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Chung SJ, Choi J. The Influence of Substance Use on Sleep Duration Among South Korean Adolescents by Sex: A Secondary Analysis. J SPEC PEDIATR NURS 2025; 30:e70004. [PMID: 39868880 DOI: 10.1111/jspn.70004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2024] [Revised: 01/12/2025] [Accepted: 01/14/2025] [Indexed: 01/28/2025]
Abstract
PURPOSE Although insufficient sleep influences cognitive function and physical and mental health in adolescents, many still get less sleep than the recommended duration. Adolescent substance use, including alcohol and tobacco, influences sleep disturbance. However, sex differences in the relationship between substance use and sleep health have not been extensively studied. This study aimed to examine the effect of substance use on sleep duration among South Korean adolescents by sex. DESIGN AND METHODS This secondary data analysis used the 4th Wave of the Korean Children and Youth Panel Survey 2018 and applied a multiple regression analysis. Tobacco use and alcohol consumption were assessed by asking whether the participants had ever smoked or drunk alcohol during the previous year. Sleep duration was calculated based on the participants' reports related to sleep and awake times on weekdays and weekends. RESULTS For male adolescents, substance use, either tobacco use or alcohol consumption, did not significantly affect sleep duration, whereas for female adolescents, alcohol consumption was found to influence sleep duration. Age and subjective health were additional influential factors for adolescents' sleep duration, regardless of sex. PRACTICE IMPLICATIONS Interventions for alcohol consumption should be considered to enhance sleep health in female South Korean adolescents. Further studies are needed to understand the underlying mechanisms of sleep health, particularly the effects of substance use, among male adolescents.
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Affiliation(s)
- Sophia Jihey Chung
- Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea
| | - Jiwon Choi
- Samsung Medical Center, Seoul, Republic of Korea
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Guldner S, Prignitz M, Nees F. Mindfulness facets are differentially related with reward processing stages in striatum and alcohol use in adolescence. Prog Neuropsychopharmacol Biol Psychiatry 2024; 135:111113. [PMID: 39094927 DOI: 10.1016/j.pnpbp.2024.111113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 07/22/2024] [Accepted: 07/30/2024] [Indexed: 08/04/2024]
Abstract
Attenuated functional processing of non-drug rewards in striatal regions is an important mechanism in the transition from normal to hazardous alcohol use. Recent interventions seek to enhance nondrug reward processing through mindfulness, a mechanism that targets attention regulation and self-regulatory processes. It is yet unclear which specific aspects of mindfulness and which stages of reward processing are relevant preventive targets, particularly in adolescence, where alcohol use is often initiated and reward relating processing streams undergo continuous maturation. Fifty-four 14- and 16-year-old adolescents (54% female) completed the monetary incentive delay task (MID) during event-related functional magnetic resonance imaging. Alcohol use and dispositional mindfulness facets were measured using self-report instruments. Mindful Attention Regulation was positively associated with anticipatory reward processing in ventral striatum, whereas feedback-related processing in dorsal striatum was associated with the mindfulness facet Body-Listening. Only Attention Regulation was additionally associated with frequency of alcohol consumption and mediated the relationship between functional activation in ventral striatum during reward anticipation and alcohol use. Attention Regulation, beyond other mindfulness facets, might contribute to potentially triggering neural mechanisms of anticipatory, but not feedback-related reward processing and alcohol use, presenting a potential target for preventive efforts in combating transitions to substance-related disorders in adolescents.
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Affiliation(s)
- Stella Guldner
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
| | - Maren Prignitz
- Institute of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
| | - Frauke Nees
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; Institute of Medical Psychology and Medical Sociology, University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany
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3
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Morales AM, Jones SA, Carlson B, Kliamovich D, Dehoney J, Simpson BL, Dominguez-Savage KA, Hernandez KO, Lopez DA, Baker FC, Clark DB, Goldston DB, Luna B, Nooner KB, Muller-Oehring EM, Tapert SF, Thompson WK, Nagel BJ. Associations between mesolimbic connectivity, and alcohol use from adolescence to adulthood. Dev Cogn Neurosci 2024; 70:101478. [PMID: 39577156 PMCID: PMC11617707 DOI: 10.1016/j.dcn.2024.101478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2024] [Revised: 10/18/2024] [Accepted: 11/15/2024] [Indexed: 11/24/2024] Open
Abstract
Dopaminergic projections from the ventral tegmental area (VTA) to limbic regions play a key role in the initiation and maintenance of substance use; however, the relationship between mesolimbic resting-state functional connectivity (RSFC) and alcohol use during development remains unclear. We examined the associations between alcohol use and VTA RSFC to subcortical structures in 796 participants (12-21 years old at baseline, 51 % female) across 9 waves of longitudinal data from the National Consortium on Alcohol and Neurodevelopment in Adolescence. Linear mixed effects models included interactions between age, sex, and alcohol use, and best fitting models were selected using log-likelihood ratio tests. Results demonstrated a positive association between alcohol use and VTA RSFC to the nucleus accumbens. Age was associated with VTA RSFC to the amygdala and hippocampus, and an age-by-alcohol use interaction on VTA-globus pallidus connectivity was driven by a positive association between alcohol and VTA-globus pallidus RSFC in adolescence, but not adulthood. On average, male participants exhibited greater VTA RSFC to the amygdala, nucleus accumbens, caudate, hippocampus, globus pallidus, and thalamus. Differences in VTA RSFC related to age, sex, and alcohol, may inform our understanding of neurobiological risk and resilience for alcohol use and other psychiatric disorders.
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Affiliation(s)
- Angelica M Morales
- Department of Psychiatry, Oregon Health & Science University, Portland, OR, United States.
