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Reward-related decision-making deficits and elevated impulsivity among MDMA and other drug users

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Hanson, Karen L., Luciana, Monica, Sullwold, Kristin·2008·Drug and Alcohol Dependence

DOI 10.1016/j.drugalcdep.2008.02.003PMC PMC2492887

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Abstract

Background The recreational drug, 3,4-methylenedioxymethamphetamine (MDMA; 'Ecstasy'), is a synthetic amphetamine derivative and a serotonin neurotoxin. MDMA use is associated with cognitive dysfunction and impulsivity, but since polydrug abuse is common among users it is difficult to attribute these problems specifically to MDMA. Moreover, few studies have examined reward-related cognitive processes. Our aim was to examine reward-related decision-making and impulsivity among MDMA users while controlling for polydrug use via appropriate comparison groups. Methods We examined decision-making [Iowa Gambling Task, IGT; Bechara, A., Damasio, A.R., Damasio, H., Anderson, S.W., 1994. Insensitivity to future consequences following damage to human prefrontal cortex. Cognition 50, 7-15], self-reported impulsivity (Multidimensional Personality Questionnaire-Brief Form [constraint subscale]; Barratt Impulsiveness Scale; Zuckerman Sensation Seeking Scale), and drug use among 22 abstinent MDMA users, 30 other drug users, and 29 healthy non-drug controls. Results MDMA and other drug users showed comparable patterns of decision-making and impulsivity. However, both drug groups demonstrated poorer IGT performance and elevated self-reported impulsivity relative to controls. Poorer decision-making was related to heavier drug use in the past year, heavier weekly alcohol use, and meeting lifetime substance use disorder (SUD) criteria for more drug classes. Elevated impulsivity was associated wit…

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Authors: Hanson, K. L., Luciana, M., & Sullwold, K.
Affiliations: San Diego State University (US)
University of Minnesota (US)
Corresponding author: Hanson, Karen L.
ORCID: Hanson, Karen L.
Luciana, Monica
Venue: Drug and Alcohol Dependence
Publisher: Elsevier BV
Published: 2008-07
Volume: 96
Issue: 1-2
Pages: 99-110
ISSN: 0376-8716 (ISSN-L)
DOI: 10.1016/j.drugalcdep.2008.02.003
PMC: PMC2492887
OpenAlex: W1968643679
Cited by: 125
References: 107
Citations by year: 2026: 1 · 2025: 5 · 2024: 3 · 2023: 6 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 7 · 2017: 6 · 2016: 6 · 2015: 6 · 2014: 5 · 2013: 11 · 2012: 19
FWCI: 15.21
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Drug and Alcohol Dependence (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (T32AA013525)
National Institute of Mental Health (T32MH017069)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords: MDMA, ecstasy, impulsivity, polydrug use, Iowa Gambling Task, substance use disorders, alcohol consumption, depression, sensation seeking, serotonin neurotoxicity, cognitive impairment
MeSH terms: Adult, Alcohol Drinking, Cognition Disorders, Decision Making, Female, Gambling, Humans, Impulsive Behavior, Male, Personality, Personality Inventory, Surveys and Questionnaires, Reward, N-Methyl-3,4-methylenedioxyamphetamine, Substance-Related Disorders, Amphetamine-Related Disorders, Control Groups

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Reward-related decision-making deficits and elevated impulsivity among MDMA and other drug users

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