1
|
Webber HE, de Dios C, Kessler DA, Schmitz JM, Lane SD, Suchting R. A meta-analysis of electrophysiological biomarkers of reward and error monitoring in substance misuse. Psychophysiology 2024; 61:e14515. [PMID: 38238282 DOI: 10.1111/psyp.14515] [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: 02/16/2023] [Revised: 10/20/2023] [Accepted: 12/18/2023] [Indexed: 04/17/2024]
Abstract
Substance use disorders are characterized by marked changes in reward and error processing. The primary objective of this meta-analysis was to estimate effect sizes for the reward positivity (RewP) and error-related negativity (ERN), two event-related potential indicators of outcome monitoring, in substance users compared to controls. The secondary objective was to test for moderation by demographic, substance type, and EEG experiment parameters. Final PubMed searches were performed in August 2023. Inclusion criteria were substance use disorder/dependence or validated self-report of substance misuse, RewP/ERN means available, healthy control comparison group, non-acute drug study, peer-reviewed journal, English language, and human participants. Selection bias was tested through modified Egger's regression and exploratory 3-parameter selection model tests. The RewP results (19 studies, 1641 participants) did not support an overall effect (Hedges' g = 0.07, 95% CI [-0.44, 0.58], p = .777) and nor effect of any moderators. The ERN results (20 studies, 1022 participants) indicated no significant overall effect (g = 0.41, 95%CI [-0.05, 0.88]). Subgroup analyses indicated that cocaine users had a blunted ERN compared to controls (g = 1.12, 95%CI [0.77, 1.47]). There was limited evidence for publication/small study bias. Although the results indicate a potential dissociation between substance types, this meta-analysis revealed the need for additional research on the RewP/ERN in substance using populations and for better designed experiments that adequately address research questions.
Collapse
Affiliation(s)
- Heather E Webber
- Faillace Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Constanza de Dios
- Faillace Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Danielle A Kessler
- College of Medicine at Tower Health, Drexel University, Wyomissing, Pennsylvania, USA
| | - Joy M Schmitz
- Faillace Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Scott D Lane
- Faillace Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Robert Suchting
- Faillace Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, Houston, Texas, USA
| |
Collapse
|
2
|
Liu Y, Masina F, Ridderinkhof KR, Pezzetta R. Addiction as a brain disease? A meta-regression comparison of error-related brain potentials between addiction and neurological diseases. Neurosci Biobehav Rev 2023; 148:105127. [PMID: 36921702 DOI: 10.1016/j.neubiorev.2023.105127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Revised: 03/08/2023] [Accepted: 03/09/2023] [Indexed: 03/14/2023]
Abstract
The notion that addiction is a "brain disorder" is widespread. However, there is a lack of evidence on the degree of disorder in terms of error processing in addiction. The present meta-analysis aimed at shedding light on this by comparing error-processes with populations with well-recognized brain disorders. We included 17 addiction and 32 neurological disorder studies that compared error-related negativity (ERN) or error positivity (Pe) amplitudes/latencies between experimental and healthy-control groups. Meta-regression analyses were performed for the intergroup comparison and other moderators. Both diagnoses were accompanied by a diminished ERN amplitude, although the degree of impairment was marginally larger in neurological disorders. Neurological disorders presented shorter ERN latencies than addiction when compared with controls. The two groups did not differ in Pe amplitude/latency. Except for a reduced ERN amplitude found along with aging, no other moderator contributed significantly to divergent findings about these four ERP indexes. The results support the brain disease model of addiction, while stressing the importance of quantifying the degrees of brain dysfunctions as a next step.
Collapse
Affiliation(s)
- Yang Liu
- Department of Psychology, School of Education, Shanghai Normal University, Shanghai, China.
