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Effects of Chronic Marijuana Use on Brain Activity During Monetary Decision-Making
Journal article   Open access   Peer reviewed

Effects of Chronic Marijuana Use on Brain Activity During Monetary Decision-Making

Jatin G Vaidya, Robert I Block, Daniel S O'Leary, Laura B Ponto, Mohamed M Ghoneim and Antoine Bechara
Neuropsychopharmacology (New York, N.Y.), Vol.37(3), pp.618-629
02/2012
DOI: 10.1038/npp.2011.227
PMCID: PMC3260974
PMID: 21956445
url
https://doi.org/10.1038/npp.2011.227View
Published (Version of record) Open Access

Abstract

Marijuana (MJ) acutely acts on cannabinoid receptors that are found in numerous brain regions, including those involved in reward processing and decision-making. However, it remains unclear how long-term, chronic MJ use alters reward-based decision-making. In the present study, using [ 15 O]water PET imaging, we measured brain activity in chronic MJ users, who underwent monitored abstinence from MJ for approximately 24 h before imaging, and control participants, while they took part in the Iowa Gambling Task (IGT), a monetary decision making task that strongly relies on the ventromedial prefrontal cortex (vmPFC). During PET imaging, participants took part in the standard and a variant version of the IGT as well as a control task. Chronic MJ users performed equally well on the standard IGT, but significantly worse than controls on the variant IGT. Chronic MJ users and control subjects showed increased regional cerebral blood flow (rCBF) in the vmPFC on both versions of the IGT compared to the control task. In the two-group comparison, chronic MJ users showed significantly greater rCBF than controls in the vmPFC on the standard IGT and greater activity in the cerebellum on both versions of the IGT. Furthermore, duration of use, but not age of first use, was associated with greater activity in the vmPFC. Thus, chronic MJ users tend to strongly recruit neural circuitry involved in decision-making and reward processing (vmPFC), and probabilistic learning (cerebellum) when performing the IGT.
decision-making ventromedial prefrontal cortex marijuana Original chronic use cerebellum PET addiction & substance abuse; cannabinoids; cognition; decision-making; imaging; clinical or preclinical; PET; prefrontal cortex

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