Department of Psychiatry, Yale University, New Haven, Connecticut 06519, USA.
Am J Drug Alcohol Abuse. 2009;35(5):284-9. doi: 10.1080/00952990902968569.
Habitual alcohol use is prodromal to alcohol dependence. It has been suggested that impairment in impulse control contributes to habitual drinking. Little is known whether neural processes associated with impulse control is altered in non-dependent social drinkers. The current preliminary study combined functional magnetic resonance imaging and the stop signal task (SST) to address this issue.
We compared non-dependent non/light (n = 12) and moderate/heavy (n = 9) young adult alcohol drinkers in a SST, in which they were required to exercise inhibitory control during the stop trials and were engaged in a speed/accuracy trade-off during trial-to-trial go responses. Our previous studies identified neural correlates of inhibitory control and risk taking during the SST ( [10] , [11] ). Furthermore, alcohol dependent patients showed altered brain activation both during inhibitory control and risk taking, compared to healthy controls ( [12] ).
We showed that moderate/heavy alcohol drinkers were decreased in amygdala activation during risk taking, while indistinguishable in neural measures of inhibitory control, when compared to non/light drinkers.
Altered amygdala activation during risk taking may be a key neural process underlying early habitual alcohol use and a potential marker mediating transition to alcohol dependence.
习惯性饮酒是酒精依赖的前兆。有研究表明,冲动控制受损会导致习惯性饮酒。目前尚不清楚非依赖的社交饮酒者的冲动控制相关神经过程是否发生改变。本初步研究结合功能磁共振成像和停止信号任务(SST)来解决这个问题。
我们比较了非依赖的非/轻度(n = 12)和中度/重度(n = 9)年轻成年饮酒者在 SST 中的表现,他们在停止试验中需要进行抑制控制,在逐次进行的 Go 反应中需要进行速度/准确性权衡。我们之前的研究确定了 SST 中抑制控制和冒险行为的神经相关性([10],[11])。此外,与健康对照组相比,酒精依赖患者在抑制控制和冒险行为期间的大脑激活均发生改变([12])。
我们发现,与非/轻度饮酒者相比,中度/重度饮酒者在冒险行为期间的杏仁核激活减少,而在抑制控制的神经测量上无差异。
冒险行为期间杏仁核激活的改变可能是早期习惯性饮酒的关键神经过程,也是介导向酒精依赖过渡的潜在标志物。