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Is Decreased Prefrontal Cortical Sensitivity to Monetary Reward Associated With Impaired Motivation and Self-Control in Cocaine Addiction?

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Goldstein, Rita Z., Alia-Klein, Nelly, Tomasi, Dardo, Zhang, Lei, Cottone, Lisa A., Maloney, Thomas, Telang, Frank, Caparelli, Elisabeth C., Chang, Linda, Ernst, Thomas, Samaras, Dimitris, Squires, Nancy K., Volkow, Nora D.·2007·American Journal of Psychiatry

DOI 10.1176/ajp.2007.164.1.43PMC PMC2435056

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Abstract

OBJECTIVE: This study attempted to examine the brain's sensitivity to monetary rewards of different magnitudes in cocaine abusers and to study its association with motivation and self-control. METHOD: Sixteen cocaine abusers and 13 matched healthy comparison subjects performed a forced-choice task under three monetary value conditions while brain activation was measured with functional magnetic resonance imaging. Objective measures of state motivation were assessed by reaction time and accuracy, and subjective measures were assessed by self-reports of task engagement. Measures of trait motivation and self-control were assessed with the Multidimensional Personality Questionnaire. RESULTS: The cocaine abusers demonstrated an overall reduced regional brain responsivity to differences between the monetary value conditions. Also, in comparison subjects but not in cocaine abusers, reward-induced improvements in performance were associated with self-reports of task engagement, and money-induced activations in the lateral prefrontal cortex were associated with parallel activations in the orbitofrontal cortex. For cocaine abusers, prefrontal cortex sensitivity to money was instead associated with motivation and self-control. CONCLUSIONS: These findings suggest that in cocaine addiction 1) activation of the corticolimbic reward circuit to gradations of money is altered; 2) the lack of a correlation between objective and subjective measures of state motivation may be indicative of disrupted perception of motivational drive, which could contribute to impairments in self-control; and 3) the lateral prefrontal cortex modulates trait motivation and deficits in self-control, and a possible underlying mechanism may encompass a breakdown in prefrontal-orbitofrontal cortical communication.

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Authors: Goldstein, R. Z., Alia-Klein, N., Tomasi, D., Zhang, L., Cottone, L. A., Maloney, T., Telang, F., Caparelli, E. C., Chang, L., Ernst, T., Samaras, D., Squires, N. K., & Volkow, N. D.
Affiliations: State University of New York (US)
Corresponding author: Goldstein, Rita Z.
ORCID: Goldstein, Rita Z.
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 2007-01
Volume: 164
Issue: 1
Pages: 43-51
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/ajp.2007.164.1.43
PMC: PMC2435056
OpenAlex: W2114006934
Cited by: 258
References: 43
Citations by year: 2026: 3 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 5 · 2021: 9 · 2020: 11 · 2019: 6 · 2018: 7 · 2017: 10 · 2016: 15 · 2015: 16 · 2014: 22 · 2013: 30 · 2012: 23
FWCI: 8.10
Type: journal article
Language: en
Open access: green
europepmc.org
Locations: American Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: U.S. Department of Energy
National Alliance for Research on Schizophrenia and Depression
National Institute on Alcohol Abuse and Alcoholism (AA/OD09481-04, R01AA009481)
National Institute on Drug Abuse (1K23-DA-15517-01, K24 DA16170, K24DA016170, R03DA017070, K-02 DA16991, DA-06891-06, K23DA015517, K02DA016991, R01DA006891)
National Center for Research Resources (M01RR010710, 5M01-RR-10710)
Brookhaven National Laboratory
Topics: Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: cocaine dependence, monetary rewards, prefrontal cortex, motivation, self-control, lateral prefrontal cortex, orbitofrontal cortex, state motivation, trait motivation, task engagement
MeSH terms: Adult, Brain, Brain Mapping, Choice Behavior, Conditioning, Operant, Drive, Female, Humans, Limbic System, Magnetic Resonance Imaging, Male, Motivation, Neural Pathways, Oxygen, Personality Inventory, Surveys and Questionnaires, Reaction Time, Reward, Task Performance and Analysis, Token Economy, Prefrontal Cortex, Cocaine-Related Disorders

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Is Decreased Prefrontal Cortical Sensitivity to Monetary Reward Associated With Impaired Motivation and Self-Control in Cocaine Addiction?

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