated only with the performance subscale IQ (OR 1.12; CI 95 % 1.02–1.22). Confounders contributed significantly to the IQ–alcohol association and, therefore, highlight the distinction of non-drinkers into lifetime abstainers and former drinkers.

Conclusions

Our data confirmed the positive link between IQ and moderate drinking. Lower IQ in non-drinkers, however, seems to be related to earlier consumption and the presence of other risk factors.

Keywords

IQ Alcohol consumption Alcohol abstainers Confounders Full population survey 

Notes

Acknowledgments

The authors would like to thank Major Dr. Franz Frey, Head of the Medical Services of the Swiss Armed Forces, for allowing access to the data and for his valued assistance and support. Additional thanks to Lorna McBroom for proofreading the final version of the manuscript.

Conflict of interests

The authors declare that they have no conflict of interests.

References

  1. 1.
    Johnson W, Hicks BM, McGue M, Iacono WG (2009) How intelligence and education contribute to substance use: hints from the Minnesota Twin Family Study. Intelligence 37(6):613–624. doi: 10.1016/j.intell.2008.12.003 PubMedCrossRefGoogle Scholar
  2. 2.
    Fan X, O’Donnell A, Singh SP, Pungan R, Perlmuter LC (2008) Light to moderate alcohol drinking is associated with higher cognitive function in males with type 2 diabetes. Exp Aging Res 34(2):126–137. doi: 10.1080/03610730701876953 PubMedCrossRefGoogle Scholar
  3. 3.
    Stampfer MJ, Kang JH, Chen J, Cherry R, Grodstein F (2005) Effects of moderate alcohol consumption on cognitive function in women. N Engl J Med 352(3):245–253. doi: 10.1056/NEJMoa041152 PubMedCrossRefGoogle Scholar
  4. 4.
    Elias PK, Elias MF, D’Agostino RB, Silbershatz H, Wolf PA (1999) Alcohol consumption and cognitive performance in the Framingham Heart Study. Am J Epidemiol 150(6):580–589PubMedCrossRefGoogle Scholar
  5. 5.
    Arntzen KA, Schirmer H, Wilsgaard T, Mathiesen EB (2010) Moderate wine consumption is associated with better cognitive test results: a 7 year follow up of 5033 subjects in the Tromso study. Acta Neurol Scand Suppl 190:23–29. doi: 10.1111/j.1600-0404.2010.01371.x PubMedCrossRefGoogle Scholar
  6. 6.
    Andreasson S (1998) Alcohol and J-shaped curves. Alcohol Clin Exp Res 22(7 Suppl):359S–364SPubMedCrossRefGoogle Scholar
  7. 7.
    Leifman H, Kuhlhorn E, Allebeck P, Andreasson S, Romelsjo A (1995) Abstinence in late adolescence–antecedents to and covariates of a sober lifestyle and its consequences. Soc Sci Med 41 (1):113–121. pii 0277953694002988Google Scholar
  8. 8.
    Anttila T, Helkala EL, Viitanen M, Kareholt I, Fratiglioni L, Winblad B, Soininen H, Tuomilehto J, Nissinen A, Kivipelto M (2004) Alcohol drinking in middle age and subsequent risk of mild cognitive impairment and dementia in old age: a prospective population based study. BMJ 329(7465):539. doi: 10.1136/bmj.38181.418958.BE PubMedCrossRefGoogle Scholar
  9. 9.
    Neafsey EJ, Collins MA (2011) Moderate alcohol consumption and cognitive risk. Neuropsychiatr Dis Treat 7:465–484. doi: 10.2147/NDT.S23159 PubMedCrossRefGoogle Scholar
  10. 10.
    Green A, Garrick T, Sheedy D, Blake H, Shores EA, Harper C (2010) The effect of moderate to heavy alcohol consumption on neuropsychological performance as measured by the repeatable battery for the assessment of neuropsychological status. Alcohol Clin Exp Res 34(3):443–450. doi: 10.1111/j.1530-0277.2009.01108.x PubMedCrossRefGoogle Scholar
  11. 11.
