RESUMEN
Social influences on decision-making are particularly pronounced during adolescence and have both protective and detrimental effects. To evaluate how responsiveness to social signals may be linked to substance use in adolescents, we used functional neuroimaging and a gambling task in which adolescents who have and have not used substances (substance-exposed and substance-naïve, respectively) made choices alone and after observing peers' decisions. Using quantitative model-based analyses, we identify behavioral and neural evidence that observing others' safe choices increases the subjective value and selection of safe options for substance-naïve relative to substance-exposed adolescents. Moreover, the effects of observing others' risky choices do not vary by substance exposure. These results provide neurobehavioral evidence for a role of positive peers (here, those who make safer choices) in guiding adolescent real-world risky decision-making.
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Conducta del Adolescente/psicología , Conducta de Elección , Influencia de los Compañeros , Percepción Social/psicología , Trastornos Relacionados con Sustancias/psicología , Adolescente , Femenino , Estilo de Vida Saludable , Humanos , Masculino , Asunción de Riesgos , Trastornos Relacionados con Sustancias/prevención & controlRESUMEN
Cascading high-amplitude bursts in neural activity, termed avalanches, are thought to provide insight into the complex spatially distributed interactions in neural systems. In human neuroimaging, for example, avalanches occurring during resting-state show scale-invariant dynamics, supporting the hypothesis that the brain operates near a critical point that enables long range spatial communication. In fact, it has been suggested that such scale-invariant dynamics, characterized by a power-law distribution in these avalanches, are universal in neural systems and emerge through a common mechanism. While the analysis of avalanches and subsequent criticality is increasingly seen as a framework for using complex systems theory to understand brain function, it is unclear how the framework would account for the omnipresent cognitive variability, whether across individuals or tasks. To address this, we analyzed avalanches in the EEG activity of healthy humans during rest as well as two distinct task conditions that varied in cognitive demands and produced behavioral measures unique to each individual. In both rest and task conditions we observed that avalanche dynamics demonstrate scale-invariant characteristics, but differ in their specific features, demonstrating individual variability. Using a new metric we call normalized engagement, which estimates the likelihood for a brain region to produce high-amplitude bursts, we also investigated regional features of avalanche dynamics. Normalized engagement showed not only the expected individual and task dependent variability, but also scale-specificity that correlated with individual behavior. Our results suggest that the study of avalanches in human brain activity provides a tool to assess cognitive variability. Our findings expand our understanding of avalanche features and are supportive of the emerging theoretical idea that the dynamics of an active human brain operate close to a critical-like region and not a singular critical-state.
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Potenciales de Acción/fisiología , Encéfalo/fisiología , Electroencefalografía/métodos , Emociones/fisiología , Desempeño Psicomotor/fisiología , Descanso/fisiología , Adulto , Femenino , Humanos , Masculino , Estimulación Luminosa/métodosRESUMEN
BACKGROUND: No clear consensus exists as to whether neurodevelopmental abnormalities among substance users reflect predisposing neural risk factors, neurotoxic effects of substances, or both. Using a longitudinal design, we examined developmental patterns of the bidirectional links between neural mechanisms and substance use throughout adolescence. METHOD: 167 adolescents (aged 13-14 years at Time 1, 53% male) were assessed annually four times. Risk-related neural processing was assessed by blood-oxygen-level-dependent responses in the insula during a lottery choice task, cognitive control by behavioral performance during the Multi-Source Interference Task, and substance use by adolescents' self-reported cigarette, alcohol, and marijuana use. RESULTS: Latent change score modeling indicated that greater substance use predicted increased insula activation during risk processing, but the effects of insula activation on changes in substance use were not significant. The coupling effect from substance use to insula activation was particularly strong for adolescents with low cognitive control, which supports the theorized moderating role of cognitive control. CONCLUSIONS: Our results elucidate how substance use may alter brain development to be biased toward maladaptive decision-making, particularly among adolescents with poor cognitive control. Furthermore, the current findings underscore that cognitive control may be an important target in the prevention and treatment of adolescent substance use given its moderating role in the neuroadaptive effects of substance use on brain development.
Asunto(s)
Asunción de Riesgos , Trastornos Relacionados con Sustancias , Adolescente , Encéfalo , Corteza Cerebral , Cognición , Femenino , Humanos , Imagen por Resonancia Magnética , MasculinoRESUMEN
BACKGROUND: Current theories in neuroscience emphasize the crucial role of individual differences in the brain contributing to the development of risk taking during adolescence. Yet, little is known about developmental pathways through which family risk factors are related to neural processing of risk during decision making, ultimately contributing to health risk behaviors. Using a longitudinal design, we tested whether neural risk processing, as affected by family multi-risk index, predicted delay discounting and substance use. METHOD: One hundred and fifty-seven adolescents (aged 13-14 years at Time 1, 52% male) were assessed annually three times. Family multi-risk index was measured by socioeconomic adversity, household chaos, and family risk-taking behaviors. Delay discounting was assessed by a computerized task, substance use by questionnaire data, and risk-related neural processing by blood-oxygen-level-dependent (BOLD) responses in the amygdala during a lottery choice task. RESULTS: Family multi-risk index at Time 1 was related to adolescent substance use at Time 3 (after controlling for baseline substance use) indirectly through heightened amygdala sensitivity to risks and greater delay discounting. CONCLUSIONS: Our results elucidate the crucial role of neural risk processing in the processes linking family multi-risk index and the development of substance use. Furthermore, risk-related amygdala activation and delay discounting are important targets in the prevention and treatment of substance use among adolescents growing up in high-risk family environments.
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Conducta del Adolescente/fisiología , Experiencias Adversas de la Infancia , Amígdala del Cerebelo/fisiopatología , Descuento por Demora/fisiología , Familia , Asunción de Riesgos , Trastornos Relacionados con Sustancias/fisiopatología , Adolescente , Amígdala del Cerebelo/diagnóstico por imagen , Femenino , Humanos , Estudios Longitudinales , Imagen por Resonancia Magnética , Masculino , Riesgo , Trastornos Relacionados con Sustancias/diagnóstico por imagenRESUMEN
Adolescence is a period of heightened susceptibility to peer influences, and deviant peer affiliation has well-established implications for the development of psychopathology. However, little is known about the role of brain functions in pathways connecting peer contexts and health risk behaviors. We tested developmental cascade models to evaluate contributions of adolescent risk taking, peer influences, and neurobehavioral variables of risk processing and cognitive control to substance use among 167 adolescents who were assessed annually for four years. Risk taking at Time 1 was related to substance use at Time 4 indirectly through peer substance use at Time 2 and insular activation during risk processing at Time 3. Furthermore, neural cognitive control moderated these effects. Greater insular activation during risk processing was related to higher substance use for those with greater medial prefrontal cortex activation during cognitive control, but it was related to lower substance use among those with lower medial prefrontal cortex activation during cognitive control. Neural processes related to risk processing and cognitive control play a crucial role in the processes linking risk taking, peer substance use, and adolescents' own substance use.
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Conducta del Adolescente/psicología , Grupo Paritario , Influencia de los Compañeros , Asunción de Riesgos , Trastornos Relacionados con Sustancias/psicología , Adolescente , Encéfalo/diagnóstico por imagen , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Factores de Riesgo , Trastornos Relacionados con Sustancias/diagnóstico por imagenRESUMEN
Adolescent risky behavior is related to developmental changes in decision-making processes and their neural correlates. Yet, research investigating how the family environment relates to risk processing in the adolescent brain is limited. In this study, longitudinal data were collected from 167 adolescents (13-15 years, 53% male) who self-reported household chaos and their parent's monitoring practices, and completed a decision-making task during functional MRI at Time 1 and Time 2 (1 year apart). Parental knowledge was positively related to insular risk processing only among adolescents in low-chaos environments at both time points. Results highlight environmental correlates of insular risk processing in the developing brain.
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Conducta del Adolescente/fisiología , Mapeo Encefálico/métodos , Corteza Cerebral/fisiología , Toma de Decisiones/fisiología , Relaciones Familiares , Responsabilidad Parental , Asunción de Riesgos , Adolescente , Corteza Cerebral/diagnóstico por imagen , Femenino , Humanos , Estudios Longitudinales , Imagen por Resonancia Magnética , MasculinoRESUMEN
The developmental period of adolescence is characterized by increasing incidence of health risk behaviors (HRBs). Based on theoretical models that emphasize the moderating role of cognitive control, this study examined how neural correlates of cognitive control and risk sensitivity interact to predict HRBs among late adolescents (17-20 years). Neuroimaging data indicate that risk-related hemodynamic activity in the anterior insula during anticipation of uncertain outcomes predicts HRBs among late adolescents exhibiting greater dorsal anterior cingulate cortex (dACC) activity during a cognitive interference task but not among late adolescents requiring less dACC activity. These results present neural evidence for a significant moderating effect of cognitive control on the link between risk sensitivity and HRBs among late adolescents.