| | - Scott A Jones
- Department of Psychiatry, Oregon Health & Science University, Portland, OR, United States
| | - Birgitta Carlson
- Department of Psychiatry, Oregon Health & Science University, Portland, OR, United States
| | - Dakota Kliamovich
- Department of Psychiatry, Oregon Health & Science University, Portland, OR, United States
| | - Joseph Dehoney
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States
| | - Brooke L Simpson
- Department of Psychiatry, Oregon Health & Science University, Portland, OR, United States
| | | | - Kristina O Hernandez
- Department of Psychiatry, Oregon Health & Science University, Portland, OR, United States
| | - Daniel A Lopez
- Department of Psychiatry, Oregon Health & Science University, Portland, OR, United States
| | - Fiona C Baker
- Center for Health Sciences, SRI International, Menlo Park, CA, United States
| | - Duncan B Clark
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, United States
| | - David B Goldston
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States
| | - Beatriz Luna
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, United States
| | - Kate B Nooner
- Department of Psychology, University of North Carolina Wilmington, Wilmington, NC, United States
| | - Eva M Muller-Oehring
- Center for Health Sciences, SRI International, Menlo Park, CA, United States; Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, United States
| | - Susan F Tapert
- Department of Psychiatry, University of California, San Diego, CA, United States
| | | | - Bonnie J Nagel
- Department of Psychiatry, Oregon Health & Science University, Portland, OR, United States; Department of Behavioral Neuroscience, Oregon Health & Science University, Portland, OR, United States
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Moore A, Lewis B, Elton A, Squeglia LM, Nixon SJ. An investigation of multimodal predictors of adolescent alcohol initiation. Drug Alcohol Depend 2024; 265:112491. [PMID: 39522301 DOI: 10.1016/j.drugalcdep.2024.112491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2024] [Revised: 10/07/2024] [Accepted: 10/24/2024] [Indexed: 11/16/2024]
Abstract
BACKGROUND Early alcohol initiation is associated with negative, alcohol-related outcomes. While previous work identifies numerous risk factors for early use, the relative contributions of known predictors remains understudied. The current project addresses this gap by 1) prospectively predicting early alcohol initiation using measures of inhibition control, reward sensitivity, and contextual risk factors and 2) interrogating the relative importance of each domain. METHOD This study leverages multimodal data from substance-naïve youth enrolled in the Adolescent Brain Cognitive Development (ABCD) Study® (n=11,694). Early initiation was defined as consuming a full standard drink containing alcohol prior to age 16. Propensity scores were used to match alcohol initiators (n=348) with demographically similar non-initiators at a 1:2 ratio (n=696). Independent logistic regressions were conducted for each domain followed by additive, hierarchical models. RESULTS The model of contextual factors (pseudo-R2=0.086, AUC=0.67) outperformed inhibition control (pseudo-R2=0.021, AUC=0.58) and reward sensitivity measures (pseudo-R2=0.020, AUC=0.59). The hierarchical model containing all measures (pseudo-R2=0.106, AUC=0.69) did not significantly improve the model of contextual factors alone (p>0.05). Examples of significant predictors (p<0.05) include externalizing behaviors, number of substances known, and non-religious alcohol sipping. CONCLUSION Contextual risk factors were the strongest predictors of early alcohol use; however, more work is needed to understand the causal nature of this relationship. Measures of inhibition control and reward sensitivity were not adequate in distinguishing initiators from non-initiators. These findings add to a body of evidence that contextual factors play a major role in alcohol initiation while highlighting specific predictor variables that could inform youth alcohol prevention.
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Affiliation(s)
- Andrew Moore
- Department of Neuroscience, University of Florida, Gainesville, FL, USA; UF Center for Addiction Research & Education, University of Florida, Gainesville, FL, USA.
| | - Ben Lewis
- Department of Neuroscience, University of Florida, Gainesville, FL, USA; Department of Psychiatry, University of Florida, Gainesville, FL, USA; UF Center for Addiction Research & Education, University of Florida, Gainesville, FL, USA
| | - Amanda Elton
- Department of Neuroscience, University of Florida, Gainesville, FL, USA; Department of Psychiatry, University of Florida, Gainesville, FL, USA; UF Center for Addiction Research & Education, University of Florida, Gainesville, FL, USA
| | - Lindsay M Squeglia
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
| | - Sara Jo Nixon
- Department of Neuroscience, University of Florida, Gainesville, FL, USA; Department of Psychiatry, University of Florida, Gainesville, FL, USA; UF Center for Addiction Research & Education, University of Florida, Gainesville, FL, USA
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Bunford N, Ágrez K, Hámori G, Koller J, Pulay A, Nemoda Z, Réthelyi JM. Electrophysiological indices of reward anticipation as ADHD risk and prognostic biomarkers. Eur Child Adolesc Psychiatry 2024:10.1007/s00787-024-02606-4. [PMID: 39516266 DOI: 10.1007/s00787-024-02606-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2024] [Accepted: 10/28/2024] [Indexed: 11/16/2024]
Abstract
The attention-deficit/hyperactivity disorder (ADHD) clinical phenotype has limitations for deciphering ADHD etiology and predicting prognosis. Although relative to the clinical phenotype, intermediate phenotypes may have better explanatory and prognostic power, the extent to which ADHD intermediate phenotypes are associated with ADHD risk and prognosis is unknown. The aim of this study was to evaluate evidence for event-related potential (ERP) measures of reward anticipation as ADHD risk and prognostic biomarkers. We examined, whether (1) in a sample of adolescents (N = 304; Mage = 15.78 years, SD = 1.08; 39.5% female), accounting for the effects of age, sex, ADHD severity and depression, ERPs are associated with ADHD polygenic risk scores (PRSs) (ADHD risk) and (2) in a sample of adolescents at-risk for ADHD (n = 99; Mage = 15.78 years, SD = 1.08; 39.5% female), accounting for the effects of age, sex, ADHD severity, depression, and baseline outcome values, ERPs are associated, prospectively, with alcohol misuse (ADHD prognosis). In adolescents, greater ADHD PRSs were associated with lower electrophysiological anticipatory attention to motivationally relevant feedback (b = -0.115, p = .046 95%CI [-0.228; -0.002]). The predictors accounted for 5% of the variance in the outcome. In adolescents at-risk for ADHD, at 18-month follow-up, lower electrophysiological anticipatory attention to motivationally relevant feedback was associated with greater alcohol consumption (b = -7.454, p = .007, 95%CI [-12.873; -2.034]). The predictors accounted for 31% of the variance in this outcome. These findings were replicated in sensitivity analyses with behavioral performance variables added as covariates. The current findings support the hypothesis that ERP amplitudes of reward anticipation may be ADHD risk and prognostic biomarkers and suggest that intermediate phenotypes may confer advantages over the ADHD clinical phenotype in delineating etiology and predicting prognosis.
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Affiliation(s)
- Nóra Bunford
- Clinical and Developmental Neuropsychology Research Group, HUN-REN Research Centre for Natural Sciences, Budapest, Hungary.
| | - Kristóf Ágrez
- Clinical and Developmental Neuropsychology Research Group, HUN-REN Research Centre for Natural Sciences, Budapest, Hungary
| | - György Hámori
- Clinical and Developmental Neuropsychology Research Group, HUN-REN Research Centre for Natural Sciences, Budapest, Hungary
- Department of Cognitive Science, Budapest University of Technology and Economics, Budapest, Hungary
| | - Júlia Koller
- Institute of Genomic Medicine and Rare Disorders, Semmelweis University, Budapest, Hungary
| | - Attila Pulay
- Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
| | - Zsófia Nemoda
- Department of Molecular Biology, Semmelweis University, Budapest, Hungary
| | - János M Réthelyi
- Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
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Wyngaarden JB, Johnston CR, Sazhin D, Dennison JB, Zaff O, Fareri D, McCloskey M, Alloy LB, Smith DV, Jarcho JM. Corticostriatal responses to social reward are linked to trait reward sensitivity and subclinical substance use in young adults. Soc Cogn Affect Neurosci 2024; 19:nsae033. [PMID: 38779870 PMCID: PMC11182064 DOI: 10.1093/scan/nsae033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 03/14/2024] [Accepted: 05/21/2024] [Indexed: 05/25/2024] Open
Abstract
Aberrant levels of reward sensitivity have been linked to substance use disorder and are characterized by alterations in reward processing in the ventral striatum (VS). Less is known about how reward sensitivity and subclinical substance use relate to striatal function during social rewards (e.g. positive peer feedback). Testing this relation is critical for predicting risk for development of substance use disorder. In this pre-registered study, participants (N = 44) underwent fMRI while completing well-matched tasks that assess neural response to reward in social and monetary domains. Contrary to our hypotheses, aberrant reward sensitivity blunted the relationship between substance use and striatal activation during receipt of rewards, regardless of domain. Moreover, exploratory whole-brain analyses showed unique relations between substance use and social rewards in temporoparietal junction. Psychophysiological interactions demonstrated that aberrant reward sensitivity is associated with increased connectivity between the VS and ventromedial prefrontal cortex during social rewards. Finally, we found that substance use was associated with decreased connectivity between the VS and dorsomedial prefrontal cortex for social rewards, independent of reward sensitivity. These findings demonstrate nuanced relations between reward sensitivity and substance use, even among those without substance use disorder, and suggest altered reward-related engagement of cortico-VS responses as potential predictors of developing disordered behavior.
