Psychiatry Investig.  2013 Sep;10(3):266-272.

Disruption of Orbitofronto-Striatal Functional Connectivity Underlies Maladaptive Persistent Behaviors in Alcohol-Dependent Patients

Affiliations
  • 1Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea. eugenejung@yuhs.ac
  • 2Department of Biomedical Engineering, Keimyung University, Daegu, Republic of Korea.
  • 3Department of Neurosurgery, St. Peter's Hospital, Seoul, Republic of Korea.

Abstract


OBJECTIVE
Alcohol dependence is characterized by persistent alcohol-seeking despite negative consequences. Previous studies suggest that maladaptive persistent behaviors reflect alcohol-induced brain changes that cause alterations in the cortico-striatal-limbic circuit.
METHODS
Twenty one alcohol dependent patients and 24 age-matched healthy controls performed a decision-making task during functional MRI. We defined the medial orbitofrontal cortex (mOFC) as a region-of-interest and performed seed-based functional connectivity analysis.
RESULTS
Healthy controls were more flexible in adapting an alternative behavioral strategy, which correlated with stronger mOFC-dorsal striatum functional connectivity. In contrast, alcohol dependent patients persisted to the first established behavioral strategy. The mOFC-dorsal striatum functional connectivity was impaired in the alcohol-dependent patients, but increased in correlation with the duration of abstinence.
CONCLUSION
Our findings support that the disruption of the mOFC-striatal circuitry contribute to the maldaptive persistent behaviors in alcohol dependent patients.

Keyword

Alcohol; Medial orbitofrontal cortex; Dorsal striatum; Decision-making; fMRI

MeSH Terms

Alcoholics*
Alcoholism
Brain
Decision Making
Humans
Magnetic Resonance Imaging
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