Craving is associated with amygdala volumes in adolescent marijuana users during abstinence. Am J Drug Alcohol Abuse 2015 Mar;41(2):127-32
Date
02/11/2015Pubmed ID
25668330Pubmed Central ID
PMC4568004DOI
10.3109/00952990.2014.966198Scopus ID
2-s2.0-84923336638 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
BACKGROUND: Amygdala volume abnormalities have been reported in relation to craving in substance-dependent adults, but it remains unclear if these effects are seen in adolescent marijuana (MJ) users, particularly following abstinence.
OBJECTIVES: The aim of this study was to examine the relationship between amygdala volume and craving during 28 days of abstinence in adolescent MJ users.
METHODS: MJ-using adolescents (n = 22) aged 16-19 were recruited as part of a larger study on brain function in teen drug users. Craving measures were collected twice per week throughout a 28-day abstinence period. High-resolution anatomical magnetic resonance imaging data were collected at the end of the 28 days of confirmed abstinence. Left and right amygdala volumes were traced by hand (ICC > 0.86). Composite scores for self-reported craving and withdrawal symptoms throughout the 28-day abstinence period were calculated to provide four composite measures of total craving, mood, sleep, and somatic complaints.
RESULTS: Results revealed that greater craving during abstinence was significantly associated with smaller left and right amygdala volumes, after controlling for age and gender. Other measures of withdrawal, including mood, somatic complaints and sleep problems, were not related to amygdala morphometry.
CONCLUSION: These results are consistent with previous findings in adult alcohol- and cocaine-dependent individuals, who demonstrated a relationship between reduced amygdala volumes and increased craving. Future studies are needed to determine if these brain-behavior relationships are attributable to MJ use or predate the onset of substance use.
Author List
Padula CB, McQueeny T, Lisdahl KM, Price JS, Tapert SFAuthor
Jenessa Price PhD Associate Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAmygdala
Cannabis
Craving
Female
Humans
Magnetic Resonance Imaging
Male
Marijuana Smoking
Organ Size
Substance Withdrawal Syndrome
Young Adult