Neural mechanisms of impulse control in sexually risky adolescents
Open accessAbstract
The consequences of risky sexual behavior are of public concern. Adolescents contribute disproportionately to negative consequences of risky sexual behavior. However, no research has examined the neural correlates of impulse control and real-world engagement in risky sexual behavior in this population. The aim of the present study was to examine this question. Twenty sexually active adolescents performed an impulse control task during a functional magnetic resonance imaging (fMRI) scan and risky sexual behaviors were assessed through self-report. Sexual riskiness ratings were negatively associated with activation in the prefrontal cortex during response inhibition. These results suggest that diminished engagement of impulse control circuitry may contribute to sexual riskiness in adolescents.
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Only one other study involving a risk-taking task demonstrates age differences in both prefrontal cortex and striatum during risky decision making, but this study showed striatal engagement increasing with age.
“Only one other study involving a risk-taking task demonstrates age differences in both the PFC and striatum during risky decision making however, this study showed striatal engagement increasing with age [105].”
From The role of the anterior insula in adolescent decision making (2014) · cites this paper as [105]
Only a handful of studies have explored age differences in brain activity during a risk-taking task, and evidence for mutual involvement of both lateral prefrontal cortex and striatum during risky decision making is scarce.
“Only a handful of studies (see table 1) have explored age differences in brain activity during the performance of a risk-taking task [97, 101–105], and evidence for mutual involvement of both the IPFC and striatum during risky decision making is scarce.”
From The role of the anterior insula in adolescent decision making (2014) · cites this paper as [105]
Two studies in the literature report that anterior insula cortex engagement rises with age.
“we find two studies showing increases in AIC engagement with age (see fig. 2c) [104, 105]”
From The role of the anterior insula in adolescent decision making (2014) · cites this paper as [105]
When romance and sexuality are considered in developmental models, they tend to emphasize sexual development as negative risk behavior.
“In the few cases when romance and sexuality are considered in these developmental models, they tend to emphasize sexual development as negative risk behavior (i.e., a risk-framework of sexual behavior) (Ewing et al., 2014, Goldenberg et al., 2013, James et al., 2012, Victor and Hariri, 2015).”
From Becoming a sexual being: The “elephant in the room” of adolescent brain development (2017) · cites this paper as Goldenberg et al., 2013
Studies using a sexual risk framework have done little to expand our understanding of normative sexual development trajectories.
“Studies using a sexual risk framework have helped to identify some of the underlying neural correlates associated with health-harming sexual decision-making, but, unfortunately, these studies have done little to expand our understanding of normative sexual development trajectories.”
From Becoming a sexual being: The “elephant in the room” of adolescent brain development (2017) · cites this paper as Goldenberg et al., 2013
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- Authors
- Goldenberg, D., Telzer, E. H., Lieberman, M. D., Fuligni, A., & Galván, A.
- Affiliations
- University of California, Los Angeles (US)
- University of Illinois Urbana-Champaign (US)
- Corresponding author
- Galván, Adriana
- Venue
- Developmental Cognitive Neuroscience
- Publisher
- Elsevier BV
- Published
- 2013-10
- Volume
- 6
- Pages
- 23-29
- ISSN
- 1878-9293 (ISSN-L)
- PMC
- PMC3924962
- OpenAlex
- W2137619560
- Cited by
- 38
- References
- 41
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 6 · 2017: 3 · 2016: 4 · 2015: 6 · 2014: 5
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Developmental Cognitive Neuroscience (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nd)
- Funders
- NSF
- SRCD Dissertation Grant
- UC MEXUS Dissertation Grant
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- impulse control, sexual risk behavior, adolescents, response inhibition, prefrontal cortex, neural correlates, inhibitory control
- MeSH terms
- Adolescent, Adolescent Behavior, Coitus, Contraception, Female, Frontal Lobe, Humans, Impulsive Behavior, Magnetic Resonance Imaging, Male, Nerve Net, Risk-Taking, Unsafe Sex, Self Report
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