Addiction; Attention; DNMT1; DNMT3A; Global methylation; DNA (Cytosine-5-)-Methyltransferase 1; DNMT1 protein, human; DNA Methyltransferase 3A; DNA (Cytosine-5-)-Methyltransferases; DNMT3A protein, human; Cocaine; NF-kappa B; Tumor Necrosis Factor-alpha; Humans; Adolescent; Male; Female; DNA (Cytosine-5-)-Methyltransferase 1/metabolism; DNA Methylation; DNA (Cytosine-5-)-Methyltransferases/metabolism; Pilot Projects; NF-kappa B/metabolism; Tumor Necrosis Factor-alpha/metabolism; Epigenesis, Genetic; Cocaine-Related Disorders/complications; Cocaine-Related Disorders/genetics; Cocaine-Related Disorders/metabolism; Inflammation/metabolism; Cocaine/adverse effects; Attention Deficit Disorder with Hyperactivity/genetics; Attention Deficit Disorder with Hyperactivity/etiology; Attention Deficit Disorder with Hyperactivity; Cocaine-Related Disorders; Inflammation; Psychiatry and Mental Health; Biological Psychiatry
Abstract :
[en] Cocaine base paste (CBP) is an intermediate product in the process of obtaining cocaine (COC), known for its low cost, high toxicity, and poor quality. Its use became widespread in Argentina during the socioeconomic crisis of 2001-2002 and is more prevalent among individuals under 25 and those from low socioeconomic backgrounds. This pilot study aimed to characterize inflammatory and epigenetic mechanisms involved in CBP and COC addiction, and their relationship to attention deficits. We analyzed adolescents with CBP dependence (n = 25), COC dependence (n = 22), and non-dependent controls (CTR, n = 25). Gene expression analysis revealed decreased levels of NF-κB and TNF-α in both drug-dependent groups. The CBP group also showed reduced expression of DNMT1 and DNMT3A, while only DNMT1 was decreased in the COC group. These changes were consistent with lower global DNA methylation levels in both groups compared to controls. We observed that DNMT1 expression was related to top-down attention. While higher DNMT1 levels were associated with better attention performance in the CTR and COC groups, the CBP group showed the opposite pattern. These findings support the presence of distinct molecular adaptations in CBP and COC abusers and may help identify potential targets linked to cognitive deficits in addiction.
Disciplines :
Psychiatry
Author, co-author :
Sonzogni, Silvina V; Neuroepigenetics Laboratory, Institute of Biological Chemistry (IQUIBICEN-CONICET), Department of Biological Chemistry, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Ciudad de Buenos Aires, Argentina. Electronic address: silvinasonzogni@gmail.com
de la Fuente, Laura A; National Scientific and Technical Research Council (CONICET), Argentina, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University (INCyT), Argentina, Department of Physics, University of Buenos Aires (UBA), Argentina, Uruguayan Centre of Molecular Imaging (CUDIM), Av. Dr. Américo Ricaldoni 2010, Montevideo, 11600, Argentina
Mimura, Camila; Neuroepigenetics Laboratory, Institute of Biological Chemistry (IQUIBICEN-CONICET), Department of Biological Chemistry, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Ciudad de Buenos Aires, Argentina
Aragón Daud, Agustina ; Université de Liège - ULiège > Département des sciences cliniques ; Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University (INCyT), Argentina
Vignaga, Sofía Schurmann; Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University (INCyT), Argentina
Vota, Daiana; Institute of Biological Chemistry (IQUIBICEN-CONICET), Department of Biological Chemistry, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Ciudad de Buenos Aires, Argentina
Manes, Facundo; National Scientific and Technical Research Council (CONICET), Argentina, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University (INCyT), Argentina
Cetkovich, Marcelo; Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University (INCyT), Argentina
Torralva, Teresa; Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University (INCyT), Argentina
Ibañez, Agustin; Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile, Cognitive Neuroscience Center (CNC), Universidad de San Andrés, Buenos Aires, Argentina, Global Brain Health Institute (GBHI), Trinity College Dublin (TCD), Dublin, Ireland
Cánepa, Eduardo T; Neuroepigenetics Laboratory, Institute of Biological Chemistry (IQUIBICEN-CONICET), Department of Biological Chemistry, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Ciudad de Buenos Aires, Argentina
Language :
English
Title :
Inflammatory and epigenetic alterations associated with attention deficits in adolescents with cocaine base paste addiction.
