Peter Boris Centre for Addictions Research, St. Joseph's Healthcare Hamilton and McMaster University, 100 West 5th Street, Hamilton, ON L9C 0E3Canada.
Department of Psychiatry and Behavioural Neuroscience, McMaster University, 100 West 5th Street, Hamilton, ON L9C 0E3Canada.
Alcohol Alcohol. 2024 Jul 21;59(5). doi: 10.1093/alcalc/agae056.
AIMS: Previous neuroimaging research in alcohol use disorder (AUD) has found altered functional connectivity in the brain's salience, default mode, and central executive (CEN) networks (i.e. the triple network model), though their specific associations with AUD severity and heavy drinking remains unclear. This study utilized resting-state fMRI to examine functional connectivity in these networks and measures of alcohol misuse. METHODS: Seventy-six adult heavy drinkers completed a 7-min resting-state functional MRI scan during visual fixation. Linear regression models tested if connectivity in the three target networks was associated with past 12-month AUD symptoms and number of heavy drinking days in the past 30 days. Exploratory analyses examined correlations between connectivity clusters and impulsivity and psychopathology measures. RESULTS: Functional connectivity within the CEN network (right and left lateral prefrontal cortex [LPFC] seeds co-activating with 13 and 15 clusters, respectively) was significantly associated with AUD symptoms (right LPFC: β = .337, p-FDR = .016; left LPFC: β = .291, p-FDR = .028) but not heavy drinking (p-FDR > .749). Post-hoc tests revealed six clusters co-activating with the CEN network were associated with AUD symptoms-right middle frontal gyrus, right inferior parietal gyrus, left middle temporal gyrus, and left and right cerebellum. Neither the default mode nor the salience network was significantly associated with alcohol variables. Connectivity in the left LPFC was correlated with monetary delay discounting (r = .25, p = .03). CONCLUSIONS: These findings support previous associations between connectivity within the CEN network and AUD severity, providing additional specificity to the relevance of the triple network model to AUD.
目的:先前关于酒精使用障碍(AUD)的神经影像学研究发现,大脑的突显、默认模式和中央执行(CEN)网络的功能连接发生了改变(即三重网络模型),但其与 AUD 严重程度和大量饮酒的具体关联尚不清楚。本研究利用静息态 fMRI 检查了这些网络的功能连接以及酒精滥用的测量。
方法:76 名成年重度饮酒者在视觉固定时完成了 7 分钟的静息态 fMRI 扫描。线性回归模型检验了三个目标网络的连接是否与过去 12 个月 AUD 症状和过去 30 天内重度饮酒天数有关。探索性分析检查了连接簇与冲动性和精神病理学测量之间的相关性。
结果:CEN 网络内的功能连接(右侧和左侧外侧前额叶皮层[LPFC]种子与 13 个和 15 个簇分别共同激活)与 AUD 症状显著相关(右侧 LPFC:β=0.337,p-FDR=0.016;左侧 LPFC:β=0.291,p-FDR=0.028),但与大量饮酒无关(p-FDR>.749)。事后检验显示,与 CEN 网络共同激活的六个簇与 AUD 症状有关-右额中回、右顶下小叶、左颞中回以及左、右小脑。默认模式或突显网络均与酒精变量无显著相关性。左侧 LPFC 的连接与货币延迟折扣(r=0.25,p=0.03)相关。
结论:这些发现支持了 CEN 网络内连接与 AUD 严重程度之间的先前关联,为三重网络模型与 AUD 的相关性提供了额外的特异性。
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