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Affiliation(s)
- James B Wyngaarden
- Department of Psychology & Neuroscience, Temple University, 1701 N 13th St Philadelphia, PA 19122, USA
| | - Camille R Johnston
- Department of Psychology & Neuroscience, Temple University, 1701 N 13th St Philadelphia, PA 19122, USA
| | - Daniel Sazhin
- Department of Psychology & Neuroscience, Temple University, 1701 N 13th St Philadelphia, PA 19122, USA
| | - Jeff B Dennison
- Department of Psychology & Neuroscience, Temple University, 1701 N 13th St Philadelphia, PA 19122, USA
| | - Ori Zaff
- Department of Psychology & Neuroscience, Temple University, 1701 N 13th St Philadelphia, PA 19122, USA
| | - Dominic Fareri
- Derner School of Psychology, Adelphi University, Garden City, NY 11530, USA
| | - Michael McCloskey
- Department of Psychology & Neuroscience, Temple University, 1701 N 13th St Philadelphia, PA 19122, USA
| | - Lauren B Alloy
- Department of Psychology & Neuroscience, Temple University, 1701 N 13th St Philadelphia, PA 19122, USA
| | - David V Smith
- Department of Psychology & Neuroscience, Temple University, 1701 N 13th St Philadelphia, PA 19122, USA
| | - Johanna M Jarcho
- Department of Psychology & Neuroscience, Temple University, 1701 N 13th St Philadelphia, PA 19122, USA
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Hasler BP, Schulz CT, Pedersen SL. Sleep-Related Predictors of Risk for Alcohol Use and Related Problems in Adolescents and Young Adults. Alcohol Res 2024; 44:02. [PMID: 38500552 PMCID: PMC10948113 DOI: 10.35946/arcr.v44.1.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/20/2024] Open
Abstract
PURPOSE Growing evidence supports sleep and circadian rhythms as influencing alcohol use and the course of alcohol use disorder (AUD). Studying sleep/circadian-alcohol associations during adolescence and young adulthood may be valuable for identifying sleep/circadian-related approaches to preventing and/or treating AUD. This paper reviews current evidence for prospective associations between sleep/circadian factors and alcohol involvement during adolescence and young adulthood with an emphasis on the effects of sleep/circadian factors on alcohol use. SEARCH METHODS The authors conducted a literature search in PsycInfo, PubMed, and Web of Science using the search terms "sleep" and "alcohol" paired with "adolescent" or "adolescence" or "young adult" or "emerging adult," focusing on the title/abstract fields, and restricting to English-language articles. Next, the search was narrowed to articles with a prospective/longitudinal or experimental design, a sleep-related measure as a predictor, an alcohol-related measure as an outcome, and confirming a primarily adolescent and/or young adult sample. This step was completed by a joint review of candidate article abstracts by two of the authors. SEARCH RESULTS The initial search resulted in 720 articles. After review of the abstracts, the list was narrowed to 27 articles reporting on observational longitudinal studies and three articles reporting on intervention trials. Noted for potential inclusion were 35 additional articles that reported on studies with alcohol-related predictors and sleep-related outcomes, and/or reported on candidate moderators or mediators of sleep-alcohol associations. Additional articles were identified via review of relevant article reference lists and prior exposure based on the authors' previous work in this area. DISCUSSION AND CONCLUSIONS Overall, the review supports a range of sleep/circadian characteristics during adolescence and young adulthood predicting the development of alcohol use and/or alcohol-related problems. Although sleep treatment studies in adolescents and young adults engaging in regular and/or heavy drinking show that sleep can be improved in those individuals, as well as potentially reducing alcohol craving and alcohol-related consequences, no studies in any age group have yet demonstrated that improving sleep reduces drinking behavior. Notable limitations include relatively few longitudinal studies and only two experimental studies, insufficient consideration of different assessment timescales (e.g., day-to-day vs. years), insufficient consideration of the multidimensional nature of sleep, a paucity of objective measures of sleep and circadian rhythms, and insufficient consideration of how demographic variables may influence sleep/circadian-alcohol associations. Examining such moderators, particularly those related to minoritized identities, as well as further investigation of putative mechanistic pathways linking sleep/circadian characteristics to alcohol outcomes, are important next steps.
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Affiliation(s)
- Brant P Hasler
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Christina T Schulz
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Sarah L Pedersen
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
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Agarwal K, Manza P, Tejeda HA, Courville AB, Volkow ND, Joseph PV. Risk Assessment of Maladaptive Behaviors in Adolescents: Nutrition, Screen Time, Prenatal Exposure, Childhood Adversities - Adolescent Brain Cognitive Development Study. J Adolesc Health 2023:S1054-139X(23)00443-3. [PMID: 37804305 PMCID: PMC10999504 DOI: 10.1016/j.jadohealth.2023.08.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 08/05/2023] [Accepted: 08/21/2023] [Indexed: 10/09/2023]
Abstract
PURPOSE We aimed to identify significant contributing factors to the risk of maladaptive behaviors, such as alcohol use disorder or obesity, in children. To achieve this, we utilized the extensive adolescent brain cognitive development data set, which encompasses a wide range of environmental, social, and nutritional factors. METHODS We divided our sample into equal sets (test, validation; n = 3,415 each). On exploratory factor analysis, six factor domains were identified as most significant (fat/sugar intake, screen time, and prenatal alcohol exposure, parental aggressiveness, hyperactivity, family violence, parental education, and family income) and used to stratify the children into low- (n = 975), medium- (n = 967), high- (n = 977) risk groups. Regression models were used to analyze the relationship between identified risk groups, and differences in reward sensitivity, and behavioral problems at 2-year follow-up. RESULTS The functional magnetic resonance imaging analyses showed reduced activation in several brain regions during reward or loss anticipation in high/medium-risk (vs. low-risk) children on a monetary incentive delay task. High-risk children exhibited heightened middle frontal cortex activity when receiving large rewards. They also displayed increased impulsive and motivated reward-seeking behaviors, along with behavioral problems. These findings replicated in our validation set, and a negative correlation between middle frontal cortexthickness and impulsivity behavior was observed in high-risk children. DISCUSSION Our findings show altered reward function and increased impulsiveness in high-risk adolescents. This study has implications for early risk identification and the development of prevention strategies for maladaptive behaviors in children, particularly those at high risk.
