Cited by 692Neural and Behavioral Psychology StudiesSubstance Abuse Treatment and OutcomesNeurotransmitter Receptor Influence on Behavior

Neurobiology of the Adolescent Brain and Behavior: Implications for Substance Use Disorders

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Casey, B.J., Jones, Rebecca M.·2010·Journal of the American Academy of Child & Adolescent Psychiatry

Abstract

Objective Adolescence is a developmental period that entails substantial changes in risk-taking behavior and experimentation with alcohol and drugs. Understanding how the brain is changing during this period relative to childhood and adulthood and how these changes vary across individuals are key in predicting risk for later substance abuse and dependence. Method This review discusses recent human imaging and animal work in the context of an emerging view of adolescence as characterized by a tension between early emerging "bottom-up" systems that express exaggerated reactivity to motivational stimuli and later maturing "top-down" cognitive control regions. Behavioral, clinical, and neurobiological evidences are reported for dissociating these two systems developmentally. The literature on the effects of alcohol and its rewarding properties in the brain is discussed in the context of these two systems. Results Collectively, these studies show curvilinear development of motivational behavior and the underlying subcortical brain regions, with a peak inflection from 13 to 17 years. In contrast, prefrontal regions, important in top-down regulation of behavior, show a linear pattern of development well into young adulthood that parallels that seen in behavioral studies of impulsivity. Conclusions The tension or imbalance between these developing systems during adolescence may lead to cognitive control processes being more vulnerable to incentive-based modulation and increased susceptibility to the motivational properties of alcohol and drugs. As such, behavior challenges that require cognitive control in the face of appetitive cues may serve as useful biobehavioral markers for predicting which teens may be at greater risk for alcohol and substance dependence.

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Authors
Casey, B. J., & Jones, R. M.
Affiliations
  • Weill Cornell Medicine (US)
  • Cornell University (US)
Corresponding author
Casey, B.J.
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2010-12
Volume
49
Issue
12
Pages
1189-1201
ISSN
0890-8567 (ISSN-L)
OpenAlex
W2011786285
Cited by
692
References
32
Citations by year
2026: 29 · 2025: 42 · 2024: 42 · 2023: 35 · 2022: 48 · 2021: 60 · 2020: 59 · 2019: 46 · 2018: 48 · 2017: 42 · 2016: 53 · 2015: 47 · 2014: 46 · 2013: 50 · 2012: 34
FWCI
2.21
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (R01DA018879, DA007274, T32DA007274)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords
adolescent brain development, substance use disorders, cognitive control, top-down control, prefrontal cortex maturation, impulsivity, alcohol reward, risk prediction
MeSH terms
Adolescent, Alcohol Drinking, Arousal, Brain, Brain Mapping, Child, Humans, Impulsive Behavior, Motivation, Risk-Taking, Prefrontal Cortex, Substance-Related Disorders, Young Adult

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