Neurobehavioral Research, Inc, Honolulu, HI 96814, USA.
Alcohol Clin Exp Res. 2013 May;37(5):794-803. doi: 10.1111/acer.12037. Epub 2013 Feb 19.
We previously reported that when compared with controls, long-term abstinent alcoholics (LTAA) have increased resting-state synchrony (RSS) of the inhibitory control network and reduced synchrony of the appetitive drive network, and hypothesized that these levels of synchrony are adaptive and support the behavioral changes required to maintain abstinence. In this study, we investigate whether these RSS patterns can be identified in short-term abstinent alcoholics (STAA).
Resting-state functional magnetic resonance imaging data were collected from 27 STAA, 23 LTAA, and 23 nonsubstance abusing controls (NSAC). We examined baseline RSS using seed-based measures.
We found ordered RSS effects from NSAC to STAA and then to LTAA within both the appetitive drive and executive control networks: increasing RSS of the executive control network and decreasing RSS of the reward processing network. Finally, we found significant correlations between strength of RSS in these networks and (i) cognitive flexibility, and (ii) current antisocial behavior.
Findings are consistent with an adaptive progression of RSS from short- to long-term abstinence, so that, compared with normal controls, the synchrony (i) within the reward network progressively decreases, and (ii) within the executive control network progressively increases.
我们之前的研究报告表明,与对照组相比,长期戒酒的酗酒者(LTAA)的抑制控制网络的静息状态同步性(RSS)增加,而食欲驱动网络的同步性降低,我们假设这些同步水平是适应性的,支持维持戒断所需的行为改变。在这项研究中,我们调查了这些 RSS 模式是否可以在短期戒酒的酗酒者(STAA)中识别。
从 27 名 STAA、23 名 LTAA 和 23 名非药物滥用对照者(NSAC)中收集了静息状态功能磁共振成像数据。我们使用基于种子的测量方法检查了基线 RSS。
我们发现,在食欲驱动和执行控制网络中,从 NSAC 到 STAA 再到 LTAA,存在有序的 RSS 效应:执行控制网络的 RSS 增加,奖励处理网络的 RSS 减少。最后,我们发现这些网络中 RSS 的强度与(i)认知灵活性和(ii)当前反社会行为之间存在显著相关性。
研究结果与 RSS 从短期到长期戒断的适应性进展一致,因此与正常对照组相比,(i)奖励网络内的同步性逐渐降低,(ii)执行控制网络内的同步性逐渐增加。