New York State Psychiatric Institute, New York, NY, United States.
New York State Psychiatric Institute, New York, NY, United States; Department of Psychiatry, Columbia University, New York, NY, United States.
Dev Cogn Neurosci. 2021 Apr;48:100942. doi: 10.1016/j.dcn.2021.100942. Epub 2021 Mar 11.
Adolescents with a family history (FH+) of substance use disorder (SUD) are at a greater risk for SUD, suggested to be partly due to the transmission of behavioral impulsivity. We used a delay discounting task to compare impulsivity in decision-making and its associated brain functioning among FH+ and FH - minority adolescents. Participants chose between Smaller Sooner (SS) and Larger Later (LL) rewards. The SS was available immediately (Now trials) or in the future (Not-Now trials), allowing for greater differentiation between impulsive decisions. The FH+ group showed greater impatience by responding SS more frequently than the FH - group, only on the Now trials, and even when the relative reward differences (RRD) increased. Surprisingly, there were no differences in brain activity between the groups. Combined, the groups showed greater reward activity during the Now vs. Not-Now trials in medial prefrontal/anterior cingulate, posterior cingulate, precuneus, and inferior frontal gyrus (i.e., an immediacy effect). As the RRD increased activation in the reward network decreased, including the striatum, possibly reflecting easy decision-making. These results indicate that risk for SUD, seen behaviorally among FH+ adolescents, may not yet be associated with discernable brain changes, suggesting that early intervention has the potential to reduce this risk.
有物质使用障碍家族史 (FH+) 的青少年患物质使用障碍的风险更高,这部分归因于行为冲动的传递。我们使用延迟折扣任务来比较 FH+ 和 FH- 少数族裔青少年在决策中的冲动性及其相关的大脑功能。参与者在小的即刻奖励 (SS) 和大的延迟奖励 (LL) 之间进行选择。SS 可以立即获得(现在试验)或在未来获得(非现在试验),从而在冲动决策之间有更大的差异。FH+ 组在现在试验中比 FH- 组更频繁地选择 SS,表明 FH+ 组的冲动性更强,即使相对奖励差异 (RRD) 增加也是如此。令人惊讶的是,两组之间的大脑活动没有差异。总的来说,两组在现在试验中比非现在试验中在前额内侧/扣带回、后扣带回、楔前叶和额下回中表现出更大的奖励活动(即即时效应)。随着 RRD 的增加,奖励网络的激活减少,包括纹状体,这可能反映了简单的决策。这些结果表明,FH+ 青少年在行为上表现出的物质使用障碍风险,可能还没有与可识别的大脑变化相关联,这表明早期干预有可能降低这种风险。