Insula Sensitivity to Unfairness in Alcohol Use Disorder.

Aims Social decision making has recently been evaluated in alcohol use disorder (AUD) using the ultimatum game (UG) task, suggesting a possible deficit in aversive emotion regulation elicited by the unfairness during this task. Despite the relevance to relapse of this possible faulty regulation, the...

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Publicado en:Alcohol & Alcoholism. Supplement pp. 201 - 209
Autores principales: Cortes, Carlos R, Grodin, Erica N, Mann, Claire L, Mathur, Karan, Kerich, Michael, Zhu, Xi, Schwandt, Melanie, Diazgranados, Nancy, George, David T, Momenan, Reza, Heilig, Markus
Formato: diagnostic images research tables/charts Journal Article
Publicado: Oxford University Press / USA 2019
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Alcohol & Alcoholism. Supplement
      issn: 13586173
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      dt: 2019
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      pub: Oxford University Press / USA
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        10.1093/alcalc/agx115
        137795585
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        atl: Insula Sensitivity to Unfairness in Alcohol Use Disorder.
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          Cortes, Carlos R
          Grodin, Erica N
          Mann, Claire L
          Mathur, Karan
          Kerich, Michael
          Zhu, Xi
          Schwandt, Melanie
          Diazgranados, Nancy
          George, David T
          Momenan, Reza
          Heilig, Markus
        affil: Clinical Neuroimaging Research Core, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 10 Center Drive (10 CRC/1-5330), Bethesda, MD 20892-1108, USA
      sug:
        subj:
          Alcoholism
          Cerebral Cortex Physiology
          Decision Making
          Task Performance and Analysis
          Human
          Emotions
          Self Regulation
          Magnetic Resonance Imaging Methods
          Behavioral Changes
          Signal Transduction
          Comparative Studies
          Diagnostic Imaging
          Brain Physiology
      ab: Aims Social decision making has recently been evaluated in alcohol use disorder (AUD) using the ultimatum game (UG) task, suggesting a possible deficit in aversive emotion regulation elicited by the unfairness during this task. Despite the relevance to relapse of this possible faulty regulation, the brain correlates of the UG in AUD are unknown. Methods In total, 23 AUD and 27 healthy controls (HC) played three consecutive fMRI runs of the UG, while behavioral and brain responses were recorded. Results Overall, acceptance rate of unfair offers did not differ between groups, but there was a difference in the rate of behavioral change across runs. We found significant anterior insula (aINS) activation in both groups for both fair and unfair conditions, but only HC showed a trend towards increased activation during unfair vs. fair offers. There were not overall whole-brain between-group significant differences. We found a trend of signal attenuation, instead of an increase, in the aINS for AUD when compared to HC during the third run, which is consistent with our recent findings of selective insula atrophy in AUD. Conclusion We found differential group temporal dynamics of behavioral response in the UG. The HC group had a low acceptance rate for unfair offers in the first two runs that increased markedly for the third run; whereas the AUD group was consistent in their rejection of unfair offers across the three runs. We found a strong significant decrease in neural response across runs for both groups. Short summary This fMRI study of UG in alcohol use disorder found behavioral group differences in acceptance rate across runs, which together with significant BOLD-signal decrease across runs in UG-related regions in both groups, highlights the impairment of strategy in AUD and the effect of repetitive exposure to unfairness in this task.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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