Increased neural activity during high working memory load predicts low relapse risk in alcohol dependence
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Increased neural activity during high working memory load predicts low relapse risk in alcohol dependence. / Charlet, Katrin; Beck, Anne; Jorde, Anne; Wimmer, Lioba; Vollstädt-Klein, Sabine; Gallinat, Jürgen; Walter, Henrik; Kiefer, Falk; Heinz, Andreas.
in: ADDICT BIOL, Jahrgang 19, Nr. 3, 05.2014, S. 402-14.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Increased neural activity during high working memory load predicts low relapse risk in alcohol dependence
AU - Charlet, Katrin
AU - Beck, Anne
AU - Jorde, Anne
AU - Wimmer, Lioba
AU - Vollstädt-Klein, Sabine
AU - Gallinat, Jürgen
AU - Walter, Henrik
AU - Kiefer, Falk
AU - Heinz, Andreas
N1 - © 2013 Society for the Study of Addiction.
PY - 2014/5
Y1 - 2014/5
N2 - Working memory (WM) impairments are often observed in alcohol-dependent individuals, especially in early abstinence, which may contribute to an increased relapse risk after detoxification. Brain imaging studies on visuospatial WM in alcohol-dependent patients compared to controls indicate that information processing requires compensatory increased neural activation to perform at a normal level. However, to date, no study tested whether such increased neural WM activation patterns or the lack thereof predict relapse behavior in alcohol-dependent individuals, and whether such differences persist when adequately correcting for individual grey matter differences. We combined analyses of neural activation during an n-back task and local grey matter volumes using Biological Parametric Mapping in 40 detoxified alcohol-dependent patients and 40 matched healthy controls (HC), and assessed prospective relapse risk during a 7-month follow-up period. Despite equal task performance, we found increased functional activation during high versus low cognitive WM load (2-back-0-back) in bilateral rostral prefrontal cortex (BA10) and bilateral ventrolateral prefrontal cortex (BA45,47) in prospective abstainers versus relapsers, and further in left/right lateral/medial premotor cortex (BA6,8) in abstainers versus HC. In prospective abstainers, but not relapsers, subtle cognitive impairment was associated with increased neural task activity in the premotor cortex. These findings suggest that in prospective abstainers, higher functional engagement of presumably less impaired neural resources in executive behavioral control brain areas (BA10, 45, 47, 6, 8) may constitute a resilience factor associated with good treatment outcome.
AB - Working memory (WM) impairments are often observed in alcohol-dependent individuals, especially in early abstinence, which may contribute to an increased relapse risk after detoxification. Brain imaging studies on visuospatial WM in alcohol-dependent patients compared to controls indicate that information processing requires compensatory increased neural activation to perform at a normal level. However, to date, no study tested whether such increased neural WM activation patterns or the lack thereof predict relapse behavior in alcohol-dependent individuals, and whether such differences persist when adequately correcting for individual grey matter differences. We combined analyses of neural activation during an n-back task and local grey matter volumes using Biological Parametric Mapping in 40 detoxified alcohol-dependent patients and 40 matched healthy controls (HC), and assessed prospective relapse risk during a 7-month follow-up period. Despite equal task performance, we found increased functional activation during high versus low cognitive WM load (2-back-0-back) in bilateral rostral prefrontal cortex (BA10) and bilateral ventrolateral prefrontal cortex (BA45,47) in prospective abstainers versus relapsers, and further in left/right lateral/medial premotor cortex (BA6,8) in abstainers versus HC. In prospective abstainers, but not relapsers, subtle cognitive impairment was associated with increased neural task activity in the premotor cortex. These findings suggest that in prospective abstainers, higher functional engagement of presumably less impaired neural resources in executive behavioral control brain areas (BA10, 45, 47, 6, 8) may constitute a resilience factor associated with good treatment outcome.
KW - Adolescent
KW - Adult
KW - Aged
KW - Alcohol Abstinence
KW - Alcoholism
KW - Analysis of Variance
KW - Case-Control Studies
KW - Female
KW - Gray Matter
KW - Humans
KW - Magnetic Resonance Imaging
KW - Male
KW - Memory Disorders
KW - Memory, Short-Term
KW - Middle Aged
KW - Motor Cortex
KW - Neuropsychological Tests
KW - Prefrontal Cortex
KW - Psychomotor Performance
KW - Recurrence
KW - Risk Factors
KW - Young Adult
U2 - 10.1111/adb.12103
DO - 10.1111/adb.12103
M3 - SCORING: Journal article
C2 - 24147643
VL - 19
SP - 402
EP - 414
JO - ADDICT BIOL
JF - ADDICT BIOL
SN - 1355-6215
IS - 3
ER -