Unique Brain Areas Associated with Abstinence Control Are Damaged in Multiply Detoxified Alcoholics
2011

Brain Areas Linked to Abstinence Control Are Damaged in Alcoholics

Sample size: 45 publication Evidence: moderate

Author Information

Author(s): Theodora Duka, Leanne Trick, Kyriaki Nikolaou, Marcus A. Gray, Matthew J. Kempton, Hugh Williams, Steven C.R. Williams, Hugo D. Critchley, David N. Stephens

Primary Institution: University of Sussex

Hypothesis

Alcoholic patients will show a deficit in performance of the incentive conflict task, which will be exacerbated in those with multiple detoxifications.

Conclusion

Alcoholics show significant impairments in controlling their responses to incentives, particularly after multiple detoxifications, indicating damage to specific brain areas.

Supporting Evidence

  • Alcohol-dependent patients were significantly impaired on the incentive conflict task compared to healthy controls.
  • Impairment was greater in patients with multiple detoxifications than those with a single detoxification.
  • Functional imaging revealed distinct patterns of brain activation in healthy volunteers during the task.

Takeaway

This study shows that people who drink too much alcohol have trouble stopping themselves from drinking when they see things that remind them of alcohol, especially if they've tried to quit many times before.

Methodology

Participants performed an incentive conflict task while their brain activity was monitored using fMRI, and gray matter volumes were compared between alcoholics and healthy controls.

Limitations

The study did not image alcoholics during the task, so it is unclear if their impaired performance was due to failure to activate brain regions or if they activated them but still performed poorly.

Participant Demographics

23 alcohol-dependent participants and 22 healthy social drinkers matched for age, gender, and verbal IQ.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.biopsych.2011.04.006

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication