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Compulsivity in opioid dependence

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Tolomeo_2017_Compulsivity_in_opoid_PN_BP_AAM.pdf (237.1Kb)
Date
02/02/2018
Author
Tolomeo, Serenella
Matthews, Keith
Steele, Douglas
Baldacchino, Alex
Keywords
Dependence
Methadone
Heroin
Imaging
Cognition
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
RM Therapeutics. Pharmacology
NDAS
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Abstract
Objective: This study aimed to investigate the relationship between compulsivity versus impulsivity and structural MRI abnormalities in opioid dependence. Method: We recruited 146 participants: i) patients with a history of opioid dependence due to chronic heroin use (n=24), ii) heroin users stabilised on methadone maintenance treatment (n=48), iii) abstinent participants with ahistory of opioid dependence due to heroin use (n=24) and iv) healthy controls(n=50). Compulsivity was measured using Intra/Extra-Dimensional (IED) Task and impulsivity was measured using the Cambridge Gambling Task (CGT).Structural Magnetic Resonance Imaging (MRI) data were also obtained. Results: As hypothesised, compulsivity was negatively associated with impulsivity (p<0.02). Testing for the neural substrates of compulsivity versus impulsivity, we found a higher compulsivity/impulsivity ratio associated with significantly decreased white matter adjacent to the nucleus accumbens, bed nucleus of stria terminalis and rostral cingulate in the abstinent group,compared to the other opioid dependent groups. In addition, self-reported duration of opioid exposure correlated negatively with bilateral globus pallidus grey matter reductions. Conclusion: Our findings are consistent with Volkow & Koob’s addiction models and underline the important role of compulsivity versus impulsivity inopioid dependence. Our results have implications for the treatment of opioid dependence supporting the assertion of different behavioural and biological phenotypes in the opioid dependence and abstinence syndromes.
Citation
Tolomeo , S , Matthews , K , Steele , D & Baldacchino , A 2018 , ' Compulsivity in opioid dependence ' , Progress in Neuro-Psychopharmacology & Biological Psychiatry , vol. 81 , pp. 333-339 . https://doi.org/10.1016/j.pnpbp.2017.09.007
Publication
Progress in Neuro-Psychopharmacology & Biological Psychiatry
Status
Peer reviewed
DOI
https://doi.org/10.1016/j.pnpbp.2017.09.007
ISSN
0278-5846
Type
Journal article
Rights
© 2017 Elsevier Ltd. This work has been made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1016/j.pnpbp.2017.09.007
Description
This study was part funded by an unrestricted educational grant provided by Schering-Plough and a grant by an Anonymous Trust. Study support was also provided by the Scottish Mental Health Research Network. AB has received educational grants from Schering Plough and he has received research project funding from Schering-Plough, Merck Serono, and Indivior.
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  • University of St Andrews Research
URL
http://www.sciencedirect.com/science/article/pii/S0278584617303913#appd001
URI
http://hdl.handle.net/10023/16027

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