Impulsivity, Neural Deficits and Cocaine Addiction



Status:Completed
Conditions:Psychiatric, Pulmonary
Therapuetic Areas:Psychiatry / Psychology, Pulmonary / Respiratory Diseases
Healthy:No
Age Range:Any
Updated:11/18/2012
Start Date:April 2007
End Date:March 2012
Contact:Bryon Adinoff, MD
Email:bryon.adinoff@utsouthwestern.edu
Phone:214-645-6975

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Impulsivity, Neural Deficits, and Relapse in Cocaine Addiction


The purpose of this study is to assess neurocognitive and associated neural
regions/circuitry disruptions relevant to impulsive relapse in cocaine-addicted subjects,
and the relationship of the cognitive and neural mechanisms of impulsivity/decision-making
to relapse style.


This study is designed to explore putative differences in impulsive behaviors and decision
making in cocaine-addicted and healthy control subjects using functional magnetic resonance
imaging (fMRI), single photon emission tomography (SPECT), and neurocognitive tasks. We
predict that cocaine-addicted subjects will demonstrate neurocognitive and neural
alterations in measures of impulsivity and decision-making when compared to healthy
controls. That is, cocaine-addicted subjects will show both decreased activation and
decreased resting measures of regional cerebral blood flow (rCBF) of the brain structures
associated with impulsivity and decision-making. Furthermore, neurocognitive and neural
deficits associated with impulsivity and decision-making will be associated with each other
and with measures indicative of an impulsive relapse and altered decision making.

Inclusion Criteria:

- Cocaine-dependence (patient population) or no cocaine-dependence (control
population).

Exclusion Criteria:

- Other medical or psychiatric disorders that may effect neural functioning.

- Medications that may effect neural functioning.
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