2008
DOI: 10.1016/j.biopsych.2007.09.007
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Reduced Behavioral and Neural Activation in Stimulant Users to Different Error Rates during Decision Making

Abstract: The behavior of stimulant users is less adaptive to the frequency of errors made and fewer brain processing resources are deployed during decision making to anticipate erroneous performance. These findings could be markers for the predisposition of drug taking; however, their relevance for development of drug dependence requires further study.

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Cited by 39 publications
(34 citation statements)
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“…For example, a common feature of addiction is an increased sensitivity to reward and a diminished sensitivity to punishment that manifests as a failure to learn from or disregard negative or aversive outcomes (Bechara et al, 2002;Franken et al, 2005). Recent work has consistently demonstrated that insular cortex dysfunction is associated with addiction (Paulus, 2007;Goldstein et al, 2009;Naqvi and Bechara, 2009), particularly poor decision making that may contribute to continued drug taking in the face of significant negative consequences (Paulus et al, 2005a(Paulus et al, , 2008. The opposite pattern, increased insula activity in response to punishment and heightened sensitivity to learning from aversive outcomes (Paulus et al, 2005b;Samanez-Larkin et al, 2008), is a feature of general anxiety disorder and other psychiatric conditions that feature anxiety such as obsessive-compulsive disorder and posttraumatic stress disorder.…”
Section: Discussionmentioning
confidence: 99%
“…For example, a common feature of addiction is an increased sensitivity to reward and a diminished sensitivity to punishment that manifests as a failure to learn from or disregard negative or aversive outcomes (Bechara et al, 2002;Franken et al, 2005). Recent work has consistently demonstrated that insular cortex dysfunction is associated with addiction (Paulus, 2007;Goldstein et al, 2009;Naqvi and Bechara, 2009), particularly poor decision making that may contribute to continued drug taking in the face of significant negative consequences (Paulus et al, 2005a(Paulus et al, , 2008. The opposite pattern, increased insula activity in response to punishment and heightened sensitivity to learning from aversive outcomes (Paulus et al, 2005b;Samanez-Larkin et al, 2008), is a feature of general anxiety disorder and other psychiatric conditions that feature anxiety such as obsessive-compulsive disorder and posttraumatic stress disorder.…”
Section: Discussionmentioning
confidence: 99%
“…For example, in a financial decision-making task that involves choices between safe 'bonds' and risky 'stocks' 53 , when insular activation is relatively high before a decision, subjects tend to make risk-averse mistakes; that is, they chose the bonds, even though the stocks were an objectively superior choice. Insular activation is also robustly observed when decision-making impairments lead to increased risk 54,55 . Insular activation may reflect that region's putative role in representing somatic states that can be used to simulate the potential negative consequences of actions 56,57 , as when people reject unfair offers in an economic game at substantial cost to themselves 58 .…”
Section: Neuroeconomics Of Decision Making Under Uncertaintymentioning
confidence: 95%
“…Neuroimaging studies have identified an association between these executive control deficits and dysfunction in prefrontal (particularly dorsolateral and inferior frontal), anterior cingulate, and orbitofrontal regions (Bolla et al 2001(Bolla et al , 2003(Bolla et al , 2004Goldstein et al 2001;Franklin et al 2002;Paulus et al 2002;Kaufman et al 2003;Hester and Garavan 2004;Gruber and Yurgelun-Todd 2005;London et al 2005;Tapert et al 2007;Paulus et al 2008). Individual studies have also identified changes within subcortical (thalamus and basal ganglia), parietal, temporal, and cerebellar regions, although these findings are less consistent.…”
Section: Executive Control Dysfunction In Addicted Drug Usersmentioning
confidence: 99%