<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-06-14T05:06:45Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/18424" metadataPrefix="mets">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/18424</identifier><datestamp>2024-11-28T15:10:48Z</datestamp><setSpec>com_20.500.12105_15322</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>col_20.500.12105_16927</setSpec></header><metadata><mets xmlns="http://www.loc.gov/METS/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" ID="&#xa;&#x9;&#x9;&#x9;&#x9;DSpace_ITEM_20.500.12105-18424" TYPE="DSpace ITEM" PROFILE="DSpace METS SIP Profile 1.0" xsi:schemaLocation="http://www.loc.gov/METS/ http://www.loc.gov/standards/mets/mets.xsd" OBJID="&#xa;&#x9;&#x9;&#x9;&#x9;hdl:20.500.12105/18424">
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Requena-Ocaña, Nerea</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Araos, Pedro</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Flores, María</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>García-Marchena, Nuria</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Silva-Peña, Daniel</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Aranda, Jesús</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Rivera, Patricia</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Ruiz, Juan Jesús</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Serrano, Antonia</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Pavón, Francisco Javier</mods:namePart>
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               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
                  </mods:role>
                  <mods:namePart>Suárez, Juan</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Rodríguez de Fonseca, Fernando</mods:namePart>
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                  <mods:namePart>[Requena-Ocaña,N; Araos,P; Flores,M; García-Marchena,N; Silva-Peña,D; Aranda,J; Rivera,P; Serrano,A; Pavón,FJ; Suárez,J; Rodríguez de Fonseca,F] Mental Health Clinical Management Unit, Institute of Biomedical Research of Malaga-IBIMA, Regional University. [Requena-Ocaña,N] School of Psychology, Complutense University of Madrid, Madrid, Spain. [Araos,P] Department of Psychobiology and Methodology of Behavioral Sciences, School of Psychology, University of Málaga, Málaga, Spain. [Aranda,J] School of Medicine, University of Málaga, Málaga, Spain. [Ruiz,JJ] Provincial Drug Addiction Center of Málaga, Provincial Council of Málaga, Málaga, Spain. [Pavón,FJ] Cardiac Clinical Management Unit, IBIMA, University Hospital Virgen de la Victoria, Málaga, Spain. [Suárez,J] Department of Human Anatomy, Legal Medicine and History of Science, IBIMA, Facultad de Medicina, University of Málaga, Málaga, Spain. [Requena-Ocaña,N] Laboratorio de Investigación, IBIMA, Hospital Universitario Regional de Málaga, Málaga, Spain.</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2024-02-19T15:30:26Z</mods:dateAccessioned>
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                  <mods:dateIssued encoding="iso8601">2021-08-02</mods:dateIssued>
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               <mods:identifier type="doi">10.1038/s41598-021-95131-2</mods:identifier>
               <mods:identifier type="e-issn">2045-2322</mods:identifier>
               <mods:identifier type="journal">Scientific Reports</mods:identifier>
               <mods:identifier type="other">http://hdl.handle.net/10668/3695</mods:identifier>
               <mods:identifier type="pubmedID">34341419</mods:identifier>
               <mods:identifier type="uri">http://hdl.handle.net/20.500.12105/18424</mods:identifier>
               <mods:abstract>Cognitive reserve (CR) is the capability of an individual to cope with a brain pathology through compensatory mechanisms developed through cognitive stimulation by mental and physical activity. Recently, it has been suggested that CR has a protective role against the initiation of substance use, substance consumption patterns and cognitive decline and can improve responses to treatment. However, CR has never been linked to cognitive function and neurotrophic factors in the context of alcohol consumption. The present cross-sectional study aims to evaluate the association between CR (evaluated by educational level), cognitive impairment (assessed using a frontal and memory loss assessment battery) and circulating levels of brain-derived neurotrophic factor (BDNF) and neurotrophin-3 (NT-3) in patients with alcohol use disorder (AUD). Our results indicated that lower educational levels were accompanied by earlier onset of alcohol consumption and earlier development of alcohol dependence, as well as impaired frontal cognitive function. They also suggest that CR, NT-3 and BDNF may act as compensatory mechanisms for cognitive decline in the early stages of AUD, but not in later phases. These parameters allow the identification of patients with AUD who are at risk of cognitive deterioration and the implementation of personalized interventions to preserve cognitive function.</mods:abstract>
               <mods:language>
                  <mods:languageTerm authority="rfc3066">eng</mods:languageTerm>
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               <mods:subject>
                  <mods:topic>Neuroscience</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Psychology</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Biomarkers</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Neurociencias</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Psicología</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Biomarcadores</mods:topic>
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               <mods:titleInfo>
                  <mods:title>Evaluation of neurotrophic factors and education level as predictors of cognitive decline in alcohol use disorder</mods:title>
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               <mods:genre>research article</mods:genre>
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