Anger and depression in cocaine addiction: association with the orbitofrontal cortex
The high prevalence of anger, impulsivity and violence in cocaine addiction implicates chronic cocaine use in the compromise of higher-order inhibitory control neurocognitive processes. We used the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) anger content scale as a personality measure of...
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| Published in: | Psychiatry research Vol. 138; no. 1; pp. 13 - 22 |
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| Abstract | The high prevalence of anger, impulsivity and violence in cocaine addiction implicates chronic cocaine use in the compromise of higher-order inhibitory control neurocognitive processes. We used the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) anger content scale as a personality measure of inhibitory control and examined its association with glucose metabolism in the lateral orbitofrontal gyrus (LOFG) at rest as measured by positron emission tomography with 2-deoxy-2[
18F]fluoro-
d-glucose (PET
18FDG) in 17 recently abstinent cocaine-dependent subjects and 16 comparison subjects. Three additional variables—the MMPI-2 depression content scale, metabolism in the medial orbitofrontal gyrus (MOFG) and the anterior cingulate (AC) gyrus—were inspected. When level of education was statistically controlled for, the LOFG was significantly associated with anger within the cocaine group. No other region was associated with anger within the cocaine-dependent group, and the LOFG did not correlate with depression within any of the study groups. The present study confirms earlier reports in demonstrating a positive association between relative metabolism at rest in the LOFG and cognitive-behavioral and personality measures of inhibitory control in drug addiction: the higher the metabolism, the better the inhibitory control. |
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| AbstractList | The high prevalence of anger, impulsivity and violence in cocaine addiction implicates chronic cocaine use in the compromise of higher-order inhibitory control neurocognitive processes. We used the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) anger content scale as a personality measure of inhibitory control and examined its association with glucose metabolism in the lateral orbitofrontal gyrus (LOFG) at rest as measured by positron emission tomography with 2-deoxy-2[(18)F]fluoro-D-glucose (PET (18)FDG) in 17 recently abstinent cocaine-dependent subjects and 16 comparison subjects. Three additional variables--the MMPI-2 depression content scale, metabolism in the medial orbitofrontal gyrus (MOFG) and the anterior cingulate (AC) gyrus--were inspected. When level of education was statistically controlled for, the LOFG was significantly associated with anger within the cocaine group. No other region was associated with anger within the cocaine-dependent group, and the LOFG did not correlate with depression within any of the study groups. The present study confirms earlier reports in demonstrating a positive association between relative metabolism at rest in the LOFG and cognitive-behavioral and personality measures of inhibitory control in drug addiction: the higher the metabolism, the better the inhibitory control. The high prevalence of anger, impulsivity and violence in cocaine addiction implicates chronic cocaine use in the compromise of higher-order inhibitory control neurocognitive processes. We used the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) anger content scale as a personality measure of inhibitory control and examined its association with glucose metabolism in the lateral orbitofrontal gyrus (LOFG) at rest as measured by positron emission tomography with 2-deoxy-2[ 18F]fluoro- d-glucose (PET 18FDG) in 17 recently abstinent cocaine-dependent subjects and 16 comparison subjects. Three additional variables—the MMPI-2 depression content scale, metabolism in the medial orbitofrontal gyrus (MOFG) and the anterior cingulate (AC) gyrus—were inspected. When level of education was statistically controlled for, the LOFG was significantly associated with anger within the cocaine group. No other region was associated with anger within the cocaine-dependent group, and the LOFG did not correlate with depression within any of the study groups. The present study confirms earlier reports in demonstrating a positive association between relative metabolism at rest in the LOFG and cognitive-behavioral and personality measures of inhibitory control in drug addiction: the higher the metabolism, the better the inhibitory control. |
| Author | Goldstein, Rita Z. Wang, Gene-Jack Leskovjan, Andreana C. Fowler, Joanna S. Hitzemann, Robert Alia-Klein, Nelly Gur, Ruben C. Volkow, Nora D. |
| Author_xml | – sequence: 1 givenname: Rita Z. surname: Goldstein fullname: Goldstein, Rita Z. email: rgoldstein@bnl.gov organization: Medical Research, Brookhaven National Laboratory, Bldg. 490, 30 Bell Ave, Upton, NY, 11973-5000, USA – sequence: 2 givenname: Nelly surname: Alia-Klein fullname: Alia-Klein, Nelly organization: Medical Research, Brookhaven National Laboratory, Bldg. 490, 30 Bell Ave, Upton, NY, 11973-5000, USA – sequence: 3 givenname: Andreana C. surname: Leskovjan fullname: Leskovjan, Andreana C. organization: Medical Research, Brookhaven National Laboratory, Bldg. 490, 30 Bell Ave, Upton, NY, 11973-5000, USA – sequence: 4 givenname: Joanna S. surname: Fowler fullname: Fowler, Joanna S. organization: Medical Research, Brookhaven National Laboratory, Bldg. 490, 30 Bell Ave, Upton, NY, 11973-5000, USA – sequence: 5 givenname: Gene-Jack surname: Wang fullname: Wang, Gene-Jack organization: Medical Research, Brookhaven National Laboratory, Bldg. 490, 30 Bell Ave, Upton, NY, 11973-5000, USA – sequence: 6 givenname: Ruben C. surname: Gur fullname: Gur, Ruben C. organization: Department of Psychiatry, Brain Behavior Laboratory, University of Pennsylvania, Medical Center, Philadelphia, PA 19104, USA – sequence: 7 givenname: Robert surname: Hitzemann fullname: Hitzemann, Robert organization: Department of Behavioral Neuroscience, Oregon Health Sciences University, Portland, OR 97239, USA – sequence: 8 givenname: Nora D. surname: Volkow fullname: Volkow, Nora D. organization: Medical Research, Brookhaven National Laboratory, Bldg. 490, 30 Bell Ave, Upton, NY, 11973-5000, USA |
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| Title | Anger and depression in cocaine addiction: association with the orbitofrontal cortex |
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