    Corley J, Jia X, Brett CE, Gow AJ, Starr JM, Kyle JA, McNeill G, Deary IJ (2011) Alcohol intake and cognitive abilities in old age: the Lothian Birth Cohort 1936 Study. Neuropsychology 25(2):166–175. doi: 10.1037/a0021571 PubMedCrossRefGoogle Scholar
  12. 12.
    Schinka JA, Vanderploeg RD, Rogish M, Ordorica PI (2002) Effects of alcohol and cigarette use on cognition in middle-aged adults. J Int Neuropsychol Soc 8(5):683–690PubMedCrossRefGoogle Scholar
  13. 13.
    Kanazawa S, Hellberg JEEU (2010) Intelligence and substance use. Rev Gen Psychol 14(4):382–396. doi: 10.1037/A0021526 CrossRefGoogle Scholar
  14. 14.
    Batty GD, Deary IJ, Macintyre S (2006) Childhood IQ and life course socioeconomic position in relation to alcohol induced hangovers in adulthood: the Aberdeen children of the 1950 s study. J Epidemiol Community Health 60(10):872–874. doi: 10.1136/jech.2005.045039 PubMedCrossRefGoogle Scholar
  15. 15.
    Mortensen LH, Sorensen TI, Gronbaek M (2005) Intelligence in relation to later beverage preference and alcohol intake. Addiction 100(10):1445–1452. doi: 10.1111/j.1360-0443.2005.01229.x PubMedCrossRefGoogle Scholar
  16. 16.
    Goretti B, Portaccio E, Zipoli V, Hakiki B, Siracusa G, Sorbi S, Amato MP (2010) Impact of cognitive impairment on coping strategies in multiple sclerosis. Clin Neurol Neurosurg 112 (2):127–130. doi: 10.1016/j.clineuro.2009.10.019 Google Scholar
  17. 17.
    Goretti B, Portaccio E, Zipoli V, Razzolini L, Amato MP (2010) Coping strategies, cognitive impairment, psychological variables and their relationship with quality of life in multiple sclerosis. Neurol Sci 31(Suppl 2):S227–S230. doi: 10.1007/s10072-010-0372-8 PubMedCrossRefGoogle Scholar
  18. 18.
    Mortensen EL, Jensen HH, Sanders SA, Reinisch JM (2006) Associations between volume of alcohol consumption and social status, intelligence, and personality in a sample of young adult Danes. Scand J Psychol 47(5):387–398. doi: 10.1111/j.1467-9450.2006.00520.x PubMedCrossRefGoogle Scholar
  19. 19.
    Huth C, Siegert N, Meisinger C, Konig J, Kaab S, Wichmann HE, Doring A (2007) Individuals with very low alcohol consumption: a heterogeneous group. J Stud Alcohol Drugs 68(1):6–10PubMedGoogle Scholar
  20. 20.
    Fonnebo V (1992) Mortality in Norwegian Seventh-Day Adventists 1962–1986. J Clin Epidemiol 45(2):157–167 0895-4356(92)90008-B [pii]PubMedCrossRefGoogle Scholar
  21. 21.
    Kjaerheim K, Andersen A, Helseth A (1993) Alcohol abstainers: a low-risk group for cancer—a cohort study of Norwegian teetotalers. Cancer Epidemiol Biomarkers Prev 2(2):93–97PubMedGoogle Scholar
  22. 22.
    Meyers AR, Hingson R, Mucatel M, Heeren T, Goldman E (1985) The social epidemiology of alcohol use by urban older adults. Int J Aging Hum Dev 21(1):49–59PubMedCrossRefGoogle Scholar
  23. 23.
    Graham K (1998) Alcohol abstention among older adults: reasons for abstaining and characteristics of abstainers. Addict Res 6(6):473–487CrossRefGoogle Scholar
  24. 24.
    Saarni SI, Joutsenniemi K, Koskinen S, Suvisaari J, Pirkola S, Sintonen H, Poikolainen K, Lonnqvist J (2008) Alcohol consumption, abstaining, health utility, and quality of life—a general population survey in Finland. Alcohol Alcohol 43(3):376–386. doi: 10.1093/alcalc/agn003 PubMedCrossRefGoogle Scholar
  25. 25.
    Anstey KJ, Windsor TD, Rodgers B, Jorm AF, Christensen H (2005) Lower cognitive test scores observed in alcohol abstainers are associated with demographic, personality, and biological factors: the PATH Through Life Project. Addiction 100(9):1291–1301. doi: 10.1111/j.1360-0443.2005.01159.x PubMedCrossRefGoogle Scholar