Florencio Fiorini Foundation CONICET - National Scientific and Technical Research Council
Funding text :
This work was supported by the Florencio Fiorini Foundation , Rommers Foundation, and Consejo Nacional de Investigaciones Cient\u00EDficas y T\u00E9cnicas ( CONICET )
Alberca, C.D., Georgieff, E.I., Berardino, B.G., Ferroni, N.M., Fesser, E.A., Cantarelli, V.I., Ponzio, M.F., Canepa, E.T., Chertoff, M., 2024. Perinatal protein malnutrition alters maternal behavior and leads to maladaptive stress response, neurodevelopmental delay and disruption on DNA methylation machinery in female mice offspring. Horm. Behav. 164. https://doi.org/10.1016/J.YHBEH.2024.105603
Cortes Amador Ernesto and Pien Metaal, 2020. Smokable cocaine markets in Latin America and the Caribbean | Transnational Institute, Transnational Institute (TNI).
Anier, K., Urb, M., Kipper, K., Herodes, K., Timmusk, T., Zharkovsky, A., Kalda, A., 2018. Cocaine-induced epigenetic DNA modification in mouse addiction-specific and non-specific tissues. Neuropharmacology 139, 13-25. https://doi.org/10.1016/J.NEUROPHARM.2018.06.036
Aragon-Daud, A., Oberti De Luca, S.M., Schurmann Vignaga, S., Prado, P., Figueras, R., Lizaso, L., Gonzalez-Gadea, M.L., Manes, F., Cetkovich, M., Pallavicini, C., Torralva, T., de la Fuente, L.A., 2024. Attentional ERPs in consumers of smoked and insufflated cocaine associated with neuropsychological performance. Drug Alcohol Depend. 259, 111288. https://doi.org/10.1016/J.DRUGALCDEP.2024.111288
Baez, S., Fittipaldi, S., de la Fuente, L.A., Carballo, M., Ferrando, R., Garcia-Cordero, I., Gonzalez Campo, C., Garcia, A.M., Sedeno, L., Ibanez, A., 2021. Empathy deficits and their behavioral, neuroanatomical, and functional connectivity correlates in smoked cocaine users. Prog. Neuropsychopharmacol. Biol. Psychiatry 110. https://doi.org/10.1016/J.PNPBP.2021.110328
Bauer, M.E., Teixeira, A.L., 2019. Inflammation in psychiatric disorders: what comes first? Ann. N. Y. Acad. Sci. 1437, 57-67. https://doi.org/10.1111/NYAS.13712
Berardino, B.G., Fesser, E.A., Belluscio, L.M., Gianatiempo, O., Pregi, N., Canepa, E.T., 2019. Effects of cocaine base paste on anxiety-like behavior and immediate-early gene expression in nucleus accumbens and medial prefrontal cortex of female mice. Psychopharmacology (Berl). 236, 3525-3539. https://doi.org/10.1007/s00213-019-05321-0
Boersma, M.C.H., Dresselhaus, E.C., de Biase, L.M., Mihalas, A.B., Bergles, D.E., Meffert, M.K., 2011. A requirement for nuclear factor-κB in developmental and plasticity-associated synaptogenesis. J. Neurosci. 31, 5414-5425. https://doi.org/10.1523/JNEUROSCI.2456-10.2011,
Brasesco, M. V., Canay, R., Legisa, A., 2010. Consumo de Paco y otras Sustancias Psicoactivas en ninos y ninas en situacion de calle, Coordinacion de Politicas Sociales en Adicciones.
Bravo, J., Magalhaes, C., Andrade, E.B., Magalhaes, A., Summavielle, T., 2023. The impact of psychostimulants on central and peripheral neuro-immune regulation: a scoping review of cytokine profiles and their implications for addiction. Front. Cell. Neurosci. 17, 1109611. https://doi.org/10.3389/FNCEL.2023.1109611/XML/NLM
Pedro Cofreces, Francisco Azzato, Jose Milei, 2024. Cocaine Base Paste (Paco): How and Why it Arrived in Argentina and Became a Growing Problem Today. The New Strategy of Harm Reduction, Decriminalization and Regulation. Rev. Asoc. Med. Argent. 137.