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Desarrollo del Adolescente/fisiología , Cognición/fisiología , Conductas de Riesgo para la Salud , Adolescente , Adulto , Encéfalo/diagnóstico por imagen , Toma de Decisiones , Femenino , Humanos , Masculino , Factores de Riesgo , Conducta Sexual/estadística & datos numéricos , Adulto JovenRESUMEN
Prior COVID-19 infection may elevate activity of the behavioral immune system-the psychological mechanisms that foster avoidance of infection cues-to protect the individual from contracting the infection in the future. Such "adaptive behavioral immunity" may come with psychological costs, such as exacerbating the global pandemic's disruption of social and emotional processes (i.e., pandemic disruption). To investigate that idea, we tested a mediational pathway linking prior COVID infection and pandemic disruption through behavioral immunity markers, assessed with subjective emotional ratings. This was tested in a sample of 734 Mechanical Turk workers who completed study procedures online during the global pandemic (September 2021-January 2022). Behavioral immunity markers were estimated with an affective image rating paradigm. Here, participants reported experienced disgust/fear and appraisals of sickness/harm risk to images varying in emotional content. Participants self-reported on their previous COVID-19 diagnosis history and level of pandemic disruption. The findings support the proposed mediational pathway and suggest that a prior COVID-19 infection is associated with broadly elevated threat emotionality, even to neutral stimuli that do not typically elicit threat emotions. This elevated threat emotionality was in turn related to disrupted socioemotional functioning within the pandemic context. These findings inform the psychological mechanisms that might predispose COVID survivors to mental health difficulties.
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COVID-19 , Emociones , Humanos , COVID-19/psicología , COVID-19/inmunología , Masculino , Femenino , Adulto , Persona de Mediana Edad , SARS-CoV-2/inmunología , SARS-CoV-2/aislamiento & purificación , Pandemias , Miedo/psicología , Adulto JovenRESUMEN
Middle adolescence is the period of development during which youth begin to engage in health risk behaviors such as delinquent behavior and substance use. A promising mechanism for guiding adolescents away from risky choices is the extent to which adolescents are sensitive to the likelihood of receiving valued outcomes. Few studies have examined longitudinal change in adolescent risky decision making and its neural correlates. To this end, the present longitudinal three-wave study (Nw1 = 157, Mw1= 13.50 years; Nw2 = 148, Mw2= 14.52 years; Nw3 = 143, Mw3= 15.55 years) investigated the ontogeny of mid-adolescent behavioral and neural risk sensitivity, and their baseline relations to longitudinal self-reported health risk behaviors. Results showed that adolescents became more sensitive to risk both in behavior and the brain during middle adolescence. Across three years, we observed lower risk-taking and greater risk-related activation in the bilateral insular cortex. When examining how baseline levels of risk sensitivity were related to longitudinal changes in real-life health risk behaviors, we found that Wave 1 insular activity was related to increases in self-reported health risk behaviors over the three years. This research highlights the normative maturation of risk-related processes at the behavioral and neural levels during mid-adolescence.
RESUMEN
Algorithms provide recommendations to human decision makers across a variety of task domains. For many problems, humans will rely on algorithmic advice to make their choices and at times will even show complacency. In other cases, humans are mistrustful of algorithmic advice, or will hold algorithms to higher standards of performance. Given the increasing use of algorithms to support creative work such as text generation and brainstorming, it is important to understand how humans will respond to algorithms in those scenarios-will they show appreciation or aversion? This study tests the effects of algorithmic advice for a word association task, the remote associates test (RAT). The RAT task is an established instrument for testing critical and creative thinking with respect to multiple word association. We conducted a preregistered online experiment (154 participants, 2772 observations) to investigate whether humans had stronger reactions to algorithmic or crowd advice when completing multiple instances of the RAT. We used an experimental format in which subjects see a question, answer the question, then receive advice and answer the question a second time. Advice was provided in multiple formats, with advice varying in quality and questions varying in difficulty. We found that individuals receiving algorithmic advice changed their responses 13[Formula: see text] more frequently ([Formula: see text], [Formula: see text]) and reported greater confidence in their final solutions. However, individuals receiving algorithmic advice also were 13[Formula: see text] less likely to identify the correct solution ([Formula: see text], [Formula: see text]). This study highlights both the promises and pitfalls of leveraging algorithms to support creative work.
