The Effects of Expectation on Natural and Drug -Induced Rewards
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - 50 |
| Updated: | 4/6/2019 |
| Start Date: | May 24, 2010 |
| End Date: | February 25, 2019 |
Background:
- Environmental cues frequently induce expectancies in individuals that may strongly
influence the actual experience associated with the cue. This has both positive and
negative consequences for behavior and decision making. For instance, when an addicted
individual experiences cues associated with imminent drug taking, an expectancy of the
coming experience is also formed and very likely has an effect on the subsequent
experience of the drug.
- Researchers are interested in studying how the brain responds to these kinds of
environmental cues and expectancies in order to learn more about addiction and craving
in substance-abusing individuals.
Objectives:
- To compare the response to rewards (both drug-related and non-drug-related) in cocaine
users and non-using individuals.
- To study the effect of expectation on reward-related (both drug-induced and
non-drug-induced) responses and brain activity in cocaine users and non-using
individuals.
Eligibility:
-Individuals between 18 and 45 years of age who are regular cocaine users but otherwise
healthy, or healthy individuals who are not cocaine users.
Design:
- This study involves two experiments. Participants will be assigned to one or both
experiments.
- Participants must not use any drugs for at least 3 days before the visit, may not
consume alcohol for 24 hours before the visit, and may not consume caffeinated beverages
for 12 hours before the visit. On the day of the visit, participants will provide both
urine and breath samples to test for drug/alcohol use.
- Experiment 1: In the MRI scanner, participants will respond to questions and images on a
screen, and will receive small amounts of flavored liquid (chocolate or cherry) through
a tube in the mouth.
- Experiment 2: In the MRI scanner, participants will respond to questions and images on a
screen, and will receive injections of liquid (saline solution or a drug that provides a
high similar to cocaine) through an intravenous line. Participants in this experiment
will return for follow-up visits and provide urine samples for further study.
- The specific assignment (to Experiment 1 or Experiment 2 or both experiments) will
determine the number of study days and follow-up visits required.
- Environmental cues frequently induce expectancies in individuals that may strongly
influence the actual experience associated with the cue. This has both positive and
negative consequences for behavior and decision making. For instance, when an addicted
individual experiences cues associated with imminent drug taking, an expectancy of the
coming experience is also formed and very likely has an effect on the subsequent
experience of the drug.
- Researchers are interested in studying how the brain responds to these kinds of
environmental cues and expectancies in order to learn more about addiction and craving
in substance-abusing individuals.
Objectives:
- To compare the response to rewards (both drug-related and non-drug-related) in cocaine
users and non-using individuals.
- To study the effect of expectation on reward-related (both drug-induced and
non-drug-induced) responses and brain activity in cocaine users and non-using
individuals.
Eligibility:
-Individuals between 18 and 45 years of age who are regular cocaine users but otherwise
healthy, or healthy individuals who are not cocaine users.
Design:
- This study involves two experiments. Participants will be assigned to one or both
experiments.
- Participants must not use any drugs for at least 3 days before the visit, may not
consume alcohol for 24 hours before the visit, and may not consume caffeinated beverages
for 12 hours before the visit. On the day of the visit, participants will provide both
urine and breath samples to test for drug/alcohol use.
- Experiment 1: In the MRI scanner, participants will respond to questions and images on a
screen, and will receive small amounts of flavored liquid (chocolate or cherry) through
a tube in the mouth.
- Experiment 2: In the MRI scanner, participants will respond to questions and images on a
screen, and will receive injections of liquid (saline solution or a drug that provides a
high similar to cocaine) through an intravenous line. Participants in this experiment
will return for follow-up visits and provide urine samples for further study.
- The specific assignment (to Experiment 1 or Experiment 2 or both experiments) will
determine the number of study days and follow-up visits required.
Objective: Environmental cues frequently induce expectancies in the course of normal daily
life. When an individual smells and sees the coffee before tasting it, an expectancy of the
coming experience is formed that influences the actual experience of consuming the coffee.
Similarly, when an addicted individual experiences cues associated with imminent drug taking,
an expectancy of the coming experience is also formed. This protocol will examine neural
responses to cues predictive of a stimulus (neutral or rewarding) and to the subsequent
receipt of the predicted stimulus.
Study Population: Study participants will include 18-50 year old, male and non-pregnant
female otherwise healthy cocaine dependent individuals and control individuals who have a
history of some stimulant use but no history of abuse or dependence on any other drug other
than nicotine.