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Affiliation(s)
- Khushbu Agarwal
- Section of Sensory Science and Metabolism, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland; National Institute of Nursing Research, Bethesda, Maryland
| | - Peter Manza
- Laboratory of Neuroimaging, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland
| | - Hugo A Tejeda
- Unit on Neuromodulation and Synaptic Integration, National Institute of Mental Health, Bethesda, Maryland
| | - Amber B Courville
- National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland
| | - Nora D Volkow
- Laboratory of Neuroimaging, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland.
| | - Paule V Joseph
- Section of Sensory Science and Metabolism, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland; National Institute of Nursing Research, Bethesda, Maryland.
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Stamatovich SN, Simons RM, Simons JS. Anhedonia and impulsivity in college alcohol use: A path analysis. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-11. [PMID: 37722885 DOI: 10.1080/07448481.2023.2249116] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2022] [Accepted: 08/09/2023] [Indexed: 09/20/2023]
Abstract
OBJECTIVE Alcohol use is a substantial problem among college students and has several negative consequences. The current study examined the associations between anhedonia and alcohol use and related problems via impulsive behavior (e.g., negative urgency, sensation seeking). We parsed anhedonia into four specific facets: consummatory, anticipatory, recreational, and social anhedonia. PARTICIPANTS Six hundred and forty college students aged 18-25 were included in the final analysis. METHOD Data were collected via Amazon Mechanical Turk. Self-report inventories assessing for anhedonia, alcohol use, impulsive behavior, and depressed mood were utilized. RESULTS Recreational consummatory anhedonia was negatively associated with alcohol use and alcohol-related problems through negative urgency. Recreational consummatory anhedonia also had significant negative associations with alcohol consumption via sensation seeking. Further, social anticipatory anhedonia was positively associated with alcohol use and related problems via negative urgency. CONCLUSIONS This study highlights important associations between anhedonia, impulsivity, and alcohol use and related problems.
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Affiliation(s)
- Sydney N Stamatovich
- Department of Psychology, University of South Dakota, Vermillion, South Dakota, USA
| | - Raluca M Simons
- Department of Psychology, University of South Dakota, Vermillion, South Dakota, USA
| | - Jeffrey S Simons
- Department of Psychology, University of South Dakota, Vermillion, South Dakota, USA
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10
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Chaplin TM, Curby TW, Gonçalves SF, Kisner MA, Niehaus CE, Thompson JC. Sex differences in emotion- and reward-related neural responses predicting increases in substance use in adolescence. Behav Brain Res 2023; 450:114499. [PMID: 37201893 PMCID: PMC10330612 DOI: 10.1016/j.bbr.2023.114499] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 05/11/2023] [Accepted: 05/15/2023] [Indexed: 05/20/2023]
Abstract
Adolescent substance use is a significant public health problem and there is a need for effective substance use preventions. To develop effective preventions, it is important to identify neurobiological risk factors that predict increases in substance use in adolescence and to understand potential sex differences in risk mechanisms. The present study used functional magnetic resonance imaging and hierarchical linear modeling to examine negative emotion- and reward-related neural responses in early adolescence predicting growth in substance use to middle adolescence in 81 youth, by sex. Adolescent neural responses to negative emotional stimuli and monetary reward receipt were assessed at age 12-14. Adolescents reported on substance use at age 12-14 and at 6 month, and 1, 2, and 3 year follow-ups. Adolescent neural responses did not predict initiation of substance use (yes/no), but, among users, neural responses predicted growth in substance use frequency. For girls, heightened right amygdala responses to negative emotional stimuli in early adolescence predicted growth in substance use frequency through middle adolescence. For boys, blunted left nucleus accumbens and bilateral ventromedial prefrontal cortex responses to monetary reward predicted growth in substance use frequency. Findings suggest different emotion and reward-related predictors of the development of substance use for adolescent girls versus boys.
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Affiliation(s)
- Tara M Chaplin
- Department of Psychology, George Mason University, 4400 University Drive, MSN 3F5, Fairfax, VA 22030, USA.
| | - Timothy W Curby
- Department of Psychology, George Mason University, 4400 University Drive, MSN 3F5, Fairfax, VA 22030, USA
| | - Stefanie F Gonçalves
- Department of Psychology, George Mason University, 4400 University Drive, MSN 3F5, Fairfax, VA 22030, USA
| | - Mallory A Kisner
- Department of Psychology, George Mason University, 4400 University Drive, MSN 3F5, Fairfax, VA 22030, USA
| | - Claire E Niehaus
- Department of Psychology, George Mason University, 4400 University Drive, MSN 3F5, Fairfax, VA 22030, USA; Department of Pediatrics, University of Louisville, 571 S Floyd Street, Louisville, KY 40202, USA
| | - James C Thompson
- Department of Psychology, George Mason University, 4400 University Drive, MSN 3F5, Fairfax, VA 22030, USA
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Musial MPM, Beck A, Rosenthal A, Charlet K, Bach P, Kiefer F, Vollstädt-Klein S, Walter H, Heinz A, Rothkirch M. Reward Processing in Alcohol-Dependent Patients and First-Degree Relatives: Functional Brain Activity During Anticipation of Monetary Gains and Losses. Biol Psychiatry 2023; 93:546-557. [PMID: 35863919 DOI: 10.1016/j.biopsych.2022.05.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 05/17/2022] [Accepted: 05/18/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND According to the reward deficiency syndrome and allostatic hypotheses, hyposensitivity of mesocorticolimbic regions to non-alcohol-related stimuli predisposes to dependence or is long-lastingly enhanced by chronic substance use. To date, no study has directly compared mesocorticolimbic brain activity during non-drug reward anticipation between alcohol-dependent, at risk, and healthy subjects. METHODS Seventy-five abstinent alcohol-dependent human subjects (mean abstinence duration 957.66 days), 62 healthy first-degree relatives of alcohol-dependent individuals, and 76 healthy control subjects without family history of alcohol dependence performed a monetary incentive delay task. Functional magnetic resonance imaging data of the anticipation phase were analyzed, during which visual cues predicted that fast response to a target would result in monetary gain, avoidance of monetary loss, or a neutral outcome. RESULTS During gain anticipation, there were no significant group differences. During loss anticipation, abstinent alcohol-dependent subjects showed lower activity in the left anterior insula compared with healthy control subjects without family history of alcohol dependence only (Montreal Neurological Institute [MNI] -25 19 -5; t206 = 4.17, familywise error corrected p = .009). However, this effect was no longer significant when age was included as a covariate. There were no group differences between abstinent alcohol-dependent subjects and healthy first-degree relatives or between healthy first-degree relatives and healthy control subjects during loss anticipation, respectively. CONCLUSIONS Neither the neural reward deficiency syndrome nor the allostatic hypotheses are supported by the results. Future studies should investigate whether the incentive salience hypothesis allows for more accurate predictions regarding mesocorticolimbic brain activity of subjects with alcohol dependence and healthy individuals during reward and loss anticipation and further examine the neural substrates underlying a predisposition to dependence.