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Algoritmos , Humanos , Factores de TiempoRESUMEN
Response inhibition and socioeconomic status (SES) are critical predictors of many important outcomes, including educational attainment and health. The current study extends our understanding of SES and cognition by examining brain activity associated with response inhibition, during the key developmental period of adolescence. Adolescent males (N = 81), aged 16-17, completed a response inhibition task while undergoing fMRI brain imaging and reported on their parents' education, one component of socioeconomic status. A region of interest analysis showed that parental education was associated with brain activation differences in the classic response inhibition network (right inferior frontal gyrus + subthalamic nucleus + globus pallidus) despite the absence of consistent parental education-performance effects. Further, although activity in our main regions of interest was not associated with performance differences, several regions that were associated with better inhibitory performance (ventromedial prefrontal cortex, middle frontal gyrus, middle temporal gyrus, amygdala/hippocampus) also differed in their levels of activation according to parental education. Taken together, these results suggest that individuals from households with higher versus lower parental education engage key brain regions involved in response inhibition to differing degrees, though these differences may not translate into performance differences.
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Conducta del Adolescente , Desarrollo del Adolescente , Ondas Encefálicas , Encéfalo/fisiología , Escolaridad , Padre/educación , Inhibición Psicológica , Madres/educación , Clase Social , Adolescente , Factores de Edad , Encéfalo/diagnóstico por imagen , Mapeo Encefálico , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Vías Nerviosas/fisiología , Pruebas Neuropsicológicas , Tiempo de ReacciónRESUMEN
Linguistic racism shapes the psychological antecedents of code switching and its consequences for Black people and other people of color. We highlight mentalizing as an antecedent of code switching. We posit that stereotype threat arises in contexts where racism is salient, prompting scrutiny of others' mental states (i.e., mentalizing) when making choices about linguistic self-presentation. Additionally, we posit that sustained appraisals of stereotype threat add cognitive load and reinforce self-protective code switching. We highlight potential consequences of linguistic racism for Black people and other people of color, including reduced opportunities for authentic self-presentation, increased emotional effort, and stress. Finally, we outline paths forward for research and practice: (1) recognizing the heterogeneity of language and thereby reducing linguistic racism, (2) implementing changes that promote racially affirming environments that reduce demands for self-protective code switching, and (3) adapting and creating scalable psychometric tools to measure linguistic choices and linguistic racism.
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The profound effects of child maltreatment on brain functioning have been documented. Yet, little is known about whether distinct maltreatment experiences are differentially related to underlying neural processes of risky decision making: valuation and control. Using conditional growth curve modeling, we compared a cumulative approach versus a dimensional approach (relative effects of abuse and neglect) to examine the link between child maltreatment and brain development. The sample included 167 adolescents (13-14 years at Time 1, 53 % male), assessed annually four times. Risk processing was assessed by blood-oxygen-level-dependent responses (BOLD) during a lottery choice task, and cognitive control by BOLD responses during the Multi-Source Interference Task. Cumulative maltreatment effects on insula and dorsolateral anterior cingulate cortex (dACC) activation during risk processing were not significant. However, neglect (but not abuse) was associated with slower developmental increases in insula and dACC activation. In contrast, cumulative maltreatment effects on fronto-parietal activation during cognitive control were significant, and abuse (but not neglect) was associated with steeper developmental decreases in fronto-parietal activation. The results suggest neglect effects on detrimental neurodevelopment of the valuation system and abuse effects on accelerated neurodevelopment of the control system, highlighting differential effects of distinct neglect versus abuse adverse experiences on neurodevelopment.