Corsi, P.M., 1972. Human memory and the medial temporal region of the brain. McGill Univ.
Raverta Cristina, Chasin Alice M, Boris Duffau, Barboza Fanny, Scorza Cecilia, Sosa Graciela, Cejana Passos, Castillo Albaro, Arce Cesar, Suarez Hector,Cumsille Francisco, Ahumada Graciela, Hynes Marya, Demarco Maria, L.A., 2016. Caracterizacion quimica de las cocainas fumables. Relevamiento realizado desde octubre de 2014 hasta febrero de 2015. Buenos Aires: SEDRONAR.
Cui, D., Xu, X., 2018. DNA Methyltransferases, DNA Methylation, and Age-Associated Cognitive Function. Int. J. Mol. Sci. 2018, Vol. 19, Page 1315 19, 1315. https://doi.org/10.3390/IJMS19051315
e la Fuente, A., Sedeno, L., Vignaga, S.S.S.S., Ellmann, C., Sonzogni, S., Belluscio, L., Garcia-Cordero, I., Castagnaro, E., Boano, M., Cetkovich, M., Torralva, T., Canepa, E.T.E.T., Tagliazucchi, E., Garcia, A.M.A.M., Ibanez, A., Cetkovitch, M., Torralva, T., Canepa, E.T.E.T., Tagliazucchi, E., Garcia, A.M.A.M., Ibanez, A., 2019. Multimodal neurocognitive markers of interoceptive tuning in smoked cocaine. Neuropsychopharmacology 44, 1. https://doi.org/10.1038/s41386-019-0370-3
e la Fuente, A., Vignaga, S.S., Prado, P., Figueras, R., Lizaso, L., Manes, F., Cetkovich, M., Tagliazucchi, E., Torralva, T., 2021. Early onset consumption of coca paste associated with executive-attention vulnerability markers linked to caudate-frontal structural and functional abnormalities. Drug Alcohol Depend. 227, 108926. https://doi.org/10.1016/J.DRUGALCDEP.2021.108926
Escobar, A.P., Bonansco, C., Cruz, G., Dagnino-Subiabre, A., Fuenzalida, M., Negron, I., Sotomayor-Zarate, R., Martinez-Pinto, J., Jorquera, G., 2023a. Central and Peripheral Inflammation: A Common Factor Causing Addictive and Neurological Disorders and Aging-Related Pathologies. Int. J. Mol. Sci. 2023, Vol. 24, Page 10083 24, 10083. https://doi.org/10.3390/IJMS241210083
Escobar, A.P., Bonansco, C., Cruz, G., Dagnino-Subiabre, A., Fuenzalida, M., Negron, I., Sotomayor-Zarate, R., Martinez-Pinto, J., Jorquera, G., 2023b. Central and Peripheral Inflammation: A Common Factor Causing Addictive and Neurological Disorders and Aging-Related Pathologies. Int. J. Mol. Sci. 24. https://doi.org/10.3390/IJMS241210083
Feng, J., Zhou, Y., Campbell, S.L., Le, T., Li, E., Sweatt, J.D., Silva, A.J., Fan, G., 2010. Dnmt1 and Dnmt3a are required for the maintenance of DNA methylation and synaptic function in adult forebrain neurons. Nat. Neurosci. 13, 423. https://doi.org/10.1038/NN.2514
Ferrando, R., Bocchino, S., Barrachina, A., Ferro, A.L., Ventura, R., 2009. Alteraciones de la perfusion cerebral en consumidores activos de pasta base de cocaina ∗. Rev Psiquiatr Urug 2009;73(1)51-62 Alteraciones 73, 51-62.