| | | | | | | |
Collapse
|
3
|
Bates ME, Price JL, Leganes-Fonteneau M, Muzumdar N, Piersol K, Frazier I, Buckman JF. The Process of Heart Rate Variability, Resonance at 0.1 hz, and the Three Baroreflex Loops: A Tribute to Evgeny Vaschillo. Appl Psychophysiol Biofeedback 2022; 47:327-340. [PMID: 35536496 PMCID: PMC9088144 DOI: 10.1007/s10484-022-09544-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 04/04/2022] [Accepted: 04/22/2022] [Indexed: 11/25/2022]
Affiliation(s)
- Marsha E. Bates
- Department of Kinesiology & Health, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
- Center of Alcohol & Substance Use Studies, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
| | - Julianne L. Price
- Department of Kinesiology & Health, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
- Center of Alcohol & Substance Use Studies, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
| | - Mateo Leganes-Fonteneau
- Department of Kinesiology & Health, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
- Center of Alcohol & Substance Use Studies, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
| | - Neel Muzumdar
- Department of Kinesiology & Health, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
- Center of Alcohol & Substance Use Studies, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
| | - Kelsey Piersol
- Department of Kinesiology & Health, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
- Center of Alcohol & Substance Use Studies, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
| | - Ian Frazier
- Department of Kinesiology & Health, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
- Center of Alcohol & Substance Use Studies, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
| | - Jennifer F. Buckman
- Department of Kinesiology & Health, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
- Center of Alcohol & Substance Use Studies, Rutgers University—New Brunswick, 08854 Piscataway, NJ United States
| |
Collapse
|
4
|
Abstract
BACKGROUND Dependent alcohol drinkers exhibit differences in the structure and function of the brain, and impairments in cognitive function, including executive functions (EFs). Less is known about the impact of non-dependent but hazardous use (that which raises the risk of harm), and it is also unclear to what extent executive impairments in this cohort affect real-world function. The current study examines the relationship between alcohol use, EF and alcohol-related problems, in the general population. METHODS A between-groups cross-sectional design assessed EF across two levels of drinking; hazardous (Alcohol Use Disorders Identification Test (AUDIT) score of ⩾8) and non-hazardous. Alcohol drinkers (n = 666; 136 male; 524 female; six not disclosed; aged 28.02 ± 10.40 years) completed validated questionnaires online assessing subjective EF, alcohol use and alcohol-related problems. RESULTS Organisation, Strategic Planning, Impulse Control and overall function were significantly impaired in hazardous drinkers. Furthermore, the effect of alcohol on EF, partially mediated the relationship between alcohol use and alcohol-related problems. CONCLUSION Hazardous drinking was associated with lower subjective EF, and this mediated the effect of alcohol on alcohol-related problems. This may be due to changes in prefrontal brain regions, which could indicate greater risk for the development of alcohol dependence (AD). Future research should use additional means to assess EF in hazardous drinkers, including recovery of function, development of AD and the relationship between cognition and alcohol-related daily problems.
Collapse
Affiliation(s)
- Anna Powell
- School of Psychology, Liverpool John
Moores University, Liverpool, UK
| | - Harry Sumnall
- Public Health Institute, Liverpool John
Moores University, Liverpool, UK
- Liverpool Centre for Alcohol Research,
University of Liverpool, Liverpool, UK
| | - Cecil Kullu
- Mersey Care NHS Foundation Trust,
Liverpool, UK
| | - Lynn Owens
- Liverpool Centre for Alcohol Research,
University of Liverpool, Liverpool, UK
- University of Liverpool, Liverpool,
UK
| | - Catharine Montgomery
- School of Psychology, Liverpool John
Moores University, Liverpool, UK
- Liverpool Centre for Alcohol Research,
University of Liverpool, Liverpool, UK
| |
Collapse
|
5
|
Zhang Y, Ou H, Yuan TF, Sun J. Electrophysiological indexes for impaired response inhibition and salience attribution in substance (stimulants and depressants) use disorders: A meta-analysis. Int J Psychophysiol 2021; 170:133-155. [PMID: 34687811 DOI: 10.1016/j.ijpsycho.2021.10.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 10/09/2021] [Accepted: 10/13/2021] [Indexed: 12/16/2022]
Abstract
The impairment of inhibitory control and reward system is the core feature underlying substance use disorder (SUD). Previous studies suggested that it can be regarded as impaired response inhibition and salience attribution syndrome (iRISA). The neural substrates of the two deficit functions were widely investigated in neuroimaging studies, and the impaired prefrontal cortex, limbic-orbitofrontal network, and fronto-insular-parietal network were observed. Previous Event-related potential (ERP) studies were also conducted to explore EEG indexes related to abnormal brain function. In the current meta-analysis, we aimed to explore the consistency of ERP indexes that can reflect the two aberrant processes: P300/slow potential (SP) for salience attribution and Error-related negativity (ERN)/Nogo-N200/Nogo-P300 for inhibitory control and conflict monitoring. Subgroup analyses for drug type and drug use conditions were also conducted. According to the 60 research studies, we found significantly enhanced drug-cue-induced P300 amplitude and attenuated Nogo-N200 amplitude in SUD individuals relative to Healthy control (HC), which supports the dual model. Moreover, the drug-cue-induced P300 displayed time-dependence recovery, suggesting a potential index for treatment evaluation. In conclusion, drug-cue-induced P300 and Nogo-N200 demonstrated high consistency, and the drug-cue-induced P300 can be used to track the changes of functional recovery for SUD. The integration of the two ERP components could be regarded as a potential biomarker for SUD, which may provide a new insight for clinical treatment and investigation.
