The present study examined event-related potentials (ERPs)
elicited by a visual discrimination task in a community
sample of adult males with a lifetime diagnosis of alcohol
dependence. Study participants were subtyped by the presence
of additional comorbid disorders (antisocial personality,
depression, and drug abuse or dependence). In all groups
of alcohol-dependent subjects, even those without any additional
comorbid disorders, P3 amplitude differed from that of
a comparison group. Alcohol-dependent subjects with a diagnosis
of illicit drug abuse or dependence, especially if they
had antisocial personality as well, had the smallest amplitude
responses. The amplitude profile of the P3 across the parietal
electrodes used as active sites was flattened among alcoholic
subjects, with P3 amplitude disproportionately reduced
at the midline. Among alcoholic subjects with a lifetime
diagnosis of depression, the flattened amplitude profile
was due to elevated mean amplitude of the P3 at lateral
leads, especially P4, relative to the comparison group.
Alterations in ERP responses appear to be a general characteristic
of alcoholism in men, although the presence of other comorbid
disorders, particularly drug abuse or dependence together
with antisocial personality, results in the greatest reductions
in P3 amplitude.