Gan, X., Zhang, L., Newton, T., Chang, S.L., Ling, W., Kermani, V., Berger, O., Graves, M.C., Fiala, M., 1998. Cocaine Infusion Increases Interferon-γ and Decreases Interleukin-10 in Cocaine-Dependent Subjects. Clin. Immunol. Immunopathol. 89, 181-190. https://doi.org/10.1006/CLIN.1998.4607
Halpern, J.H., Sholar, M.B., Glowacki, J., Mello, N.K., Mendelson, J.H., Siegel, A.J., 2003. Diminished Interleukin-6 Response to Proinflammatory Challenge in Men and Women after Intravenous Cocaine Administration. J. Clin. Endocrinol. Metab. 88, 1188-1193. https://doi.org/10.1210/JC.2002-020804
Hugo Miguez, 2006. Estudio de consumo de pasta base en una villa de emergencia del ...
Imielski, Y., Schwamborn, J.C., Luningschror, P., Heimann, P., Holzberg, M., Werner, H., Leske, O., Puschel, A.W., Memet, S., Heumann, R., Israel, A., Kaltschmidt, C., Kaltschmidt, B., 2012. Regrowing the adult brain: NF-κB controls functional circuit formation and tissue homeostasis in the dentate gyrus. PLoS One 7. https://doi.org/10.1371/JOURNAL.PONE.0030838,
Lacagnina, M.J., Rivera, P.D., Bilbo, S.D., 2017. Glial and Neuroimmune Mechanisms as Critical Modulators of Drug Use and Abuse. Neuropsychopharmacology 42, 156-177. https://doi.org/10.1038/NPP.2016.121
Lax, E., Szyf, M., 2018. The Role of DNA Methylation in Drug Addiction: Implications for Diagnostic and Therapeutics. Prog. Mol. Biol. Transl. Sci. 157, 93-104. https://doi.org/10.1016/BS.PMBTS.2018.01.003
Levandowski, M.L., Viola, T.W., Prado, C.H., Wieck, A., Bauer, M.E., Brietzke, E., Grassi-Oliveira, R., 2016. Distinct behavioral and immunoendocrine parameters during crack cocaine abstinence in women reporting childhood abuse and neglect. Drug Alcohol Depend. 167, 140-148. https://doi.org/10.1016/J.DRUGALCDEP.2016.08.010
Li, S.C., Kuo, H.C., Huang, L.H., Chou, W.J., Lee, S.Y., Chan, W.C., Wang, L.J., 2021. Dna methylation in lime1 and sptbn2 genes is associated with attention deficit in children. Children 8. https://doi.org/10.3390/CHILDREN8020092,
Li, H., Watkins, L.R., Wang, X., 2024. Microglia in neuroimmunopharmacology and drug addiction. Mol. Psychiatry 29, 1912-1924. https://doi.org/10.1038/S41380-024-02443-6
Luo, Y., He, H., Ou, Y., Zhou, Y., Fan, N., 2022. Elevated serum levels of TNF-α, IL-6, and IL-18 in chronic methamphetamine users. Hum. Psychopharmacol. 37. https://doi.org/10.1002/HUP.2810
Massart, R., Barnea, R., Dikshtein, Y., Suderman, M., Meir, O., Hallett, M., Kennedy, P., Nestler, E.J., Szyf, M., Yadid, G., 2015. Role of DNA methylation in the nucleus accumbens in incubation of cocaine craving. J. Neurosci. 35, 8042-8058. https://doi.org/10.1523/JNEUROSCI.3053-14.2015
Moore, L.D., Le, T., Fan, G., 2012. DNA Methylation and Its Basic Function. Neuropsychopharmacol. 2013 381 38, 23-38. https://doi.org/10.1038/npp.2012.112
Moreira, F.P., Medeiros, J.R.C., Lhullier, A.C., Souza, L.D. de M., Jansen, K., Portela, L.V., Lara, D.R., Silva, R.A. da, Wiener, C.D., Oses, J.P., 2016a. Cocaine abuse and effects in the serum levels of cytokines IL-6 and IL-10. Drug Alcohol Depend. 158, 181-185. https://doi.org/10.1016/J.DRUGALCDEP.2015.11.024
