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Appetitive Motivation and Regulatory Processes in Adolescent Ketamine Users
Hao-Han Chang1, Chieh-Liang Huang2, Ming-Chou Ho3,4
1Department of Clinical Psychology, TsaoTun Psychiatric Center, Ministry of Health and Welfare, Nantou, Taiwan.
Substance Use & Misuse
|July 20, 2021
Summary
Adolescent ketamine users showed intact cold executive functions but potential deficits in hot executive functions. This suggests dual process models may need refinement for understanding adolescent substance misuse.
Area of Science:
- Neuroscience
- Psychology
- Addiction Research
Background:
- Ketamine is the most prevalent illicit drug among adolescents in Taiwan.
- Addictive behaviors in adolescents may stem from an imbalance between appetitive and regulatory systems.
- Dual process models offer a framework for understanding substance use disorders.
Purpose of the Study:
- To investigate appetitive and regulatory processes in adolescent ketamine users.
- To compare adolescent ketamine users with matched healthy controls.
- To examine the dual process model in the context of adolescent ketamine use.
Main Methods:
- Thirty adolescent ketamine users and 32 healthy controls participated.
- Participants completed the Affective Priming Task (APT), Stop-Signal Task (SST), and Iowa Gambling Task (IGT).
- The Drug Use Disorders Identification Test: Extended (DUDIT-E) was also administered.
Main Results:
- Controls exhibited higher outcome expectancies for ketamine use than users.
- No significant differences were found in Affective Priming Task performance.
- Adolescent ketamine users showed poorer performance in hot executive functions (IGT) but intact cold executive functions (SST).
Conclusions:
- Adolescent ketamine users may not exhibit the predicted imbalanced dual processes.
- Findings suggest a need for revised therapeutic approaches for adolescent ketamine users.
- Increased advocacy regarding ketamine's adverse effects is recommended, especially on campuses.
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