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Evidence of increased activation underlying cognitive control in ecstasy and cannabis users.

Gloria M P Roberts, Hugh P Garavan

Neuroimage August 15, 2010 DOI: 10.1016/j.neuroimage.2010.04.192 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case-control functional magnetic resonance imaging study Peer reviewed
Sample size 40
Population Current recreational drug users who predominantly used ecstasy (20, ten female) and healthy controls (20)
Topics Cannabis MDMA
Key findings Drug users and controls showed no difference in GO/NOGO task performance, but users had elevated frontal and parietal BOLD response during successful inhibitions and temporal, frontal, and cingulate hyperactivity during commission errors, plus reduced default-mode network deactivation. The authors argue these patterns indicate dysregulation in brain regions subserving cognitive control and default-mode processes, resembling effects reported for harder drugs of abuse.

Abstract

Evidence suggests that users of ecstasy (3,4-methylenedioxymethamphetamine) have behavioural and cognitive deficits and show increased impulsivity. Impulse control impairments have been shown to be common to a number of addictive behaviours and may constitute a risk factor for drug abuse and dependence. The aim of this study was to investigate brain activation during response inhibition and performance monitoring in current recreational drug users who predominantly used ecstasy. Twenty drug users (ten female) and twenty healthy controls were scanned during performance of a response-inhibition GO/NOGO task using functional magnetic resonance imaging. No performance deficits were evident. However, the drug user group revealed elevated frontal and parietal BOLD response during successful inhibitions, and temporal, frontal, and cingulate hyperactivity during commission errors. In addition, the users showed reduced deactivation in the default-mode network during task performance. Whether contributing to or arising from drug use, these results reveal dysregulation in brain regions subserving cognitive control and default-mode processes in current recreational drug users mirroring effects previously observed for "harder" drugs of abuse.

Comparable studies

Other observational and cohort studies on cannabis, most cited first.

Study Year Design Participants
High-potency cannabis and the risk of psychosis People with first episode of psychosis and healthy controls from the local population 2009 Case-control study n = 454
Ayahuasca-Assisted Therapy for Addiction: Results from a Preliminary Observational Study in Canada Rural aboriginal population 2013 Observational study
Impaired cognitive performance in drug free users of recreational ecstasy (MDMA) Otherwise healthy young people 2000 Observational
Continued cannabis use and risk of incidence and persistence of psychotic symptoms: 10 year follow-up cohort study Individuals from the general population in Germany aged 14-24 at baseline 2011 Observational cohort n = 1,923
Cannabis-induced psychosis and subsequent schizophrenia-spectrum disorders: follow-up study of 535 incident cases Patients treated for cannabis-induced psychotic symptoms in Denmark between 1994 and... 2005 Observational cohort n = 535

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