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Does an Over-Connected Visual Cortex Undermine Efforts to Stay Sober After Treatment for Alcohol Use Disorder

Bibliographic Data

ID15519232
AuthorsAngela Müller (0000-0002-9866-2285, University of California, San Francisco, corresponding author), Angela M Müller, Dieter J Meyerhoff (0000-0002-2433-7826, University of California, San Francisco)
Year2020
Volume11
Pages536706-536706
Publication date2020-12-10
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2020.536706
PMID33362591
OpenAlexW3110996180
LanguageEN
References cited61

A fine-tuned interplay of highly synchronized activity within and between the brain's communities is a crucial feature of the brain's functional organization. We wanted to investigate in individuals with alcohol use disorder (AUD) the degree to which the interplay of the brain's community-architecture and the extended brain reward system (eBRS) is affected by drinking status (relapse or abstinence). We used Graph Theory Analysis of resting-state fMRI data from treatment seekers at 1 month of abstinence to model the brain's intrinsic community configuration and their follow-up data as abstainers or relapsers 3 months later to quantify the degree of global across-community interaction between the eBRS and the intrinsic communities at both timepoints. After 1 month of abstinence, the ventromedial PFC in particular showed a significantly higher global across-community interaction in the 22 future relapsers when compared to 30 light/non-drinking controls. These differences were no longer present 3 months later when the relapsers had resumed drinking. We found no significant differences between abstainers and controls at either timepoint. Post hoc tests revealed that one eBRS region, the ventromedial PFC, showed a significant global across-community interaction with a community comprising the visual cortex in relapsers at baseline. In contrast, abstainers showed a significant negative association of the ventromedial PFC with the visual cortex. The increased across-community interaction of the ventromedial PFC and the visual cortex in relapsers at timepoint 1 may be an early indicator for treatment failure in a subgroup of AUD patients

Abstinence · Addiction · Alcohol · Alcohol use disorder · Cognition · Developmental psychology · Prefrontal cortex · Psychiatry · Ventromedial prefrontal cortex · Visual cortex · Clinical Psychology · Functional Brain Connectivity Studies · Neural and Behavioral Psychology Studies · Neural dynamics and brain function · Neuroscience · Psychology

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