  26. 26.
    Foppa N, Roduner K, Oberwiler A (1997) Die Konstruktvalidität des Test 95. Abteilung Angewandte Psychologie der Universität, ZürichGoogle Scholar
  27. 27.
    Huber R (1999) Test 95. Von der Planung bis zur Einführung eines Kurzintelligenztests, LangGoogle Scholar
  28. 28.
    Althoff K, Jäger AO (1983) Der WILDE-Intelligenz-Test—Ein Strukturdiagnostikum. Hogrefe, GöttingenGoogle Scholar
  29. 29.
    Ekstrom R, French JW, Harman HH (1976) Manual for KIT of factor-referenced cognitive tests. Educational Testing Service, PrinctonGoogle Scholar
  30. 30.
    Derogatis LR, Lipman RS, Covi L (1973) SCL-90: an outpatient psychiatric rating scale–preliminary report. Psychopharmacol Bull 9(1):13–28PubMedGoogle Scholar
  31. 31.
    Brant R (1990) Assessing proportionality in the proportional odds model for ordinal logistic regression. Biometrics 46(4):1171–1178PubMedCrossRefGoogle Scholar
  32. 32.
    StataCorp (2011) Stata Statistical Software. Release 12 edn. StataCorp, College Station, TXGoogle Scholar
  33. 33.
    Bartels M, Rietveld MJ, Van Baal GC, Boomsma DI (2002) Genetic and environmental influences on the development of intelligence. Behav Genet 32(4):237–249PubMedCrossRefGoogle Scholar
  34. 34.
    Petrill SA, Lipton PA, Hewitt JK, Plomin R, Cherny SS, Corley R, DeFries JC (2004) Genetic and environmental contributions to general cognitive ability through the first 16 years of life. Dev Psychol 40(5):805–812. doi: 10.1037/0012-1649.40.5.805 PubMedCrossRefGoogle Scholar
  35. 35.
    Fillmore KM, Golding JM, Graves KL, Kniep S, Leino EV, Romelsjo A, Shoemaker C, Ager CR, Allebeck P, Ferrer HP (1998) Alcohol consumption and mortality. I. Characteristics of drinking groups. Addiction 93(2):183–203PubMedCrossRefGoogle Scholar
  36. 36.
    Upmark M, Hemmingsson T, Romelsjo A, Lundberg I, Allebeck P (1997) Predictors of disability pension among young men. The role of alcohol and psychosocial factors. Eur J Public Health 7(1):20–28CrossRefGoogle Scholar
  37. 37.
    Hendrie HC, Gao S, Hall KS, Hui SL, Unverzagt FW (1996) The relationship between alcohol consumption, cognitive performance, and daily functioning in an urban sample of older black Americans. J Am Geriatr Soc 44(10):1158–1165PubMedGoogle Scholar
  38. 38.
    Marmot MG, Rose G, Shipley MJ, Thomas BJ (1981) Alcohol and mortality: a U-shaped curve. Lancet 1(8220 Pt 1):580–583PubMedCrossRefGoogle Scholar
  39. 39.
    Holahan CJ, Schutte KK, Brennan PL, Holahan CK, Moos BS, Moos RH (2010) Late-life alcohol consumption and 20-year mortality. Alcohol Clin Exp Res 34(11):1961–1971. doi: 10.1111/j.1530-0277.2010.01286.x PubMedCrossRefGoogle Scholar
  40. 40.
    Baum-Baicker C (1985) The psychological benefits of moderate alcohol consumption: a review of the literature. Drug Alcohol Depend 15(4):305–322PubMedCrossRefGoogle Scholar
  41. 41.
    Molander RC, Yonker JA, Krahn DD (2010) Age-related changes in drinking patterns from mid- to older age: results from the Wisconsin longitudinal study. Alcohol Clin Exp Res 34(7):1182–1192. doi: 10.1111/j.1530-0277.2010.01195.x PubMedGoogle Scholar
  42. 42.
    Kim JW, Lee DY, Lee BC, Jung MH, Kim H, Choi YS, Choi IG (2012) Alcohol and cognition in the elderly: a review. Psychiatry Investig 9(1):8–16. doi: 10.4306/pi.2012.9.1.8 PubMedCrossRefGoogle Scholar
  43. 43.
