Neural mechanisms of sexual decision-making in women with alcohol use disorder

2021 ◽  
Author(s):  
Kess L. Folco ◽  
Daniel J. Fridberg ◽  
Lindsay R. Arcurio ◽  
Peter R. Finn ◽  
Julia R. Heiman ◽  
...  
Keyword(s):  
Decision Making ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Neural Mechanisms ◽  
Sexual Decision Making

Prosocial Learning and Decision-Making in Young Adults With Alcohol Use Disorder

2021 ◽  
Vol 89 (9) ◽  
pp. S214
Author(s):  
Simon Jangard ◽  
Björn Lindström ◽  
Lotfi Khemiri ◽  
Andreas Olsson ◽  
Nitya Jayaram-Lindström
Keyword(s):  
Decision Making ◽  
Young Adults ◽  
Alcohol Use ◽  
Alcohol Use Disorder

scholarly journals Alcohol Use Predicts Sexual Decision-Making: A Systematic Review and Meta-Analysis of the Experimental Literature

2015 ◽  
Vol 20 (S1) ◽  
pp. 19-39 ◽  
Author(s):  
Lori A. J. Scott-Sheldon ◽  
◽  
Kate B. Carey ◽  
Karlene Cunningham ◽  
Blair T. Johnson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Alcohol Use ◽  
Meta Analysis ◽  
Experimental Literature ◽  
Sexual Decision Making

scholarly journals Increased decision latency in alcohol use disorder reflects altered resting-state synchrony in the anterior salience network

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Nicola Canessa ◽  
Gianpaolo Basso ◽  
Irene Carne ◽  
Paolo Poggi ◽  
Claudia Gianelli
Keyword(s):  
Decision Making ◽  
Alcohol Use ◽  
Resting State ◽  
Alcohol Use Disorder ◽  
Response Selection ◽  
Interaction Analysis ◽  
Intrinsic Activity ◽  
Salience Network ◽  
Functional Changes ◽  
Decision Latency

AbstractIncreased decision latency in alcohol use disorder (AUD) has been generally explained in terms of psychomotor slowing. Recent results suggest that AUD patients’ slowed decision-making might rather reflect alterations in the neural circuitry underlying the engagement of controlled processing by salient stimuli. We addressed this hypothesis by testing a relationship between decision latency at the Cambridge Gambling Task (CGT) and intrinsic brain activity in 22 individuals with AUD and 19 matched controls. CGT deliberation time was related to two complementary facets of resting-state fMRI activity, i.e. coherence and intensity, representing early biomarkers of functional changes in the intrinsic brain architecture. For both metrics, we assessed a multiple regression (to test a relationship with deliberation time in the whole sample), and an interaction analysis (to test a significantly different relationship with decision latency across groups). AUD patients’ slowed deliberation time (p < 0.025) reflected distinct facets of altered intrinsic activity in the cingulate node of the anterior salience network previously associated with the “output” motor stage of response selection. Its heightened activity in AUD patients compared with controls, tracking choice latency (p < 0.025 corrected), might represent a compensation mechanism counterbalancing the concurrent decrease of its internal coherent activity (p < 0.025 corrected). These findings provide novel insights into the intrinsic neural mechanisms underlying increased decision latency in AUD, involving decreased temporal synchronicity in networks promoting executive control by behaviourally relevant stimuli. These results pave the way to further studies assessing more subtle facets of decision-making in AUD, and their possible changes with rehabilitative treatment.

Feedback-Related Brain Potentials Indicate the Influence of Craving on Decision-Making in Patients with Alcohol Use Disorder: An Experimental Study

2020 ◽  
pp. 1-11
Author(s):  
Sarah Sehrig ◽  
Michael Odenwald ◽  
Brigitte Rockstroh
Keyword(s):  
Decision Making ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Event Related Potentials ◽  
Feedback Processing ◽  
Alcohol Craving ◽  
Chronic Alcohol Abuse ◽  
Alcohol Cues ◽  
Related Potentials ◽  
Decision Choice