Collapse
Affiliation(s)
- Yi Zhang
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; School of Biomedical Engineering and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China
| | - Hang Ou
- Research center of Brain and Cognitive Neuroscience, Liaoning Normal University, Dalian, China; Key Laboratory of Brain and Cognitive Neuroscience, Liaoning Province, China
| | - Ti-Fei Yuan
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Co-innovation Center of Neuroregeneration, Nantong University, Nantong, Jiangsu, China
| | - Junfeng Sun
- School of Biomedical Engineering and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China.
| |
Collapse
|
6
|
Maurage P, Lannoy S, Mange J, Grynberg D, Beaunieux H, Banovic I, Gierski F, Naassila M. What We Talk About When We Talk About Binge Drinking: Towards an Integrated Conceptualization and Evaluation. Alcohol Alcohol 2021; 55:468-479. [PMID: 32556202 DOI: 10.1093/alcalc/agaa041] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 04/17/2020] [Accepted: 04/24/2020] [Indexed: 12/11/2022] Open
Abstract
RATIONALE Binge drinking (BD), characterized by recurring alternations between intense intoxication episodes and abstinence periods, is the most frequent alcohol consumption pattern in youth and is growing in prevalence among older adults. Many studies have underlined the specific harmful impact of this habit by showing impaired abilities in a wide range of cognitive functions among binge drinkers, as well as modifications of brain structure and function. AIMS Several controversies and inconsistencies currently hamper the harmonious development of the field and the recognition of BD as a specific alcohol consumption pattern. The main concern is the absence of consensual BD conceptualization, leading to variability in experimental group selection and alcohol consumption evaluation. The present paper aims at overcoming this key issue through a two-step approach. METHODS AND CONCLUSIONS First, a literature review allows proposing an integrated BD conceptualization, distinguishing it from other subclinical alcohol consumption patterns. Six specific characteristics of BD are identified, namely, (1) the presence of physiological symptoms related to BD episodes, (2) the presence of psychological symptoms related to BD episodes, (3) the ratio of BD episodes compared to all alcohol drinking occasions, (4) the frequency of BD episodes, (5) the consumption speed and (6) the alternation between BD episodes and soberness periods. Second, capitalizing on this conceptual clarification, we propose an evaluation protocol jointly measuring these six BD characteristics. Finally, several research perspectives are presented to refine the proposed conceptualization.
Collapse
Affiliation(s)
- Pierre Maurage
- Louvain Experimental Psychopathology Research Group (LEP), Psychological Science Research Institute, UCLouvain, Louvain-la-Neuve 1348, Belgium
| | - Séverine Lannoy
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford 94305, CA, USA
| | - Jessica Mange
- Laboratoire de Psychologie Caen Normandie (LPCN; EA 7452), University of Caen Normandy, Caen 14032, France
| | - Delphine Grynberg
- SCALab UMR 9193, Sciences Cognitives et Sciences Affectives, University of Lille, CNRS, CHU Lille, Lille 59000, France.,Institut Universitaire de France, Paris 75231, France
| | - Hélène Beaunieux
- Laboratoire de Psychologie Caen Normandie (LPCN; EA 7452), University of Caen Normandy, Caen 14032, France
| | - Ingrid Banovic
- CRFDP EA 7475, University of Rouen Normandie, Rouen 76000, France
| | - Fabien Gierski
- Cognition, Health, Society Laboratory (C2S-EA 6291), University of Reims Champagne Ardenne (URCA), Reims 51571, France.,INSERM UMR 1247, Research Group on Alcohol and Pharmacodependences, GRAP, University of Picardie Jules Verne, Amiens 80025, France
| | - Mickaël Naassila
- INSERM UMR 1247, Research Group on Alcohol and Pharmacodependences, GRAP, University of Picardie Jules Verne, Amiens 80025, France
| |
Collapse
|
7
|
Almeida-Antunes N, Crego A, Carbia C, Sousa SS, Rodrigues R, Sampaio A, López-Caneda E. Electroencephalographic signatures of the binge drinking pattern during adolescence and young adulthood: A PRISMA-driven systematic review. NEUROIMAGE-CLINICAL 2020; 29:102537. [PMID: 33418172 PMCID: PMC7803655 DOI: 10.1016/j.nicl.2020.102537] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 11/13/2020] [Accepted: 12/14/2020] [Indexed: 01/10/2023]
Abstract
Controls and binge drinkers (BDs) do not differ in their behavioral performance. BDs show increased neural activity during attention, working memory and inhibition. Augmented P3 amplitude in BDs was the most solid electrophysiological finding. Evidence does not support specific gender vulnerabilities to the effects of BD. Memory, emotional processing and decision-making processes need further exploration.
