4.1 Article

A preliminary investigation of Stroop-related intrinsic connectivity in cocaine dependence: associations with treatment outcomes

期刊

AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE
卷 39, 期 6, 页码 392-402

出版社

TAYLOR & FRANCIS INC
DOI: 10.3109/00952990.2013.841711

关键词

Addiction; cocaine dependence; cognitive control; functional magnetic resonance imaging; intrinsic connectivity; Stroop color-word interference test; treatment outcome

资金

  1. NIBIB NIH HHS [R01EB009666, R01 EB009666] Funding Source: Medline
  2. NIDA NIH HHS [P20 DA027844, T32DA007238, P50 DA009241, R01DA020908, R01 DA035058, R01 DA020908, K12DA031050, P50DA09241, K12 DA031050, P20DA027844, T32 DA007238, R01 DA015969] Funding Source: Medline

向作者/读者索取更多资源

Background: Cocaine-dependent individuals demonstrate neural and behavioral differences compared to healthy comparison subjects when performing the Stroop color-word interference test. Stroop measures also relate to treatment outcome for cocaine dependence. Intrinsic connectivity analyses assess the extent to which task-related regional brain activations are related to each other in the absence of defining a priori regions of interest. Objective: This study examined 1) the extent to which cocaine-dependent and non-addicted individuals differed on measures of intrinsic connectivity during fMRI Stroop performance; and 2) the relationships between fMRI Stroop intrinsic connectivity and treatment outcome in cocaine dependence. Methods: Sixteen treatment-seeking cocaine-dependent patients and matched non-addicted comparison subjects completed an fMRI Stroop task. Between-group differences in intrinsic connectivity were assessed and related to self-reported and urine-toxicology-based cocaine-abstinence measures. Results: Cocaine-dependent patients vs. comparison subjects showed less intrinsic connectivity in cortical and subcortical regions. When adjusting for individual degree of intrinsic connectivity, cocaine-dependent vs. comparison subjects showed relatively greater intrinsic connectivity in the ventral striatum, putamen, inferior frontal gyrus, anterior insula, thalamus and substantia nigra. Non-mean-adjusted intrinsic-connectivity measures in the midbrain, thalamus, ventral striatum, substantia nigra, insula and hippocampus negatively correlated with measures of cocaine abstinence. Conclusion: The diminished intrinsic connectivity in cocaine-dependent vs. comparison subjects suggests poorer communication across brain regions during cognitive-control processes. In mean-adjusted analyses, the cocaine-dependent group displayed relatively greater Stroop-related connectivity in regions implicated in motivational processes in addictions. The relationships between treatment outcomes and connectivity in the midbrain and basal ganglia suggest that connectivity represents a potential treatment target.

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