Neuroeconomics and adolescent substance abuse: individual differences in neural networks and delay discounting
Open accessAbstract
Objective Many adolescents with substance use problems show poor response to evidence-based treatments. Treatment outcome has been associated with individual differences in impulsive decision making as reflected by delay discounting (DD) rates (preference for immediate rewards). Adolescents with higher rates of DD were expected to show greater neural activation in brain regions mediating impulsive/habitual behavioral choices and less activation in regions mediating reflective/executive behavioral choices.Method Thirty adolescents being treated for substance abuse completed a DD task optimized to balance choices of immediate versus delayed rewards, and a control condition accounted for activation during magnitude valuation. A group independent component analysis on functional magnetic resonance imaging time courses identified neural networks engaged during DD. Network activity was correlated with individual differences in discounting rate.Results Higher discounting rates were associated with diminished engagement of an executive attention control network involving the dorsolateral prefrontal cortex, dorsomedial prefrontal cortex, inferior parietal cortex, cingulate cortex, and precuneus. Higher discounting rates also were associated with less deactivation in a "bottom-up" reward valuation network involving the amygdala, hippocampus, insula, and ventromedial prefrontal cortex. These 2 networks were significantly negatively correlated.Conclusions Results support relations between competing executive and reward valuation neural networks and temporal decision making, an important, potentially modifiable risk factor relevant for the prevention and treatment of adolescent substance abuse. Clinical trial registration information-The Neuroeconomics of Behavioral Therapies for Adolescent Substance Abuse, http://clinicaltrials.gov/, NCT01093898.
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Promotion of executive maturity may be an effective intervention for adolescents at risk for SUD.
“Promotion of executive maturity may be an effective intervention for adolescents at risk for SUD (Stanger et al., 2013).”
From Sensitive periods of substance abuse: Early risk for the transition to dependence (2017) · cites this paper as Stanger et al., 2013
Numerous studies have examined delayed reward discounting in substance use disorder.
“Delayed reward discounting is a behavioural economic index of impulsivity and numerous studies have examined delayed reward discounting in substance use disorder [33, 34].”
From P300 and delay-discounting in obsessive–compulsive disorder (2022) · cites this paper as [34]
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- Authors
- Stanger, C., Elton, A., Ryan, S. R., James, G. A., Budney, A. J., & Kilts, C. D.
- Affiliations
- Dartmouth College (US)
- University of North Carolina at Chapel Hill (US)
- The University of Texas at San Antonio Health Science Center (US)
- University of Arkansas for Medical Sciences (US)
- Corresponding author
- Stanger, Catherine
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 52
- Issue
- 7
- Pages
- 747-755.e6
- ISSN
- 0890-8567 (ISSN-L)
- PMC
- PMC3712894
- OpenAlex
- W2118035077
- Cited by
- 75
- References
- 42
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 6 · 2022: 4 · 2021: 7 · 2020: 7 · 2019: 6 · 2018: 5 · 2017: 7 · 2016: 7 · 2015: 9 · 2014: 8 · 2013: 1
- FWCI
- 4.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Dartmouth College
- University of Arkansas for Medical Sciences (UL1TR000039, KL2TR000063)
- National Institutes of Health (UL1TR000039, KL2TR000063)
- Allergan
- University of North Carolina at Chapel Hill
- University of Texas Health Science Center at San Antonio
- Audrey and Theodor Geisel School of Medicine at Dartmouth
- National Institute on Alcohol Abuse and Alcoholism (AA016917, R01AA016917)
- National Institute on Drug Abuse (R01DA015186, DA022981, DA029442, DA015186, R21DA029442, T32DA022981)
- National Center for Research Resources
- National Center for Advancing Translational Sciences
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Keywords
- adolescent substance abuse, delay discounting, impulsive decision-making, individual differences, frontoparietal network, dorsolateral prefrontal cortex, ventromedial prefrontal cortex, amygdala, hippocampus, insula, precuneus, cingulate cortex, inferior parietal cortex, treatment outcomes, temporal decision-making, neuroeconomics
- MeSH terms
- Adolescent, Brain, Child, Female, Humans, Individuality, Magnetic Resonance Imaging, Male, Nerve Net, Reward, Time Factors, Substance-Related Disorders, Executive Function, Functional Neuroimaging
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