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Affiliation(s)
- Milena P M Musial
- Charité - Universitätsmedizin Berlin, corporate member of Freie and Humboldt-Universität zu Berlin, Department of Psychiatry and Neurosciences
- CCM, Berlin, Germany.
| | - Anne Beck
- Charité - Universitätsmedizin Berlin, corporate member of Freie and Humboldt-Universität zu Berlin, Department of Psychiatry and Neurosciences
- CCM, Berlin, Germany; Health and Medical University, Campus Potsdam, Faculty of Health, Potsdam, Germany
| | - Annika Rosenthal
- Charité - Universitätsmedizin Berlin, corporate member of Freie and Humboldt-Universität zu Berlin, Department of Psychiatry and Neurosciences
- CCM, Berlin, Germany
| | - Katrin Charlet
- Section on Clinical Genomics and Experimental Therapeutics, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland
| | - Patrick Bach
- Department of Addictive Behaviour and Addiction Medicine, Central Institute of Mental Health, Medical Faculty of Mannheim, University of Heidelberg, Mannheim, Germany
| | - Falk Kiefer
- Department of Addictive Behaviour and Addiction Medicine, Central Institute of Mental Health, Medical Faculty of Mannheim, University of Heidelberg, Mannheim, Germany; Mannheim Center for Translational Neurosciences, Medical Faculty of Mannheim, Heidelberg University, Mannheim, Germany
| | - Sabine Vollstädt-Klein
- Department of Addictive Behaviour and Addiction Medicine, Central Institute of Mental Health, Medical Faculty of Mannheim, University of Heidelberg, Mannheim, Germany; Mannheim Center for Translational Neurosciences, Medical Faculty of Mannheim, Heidelberg University, Mannheim, Germany
| | - Henrik Walter
- Charité - Universitätsmedizin Berlin, corporate member of Freie and Humboldt-Universität zu Berlin, Department of Psychiatry and Neurosciences
- CCM, Berlin, Germany
| | - Andreas Heinz
- Charité - Universitätsmedizin Berlin, corporate member of Freie and Humboldt-Universität zu Berlin, Department of Psychiatry and Neurosciences
- CCM, Berlin, Germany
| | - Marcus Rothkirch
- Charité - Universitätsmedizin Berlin, corporate member of Freie and Humboldt-Universität zu Berlin, Department of Psychiatry and Neurosciences
- CCM, Berlin, Germany
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12
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Beard SJ, Yoon L, Venticinque JS, Shepherd NE, Guyer AE. The brain in social context: A systematic review of substance use and social processing from adolescence to young adulthood. Dev Cogn Neurosci 2022; 57:101147. [PMID: 36030675 PMCID: PMC9434028 DOI: 10.1016/j.dcn.2022.101147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 08/08/2022] [Accepted: 08/10/2022] [Indexed: 11/19/2022] Open
Abstract
Substance use escalates between adolescence and young adulthood, and most experimentation occurs among peers. To understand underlying mechanisms, research has focused on neural response during relevant psychological processes. Functional magnetic resonance imaging (fMRI) research provides a wealth of information about brain activity when processing monetary rewards; however, most studies have used tasks devoid of social stimuli. Given that adolescent neurodevelopment is sculpted by the push-and-pull of peers and emotions, identifying neural substrates is important for intervention. We systematically reviewed 28 fMRI studies examining substance use and neural responses to stimuli including social reward, emotional faces, social influence, and social stressors. We found substance use was positively associated with social-reward activity (e.g., in the ventral striatum), and negatively with social-stress activity (e.g., in the amygdala). For emotion, findings were mixed with more use linked to heightened response (e.g., in amygdala), but also with decreased response (e.g., in insula). For social influence, evidence supported both positive (e.g., cannabis and nucleus accumbens during conformity) and negative (e.g., polydrug and ventromedial PFC during peers' choices) relations between activity and use. Based on the literature, we offer recommendations for future research on the neural processing of social information to better identify risks for substance use.
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Affiliation(s)
- Sarah J Beard
- Center for Mind and Brain, University of California, Davis, 267 Cousteau Pl, Davis, CA 95618, USA; Department of Human Ecology, University of California, Davis, 301 Shields Ave, Davis, CA 95616, USA.
| | - Leehyun Yoon
- Center for Mind and Brain, University of California, Davis, 267 Cousteau Pl, Davis, CA 95618, USA.
| | - Joseph S Venticinque
- Center for Mind and Brain, University of California, Davis, 267 Cousteau Pl, Davis, CA 95618, USA; Department of Human Ecology, University of California, Davis, 301 Shields Ave, Davis, CA 95616, USA.
| | - Nathan E Shepherd
- Center for Mind and Brain, University of California, Davis, 267 Cousteau Pl, Davis, CA 95618, USA.
| | - Amanda E Guyer
- Center for Mind and Brain, University of California, Davis, 267 Cousteau Pl, Davis, CA 95618, USA; Department of Human Ecology, University of California, Davis, 301 Shields Ave, Davis, CA 95616, USA.
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13
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Gonçalves SF, Ryan M, Niehaus CE, Chaplin TM. Affect-Related Brain Activity and Adolescent Substance Use: A Systematic Review. Curr Behav Neurosci Rep 2022; 9:11-26. [PMID: 37009067 PMCID: PMC10062006 DOI: 10.1007/s40473-021-00241-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/27/2021] [Indexed: 10/19/2022]
Abstract
Purpose of review This review aims to summarize the research on brain activity during affective processing (i.e., reward, negative emotional stimuli, loss) and adolescent substance use (SU). Recent findings Most research revealed links between altered neural activity in midcingulo-insular, frontoparietal and other network regions and adolescent SU. Increased recruitment of midcingulo-insular regions-particularly the striatum-to positive affective stimuli (e.g., monetary reward) was most often associated with initiation and low-level use of substances, whereas decreased recruitment of these regions was most often associated with SUD and higher risk SU. In regards to negative affective stimuli, most research demonstrated increased recruitment of midcingulo-insular network regions. There is also evidence that these associations may be sex-specific. Summary Future research should employ longitudinal designs that assess affect-related brain activity prior to and following SU initiation and escalation. Moreover, examining sex as as moderating variable may help clarify if affective neural risk factors are sex-specific.
