An fMRI study of the influence of a history of substance abuse on working memory related brain activation in schizophrenia

There has been little investigation of the effects of past substance abuse (SA) on working memory (WM) impairments in schizophrenia. This study examined the behavioral and neurobiological impact of past SA (six months or longer abstinence period) on WM in schizophrenia. Thirty-seven schizophrenia pa...

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Main Authors: Jessica Ann Wojtalik, Deanna M Barch
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-01-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00001/full
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author Jessica Ann Wojtalik
Deanna M Barch
author_facet Jessica Ann Wojtalik
Deanna M Barch
author_sort Jessica Ann Wojtalik
collection DOAJ
description There has been little investigation of the effects of past substance abuse (SA) on working memory (WM) impairments in schizophrenia. This study examined the behavioral and neurobiological impact of past SA (six months or longer abstinence period) on WM in schizophrenia. Thirty-seven schizophrenia patients (17 with past SA and 20 without) and 32 controls (12 with past SA and 20 without) completed two versions of a 2-back WM task during fMRI scanning on separate days. Analyses focused on regions whose patterns of activation replicated across both n-back tasks. Schizophrenia patients were significantly less accurate than controls on both n-back tasks. No main effects or interactions with past SA on WM performance were observed. However, several fronto-parietal-thalamic regions showed an interaction between diagnostic group and past SA. These regions were significantly more active in controls with past SA compared to controls without past SA. Schizophrenia patients with or without past SA either showed no significant differences, or patients with past SA showed somewhat less activation compared to patients without past SA during WM. These results suggest robust effects of past SA on WM brain functioning in controls, but less impact of past SA in schizophrenia. This is consistent with previous literature indicating less impaired neurocognition in schizophrenia with SA.
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spelling doaj.art-f088760657c247d1964a59fa111b148e2022-12-21T23:29:41ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402014-01-01510.3389/fpsyt.2014.0000169218An fMRI study of the influence of a history of substance abuse on working memory related brain activation in schizophreniaJessica Ann Wojtalik0Deanna M Barch1Washington University in St. LouisWashington University in St. LouisThere has been little investigation of the effects of past substance abuse (SA) on working memory (WM) impairments in schizophrenia. This study examined the behavioral and neurobiological impact of past SA (six months or longer abstinence period) on WM in schizophrenia. Thirty-seven schizophrenia patients (17 with past SA and 20 without) and 32 controls (12 with past SA and 20 without) completed two versions of a 2-back WM task during fMRI scanning on separate days. Analyses focused on regions whose patterns of activation replicated across both n-back tasks. Schizophrenia patients were significantly less accurate than controls on both n-back tasks. No main effects or interactions with past SA on WM performance were observed. However, several fronto-parietal-thalamic regions showed an interaction between diagnostic group and past SA. These regions were significantly more active in controls with past SA compared to controls without past SA. Schizophrenia patients with or without past SA either showed no significant differences, or patients with past SA showed somewhat less activation compared to patients without past SA during WM. These results suggest robust effects of past SA on WM brain functioning in controls, but less impact of past SA in schizophrenia. This is consistent with previous literature indicating less impaired neurocognition in schizophrenia with SA.http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00001/fullSchizophreniafMRIworking memorysubstance abuseneurocognitionn-back
spellingShingle Jessica Ann Wojtalik
Deanna M Barch
An fMRI study of the influence of a history of substance abuse on working memory related brain activation in schizophrenia
Frontiers in Psychiatry
Schizophrenia
fMRI
working memory
substance abuse
neurocognition
n-back
title An fMRI study of the influence of a history of substance abuse on working memory related brain activation in schizophrenia
title_full An fMRI study of the influence of a history of substance abuse on working memory related brain activation in schizophrenia
title_fullStr An fMRI study of the influence of a history of substance abuse on working memory related brain activation in schizophrenia
title_full_unstemmed An fMRI study of the influence of a history of substance abuse on working memory related brain activation in schizophrenia
title_short An fMRI study of the influence of a history of substance abuse on working memory related brain activation in schizophrenia
title_sort fmri study of the influence of a history of substance abuse on working memory related brain activation in schizophrenia
topic Schizophrenia
fMRI
working memory
substance abuse
neurocognition
n-back
url http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00001/full
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