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青少年吸烟者在期待奖励时,其下腹侧纹状体的激活程度较低。

Lower ventral striatal activation during reward anticipation in adolescent smokers.

机构信息

Department of Systems Neuroscience, Universitaetsklinikum Hamburg-Eppendorf, Germany.

出版信息

Am J Psychiatry. 2011 May;168(5):540-9. doi: 10.1176/appi.ajp.2010.10071024. Epub 2011 Mar 1.

Abstract

OBJECTIVE

Adolescents are particularly vulnerable to addiction, and in the case of smoking, this often leads to long-lasting nicotine dependence. The authors investigated a possible neural mechanism underlying this vulnerability.

METHOD

Functional MRI was performed during reward anticipation in 43 adolescent smokers and 43 subjects matched on age, gender, and IQ. The authors also assessed group differences in novelty seeking, impulsivity, and reward delay discounting.

RESULTS

In relation to the comparison subjects, the adolescent smokers showed greater reward delay discounting and higher scores for novelty seeking. Neural responses in the ventral striatum during reward anticipation were significantly lower in the smokers than in the comparison subjects, and in the smokers this response was correlated with smoking frequency. Notably, the lower response to reward anticipation in the ventral striatum was also observed in smokers (N=14) who had smoked on fewer than 10 occasions.

CONCLUSIONS

The present findings suggest that a lower response to reward anticipation in the ventral striatum may be a vulnerability factor for the development of early nicotine use.

摘要

目的

青少年特别容易上瘾,就吸烟而言,这往往会导致长期的尼古丁依赖。作者研究了这一脆弱性的潜在神经机制。

方法

对 43 名青少年吸烟者和 43 名在年龄、性别和智商上与之匹配的受试者进行奖赏预期时的功能性磁共振成像。作者还评估了在寻求新奇、冲动和奖赏延迟折扣方面的群体差异。

结果

与对照受试者相比,青少年吸烟者表现出更高的奖赏延迟折扣和更强的寻求新奇的倾向。在奖赏预期期间,腹侧纹状体的神经反应在吸烟者中明显低于对照受试者,而且在吸烟者中,这种反应与吸烟频率相关。值得注意的是,在腹侧纹状体中对奖赏预期的反应较低也在吸烟次数少于 10 次的吸烟者(N=14)中观察到。

结论

本研究结果表明,腹侧纹状体对奖赏预期的反应较低可能是早期尼古丁使用发展的脆弱性因素。

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