Research on neurophysiological impairments associated with binge drinking (BD), an excessive but episodic alcohol use pattern, has significantly increased over the last decade. This work is the first to systematically review –following PRISMA guidelines- the empirical evidence regarding the effects of BD on neural activity –assessed by electroencephalography- of adolescents and young adults. A systematic review was conducted in 34 studies (N = 1723). Results indicated that binge drinkers (BDs) showed similar behavioral performance as non/low drinkers. The most solid electrophysiological finding was an augmented P3 amplitude during attention, working memory and inhibition tasks. This increased neural activity suggests the recruitment of additional resources to perform the task at adequate/successful levels, which supports the neurocompensation hypothesis. Similar to alcoholics, BDs also displayed increased reactivity to alcohol-related cues, augmented resting-state electrophysiological signal and reduced activity during error detection –which gives support to the continuum hypothesis. Evidence does not seem to support greater vulnerability to BD in females. Replication and longitudinal studies are required to account for mixed results and to elucidate the extent/direction of the neural impairments associated with BD.
Collapse
Affiliation(s)
- Natália Almeida-Antunes
- Psychological Neuroscience Laboratory (PNL), Research Center in Psychology (CIPsi), School of Psychology, University of Minho, Campus de Gualtar, Portugal
| | - Alberto Crego
- Psychological Neuroscience Laboratory (PNL), Research Center in Psychology (CIPsi), School of Psychology, University of Minho, Campus de Gualtar, Portugal
| | - Carina Carbia
- APC Microbiome Ireland, University College Cork, Cork, Ireland
| | - Sónia S Sousa
- Psychological Neuroscience Laboratory (PNL), Research Center in Psychology (CIPsi), School of Psychology, University of Minho, Campus de Gualtar, Portugal
| | - Rui Rodrigues
- Psychological Neuroscience Laboratory (PNL), Research Center in Psychology (CIPsi), School of Psychology, University of Minho, Campus de Gualtar, Portugal
| | - Adriana Sampaio
- Psychological Neuroscience Laboratory (PNL), Research Center in Psychology (CIPsi), School of Psychology, University of Minho, Campus de Gualtar, Portugal
| | - Eduardo López-Caneda
- Psychological Neuroscience Laboratory (PNL), Research Center in Psychology (CIPsi), School of Psychology, University of Minho, Campus de Gualtar, Portugal.
| |
Collapse
|
8
|
Wang SM, Han KD, Kim NY, Um YH, Kang DW, Na HR, Lee CU, Lim HK. Association of Alcohol Intake and Fracture Risk in Elderly Varied by Affected Bones: A Nationwide Longitudinal Study. Psychiatry Investig 2020; 17:1013-1020. [PMID: 33059395 PMCID: PMC7596281 DOI: 10.30773/pi.2020.0143] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 08/20/2020] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVE Previous studies investigating association of alcohol intake and fracture risk in elderly yielded conflicting results. We first examined the association between alcohol intake and total fracture risk in elderly subjects and further analyzed whether the association varied by fracture locations. METHODS This is a nationwide population-based cohort study which included all people aged 66 (n=1,431,539) receiving the National Screening Program during 2009-2014. Time-to-event were defined as duration from study recruitment, the day they received health screening, to the occurrence of fracture. RESULTS Total fracture was significantly lower in mild drinkers [adjusted hazard ratio (aHR)=0.952; 95% confidence interval (95% CI) =0.931-0.973] and higher in heavy drinkers (aHR=1.246; 95% CI=1.201-1.294) than non-drinkers. Risk pattern of alcohol consumption and fracture differed according to affected bones. Similar J-shaped trends were observed for vertebra fractures, but risk of limb fracture showed a linear relationship with alcohol intake. For hip fracture, risk decrement was more pronounced in mild and moderate drinkers, and significant increment was noted only in very severe drinkers [≥60 g/day; (aHR)=1.446; 1.162-1.801]. CONCLUSION Light to moderate drinking generally lowered risk of fractures, but association between alcohol and fracture risk varied depending on the affected bone lesions.
Collapse
Affiliation(s)
- Sheng-Min Wang
- Department of Psychiatry, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Kyung-Do Han
- Department of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea
| | - Nak-Young Kim
- Department of Psychiatry, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Yoo Hyun Um
- Department of Psychiatry, St. Vincent Hospital, College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea
| | - Dong Woo Kang
- Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Hae-Ran Na
- Department of Psychiatry, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Chang Uk Lee
- Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Hyun Kook Lim
- Department of Psychiatry, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| |
Collapse
|