Univ. Bordeaux, INCIA CNRS-UMR 5287, Bordeaux, France.
EPHE, PSL Research University, Paris, France.
Addict Biol. 2024 May;29(5):e13400. doi: 10.1111/adb.13400.
Substance use disorders are characterized by inhibition deficits related to disrupted connectivity in white matter pathways, leading via interaction to difficulties in resisting substance use. By combining neuroimaging with smartphone-based ecological momentary assessment (EMA), we questioned how biomarkers moderate inhibition deficits to predict use. Thus, we aimed to assess white matter integrity interaction with everyday inhibition deficits and related resting-state network connectivity to identify multi-dimensional predictors of substance use. Thirty-eight patients treated for alcohol, cannabis or tobacco use disorder completed 1 week of EMA to report substance use five times and complete Stroop inhibition testing twice daily. Before EMA tracking, participants underwent resting state functional MRI and diffusion tensor imaging (DTI) scanning. Regression analyses were conducted between mean Stroop performances and whole-brain fractional anisotropy (FA) in white matter. Moderation testing was conducted between mean FA within significant clusters as moderator and the link between momentary Stroop performance and use as outcome. Predictions between FA and resting-state connectivity strength in known inhibition-related networks were assessed using mixed modelling. Higher FA values in the anterior corpus callosum and bilateral anterior corona radiata predicted higher mean Stroop performance during the EMA week and stronger functional connectivity in occipital-frontal-cerebellar regions. Integrity in these regions moderated the link between inhibitory control and substance use, whereby stronger inhibition was predictive of the lowest probability of use for the highest FA values. In conclusion, compromised white matter structural integrity in anterior brain systems appears to underlie impairment in inhibitory control functional networks and compromised ability to refrain from substance use.
物质使用障碍的特征是与白质通路中断连接相关的抑制缺陷,通过相互作用导致抵抗物质使用的困难。通过将神经影像学与基于智能手机的生态瞬时评估(EMA)相结合,我们质疑生物标志物如何调节抑制缺陷以预测使用。因此,我们旨在评估白质完整性与日常抑制缺陷的相互作用以及相关的静息状态网络连接,以确定物质使用的多维预测因子。38 名接受酒精、大麻或烟草使用障碍治疗的患者完成了为期 1 周的 EMA 跟踪,以五次报告物质使用情况并每天两次完成 Stroop 抑制测试。在 EMA 跟踪之前,参与者接受了静息状态功能磁共振成像(fMRI)和弥散张量成像(DTI)扫描。在全脑分数各向异性(FA)和平均 Stroop 表现之间进行回归分析。在显著聚类中,作为调节剂的平均 FA 值与瞬时 Stroop 表现与使用之间的关系进行了调节测试。使用混合建模评估了 FA 与已知抑制相关网络中的静息状态连接强度之间的预测关系。在前连合和双侧前冠状辐射的 FA 值较高,预示着 EMA 周内的平均 Stroop 表现较高,并且在枕叶-额-小脑区域的功能连接较强。这些区域的完整性调节了抑制控制与物质使用之间的联系,其中抑制作用越强,FA 值越高,使用的可能性越低。总之,前脑系统白质结构完整性受损似乎是抑制控制功能网络受损和无法抗拒物质使用的基础。
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