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Maltrato a los Niños , Cognición , Adolescente , Encéfalo , Corteza Cerebral , Niño , Femenino , Humanos , MasculinoRESUMEN
Pupil size modulations have been used for decades as a window into the mind, and several pupillary features have been implicated in a variety of cognitive processes. Thus, a general challenge facing the field of pupillometry has been understanding which pupil features should be most relevant for explaining behavior in a given task domain. In the present study, a longitudinal design was employed where participants completed 8 biweekly sessions of a classic mental arithmetic task for the purposes of teasing apart the relationships between tonic/phasic pupil features (baseline, peak amplitude, peak latency) and two task-related cognitive processes including mental processing load (indexed by math question difficulty) and decision making (indexed by response times). We used multi-level modeling to account for individual variation while identifying pupil-to-behavior relationships at the single-trial and between-session levels. We show a dissociation between phasic and tonic features with peak amplitude and latency (but not baseline) driven by ongoing task-related processing, whereas baseline was driven by state-level effects that changed over a longer time period (i.e. weeks). Finally, we report a dissociation between peak amplitude and latency whereby amplitude reflected surprise and processing load, and latency reflected decision making times.
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Cognición , Pupila/fisiología , Pensamiento , Atención , Toma de Decisiones , Femenino , Humanos , Estudios Longitudinales , Masculino , Tiempo de ReacciónRESUMEN
Adolescence is a period of increased risk-taking behavior where individual differences in risk taking may relate to both adverse and positive experiences with peers. Yet, knowledge on how risk processing develops in the adolescent brain and whether this development is related to peer attachment is limited. In this longitudinal functional magnetic resonance imaging (fMRI) study, we collected data from 167 adolescents (53% male) followed for four annual assessments across ages 13-17 years. At each assessment, participants completed a lottery choice task to assess neural risk processing and reported on their perceived attachment to peers and parents. Behaviorally, risk-preference on the lottery choice task decreased linearly with age. Neural activation during risk processing was consistently found in the insula and dACC across the four assessments and increased linearly from ages 13-17 years. Furthermore, higher peer attachment was related to greater right insula risk processing for males but not for females, even after controlling for parental attachment. The magnitudes of this association did not change with age. Findings demonstrate that neural risk processing shows maturation across adolescence and high peer attachment may be associated with low risk taking by heightening neural sensitivity to potential risks for male adolescents.
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Grupo Paritario , Conducta Social , Adolescente , Femenino , Humanos , Estudios Longitudinales , Masculino , Asunción de RiesgosRESUMEN
Adolescents demonstrate both heightened sensitivity to peer influence and increased risk-taking. The current study provides a novel test of how these two phenomena are related at behavioral and neural levels. Adolescent males (Nâ¯=â¯83, 16-17 years) completed the Balloon Analogue Risk Task (BART) in an fMRI scanner. One week later, participants completed a driving task in which they drove alone and with a safety- or risk-promoting peer passenger. Results showed that neural responses during BART were associated with participants' behavioral conformity to safe vs. risky peer influence while later driving. First, the extent that neural activation in the anterior cingulate cortex (ACC) scaled with decision stakes in BART was associated with conformity to risky peer influence. Additionally, stake-modulated functional connectivity between ventral striatum (VS) and risk processing regions (including ACC and insula) was associated with safer driving under risky peer influence (i.e. resistance to risky peer influence), suggesting that connectivity between VS and ACC as well as insula may serve a protective role under risky peer influence. Together, these results suggest that adolescents' neural responses to risky decision making may modulate their behavioral conformity to different types of peer influence on risk taking.
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Toma de Decisiones/fisiología , Influencia de los Compañeros , Conducta Social , Adolescente , Femenino , Humanos , Masculino , Asunción de RiesgosRESUMEN
OBJECTIVE: Male adolescents exhibit greater impulsivity and externalizing symptomatology relative to female adolescents. Furthermore, externalizing symptomatology has been associated with greater alcohol use and differential anterior insula functioning. The current longitudinal study on adolescents examined whether activity in the anterior insula, when processing uncertain outcomes and representing risk, is directly associated with gender differences in later adolescent alcohol use frequency, as well as indirectly through externalizing symptomatology. METHOD: Using functional magnetic resonance imaging, we examined whether gender moderated these associations in a sample of 161 adolescents (53% male) with repeated annual measurements over 3 years. We monitored responding of a region implicated in risk processing during an economic lottery choice task involving uncertain outcomes. Self-reported externalizing symptomatology and alcohol use frequency were collected at all time points. RESULTS: Results indicated that there was a significant indirect effect of anterior insula processing during the task at Time 1 on alcohol use at Time 3 through externalizing symptomatology at Time 2 for male, but not female, adolescents. Externalizing symptomatology predicted alcohol use for both male and female adolescents. CONCLUSIONS: The findings suggest gender differences in vulnerability to later alcohol use, specifically in terms of how a neurobiological susceptibility to risk insensitivity may disproportionately influence male adolescents' externalizing symptomatology. Male adolescents who do not effectively integrate risk-related signals are likely to engage in externalizing behaviors, which in turn are related to later alcohol use. Findings also suggest differential roles of risk-related brain function that contribute to gendered pathways to adolescent health-risk behaviors.
