Reward processing in alcohol-dependent patients and first-degree telatives: functional brain activity during anticipation of monetary gains and losses

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...

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Hauptverfasser: Musial, Milena P. M. (VerfasserIn) , Beck, Anne (VerfasserIn) , Rosenthal, Annika (VerfasserIn) , Charlet, Katrin (VerfasserIn) , Bach, Patrick (VerfasserIn) , Kiefer, Falk (VerfasserIn) , Vollstädt-Klein, Sabine (VerfasserIn) , Walter, Henrik (VerfasserIn) , Heinz, Andreas (VerfasserIn) , Rothkirch, Marcus (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 15 March 2023
In: Biological psychiatry
Year: 2023, Jahrgang: 93, Heft: 6, Pages: 546-557
ISSN:1873-2402
DOI:10.1016/j.biopsych.2022.05.024
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.biopsych.2022.05.024
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0006322322012847
Volltext
Verfasserangaben:Milena P.M. Musial, Anne Beck, Annika Rosenthal, Katrin Charlet, Patrick Bach, Falk Kiefer, Sabine Vollstädt-Klein, Henrik Walter, Andreas Heinz, and Marcus Rothkirch

MARC

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520 |a 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. 
650 4 |a Addiction 
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