Moreira, F.P., Medeiros, J.R.C., Lhullier, A.C., Souza, L.D. de M., Jansen, K., Portela, L.V., Lara, D.R., Silva, R.A. da, Wiener, C.D., Oses, J.P., 2016b. Cocaine abuse and effects in the serum levels of cytokines IL-6 and IL-10. Drug Alcohol Depend. 158, 181-185. https://doi.org/10.1016/J.DRUGALCDEP.2015.11.024
Muller, D., Grevet, E.H., Figueira da Silva, N.A., Bandeira, C.E., Barbosa, E., Vitola, E.S., Charao, M.F., Linden, R., Rohde, L.A., Ramos, J.K.N., da Silva, B.S., Rovaris, D.L., Bau, C.H.D., 2022. Global DNA methylation changes in adults with attention deficit-hyperactivity disorder and its comorbidity with bipolar disorder: links with polygenic scores. Mol. Psychiatry 27, 2485-2491. https://doi.org/10.1038/S41380-022-01493-Y;TECHMETA=43,45;SUBJMETA=208,631,692,699;KWRD=DISEASES,GENETICS
Nennig, S.E., Schank, J.R., 2017. The Role of NFkB in Drug Addiction: Beyond Inflammation. Alcohol Alcohol. 52, 172-179. https://doi.org/10.1093/ALCALC/AGW098
Nishitani, S., Isozaki, M., Yao, A., Higashino, Y., Yamauchi, T., Kidoguchi, M., Kawajiri, S., Tsunetoshi, K., Neish, H., Imoto, H., Arishima, H., Kodera, T., Fujisawa, T.X., Nomura, S., Kikuta, K., Shinozaki, G., Tomoda, A., 2023. Cross-tissue correlations of genome-wide DNA methylation in Japanese live human brain and blood, saliva, and buccal epithelial tissues. Transl. Psychiatry 2023 131 13, 1-10. https://doi.org/10.1038/s41398-023-02370-0
Piechota, M., Korostynski, M., Solecki, W., Gieryk, A., Slezak, M., Bilecki, W., Ziolkowska, B., Kostrzewa, E., Cymerman, I., Swiech, L., Jaworski, J., Przewlocki, R., 2010. The dissection of transcriptional modules regulated by various drugs of abuse in the mouse striatum. Genome Biol. 11. https://doi.org/10.1186/GB-2010-11-5-R48
Pratt, N., Willoughby, A., Swick, D., 2011. Effects of working memory load on visual selective attention: Behavioral and electrophysiological evidence. Front. Hum. Neurosci. 5, 10094. https://doi.org/10.3389/FNHUM.2011.00057/BIBTEX
Prieto, J.P., Galvalisi, M., Lopez-Hill, X., Meikle, M.N., Abin-Carriquiry, J.A., Scorza, C., 2015. Caffeine enhances and accelerates the expression of sensitization induced by coca paste indicating its relevance as a main adulterant. Am. J. Addict. 24, 475-481. https://doi.org/10.1111/ajad.12245
Prieto, J.P., Gonzalez, B., Muniz, J., Bisagno, V., Scorza, C., 2020. Molecular changes in the nucleus accumbens and prefrontal cortex associated with the locomotor sensitization induced by coca paste seized samples. Psychopharmacology (Berl). https://doi.org/10.1007/s00213-020-05474-3
Re, G.F., Jia, J., Xu, Y., Zhang, Z., Xie, Z.R., Kong, D., Lu, D., Li, Y., Peng, Q.Y., Yu, J., Kuang, Y.Q., Wang, K.H., 2022. Dynamics and correlations in multiplex immune profiling reveal persistent immune inflammation in male drug users after withdrawal. Int. Immunopharmacol. 107. https://doi.org/10.1016/J.INTIMP.2022.108696
Reitan, R., 1985. Neuropsychological Test Battery: Theory and Clinical Interpretation. 912.
Reitan, R.. W.D., 1993. Neuropsychology Battery: Theory and Clinical Interpretation., 2nd ed. Neuropychology Press, Tucson.
Rey, A., 1941. L’examen psychologique dans les cas d’encephopathie traumatique (The psychological examination of cases of traumatic encephalopathy). Arch. Psychol. (Geneve). 28, 286-340.