<b><i>Introduction:</i></b> Alcohol craving is a key symptom of alcohol use disorder (AUD) and a significant cause of poor treatment outcome and frequent relapse. Craving is supposed to impair executive functions by modulating reward salience and decision-making. <b><i>Objective:</i></b> The present study sought to clarify this modulation by scrutinizing reward feedback processing in an experimental decision-making task, which was accomplished by AUD patients in 2 conditions, in the context of induced alcohol craving and in neutral context. <b><i>Methods:</i></b> AUD inpatients (<i>N</i> = 40) accomplished the Balloon Analog Risk Task, while their EEG was monitored; counterbalanced across conditions, the tasks were preceded either by craving induction by means of imagery and olfactory alcohol cues, or by neutral cues. Decision choice and variability, and event-related potentials (ERPs) prior to (stimulus-preceding negativity [SPN]) and following (P2a) reward feedback upon decisions, and the outcome-related feedback-related negativity (FRN) were compared between conditions and between patients, who experienced high craving upon alcohol cues (<i>N</i> = 18) and those who did not (<i>N</i> = 22). <b><i>Results:</i></b> Upon craving induction (vs. neutral condition), high-craving AUD patients showed less adjustment of decision choice to preceding reward experience and more variable decisions than low-craving AUD patients, together with accentuated reward-associated ERP (SPN and P2a), while outcome-related FRN was not modified by craving. <b><i>Conclusions:</i></b> Results support orientation to reward in AUD patients, particularly amplified upon experienced craving, which may interfere with (feedback-guided) decision-making even in alcohol-unrelated context. Craving-accentuated ERP indices suggest neuroadaptive changes of cognitive-motivational states upon chronic alcohol abuse. Together with altered reward-related expectancies, this has to be considered in intervention and relapse prevention.

scholarly journals Diminished cortical response to risk and loss during risky decision making in alcohol use disorder

2021 ◽  
Vol 218 ◽  
pp. 108391
Author(s):  
Elizabeth M. Burnette ◽  
Erica N. Grodin ◽  
Dara G. Ghahremani ◽  
Adriana Galván ◽  
Milky Kohno ◽  
...  
Keyword(s):  
Decision Making ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Cortical Response ◽  
Risky Decision Making ◽  
Risky Decision

scholarly journals Alcohol Use Disorder in a Culture That Normalizes the Consumption of Alcoholic Beverages: The Conflicts for Decision-Making

2020 ◽  
pp. 163-170
Author(s):  
Guilherme Messas ◽  
Maria Julia Soares
Keyword(s):  
Decision Making ◽  
Alcohol Use ◽  
Cultural Values ◽  
Alcohol Use Disorder ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Alcoholic Beverages ◽  
Shared Decision ◽  
Brazilian Culture ◽  
The Impact

AbstractValue-Based Practice (VBP) allows individual and cultural values to be important elements in clinical decision-making. The following chapter exemplifies the application of this approach to a patient with an alcohol use disorder within the Brazilian culture, a culture that minimizes the impact of alcohol consumption on health. By applying principles such as shared decision-making and basing choices on evidence and values, the patient increased the adherence and, consequently, the effectiveness of the proposed treatment.

A Descriptive Study of Empowerment and Sexual Decision Making in HIV-Positive African-American Women

2009 ◽  
Vol 104 (2) ◽  
pp. 482-488 ◽  
Author(s):  
Carrie A. Long ◽  
David E. Vance ◽  
Lauren A. Antia
Keyword(s):  
Decision Making ◽  
African American ◽  
Alcohol Use ◽  
African American Women ◽  
Unprotected Sex ◽  
Hiv Positive ◽  
American Women ◽  
Sexual Decision Making ◽  
Incarceration History ◽  
Sexual Choices

Empowerment, defined as economic opportunity that lessens dependence, is a unique concept that may affect a woman's sexual decision making. In this analysis taken from a larger statewide study, 91 HIV-positive African-American women were administered a survey to assess factors of empowerment in association with sexual choices. Age, incarceration history, and alcohol use were associated with bartering with sex. Incarceration history and alcohol use were associated with having unprotected sex with someone of unknown serostatus.

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