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Affiliation(s)
- Stefanie F. Gonçalves
- Department of Psychology, George Mason University,
Fairfax, Virginia, 22030, United States
| | - Mary Ryan
- Department of Psychology, George Mason University,
Fairfax, Virginia, 22030, United States
| | - Claire E. Niehaus
- Department of Psychology, George Mason University,
Fairfax, Virginia, 22030, United States
| | - Tara M. Chaplin
- Department of Psychology, George Mason University,
Fairfax, Virginia, 22030, United States
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14
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Beard SJ, Hastings PD, Ferrer E, Robins RW, Guyer AE. Neural Response to Social Exclusion Moderates the Link Between Adolescent Anxiety Symptoms and Substance Use. BIOLOGICAL PSYCHIATRY. COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2022; 7:180-191. [PMID: 34147709 PMCID: PMC9121759 DOI: 10.1016/j.bpsc.2021.06.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 05/31/2021] [Accepted: 06/08/2021] [Indexed: 02/03/2023]
Abstract
BACKGROUND Substance use (SU) typically increases from middle to late adolescence. Anxiety is one factor associated with greater SU, although variability in who uses substances remains. Some models suggest that brain-based susceptibility markers could reveal which adolescents are at a higher risk for psychopathology, but it is unknown whether these individual differences attenuate or accentuate the association between anxiety and elevated SU even if normative. This study addressed this gap by testing whether neural response to social exclusion moderates the association between anxiety symptoms and increased SU from middle to late adolescence. METHODS Participants were 181 Mexican-origin adolescents (48% female; 16-17 years old) who completed a social exclusion task during a functional magnetic resonance imaging scan and filled out questionnaires about their SU and anxiety symptoms. Analyses focused on neural response to social exclusion versus inclusion within 3 regions of interest and change in SU across 2 years. RESULTS Dorsal anterior cingulate cortex response to social exclusion, but not subgenual anterior cingulate cortex or anterior insula, moderated the relation between anxiety symptoms and SU, such that higher anxiety symptoms predicted a greater relative increase in SU only for those youth with a lower dorsal anterior cingulate cortex response to exclusion. CONCLUSIONS Blunted dorsal anterior cingulate cortex response to social exclusion may serve as a neural susceptibility marker of altered conflict monitoring or emotion regulation in middle adolescence that, in combination with high levels of anxious feelings, elevates the risk for onset of and/or increased SU by late adolescence. These findings have implications for designing targeted interventions to mitigate SU among adolescents.
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Affiliation(s)
- Sarah J. Beard
- Center for Mind and Brain, University of California, Davis,Department of Human Ecology, University of California, Davis
| | - Paul D. Hastings
- Center for Mind and Brain, University of California, Davis,Department of Psychology, University of California, Davis
| | - Emilio Ferrer
- Department of Psychology, University of California, Davis
| | | | - Amanda E. Guyer
- Center for Mind and Brain, University of California, Davis,Department of Human Ecology, University of California, Davis
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15
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Dieleman J, Sescousse G, Kleinjan M, Otten R, Luijten M. Investigating the association between smoking, environmental tobacco smoke exposure and reward-related brain activity in adolescent experimental smokers. Addict Biol 2022; 27:e13070. [PMID: 34263512 PMCID: PMC9285048 DOI: 10.1111/adb.13070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 04/11/2021] [Accepted: 05/25/2021] [Indexed: 11/28/2022]
Abstract
Reduced anticipatory reward‐related activity, especially in the ventral striatum (VS), may underly adolescent vulnerability to develop nicotine dependence. It remains unclear whether nicotine uptake caused by environmental tobacco smoke (ETS) exposure, known to be associated with future smoking, might prompt similar changes in the brain's reward system, rendering adolescents vulnerable for development of nicotine dependence. To address this question, we tested whether current ETS exposure and monthly smoking are associated with VS hypoactivity for non‐drug rewards in experimental smoking adolescents. One‐hundred adolescents performed a monetary incentive delay task while brain activity was measured using fMRI. To test the hypothesized relationship, we used a variety of approaches: (1) a whole‐brain voxel‐wise approach, (2) an region‐of‐interest approach in the VS using frequentist and Bayesian statistics and (3) a small volume voxel‐wise approach across the complete striatum. The results converged in revealing no significant relationships between monthly smoking, ETS exposure and reward‐related brain activation across the brain or in the (ventral) striatum specifically. However, Bayesian statistics showed only anecdotal evidence for the null hypothesis in the VS, providing limited insight into the (non‐)existence of the hypothesized relationship. Based on these results, we speculate that blunted VS reward‐related activity might only occur after relatively high levels of exposure or might be associated with more long term effects of smoking. Future studies would benefit from even larger sample sizes to reliably distinguish between the null and alternative models, as well as more objective measures of (environmental) smoking via using devices such as silicone wristbands.
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Affiliation(s)
- Joyce Dieleman
- Department of Jeugd Trimbos Institute Utrecht Netherlands
- Behavioural Science Institute Radboud University Nijmegen Netherlands
| | | | - Marloes Kleinjan
- Department of Jeugd Trimbos Institute Utrecht Netherlands
- Interdisciplinary Social Sciences Utrecht University Netherlands
| | - Roy Otten
- Behavioural Science Institute Radboud University Nijmegen Netherlands
- Pluryn Research and Development Nijmegen Netherlands
- Arizona State University REACH Institute Tempe Arizona USA
| | - Maartje Luijten
- Behavioural Science Institute Radboud University Nijmegen Netherlands
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16
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Gonçalves SF, Turpyn CC, Niehaus CE, Mauro KL, Hinagpis CL, Thompson JC, Chaplin TM. Neural activation to loss and reward among alcohol naive adolescents who later initiate alcohol use. Dev Cogn Neurosci 2021; 50:100978. [PMID: 34167021 PMCID: PMC8227823 DOI: 10.1016/j.dcn.2021.100978] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 05/13/2021] [Accepted: 06/15/2021] [Indexed: 11/18/2022] Open
Abstract
Adolescent alcohol use is associated with adverse psychosocial outcomes, including an increased risk of alcohol use disorder in adulthood. It is therefore important to identify risk factors of alcohol initiation in adolescence. Research to date has shown that altered neural activation to reward is associated with alcohol use in adolescence; however, few studies have focused on neural activation to loss and alcohol use. The current study examined neural activation to loss and reward among 64 alcohol naive 12−14 year olds that did (n = 20) and did not initiate alcohol use by a three year follow-up period. Results showed that compared to adolescents that did not initiate alcohol use, adolescents that did initiate alcohol use by the three year follow-up period had increased activation to loss in the left striatum (i.e., putamen), right precuneus, and the brainstem/pons when they were alcohol naive at baseline. By contrast, alcohol initiation was not associated with neural activation to winning a reward. These results suggest that increased activation in brain regions implicated in salience, error detection/self-referential processing, and sensorimotor function, especially to negative outcomes, may represent an initial vulnerability factor for alcohol use in adolescence.
