Prefrontal cortex activity is reduced in gambling and nongambling substance users during decision-making.

Abstract:

OBJECTIVE:Poor decision-making is a hallmark of addiction, whether to substances or activities. Performance on a widely used test of decision-making, the Iowa Gambling Task (IGT), can discriminate controls from persons with ventral medial frontal lesions, substance-dependence, and pathological gambling. Positron emission tomography (PET) studies indicate that substance-dependent individuals show altered prefrontal activity on the task. Here we adapted the IGT to an fMRI setting to test the hypothesis that defects in ventral medial and prefrontal processing are associated with impaired decisions that involve risk but may differ depending on whether substance dependence is comorbid with gambling problems. METHOD:18 controls, 14 substance-dependent individuals (SD), and 16 SD with gambling problems (SDPG) underwent fMRI while performing a modified version of the IGT. RESULT:Group differences were observed in ventral medial frontal, right frontopolar, and superior frontal cortex during decision-making. Controls showed the greatest activity, followed by SDPG, followed by SD. CONCLUSION:Our results support a hypothesis that defects in ventral medial frontal processing lead to impaired decisions that involve risk. Reductions in right prefrontal activity during decision-making appear to be modulated by the presence of gambling problems and may reflect impaired working memory, stimulus reward valuation, or cue reactivity in substance-dependent individuals.

journal_name

Hum Brain Mapp

journal_title

Human brain mapping

authors

Tanabe J,Thompson L,Claus E,Dalwani M,Hutchison K,Banich MT

doi

10.1002/hbm.20344

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

1276-86

issue

12

eissn

1065-9471

issn

1097-0193

journal_volume

28

pub_type

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