Sex differences in neural response to an acute stressor in individuals with an alcohol use disorder.

Background: Alcohol use disorder (AUD) and stress influence overlapping neural circuits in the brain. The literature is mixed regarding the presence of sex differences in the neural response to acute stressors, and this issue has not been examined in individuals with AUD. We validated a stress funct...

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Publicado en:Alcohol, Clinical & Experimental Research Vol. 48; no. 5; pp. 843 - 855
Autores principales: Grodin, Erica N., Kirsch, Dylan, Belnap, Malia, Ray, Lara A.
Formato: diagnostic images research tables/charts Journal Article
Publicado: Wiley-Blackwell May2024
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Alcohol, Clinical & Experimental Research
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      dt: May2024
      vid: 48
      iid: 5
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/acer.15301
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        atl: Sex differences in neural response to an acute stressor in individuals with an alcohol use disorder.
      aug:
        au:
          Grodin, Erica N.
          Kirsch, Dylan
          Belnap, Malia
          Ray, Lara A.
        affil: Department of Psychology, University of California at Los Angeles, Los Angeles California,, USA
      sug:
        subj:
          Alcohol-Related Disorders Psychosocial Factors
          Stress, Psychological Evaluation
          Task Performance and Analysis
          Magnetic Resonance Imaging
          Brain Mapping
          Sex Factors
          Neuroradiography
          Human
          Male
          Female
          Funding Source
          Interview Guides
          Scales
          State-Trait Anxiety Inventory
          Psychological Tests
          Questionnaires
          Amygdala
          Validation Studies
          Anxiety
          Analysis of Covariance
          Thalamus
          Prefrontal Cortex
          Limbic System
          Parietal Lobe
          Comparative Studies
          Repeated Measures
          Adult
          Middle Age
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Alcohol use disorder (AUD) and stress influence overlapping neural circuits in the brain. The literature is mixed regarding the presence of sex differences in the neural response to acute stressors, and this issue has not been examined in individuals with AUD. We validated a stress functional magnetic resonance imaging (fMRI) paradigm in individuals with AUD and tested for sex differences. Methods: Twenty‐five treatment‐seeking individuals with AUD (15M/10F) were recruited to participate in the neuroimaging study linked to a clinical trial of ibudilast (NCT03594435). To assess social‐evaluative stress, participants completed the Montreal Imaging Stress Task (MIST). Whole brain and amygdala region‐of‐interest analyses were conducted. Subjective ratings of anxiety and distress were collected. Repeated measures ANCOVAs were performed to evaluate the effect of stress on anxiety and distress and to evaluate sex differences. Results: There were trend‐level effects of stress on anxiety ratings and amygdala activation (p's = 0.06). There was a significant effect of stress in the bilateral thalamus, ventral tegmental area, and paracingulate (Z's > 4.09, p's < 0.03). There was a trend‐level effect of sex on subjective ratings of stress (p's = 0.07). Females had higher amygdala activation in response to stress (p = 0.02). Females also had greater activation than males in the precuneus, posterior cingulate cortex, and right inferior frontal gyrus during acute stress (Z's > 3.56, p's < 0.03). Conclusions: This study provides an initial validation of the MIST in a sample of individuals with AUD. It also provides preliminary evidence of sex differences in the response to social‐evaluative stress, which is important, given the relevance of stress and negative emotionality as motivators for alcohol use in females.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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