Russo, S.J., Wilkinson, M.B., Mazei-Robison, M.S., Dietz, D.M., Maze, I., Krishnan, V., Renthal, W., Graham, A., Birnbaum, S.G., Green, T.A., Robison, B., Lesselyong, A., Perrotti, L.I., Bolanos, C.A., Kumar, A., Clark, M.S., Neumaier, J.F., Neve, R.L., Bhakar, A.L., Barker, P.A., Nestler, E.J., 2009. Nuclear factor kB signaling regulates neuronal morphology and cocaine reward. J. Neurosci. 29, 3529-3537. https://doi.org/10.1523/JNEUROSCI.6173-08.2009
Secretaria de Politicas Integrales sobre Drogas de la Nacion Argentina, S., 2017. ESTUDIO NACIONAL Informe de Resultados N° 1 en poblacion de 12 a 65 anos, sobre Consumo de Sustancias Psicoactivas.
Secretaria de Programacion para la Prevencion de la Drogadiccion y la Lucha Contra el Narcotrafico (SEDRONAR), 2015. Caracterizacion Quimica de las Cocainas fumables.
SEDRONAR, Secretaria de Politicas Integrales sobre Drogas de la Nacion Argentina, S., Observatorio Nacional de Drogas, Nora Cadenas, Secretaria de Politicas Integrales sobre Drogas de la Nacion Argentina, S., Nora Cadenas, 2017. ESTUDIO NACIONAL en poblacion de 12 a 65 anos, sobre Consumo de Sustancias Psicoactivas. Argentina.
Smith, A., 1973. Symbol digit modalities test: manual. Western Psychological Corporation, Los Angeles, Calif.
Smith, A.K., Kilaru, V., Klengel, T., Mercer, K.B., Bradley, B., Conneely, K.N., Ressler, K.J., Binder, E.B., 2015. DNA extracted from saliva for methylation studies of psychiatric traits: Evidence tissue specificity and relatedness to brain. Am. J. Med. Genet. Part B Neuropsychiatr. Genet. 168, 36-44. https://doi.org/10.1002/AJMG.B.32278
Stroop, J.R., 1935. Studies of interference in serial verbal reactions.. J. Exp. Psychol. 18, 643-662.
Tian, W., Zhao, M., Li, M., Song, T., Zhang, M., Quan, L., Li, S., Sun, Z.S., 2012a. Reversal of Cocaine-Conditioned Place Preference through Methyl Supplementation in Mice: Altering Global DNA Methylation in the Prefrontal Cortex. PLoS One 7, e33435. https://doi.org/10.1371/JOURNAL.PONE.0033435
Tian, W., Zhao, M., Li, M., Song, T., Zhang, M., Quan, L., Li, S., Sun, Z.S., 2012b. Reversal of Cocaine-Conditioned Place Preference through Methyl Supplementation in Mice: Altering Global DNA Methylation in the Prefrontal Cortex. PLoS One 7, e33435. https://doi.org/10.1371/JOURNAL.PONE.0033435
Turkheimer, F.E., Althubaity, N., Schubert, J., Nettis, M.A., Cousins, O., Dima, D., Mondelli, V., Bullmore, E.T., Pariante, C., Veronese, M., 2021. Increased serum peripheral C-reactive protein is associated with reduced brain barriers permeability of TSPO radioligands in healthy volunteers and depressed patients: implications for inflammation and depression. Brain. Behav. Immun. 91, 487-497. https://doi.org/10.1016/J.BBI.2020.10.025
United Nation-Office on Drugs and Crime, 2024. World Drug Report 2024 [WWW Document]. https://www.unodc.org/unodc/en/data-and-analysis/world-drug-report-2024.html. URL https://www.unodc.org/unodc/en/data-and-analysis/world-drug-report-2024.html (accessed 3.10.25).
Vaillancourt, K., Ernst, C., Mash, D., Turecki, G., 2017. DNA Methylation Dynamics and Cocaine in the Brain: Progress and Prospects. Genes (Basel). 8, 138. https://doi.org/10.3390/GENES8050138
Walker, D.M., Nestler, E.J., 2018. Neuroepigenetics and addiction, in: Handbook of Clinical Neurology. pp. 747-765. https://doi.org/10.1016/B978-0-444-64076-5.00048-X
Wechsler, D., 1999. Wechsler Abbreviated Scale of Intelligence--Second Edition, 2nd ed. Psychologycal Corporation, San Antonio, TX.