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Affiliation(s)
- Stefanie F Gonçalves
- Department of Psychology, George Mason University, Fairfax, VA, 22030, United States.
| | - Caitlin C Turpyn
- Department of Psychology and Neuroscience, University of North Carolina, Chapel Hill, NC, 27599, United States.
| | - Claire E Niehaus
- Department of Psychology, George Mason University, Fairfax, VA, 22030, United States.
| | - Kelsey L Mauro
- Department of Psychology, George Mason University, Fairfax, VA, 22030, United States.
| | - Cristopher L Hinagpis
- Department of Psychology, George Mason University, Fairfax, VA, 22030, United States.
| | - James C Thompson
- Department of Psychology, George Mason University, Fairfax, VA, 22030, United States.
| | - Tara M Chaplin
- Department of Psychology, George Mason University, Fairfax, VA, 22030, United States.
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17
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Bart CP, Titone MK, Ng TH, Nusslock R, Alloy LB. Neural reward circuit dysfunction as a risk factor for bipolar spectrum disorders and substance use disorders: A review and integration. Clin Psychol Rev 2021; 87:102035. [PMID: 34020138 DOI: 10.1016/j.cpr.2021.102035] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 03/13/2021] [Accepted: 04/28/2021] [Indexed: 01/08/2023]
Abstract
Bipolar spectrum disorders (BSDs) and substance use disorders (SUDs) are associated with neural reward dysfunction. However, it is unclear what pattern of neural reward function underlies pre-existing vulnerability to BSDs and SUDs, or whether neural reward function explains their high co-occurrence. The current paper provides an overview of the separate literatures on neural reward sensitivity in BSDs and SUDs. We provide a systematic review of 35 studies relevant to identifying neural reward function vulnerability to BSDs and SUDs. These studies include those examining neural reward processing on a monetary reward task with prospective designs predicting initial onset of SUDs, familial risk studies that examine unaffected offspring or first-degree relatives of family members with BSDs or SUDs, and studies that examine individuals with BSDs or SUDs who are not currently in an episode of the disorder. Findings from the review highlight that aberrant responding and connectivity across neural regions associated with reward and cognitive control confers risk for the development of BSDs and SUDs. Discussion focuses on limitations of the extant literature. We conclude with an integration and theoretical model for understanding how aberrant neural reward responding may constitute a vulnerability to the development of both BSDs and SUDs.
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Affiliation(s)
- Corinne P Bart
- Department of Psychology, Temple University, Philadelphia, PA, United States of America
| | - Madison K Titone
- Department of Psychology, Temple University, Philadelphia, PA, United States of America
| | - Tommy H Ng
- Department of Psychology, Temple University, Philadelphia, PA, United States of America
| | - Robin Nusslock
- Department of Psychology, Northwestern University, Evanston, IL, United States of America
| | - Lauren B Alloy
- Department of Psychology, Temple University, Philadelphia, PA, United States of America.
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18
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Demidenko MI, Weigard AS, Ganesan K, Jang H, Jahn A, Huntley ED, Keating DP. Interactions between methodological and interindividual variability: How Monetary Incentive Delay (MID) task contrast maps vary and impact associations with behavior. Brain Behav 2021; 11:e02093. [PMID: 33750042 PMCID: PMC8119872 DOI: 10.1002/brb3.2093] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 02/01/2021] [Accepted: 02/05/2021] [Indexed: 12/28/2022] Open
Abstract
INTRODUCTION Phenomena related to reward responsiveness have been extensively studied in their associations with substance use and socioemotional functioning. One important task in this literature is the Monetary Incentive Delay (MID) task. By cueing and delivering performance-contingent reward, the MID task has been demonstrated to elicit robust activation of neural circuits involved in different phases of reward responsiveness. However, systematic evaluations of common MID task contrasts have been limited to between-study comparisons of group-level activation maps, limiting their ability to directly evaluate how researchers' choice of contrasts impacts conclusions about individual differences in reward responsiveness or brain-behavior associations. METHODS In a sample of 104 participants (Age Mean = 19.3, SD = 1.3), we evaluate similarities and differences between contrasts in: group- and individual-level activation maps using Jaccard's similarity index, region of interest (ROI) mean signal intensities using Pearson's r, and associations between ROI mean signal intensity and psychological measures using Bayesian correlation. RESULTS Our findings demonstrate more similarities than differences between win and loss cues during the anticipation contrast, dissimilarity between some win anticipation contrasts, an apparent deactivation effect in the outcome phase, likely stemming from the blood oxygen level-dependent undershoot, and behavioral associations that are less robust than previously reported. CONCLUSION Consistent with recent empirical findings, this work has practical implications for helping researchers interpret prior MID studies and make more informed a priori decisions about how their contrast choices may modify results.
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Affiliation(s)
| | - Alexander S Weigard
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA.,Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
| | | | - Hyesue Jang
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Andrew Jahn
- The Functional MRI Laboratory, University of Michigan, Ann Arbor, MI, USA
| | - Edward D Huntley
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
| | - Daniel P Keating
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA.,Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
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19
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Lees B, Garcia AM, Debenham J, Kirkland AE, Bryant BE, Mewton L, Squeglia LM. Promising vulnerability markers of substance use and misuse: A review of human neurobehavioral studies. Neuropharmacology 2021; 187:108500. [PMID: 33607147 PMCID: PMC8129990 DOI: 10.1016/j.neuropharm.2021.108500] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 02/10/2021] [Accepted: 02/11/2021] [Indexed: 01/11/2023]
Abstract
Substance use often begins, and noticeably escalates, during adolescence. Identifying predictive neurobehavioral vulnerability markers of substance use and related problems may improve targeted prevention and early intervention initiatives. This review synthesizes 44 longitudinal studies and explores the utility of developmental imbalance models and neurobehavioral addiction frameworks in predicting neural and cognitive patterns that are associated with prospective substance use initiation and escalation among young people. A total of 234 effect sizes were calculated and compared. Findings suggest that aberrant neural structure and function of regions implicated in reward processing, cognitive control, and impulsivity can predate substance use initiation, escalation, and disorder. Functional vulnerability markers of substance use include hyperactivation during reward feedback and risk evaluation in prefrontal and ventral striatal regions, fronto-parietal hypoactivation during working memory, distinctive neural patterns during successful (fronto-parietal hyperactivation) and failed response inhibition (frontal hypoactivation), and related cognitive deficits. Structurally, smaller fronto-parietal and amygdala volume and larger ventral striatal volume predicts prospective substance misuse. Taken together, the findings of this review suggest that neurobehavioral data can be useful in predicting future substance use behaviors. Notably, little to no research has empirically tested the underlying assumptions of widely used theoretical frameworks. To improve the reliability and utility of neurobehavioral data in predicting future substance use behaviors, recommendations for future research are provided. This article is part of the special issue on 'Vulnerabilities to Substance Abuse.'
