Interaction between behavioral inhibition and neural alcohol cue-reactivity in ADHD and alcohol use disorder.
Adult
Alcoholism
/ diagnostic imaging
Attention Deficit Disorder with Hyperactivity
/ diagnostic imaging
Brain
/ diagnostic imaging
Conditioning, Psychological
/ physiology
Cues
Female
Humans
Inhibition, Psychological
Magnetic Resonance Imaging
/ methods
Male
Middle Aged
Nerve Net
/ diagnostic imaging
Photic Stimulation
/ methods
Reward
Young Adult
Alcohol use disorder
Attention-deficit / hyperactivity disorder
Comorbidity
Cue-reactivity
Functional magnetic resonance imaging
Impulsivity
Inhibitory control
Interference inhibition
Reward system
Journal
Psychopharmacology
ISSN: 1432-2072
Titre abrégé: Psychopharmacology (Berl)
Pays: Germany
ID NLM: 7608025
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
27
03
2019
accepted:
14
02
2020
pubmed:
15
4
2020
medline:
7
10
2020
entrez:
15
4
2020
Statut:
ppublish
Résumé
Compared to the general population, adult Attention-Deficit / Hyperactivity Disorder (ADHD) is more prevalent in patients with Alcohol Use Disorder (AUD). Impaired behavioral inhibition is a common characteristic in both ADHD and AUD. Relapse risk is increased in patients with AUD and comorbid, untreated ADHD and in AUD patients with increased neural cue-reactivity. In this study, we examined the interaction between neural correlates of behavioral inhibition and alcohol cue-reactivity with a hybrid imaging task. Out of 69 adult study participants, we included n = 49 in our final analyses: Individuals had a diagnosis of either AUD (n = 13), ADHD (n = 14) or both (n = 5), or were healthy controls (HC; n = 17). The functional magnetic resonance imaging paradigm aimed to examine the combined effects of both an interference-inhibition task ("Simon-task") and an alcohol cue-reactivity task. Instead of segregating by diagnostic group, we pursued a dimensional approach in which we compared measures of AUD and ADHD severity, as well as the interaction of both, using multiple regression analyses. The four groups did not differ on the behavioral level on either the inhibition task or the alcohol cue-reactivity task. However, brain activation in frontal control and reward-related regions during completion of the combined tasks were related to ADHD and AUD severity (symptom load). During presentation of both alcohol cues and the inhibition task, participants with higher AUD and ADHD symptom load exhibited greater BOLD (blood oxygen level dependent) responses in subcortical reward-related regions. Our findings support the hypothesis that ADHD additionally diminishes inhibition ability in individuals with AUD. This may increase relapse risk when confronted with alcohol cues. Further, it is crucial for patients with comorbid AUD and ADHD to take into account not only reduced cognitive control over behavioral inhibition but also simultaneously heightened alcohol cue-reactivity.
Identifiants
pubmed: 32285159
doi: 10.1007/s00213-020-05492-1
pii: 10.1007/s00213-020-05492-1
pmc: PMC7239811
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1691-1707Subventions
Organisme : Deutsche Forschungsgemeinschaft
ID : TRR 265/1 2019 SP C01
Organisme : Deutsche Forschungsgemeinschaft
ID : GRK2350/1
Organisme : Deutsche Forschungsgemeinschaft
ID : VO 2173/4-1
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