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Brain reactivity to alcohol and cannabis marketing during sobriety and intoxication

Elizabeth B. de Sousa Fernandes Perna, Eef Lien Theunissen, Kim P. C. Kuypers, Elisabeth A. T. Evers, Peter Stiers, Stefan W. Toennes, Jurriaan Witteman, Wim E. van Dalen, Johannes Gerardus Ramaekers

Addiction Biology January 14, 2016 DOI: 10.1111/adb.12351 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Mixed factorial experimental study with functional magnetic resonance imaging Peer reviewed
Sample size 61
Population Heavy alcohol users (n=20), regular cannabis users (n=21), and non-drug-using controls (n=20)
Interventions Alcohol Cannabis Placebo Alcohol and cannabis marketing movies
Measures functional magnetic resonance imaging (fMRI), single-category implicit association test
Topics Cannabis
Citations 24
Key findings Alcohol and cannabis marketing movies significantly increased striatal BOLD activation across all groups while sober, but striatal activation decreased during intoxication with alcohol and cannabis. Implicit associations with cannabis marketing cues were significantly more positive in alcohol and cannabis users than in non-drug-using controls. The authors argue that reducing marketing would reduce brain exposure to reward cues that motivate substance use.

Abstract

Drugs of abuse stimulate striatal dopamine release and activate reward pathways. This study examined the impact of alcohol and cannabis marketing on the reward circuit in alcohol and cannabis users while sober and intoxicated. It was predicted that alcohol and cannabis marketing would increase striatal activation when sober and that reward sensitivity would be less during alcohol and cannabis intoxication. Heavy alcohol (n = 20) and regular cannabis users (n = 21) participated in a mixed factorial study involving administration of alcohol and placebo in the alcohol group and cannabis and placebo in the cannabis group. Non-drug users (n = 20) served as between group reference. Brain activation after exposure to alcohol and cannabis marketing movies was measured using functional magnetic resonance imaging and compared between groups while sober and compared with placebo while intoxicated. Implicit alcohol and cannabis cognitions were assessed by means of a single-category implicit association test. Alcohol and cannabis marketing significantly increased striatal BOLD activation across all groups while sober. Striatal activation however decreased during intoxication with alcohol and cannabis. Implicit associations with cannabis marketing cues were significantly more positive in alcohol and cannabis users as compared with non-drug using controls. Public advertising of alcohol or cannabis use elicits striatal activation in the brain's reward circuit. Reduction of marketing would reduce brain exposure to reward cues that motivate substance use. Conversely, elevated dopamine levels protect against the reinforcing potential of marketing.

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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