TY - JOUR PY - 2021// TI - Neuroimaging evidence for structural correlates in adolescents resilient to polysubstance use: a five-year follow-up study JO - European Neuropsychopharmacology A1 - Filippi, Irina A1 - Galinowski, André A1 - Lemaitre, Herve A1 - Massot, Christian A1 - Zille, Pascal A1 - Frère, Pauline A1 - Miranda-Marcos, Rubén A1 - Trichard, Christian A1 - Guldner, Stella A1 - Vulser, Hélène A1 - Paillere-Martinot, Marie-Laure A1 - Quinlan, Erin Burke A1 - Desrivieres, Sylvane A1 - Gowland, Penny A1 - Bokde, Arun L. W. A1 - Garavan, Hugh A1 - Heinz, Andreas A1 - Walter, Henrik A1 - Daedelow, Laura A1 - Büchel, Christian A1 - Bromberg, Uli A1 - Conrod, Patricia J. A1 - Flor, Herta A1 - Banaschewski, Tobias A1 - Nees, Frauke A1 - Heintz, Stefan A1 - Smolka, Michael A1 - Vetter, Nora C. A1 - Papadopoulos-Orfanos, Dimitri A1 - Whelan, Robert A1 - Poustka, Louise A1 - Paus, Tomas A1 - Schumann, Gunter A1 - Artiges, Eric A1 - Martinot, Jean-Luc SP - 11 EP - 22 VL - 49 IS - N2 - Early initiation of polysubstance use (PSU) is a strong predictor of subsequent addiction, however scarce individuals present resilience capacity. This neuroimaging study aimed to investigate structural correlates associated with cessation or reduction of PSU and determine the extent to which brain structural features accounted for this resilient outcome. Participants from a European community-based cohort self-reported their alcohol, tobacco and cannabis use frequency at ages 14, 16 and 19 and had neuroimaging sessions at ages 14 and 19. We included three groups in the study: the resilient-to-PSU participants showed PSU at 16 and/or 14 but no more at 19 (n = 18), the enduring polysubstance users at 19 displayed PSU continuation from 14 or 16 (n = 193) and the controls were abstinent or low drinking participants (n = 460). We conducted between-group comparisons of grey matter volumes on whole brain using voxel-based morphometry and regional fractional anisotropy using tract-based spatial statistics. Random-forests machine-learning approach generated individual-level PSU-behavior predictions based on personality and neuroimaging features. Adolescents resilient to PSU showed significant larger grey matter volumes in the bilateral cingulate gyrus compared with enduring polysubstance users and controls at ages 19 and 14 (p<0.05 corrected) but no difference in fractional anisotropy. The larger cingulate volumes and personality trait "openness to experience" were the best precursors of resilience to PSU. Early in adolescence, a larger cingulate gyrus differentiated adolescents resilient to PSU, and this feature was critical in predicting this outcome. This study encourages further research into the neurobiological bases of resilience to addictive behaviors.
Language: en
LA - en SN - 0924-977X UR - http://dx.doi.org/10.1016/j.euroneuro.2021.03.001 ID - ref1 ER -