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Behavioral Inhibition Network Predicts Alcohol Use in Men and Stress in Women
Damla E Aksen1, Marc N Potenza2,3,4,5, Shashwath A Meda2,6
1Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, 06510.
Journal of Studies on Alcohol and Drugs
|June 3, 2026
Summary
This study identified a brain network linked to behavioral inhibition/punishment sensitivity (BIPS), a key impulsivity trait. This network
Area of Science:
- Neuroscience
- Addiction Research
- Psychiatry
Background:
- Impulsivity is a complex trait associated with addiction, but its inconsistent conceptualization hinders effective treatment.
- Understanding the neural underpinnings of distinct impulsivity domains is crucial for developing targeted interventions.
Purpose of the Study:
- To identify neural substrates of four impulsivity domains using connectome-based predictive modeling (CPM).
- To explore the relationship between these neural networks, alcohol use, and stress in a sample of young adults.
- To investigate potential sex differences in these relationships.
Main Methods:
- Utilized connectome-based predictive modeling (CPM) on fMRI data from the "Brain and Alcohol Research in College Students" dataset (n=287).
- Applied CPM to four impulsivity-related domains: impulsive action, approach/appetitive motivation, impulsivity/compulsivity, and behavioral inhibition/punishment sensitivity (BIPS).
- Examined identified brain networks in relation to alcohol use and stress, considering sex differences.
Main Results:
- A significant CPM model predicted BIPS (r = 0.24, p = .001).
- Higher BIPS was associated with altered connectivity in default mode, motor/sensory, cerebellar, and medial frontal networks.
- BIPS network strength differed by sex, showing negative associations with alcohol use in men and positive associations with stress in women.
Conclusions:
- A neuromarker for BIPS was identified in young adults, highlighting sex-specific associations with alcohol use and stress.
- These findings suggest potential for targeted interventions, considering sex differences, to address impulsive behaviors.
- Future research should investigate neuromodulation or other interventions targeting this network for problem drinking and stress-related concerns.
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