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Disruption of Frontal Lobe Neural Synchrony During Cognitive Control by Alcohol Intoxication
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Cingulate cortex functional connectivity predicts future relapse in alcohol dependent individuals.

Yasmin Zakiniaeiz1, Dustin Scheinost2, Dongju Seo3

  • 1Interdepartmental Neuroscience Program, Yale University School of Medicine, New Haven, CT, United States.

Neuroimage. Clinical
|December 17, 2016
PubMed
Summary
This summary is machine-generated.

Functional connectivity in the cingulate cortex is altered in alcohol dependence. Weaker connectivity during neutral cues and stronger connectivity to alcohol cues predict better recovery outcomes in abstinent patients.

Keywords:
AddictionAlcohol dependenceCingulate cortexCue reactivityFunctional connectivityRelapse

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Area of Science:

  • Neuroscience
  • Addiction Research
  • Neuroimaging

Background:

  • Alcohol dependence is a chronic, relapsing condition.
  • Alcohol and stress cues increase craving and relapse risk in recovering patients.
  • Functional connectivity differences in response to these cues remain understudied.

Purpose of the Study:

  • Investigate whole-brain functional connectivity differences in response to alcohol and stress cues.
  • Examine if these differences predict subsequent relapse in alcohol-dependent patients.
  • Compare functional connectivity between alcohol-dependent and healthy individuals.

Main Methods:

  • Voxel-wise functional connectivity analysis using fMRI.
  • Individualized imagery of alcohol, stress, and neutral cues.
  • Prospective 90-day relapse monitoring and Cox proportional hazard regression.

Main Results:

  • Alcohol-dependent patients showed blunted cingulate cortex connectivity to stress and alcohol cues compared to neutral cues.
  • Weaker anterior and mid-cingulate cortex connectivity during neutral cues predicted longer time to relapse.
  • Greater posterior cingulate cortex connectivity to alcohol vs. stress cues also predicted better recovery.

Conclusions:

  • The cingulate cortex is crucial in disrupted functional connectivity during cue processing in alcohol dependence.
  • Cingulate cortex connectivity patterns serve as a marker for predicting alcohol relapse.
  • Data-driven functional connectivity analysis reveals key neural mechanisms in alcohol relapse.