Neurophysiological correlates of alcohol-specific inhibition in alcohol use disorder and its association with craving and relapse

被引:14
作者
Batschelet, Hallie M. [1 ,2 ]
Tschuemperlin, Raphaela M. [1 ,2 ,3 ]
Moggi, Franz [1 ]
Soravia, Leila M. [1 ,3 ]
Koenig, Thomas [1 ]
Pfeifer, Philippe [1 ,4 ]
Roesner, Susanne [5 ]
Keller, Anne [5 ]
Stein, Maria [1 ,6 ]
机构
[1] Univ Hosp Psychiat & Psychotherapy, Translat Res Ctr, Bolligenstr 111, CH-3000 Bern 60, Switzerland
[2] Univ Bern, Grad Sch Hlth Sci, Bern, Switzerland
[3] Clin Suedhang, Ctr Treatment Addict Disorders, Sudhang 1, CH-3038 Kirchlindach, Switzerland
[4] Psychiat Zentrum Munsingen, Hunzigenstr 1, CH-3110 Munsingen, Switzerland
[5] Forel Clin, Addict Treatment Ctr, Islikonerstr 5, CH-8548 Ellikon An Der Thur, Switzerland
[6] Univ Bern, Inst Psychol, Dept Clin Psychol & Psychotherapy, Fabrikstr 8, CH-3012 Bern, Switzerland
基金
瑞士国家科学基金会;
关键词
Inhibitory control; Event-Related Potentials; Go; NoGo task; Alcohol Use Disorder; Relapse; Craving; EVENT-RELATED POTENTIALS; RESPONSE-INHIBITION; CLINICAL-RELEVANCE; DEPENDENT PATIENTS; IMPULSIVITY; DRINKING; IMPAIRMENT; PREDICTORS; REFLECTS; HEALTH;
D O I
10.1016/j.clinph.2021.02.389
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: This study investigates neurophysiological correlates of general and alcohol-specific inhibitory control in patients with Alcohol Use Disorder (AUD), focusing on its association with individual craving levels and with relapse at three-month follow-up. Methods: 59 abstinent AUD patients and 20 healthy controls performed a Go/NoGo task incorporating alcohol-related and neutral stimuli during 64-channel electroencephalography (EEG) recording, yielding four event-related potentials (ERP) per participant (NoGo-Alcohol, Go-Alcohol, NoGo-Neutral, Go Neutral). Whole-scalp randomization-based statistics assessed effects of the factors group (patients/controls or relapsers/abstainers), craving level, response type (NoGo/Go) and picture type (alcohol/neutral) on topography and signal strength of the ERP components N2 and P3. Results: No differences on group level were observed between patients and controls. However, analyses incorporating individual craving indicated that the topographic difference between alcohol-related and neutral NoGo-N2 components increased with craving. Moreover, topographic differences in the alcohol-related and neutral NoGo-P3 component allowed for differentiation between relapsers and abstainers. Conclusions: In alcohol-related contexts, the response inhibition conflict reflected in the NoGo-N2 seems enhanced in patients with high craving. The inhibition-sensitive NoGo-P3 varies in relapsers but not in abstainers between neutral and alcohol-related contexts. Significance: In AUD patients, neurophysiological correlates of inhibition vary with alcohol-related contexts and craving, and might be indicative of relapse risk. (c) 2021 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:1290 / 1301
页数:12
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