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有酒精及其他物质使用障碍家族史的青少年在执行“是/否”任务时前脑激活增加。

Increased forebrain activations in youths with family histories of alcohol and other substance use disorders performing a Go/NoGo task.

作者信息

Acheson Ashley, Tagamets Malle A, Rowland Laura M, Mathias Charles W, Wright Susan N, Hong L Elliot, Kochunov Peter, Dougherty Donald M

机构信息

Research Imaging Institute, University of Texas Health Science Center at San Antonio, San Antonio, Texas; Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, Texas.

出版信息

Alcohol Clin Exp Res. 2014 Dec;38(12):2944-51. doi: 10.1111/acer.12571. Epub 2014 Nov 18.

Abstract

BACKGROUND

Youths with a family history of alcohol and other drug use disorders (FH+) are at a greater risk of developing substance use disorders than their peers with no such family histories (FH-), and this increased risk may be related to impaired maturation of forebrain circuitry. FH+ individuals have shown altered forebrain activity at rest and while performing cognitive tasks. However, it is not fully understood how forebrain activity is altered in FH+ individuals, and ultimately how these alterations may contribute to substance use disorder risk.

METHODS

In this study, we tested 72 FH+ and 32 FH- youths performing a go/no-go task and examined activations in blocks with only go trials (Go Only), blocks with 50% go and 50% no-go trials (Go/NoGo), and a contrast of those 2 blocks.

RESULTS

FH+ youths had significantly greater cerebral activations in both the Go and Go/NoGo blocks than FH- youths in regions including the posterior cingulate/precuneus, bilateral middle/superior temporal gyrus, and medial superior frontal gyrus with no significant group differences in the subtraction between Go Only and Go/NoGo blocks. Additionally, FH+ youths had moderately slower reaction times on go trials in the Go Only blocks.

CONCLUSIONS

Our findings suggest that global activation increase in FH+ youths are modulated by FH density and are not specific to the inhibitory components of the task. This pattern of increased activations in FH+ youths may be at least partially due to impaired forebrain white matter development leading to greater activations/less efficient neural communication during task performance.

摘要

背景

有酒精和其他药物使用障碍家族史(FH+)的青少年比没有此类家族史(FH-)的同龄人患物质使用障碍的风险更高,这种风险增加可能与前脑回路成熟受损有关。FH+个体在静息状态和执行认知任务时均表现出前脑活动改变。然而,目前尚不完全清楚FH+个体的前脑活动是如何改变的,以及这些改变最终如何导致物质使用障碍风险。

方法

在本研究中,我们测试了72名FH+和32名FH-青少年执行一项停止信号任务,并检查了仅包含执行试验的组块(仅执行)、执行和停止试验各占50%的组块(执行/停止)以及这两个组块的对比中的激活情况。

结果

在包括后扣带回/楔前叶、双侧颞中/上回和额上回内侧的区域,FH+青少年在执行和执行/停止组块中的脑激活均显著高于FH-青少年,仅执行组块和执行/停止组块之间的减法运算中无显著组间差异。此外,FH+青少年在仅执行组块中的执行试验反应时间略慢。

结论

我们的研究结果表明,FH+青少年的整体激活增加受FH密度调节,并非特定于任务的抑制成分。FH+青少年这种激活增加的模式可能至少部分归因于前脑白质发育受损,导致任务执行期间激活增加/神经通讯效率降低。

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