Neurobiology of the Adolescent Brain and Behavior: Implications for Substance Use Disorders
Open accessAbstract
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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Brain development is not fully optimized until age 25.
“which is not fully optimized until age 25 [162,163].”
From Parentification Vulnerability, Reactivity, Resilience, and Thriving: A Mixed Methods Systematic Literature Review (2023) · cites this paper as [163]
The Introduction (page unavailable) says the prefrontal cortex continues structural and functional development well into young adulthood, supporting the general point that brain development continues beyond adolescence. It does not identify age 25 as the point when development becomes fully optimized. (LLM, conf=0.86)
Experimental — accuracy not yet measuredModels of adolescent behavior focused on "dual systems" have been challenged as overly simplistic.
“Relatedly, models of adolescent behavior focused on “dual systems”—that is, the existence of a prefrontally-based cognitive control system that exerts functions such as decision making, judgment, and response inhibition (Casey and Jones, 2010) and a limbic-based incentive processing system that responds to emotionally arousing and rewarding stimuli (Van Leijenhorst et al., 2010)—have been ChallenG”
From The role (and limits) of developmental neuroscience in determining adolescents' autonomy rights: The case for reproductive and voting rights (2024) · cites this paper as Casey and Jones, 2010
Adolescence is characterized by behavioral changes such as increased risk-taking and behavioral impulsivity, putatively caused by an imbalance of basal ganglia and prefrontal cortex maturation.
“Adolescence is thought to be characterized by behavioral changes such as increased risk-taking and behavioral impulsivity 41,42 putatively caused by an imbalance of basal ganglia and prefrontal cortex maturation.”
From Increased neural responses to reward in adolescents and young adults with attention-deficit/hyperactivity disorder and their unaffected siblings (2015) · cites this paper as [41]
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“…is, the existence of a prefrontally-based cognitive control system that exerts functions such as decision making, judgment, and response inhibition (Casey and Jones, 2010) and a limbic-based incentive processing system that responds to emotionally arousing and rewarding stimuli (Van Leijenhorst et…”
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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)
- PMC
- PMC3099425
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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