    Kubicka L, Matejcek Z, Dytrych Z, Roth Z (2001) IQ and personality traits assessed in childhood as predictors of drinking and smoking behaviour in middle-aged adults: a 24-year follow-up study. Addiction 96(11):1615–1628. doi: 10.1080/09652140120080741 PubMedGoogle Scholar
  44. 44.
    Latvala A, Tuulio-Henriksson A, Dick DM, Vuoksimaa E, Viken RJ, Suvisaari J, Kaprio J, Rose RJ (2011) Genetic origins of the association between verbal ability and alcohol dependence symptoms in young adulthood. Psychol Med 41(3):641–651. doi: 10.1017/S0033291710001194 PubMedCrossRefGoogle Scholar
  45. 45.
    Hanson KL, Cummins K, Tapert SF, Brown SA (2011) Changes in neuropsychological functioning over 10 years following adolescent substance abuse treatment. Psychol Addict Behav 25(1):127–142. doi: 10.1037/a0022350 PubMedCrossRefGoogle Scholar
  46. 46.
    Ganguli M, Vander Bilt J, Saxton JA, Shen C, Dodge HH (2005) Alcohol consumption and cognitive function in late life: a longitudinal community study. Neurology 65(8):1210–1217. doi: 10.1212/01.wnl.0000180520.35181.24 PubMedCrossRefGoogle Scholar
  47. 47.
    Graham K, Massak A, Demers A, Rehm J (2007) Does the association between alcohol consumption and depression depend on how they are measured? Alcohol Clin Exp Res 31(1):78–88. doi: 10.1111/j.1530-0277.2006.00274.x PubMedCrossRefGoogle Scholar
  48. 48.
    Amundsen EJ, Rossow I, Skurtveit S (2005) Drinking pattern among adolescents with immigrant and Norwegian backgrounds: a two-way influence? Addiction 100(10):1453–1463. doi: 10.1111/j.1360-0443.2005.01177.x PubMedCrossRefGoogle Scholar
  49. 49.
    Bernards S, Graham K, Kuendig H, Hettige S, Obot I (2009) ‘I have no interest in drinking’: a cross-national comparison of reasons why men and women abstain from alcohol use. Addiction 104(10):1658–1668. doi: 10.1111/j.1360-0443.2009.02667.x PubMedCrossRefGoogle Scholar
  50. 50.
    Chen P, Jacobson KC (2012) Developmental trajectories of substance use from early adolescence to young adulthood: gender and racial/ethnic differences. J Adolesc Health 50(2):154–163. doi: 10.1016/j.jadohealth.2011.05.013 PubMedCrossRefGoogle Scholar
  51. 51.
    Silveira CM, Siu ER, Wang YP, Viana MC, Andrade AG, Andrade LH (2012) Gender differences in drinking patterns and alcohol-related problems in a community sample in Sao Paulo, Brazil. Clinics (Sao Paulo) 67 (3):205–212. pii: S1807-59322012000300001Google Scholar
  52. 52.
    Trillo AD, Merchant RC, Baird JR, Liu T, Nirenberg TD (2012) Sex differences in alcohol misuse and estimated blood alcohol concentrations among emergency department patients: implications for brief interventions. Acad Emerg Med 19(8):924–933. doi: 10.1111/j.1553-2712.2012.01408.x PubMedCrossRefGoogle Scholar
  53. 53.
    Upmark M, Lundberg I, Sadigh J, Allebeck P, Bigert C (1999) Psychosocial characteristics in young men as predictors of early disability pension with a psychiatric diagnosis. Soc Psychiatry Psychiatr Epidemiol 34(10):533–540. pii: 90340533.127Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Mario Müller
    • 1
    • 2
  • R. Kowalewski
    • 2
  • S. Metzler
    • 2
  • A. Stettbacher
    • 3
  • W. Rössler
    • 2
    • 4
  • S. Vetter
    • 1
    • 2
  1. 1.Centre for Disaster and Military PsychiatryUniversity of ZurichZurichSwitzerland
  2. 2.Department of Psychiatry, Psychotherapy and PsychosomaticsZurich University Hospital for PsychiatryZurichSwitzerland
  3. 3.Medical Services of the Swiss Armed ForcesBernSwitzerland
  4. 4.Collegium HelveticumUniversity of Zurich and Swiss Federal Institute of TechnologyZurichSwitzerland

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