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Substance use and the value of control.
Elle M Giovanni1,2,3, Mimi Liljeholm4,5,6
1Department of Cognitive Sciences, University of California, Irvine, CA, USA.
Cognitive, Affective & Behavioral Neuroscience
|May 6, 2026
Summary
Substance use impacts decision-making, affecting the desire for control. Abstinence from psychostimulants increases preference for control, while opioid and alcohol abstinence shifts choices towards divergent outcomes and free will.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Behavioral Economics
Background:
- Substance use disorders are characterized by a loss of control over consumption.
- Limited research explores how substance use affects agency and motivated behavior.
- Understanding these effects is crucial for addiction treatment and recovery.
Purpose of the Study:
- To investigate the relationship between substance use history and the preference for environmental control.
- To examine how abstinence duration influences decision-making in controllable versus uncontrollable environments.
- To explore the neural underpinnings of agency in individuals with a history of substance use.
Main Methods:
- Utilized a hierarchical gambling task to assess preference for controllable environments.
- Employed cross-sectional substance use surveys to categorize participants.
- Applied computational cognitive modeling to analyze decision-making patterns.
- Included adult humans with self-reported abstinence from psychostimulants, opioids, alcohol, or sedatives.
Main Results:
- Longer abstinence from psychostimulants selectively increased the preference for instrumental control.
- Longer abstinence from opioids predicted increased preference for divergent outcome distributions.
- Longer abstinence from alcohol predicted increased preference for free choice, independent of controllability.
- These associations were distinct from the ability to maximize monetary payoffs.
Conclusions:
- Substance use history differentially impacts the valuation of agency and control in decision-making.
- The dopaminergic system is implicated in the coding of agency, influenced by substance use.
- Findings suggest distinct recovery trajectories for different substance use disorders regarding agency and control preferences.
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