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Conducta del Adolescente/fisiología , Consumo de Bebidas Alcohólicas/fisiopatología , Corteza Cerebral/fisiología , Control Interno-Externo , Asunción de Riesgos , Adolescente , Femenino , Neuroimagen Funcional , Humanos , Estudios Longitudinales , Imagen por Resonancia Magnética , Masculino , Caracteres Sexuales , Factores de TiempoRESUMEN
Prior research has emphasized the importance of the motivational system in risky decision-making, yet the mechanisms through which individual differences in motivation may influence adolescents' risk-taking behaviors remain to be determined. Based on developmental neuroscience literature illustrating the importance of risk processing in explaining individual differences in value-based decision making, we examined risk processing as a potential mediator of the association between trait motivations and adolescents' risk-taking behaviors. The sample consisted of 167 adolescents (47% females) annually assessed for three years (13-14 years of age at Time 1). Approach and avoidance motivations were measured using adolescent self-report. Risk preference was estimated based on adolescents' decisions during a modified economic lottery choice task with neural risk processing being measured by blood-oxygen-level-dependent responses in the bilateral insular cortex for chosen options. Adolescents' risk-taking behaviors were assessed by laboratory-based risky decision making using the Stoplight task. Longitudinal mediation analyses revealed a significant indirect effect of approach motivation, such that higher motivation was correlated with increases in risk-taking behaviors via decreases in neural activation in the bilateral insular cortex during risk processing. The findings illustrate a neural pathway through which approach motivation is translated into the vulnerability to risk taking development.
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Conducta Social , Adolescente , Femenino , Humanos , Estudios Longitudinales , Masculino , Motivación , Asunción de RiesgosRESUMEN
Adolescence is a critical period for the initiation of risk-taking behaviors. We examined the longitudinal interplay between neural correlates of risk processing and cognitive control in predicting risk-taking behaviors via stress. The sample consisted of 167 adolescents (53% males) who were assessed twice (MAgeTime1â¯=â¯14.13, MAgeTime2â¯=â¯15.05). Neural risk processing was operationalized as blood-oxygen-level-dependent (BOLD) responses in the anterior insula during a lottery choice task and neural cognitive control as BOLD responses during an inhibitory control task. Adolescents reported on perceived stress and risk-taking behaviors. Structural equation modeling analyses indicated that low insular risk processing predicted increases in perceived stress, while perceived stress did not predict changes in insular risk processing across one year. Moreover, significant moderation by neural cognitive control indicated that low insular risk processing predicted increases in risk-taking behaviors via increases in perceived stress among adolescents with poor neural cognitive control, but not among adolescents with good neural cognitive control. The results suggest that risk processing in the anterior insular cortex plays an important role in stress experience and risk-taking behaviors particularly for vulnerable adolescents with poor neural cognitive control.
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Corteza Cerebral/fisiopatología , Cognición/fisiología , Islotes Olfatorios/fisiopatología , Imagen por Resonancia Magnética/métodos , Fenómenos Fisiológicos del Sistema Nervioso/genética , Asunción de Riesgos , Adolescente , Femenino , Humanos , MasculinoRESUMEN
The current review is guided by the theoretical perspective that emphasizes the regulating role of executive functioning (Carver et al., 2009) and presents studies that elucidate the ways that executive functioning (inhibition and working memory) explain individual differences in adolescent substance use independently or by regulating the reactive system (reward and punishment sensitivity). Behavioral studies indicate that main effects of executive functioning on adolescent substance use are often nonsignificant or weak in effect sizes. In contrast, emerging evidence suggests consistent and stronger regulating effects of executive functioning over reward and punishment sensitivity. Functional neuroimaging studies reveal significant associations between executive functioning task-related hemodynamic responses and substance use with strong effect sizes. There is also direct evidence from studies testing statistical interactions of the regulating effects of EF-related brain activation, and indirect evidence in studies examining functional connectivity, temporal discounting, and reinforced control. We note key future directions and ways to address limitations in existing work.