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Affiliation(s)
- Briana Lees
- The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Australia.
| | - Alexis M Garcia
- Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, USA
| | - Jennifer Debenham
- The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Australia
| | - Anna E Kirkland
- Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, USA
| | - Brittany E Bryant
- Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, USA
| | - Louise Mewton
- Centre for Healthy Brain Ageing, University of New South Wales, Australia
| | - Lindsay M Squeglia
- Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, USA
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20
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Abstract
ABSTRACT Adolescence is a time known for risky behaviors and often the initiation of alcohol use. Readily available, alcohol is often one of the drugs of choice for adolescents. Whereas in the past 30 years, the overall consumption of alcohol is down, the data in the past 10 years have shown more girls are binge drinking and meeting criteria for alcohol use disorder (AUD). The alarm of early alcohol use is the association with problems with the substances later in life. Historically, men and male adolescents consumed more alcohol than females. Recent studies indicate girls' alcohol use surpasses boys, whereas women now are developing AUD at the same rate as men. The consequences of early use can result in women's increased risk for multiple cancers, having a more severe form of AUD with less alcohol consumption as well as premature death. To further exacerbate this growing concern, the novel coronavirus (COVID-19) pandemic has created a perfect storm for increased use of alcohol to cope with the stress of living in an uncertain world. Normal daily activities have been halted with the uncertainty of school closures, zoom classroom sessions, and living in mandated social isolation. All nurses need to be screening for how families under their care have been managing stress. The time is opportune to educate and support parents in engaging their children in conversations around substance use. Parents can be supported to increase awareness of their own coping mechanisms and strengthen positive coping. Adolescents need support to strengthen interpersonal skills as well as make informed decisions concerning when and how they engage in alcohol consumption. This article will illuminate the growing need for all healthcare providers to assess and guide adolescents' coping skills during COVID with a focus on mental health, high-risk behavior, and alcohol use.
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21
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Nielson DM, Keren H, O'Callaghan G, Jackson SM, Douka I, Vidal-Ribas P, Pornpattananangkul N, Camp CC, Gorham LS, Wei C, Kirwan S, Zheng CY, Stringaris A. Great Expectations: A Critical Review of and Suggestions for the Study of Reward Processing as a Cause and Predictor of Depression. Biol Psychiatry 2021; 89:134-143. [PMID: 32797941 PMCID: PMC10726343 DOI: 10.1016/j.biopsych.2020.06.012] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 05/20/2020] [Accepted: 06/10/2020] [Indexed: 10/24/2022]
Abstract
Both human and animal studies support the relationship between depression and reward processing abnormalities, giving rise to the expectation that neural signals of these processes may serve as biomarkers or mechanistic treatment targets. Given the great promise of this research line, we scrutinized those findings and the theoretical claims that underlie them. To achieve this, we applied the framework provided by classical work on causality as well as contemporary approaches to prediction. We identified a number of conceptual, practical, and analytical challenges to this line of research and used a preregistered meta-analysis to quantify the longitudinal associations between reward processing abnormalities and depression. We also investigated the impact of measurement error on reported data. We found that reward processing abnormalities do not reach levels that would be useful for clinical prediction, yet the available evidence does not preclude a possible causal role in depression.
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Affiliation(s)
- Dylan M Nielson
- Section on Clinical and Computational Psychiatry (CompΨ), National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland
| | - Hanna Keren
- Section on Clinical and Computational Psychiatry (CompΨ), National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland
| | - Georgia O'Callaghan
- Section on Clinical and Computational Psychiatry (CompΨ), National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland
| | - Sarah M Jackson
- Section on Clinical and Computational Psychiatry (CompΨ), National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland
| | - Ioanna Douka
- Section on Clinical and Computational Psychiatry (CompΨ), National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland
| | - Pablo Vidal-Ribas
- Social and Behavioral Science Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland
| | | | - Christopher C Camp
- Section on Clinical and Computational Psychiatry (CompΨ), National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland
| | - Lisa S Gorham
- Section on Clinical and Computational Psychiatry (CompΨ), National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland
| | - Christine Wei
- Section on Clinical and Computational Psychiatry (CompΨ), National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland
| | - Stuart Kirwan
- Section on Clinical and Computational Psychiatry (CompΨ), National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland
| | - Charles Y Zheng
- Machine Learning Team, Functional Magnetic Resonance Imaging Facility, National Institutes of Health, Bethesda, Maryland
| | - Argyris Stringaris
- Section on Clinical and Computational Psychiatry (CompΨ), National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland.
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22
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Hamidullah S, Thorpe HHA, Frie JA, Mccurdy RD, Khokhar JY. Adolescent Substance Use and the Brain: Behavioral, Cognitive and Neuroimaging Correlates. Front Hum Neurosci 2020; 14:298. [PMID: 32848673 PMCID: PMC7418456 DOI: 10.3389/fnhum.2020.00298] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Accepted: 07/03/2020] [Indexed: 12/11/2022] Open
Abstract
Adolescence is an important ontogenetic period that is characterized by behaviors such as enhanced novelty-seeking, impulsivity, and reward preference, which can give rise to an increased risk for substance use. While substance use rates in adolescence are generally on a decline, the current rates combined with emerging trends, such as increases in e-cigarette use, remain a significant public health concern. In this review, we focus on the neurobiological divergences associated with adolescent substance use, derived from a cross-sectional, retrospective, and longitudinal studies, and highlight how the use of these substances during adolescence may relate to behavioral and neuroimaging-based outcomes. Identifying and understanding the associations between adolescent substance use and changes in cognition, mental health, and future substance use risk may assist our understanding of the consequences of drug exposure during this critical window.
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Affiliation(s)
| | - Hayley H A Thorpe
- Department of Biomedical Sciences, University of Guelph, Guelph, ON, Canada
| | - Jude A Frie
- Department of Biomedical Sciences, University of Guelph, Guelph, ON, Canada
| | - Richard D Mccurdy
- Department of Biomedical Sciences, University of Guelph, Guelph, ON, Canada
| | - Jibran Y Khokhar
- Department of Biomedical Sciences, University of Guelph, Guelph, ON, Canada
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Editorial: Alcohol and the Developing Brain: What to Expect Next? J Am Acad Child Adolesc Psychiatry 2020; 59:346-347. [PMID: 31759096 DOI: 10.1016/j.jaac.2019.09.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Accepted: 09/18/2019] [Indexed: 11/21/2022]
Abstract
Sometimes anticipation is more fun than the actual event, and sometimes, pleasantly, it's the reverse. The difference between the anticipated value of an action and its actual outcome provides important feedback, which shapes our behavior and future plans and is a central feature of all modern theories of incentivized learning.1 Contextually adaptive behavior and decision making depends critically on a constantly updated comparison between expectations and outcomes. To clarify the neural substrate of these mental comparisons, there has been an intensive examination of reward-related activity in the brain in the last few decades. Scores of neuroimaging studies have been performed to identify the brain regions involved in the representation of anticipated value and experienced outcomes. Systematic reviews of this neuroimaging literature indicate that a common set of value-coding brain regions are involved across a wide range of tasks.2.
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