Negative urgency and ventromedial prefrontal cortex responses to alcohol cues: FMRI evidence of emotion-based impulsivity.
Negative urgency and ventromedial prefrontal cortex responses to alcohol cues: FMRI evidence of emotion-based impulsivity.
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DOI:
10.1111/acer.12266
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发表时间:
2014-02
期刊:
影响因子:
--
通讯作者:
Kareken DA
中科院分区:
文献类型:
--
作者:
Cyders MA;Dzemidzic M;Eiler WJ;Coskunpinar A;Karyadi K;Kareken DA
Recent research has highlighted the role of emotion-based impulsivity (negative and positive urgency personality traits) for alcohol use and abuse, but has yet to examine how these personality traits interact with the brain’s motivational systems. Using functional magnetic resonance imaging (fMRI), we tested if urgency traits and mood induction affected medial prefrontal responses to alcohol odors (AcO). Twenty seven social drinkers (mean age = 25.2, 14 males) had six fMRI scans while viewing negative, neutral, or positive mood images (3 mood conditions) during intermittent exposure to AcO and appetitive control (AppCo) aromas. Voxel-wise analyses (p < 0.001) confirmed [AcO > AppCo] activation throughout medial (mPFC) and ventromedial prefrontal regions (vmPFC). Extracted from a priori mPFC and vmPFC regions, and analyzed in Odor (AcO, AppCo) × Mood factorial models, AcO activation was greater than AppCo in left vmPFC (p < 0.001), left mPFC (p = 0.002), and right vmPFC (p = 0.01) regions. Mood did not interact significantly with activation but the covariate of trait negative urgency accounted for significant variance in left vmPFC (p = 0.01) and right vmPFC (p = 0.01) [AcO > AppCo] activation. Negative urgency also mediated the relationship between vmPFC activation and both (1) subjective craving and (2) problematic drinking. The trait of negative urgency is associated with neural responses to alcohol cues in the vmPFC, a region involved in reward value and emotion-guided decision-making. This suggests that negative urgency might alter subjective craving and brain regions involved in coding reward value.
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