Alcohol dependence decreases functional activation of the caudate nucleus during model‐based decision processes.

Background: Impaired decision making, a key characteristic of alcohol dependence (AD), manifests in continuous alcohol consumption despite severe negative consequences. The neural basis of this impairment in individuals with AD and differences with known neural decision mechanisms among healthy subj...

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Publicado en:Alcoholism: Clinical & Experimental Research Vol. 46; no. 5; pp. 749 - 759
Autores principales: Magrabi, Amadeus, Beck, Anne, Schad, Daniel J., Lett, Tristram A., Stoppel, Christian M., Charlet, Katrin, Kiefer, Falk, Heinz, Andreas, Walter, Henrik
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell May2022
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Alcoholism: Clinical & Experimental Research
      issn: 01456008
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    pubinfo:
      dt: May2022
      vid: 46
      iid: 5
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/acer.14812
        156939538
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        atl: Alcohol dependence decreases functional activation of the caudate nucleus during model‐based decision processes.
      aug:
        au:
          Magrabi, Amadeus
          Beck, Anne
          Schad, Daniel J.
          Lett, Tristram A.
          Stoppel, Christian M.
          Charlet, Katrin
          Kiefer, Falk
          Heinz, Andreas
          Walter, Henrik
        affil: Department of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, Berlin, Germany
      sug:
        subj:
          Alcoholism Physiopathology
          Basal Ganglia Physiology
          Decision Making
          Task Performance and Analysis
          Human
          Magnetic Resonance Imaging Methods
          Uncertainty
          Financial Management
          Brain Physiology
          Prefrontal Cortex Physiology
          Alcohol Drinking
      ab: Background: Impaired decision making, a key characteristic of alcohol dependence (AD), manifests in continuous alcohol consumption despite severe negative consequences. The neural basis of this impairment in individuals with AD and differences with known neural decision mechanisms among healthy subjects are not fully understood. In particular, it is unclear whether the choice behavior among individuals with AD is based on a general impairment of decision mechanisms or is mainly explained by altered value attribution, with an overly high subjective value attributed to alcohol‐related stimuli. Methods: Here, we use a functional magnetic resonance imaging (fMRI) monetary reward task to compare the neural processes of model‐based decision making and value computation between AD individuals (n = 32) and healthy controls (n = 32). During fMRI, participants evaluated monetary offers with respect to dynamically changing constraints and different levels of uncertainty. Results: Individuals with AD showed lower activation associated with model‐based decision processes in the caudate nucleus than controls, but there were no group differences in value‐related neural activity or task performance. Conclusions: Our findings highlight the role of the caudate nucleus in impaired model‐based decisions of alcohol‐dependent individuals.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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