Design: The study will employ fMRI to elucidate the neural underpinnings of reward
processing. The rewarding stimuli to be studied will be taste stimuli (small squirt of juice
or chocolate) and a drug stimulus (intravenous methylphenidate (IV MPH)). For taste stimuli,
cues will vary in sensory modality (visual vs. olfactory) and in novelty (well-known vs.
novel). Novel and well-known cue stimuli will be included on each experimental day so the
development of expectancy can be studied as the cue-taste pairing is learned and compared to
the well-known cue-taste pairing. The MPH/saline injections will receive a written cue.
Outcome Measures: BOLD fMRI signal to reward stimuli will be compared in the various cuing
conditions.
life. When an individual smells and sees the coffee before tasting it, an expectancy of the
coming experience is formed that influences the actual experience of consuming the coffee.
Similarly, when an addicted individual experiences cues associated with imminent drug taking,
an expectancy of the coming experience is also formed. This protocol will examine neural
responses to cues predictive of a stimulus (neutral or rewarding) and to the subsequent
receipt of the predicted stimulus.
Study Population: Study participants will include 18-50 year old, male and non-pregnant
female otherwise healthy cocaine dependent individuals and control individuals who have a
history of some stimulant use but no history of abuse or dependence on any other drug other
than nicotine.
Design: The study will employ fMRI to elucidate the neural underpinnings of reward
processing. The rewarding stimuli to be studied will be taste stimuli (small squirt of juice
or chocolate) and a drug stimulus (intravenous methylphenidate (IV MPH)). For taste stimuli,
cues will vary in sensory modality (visual vs. olfactory) and in novelty (well-known vs.
novel). Novel and well-known cue stimuli will be included on each experimental day so the
development of expectancy can be studied as the cue-taste pairing is learned and compared to
the well-known cue-taste pairing. The MPH/saline injections will receive a written cue.
Outcome Measures: BOLD fMRI signal to reward stimuli will be compared in the various cuing
conditions.
- INCLUSION CRITERIA:
ALL PARTICIPANTS MUST:
Be between the ages of 18-50.
Be in good health.
Be right-handed.
Like the flavors of cherry Kool-Aid and Hershey's chocolate sauce.
COCAIN DEPENDENT PARTICIPANTS MUST:
Demonstrate that they area cocaine dependent.
Be users of crack cocaine, free base cocaine or intravenous cocaine.
Fe free of dependence on other substances except nicotine.
Be free of abuse of other substances besides marijuana or alcohol.
CONTROL PARTICIPANTS MUST:
Be free of current or past DSM-IVTR substance use disorder except nicotine dependence or
past substance abuse diagnosed iwth the single criterion of recurrent substance use in
situations in which it is physically hazardous.
EXCLUSION CRITERIA:
Participants will be excluded if they:
Are not suitable to undergo an fMRI experiment due to pregnancy, implanted metallic devices
(cardiac pacemaker or neurostimulator, some artificial joints, metal pins, surgical clips
or other implanted metal parts), body morphology or claustrophobia.
Have cardiovascular disease, including but not limited to clinically significant
arrhythmia, coronary artery disease and hypertension.
Have coagulopathies, history of or current superficial or deep vein thrombosis,
musculoskeletal abnormalities restricting an individual's ability to lie flat for extended
periods of time.
Have HIV or syphilis.
Have any neurological illnesses to include, but not limited to, seizure disorders, frequent
migraine, multiple sclerosis, movement disorders, or history of head traume, CVA, CNS tumor
Have an abnormality on screening MRI scans that would place the participant at increased
risk from blood pressure elevations related to protocol procedures (methylphenidate
injections) or would impair the quality of data gathered on the participant.
Have other major medical illnesses likely to interfere with study results or safety of an
individual during participation.
Have any current major psychiatric disorders to include, but not limited to, mood, anxiety,
psychotic disorders, or substance-induced disorders.
Regularly use any prescription, over-the-counter or herbal medication that may alter CNS
function, cardiovascular function or neuronal-vascular coupling.
Are actively seeking or engaged in substance abuse treatment.
Are lactating.
Are cognitively impaired or learning disabled.
We found this trial at
1
site
Baltimore, Maryland 21224
Phone: 800-535-8254
Click here to add this to my saved trials
