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特质冲动性在甲基苯丙胺使用障碍戒断患者线索诱发渴求与突显网络功能连接关系中的中介作用。

The mediating role of trait impulsivity in the relation between cue-induced craving and functional connectivity within the salience network among abstinent patients with methamphetamine use disorder.

机构信息

Mental Health Center, West China Hospital of Sichuan University, No. 28 Dian Xin Nan Jie, Wuhou District, Chengdu, Sichuan 610041, China.

Department of Radiology and Huaxi MR Research Center (HMRRC), Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Wuhou District, Chengdu, Sichuan 610041, China.

出版信息

Cereb Cortex. 2024 Jun 4;34(6). doi: 10.1093/cercor/bhae231.


DOI:10.1093/cercor/bhae231
PMID:38847535
Abstract

Given the widespread use and relapse of methamphetamine (METH), it has caused serious public health burdens globally. However, the neurobiological basis of METH addiction remains poorly understood. Therefore, this study aimed to use magnetic resonance imaging (MRI) to investigate changes in brain networks and their connection to impulsivity and drug craving in abstinent individuals with METH use disorder (MUDs). A total of 110 MUDs and 55 age- and gender-matched healthy controls (HCs) underwent resting-state functional MRI and T1-weighted imaging scans, and completed impulsivity and cue-induced craving measurements. We applied independent component analysis to construct functional brain networks and multivariate analysis of covariance to investigate group differences in network connectivity. Mediation analyses were conducted to explore the relationships among brain-network functional connectivity (FC), impulsivity, and drug craving in the patients. MUDs showed increased connectivity in the salience network (SN) and decreased connectivity in the default mode network compared to HCs. Impulsivity was positively correlated with FC within the SN and played a completely mediating role between METH craving and FC within the SN in MUDs. These findings suggest alterations in functional brain networks underlying METH dependence, with SN potentially acting as a core neural substrate for impulse control disorders.

摘要

鉴于冰毒(METH)的广泛使用和复吸,它在全球范围内造成了严重的公共卫生负担。然而,METH 成瘾的神经生物学基础仍知之甚少。因此,本研究旨在使用磁共振成像(MRI)来研究有冰毒使用障碍(MUD)的戒断个体的大脑网络变化及其与冲动性和药物渴求的关系。共有 110 名 MUD 和 55 名年龄和性别匹配的健康对照组(HCs)接受了静息态功能 MRI 和 T1 加权成像扫描,并完成了冲动性和线索诱导的渴求测量。我们应用独立成分分析构建功能脑网络,并进行多元协方差分析以研究网络连接的组间差异。中介分析用于探索患者中脑网络功能连接(FC)、冲动性和药物渴求之间的关系。与 HCs 相比,MUD 显示出显著网络(SN)的连接增加和默认模式网络(DMN)的连接减少。冲动性与 SN 内的 FC 呈正相关,在 MUD 中,METH 渴求和 SN 内的 FC 之间完全发挥中介作用。这些发现表明,METH 依赖的功能脑网络发生了改变,SN 可能是冲动控制障碍的核心神经基础。

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The mediating role of trait impulsivity in the relation between cue-induced craving and functional connectivity within the salience network among abstinent patients with methamphetamine use disorder.

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引用本文的文献

[1]
An electroencephalography connectome predictive model of craving for methamphetamine.

Int J Clin Health Psychol. 2025

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