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Altered orbitofrontal activity and dorsal striatal connectivity during emotion processing in dependent marijuana users after 28 days of abstinence.

Kaeli Zimmermann, Shuxia Yao, Marcel Heinz, Feng Zhou, Wolfgang Dau, Markus Banger, Bernd Weber, René Hurlemann, Benjamin Becker

Psychopharmacology March 2018 DOI: 10.1007/s00213-017-4803-6 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case-control fMRI study Peer reviewed
Sample size 37
Population 19 dependent marijuana users and 18 matched non-using controls
Duration Abstinence period of > 28 days
Topics Cannabis
Keywords Abstinence Amygdala Emotion Orbitofrontal cortex Striatum Substance dependence FMRI
Key findings Dependent marijuana users abstinent for more than 28 days showed increased medial orbitofrontal cortex activity and stronger mOFC-dorsal striatal and mOFC-amygdala coupling in response to negative emotional stimuli compared with controls, plus elevated mOFC-dorsal striatal connectivity at rest. Positive stimulus processing and subjective valence and arousal ratings were comparable between groups. The authors propose these alterations may reflect long-term neural adaptations to chronic marijuana use or predisposing risk factors for dependence.

Abstract

Intact cognitive and emotional functioning is vital for the long-term success of addiction treatment strategies. Accumulating evidence suggests an association between chronic marijuana use and lasting alterations in cognitive brain function. Despite initial evidence for altered emotion processing in dependent marijuana users after short abstinence periods, adaptations in the domain of emotion processing after longer abstinence remain to be determined. Using task-based and resting state fMRI, the present study investigated emotion processing in 19 dependent marijuana users and 18 matched non-using controls after an abstinence period of > 28 days. Relative to the control subjects, negative emotional stimuli elicited increased medial orbitofrontal cortex (mOFC) activity and stronger mOFC-dorsal striatal and mOFC-amygdala functional coupling in dependent marijuana users (p < 0.022, FWE-corrected). Furthermore, mOFC-dorsal striatal functional connectivity was increased at rest in marijuana users (p < 0.03, FWE-corrected). Yet, processing of positive stimuli and subjective ratings of valence and arousal were comparable in both groups. Together, the present findings provide the first evidence for persisting emotion processing alterations in dependent marijuana users. Alterations might reflect long-term neural adaptations as a consequence of chronic marijuana use or predisposing risk factors for the development of marijuana dependence.

Comparable studies

Other experimental studies on cannabis, most cited first.

Study Year Design Participants
Smoked Cannabis' Psychomotor and Neurocognitive Effects in Occasional and Frequent Smokers Occasional (<2x/week) and frequent (≥4x/week) cannabis smokers 2015 Controlled within-subjects study n = 25
Dissociable effects of cannabis with and without cannabidiol on the human brain’s resting-state functional connectivity Healthy volunteers experienced with cannabis but not regular users 2019 Within-subjects experimental design n = 17
Which biological and self-report measures of cannabis use predict cannabis dependency and acute psychotic-like effects? Young cannabis users 2018 Observational study (naturalistic, within-subject counterbalanced design) n = 410
Cannabis Essential Oil: A Preliminary Study for the Evaluation of the Brain Effects Healthy volunteers 2018 Experimental study n = 5
Coming off cannabis: a cognitive and magnetic resonance imaging study in patients with multiple sclerosis Patients with multiple sclerosis who began using cannabis after disease onset, used it... 2019 Quasi-experimental study with odd-even allocation n = 40

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