PMID- 33735587 OWN - NLM STAT- MEDLINE DCOM- 20210823 LR - 20210823 IS - 1097-9891 (Electronic) IS - 0095-2990 (Linking) VI - 47 IP - 3 DP - 2021 May 4 TI - Neural responses to negative events and subsequent persistence behavior differ in individuals recovering from opioid use disorder compared to controls. PG - 319-329 LID - 10.1080/00952990.2021.1888960 [doi] AB - Background: Negative emotion is associated with substance craving and use in individuals recovering from substance use disorders, including prescription opioid use disorder (POUD). Decisions to abandon or persist towards a goal after negative emotion-eliciting events, and neural responses that shape such decisions, may be important in maintaining recovery from POUD.Objectives: We examined differences in neural responses to negative events and subsequent persistence decisions in individuals recovering from POUD without a history of a substance use disorder. Methods: 20 individuals with POUD (POUD group: 4 females, abstinent 2-3 weeks after admission to an inpatient treatment facility post-detoxification, no other substance use disorder), and 20 individuals with no substance use history (control group: 6 females) completed a persistence-after-setbacks task during functional magnetic resonance imaging. Participants advanced along a path toward a reward; after encountering each negative event (i.e., progress-erasing setback), participants made decisions to persist or abandon the path. Persistence decision rates were compared between groups and blood-oxygen-level-dependent signal to negative events was analyzed within a striatum region of interest (ROI) as well as whole-brain.Results: The POUD group persisted less (t(38) = 2.293, p = .028, d = .725) and showed lower striatum (left ventral putamen) signal to negative events compared to the control group (p < .05, corrected for striatum ROI).Conclusions: In POUD, neural and behavioral responses to negative events differ from controls. These differences are a target for research to address whether POUD treatment increases persistence and striatum responses to negative events and improves recovery outcomes. FAU - Bhanji, Jamil P AU - Bhanji JP AUID- ORCID: 0000-0003-3451-8732 AD - Department of Psychology, Rutgers University, Newark, NJ, USA. FAU - Delgado, Mauricio R AU - Delgado MR AD - Department of Psychology, Rutgers University, Newark, NJ, USA. FAU - Ray, Suchismita AU - Ray S AD - Department of Health Informatics, Rutgers School of Health Professions, Rutgers University, Newark, NJ, USA. LA - eng GR - R03 DA044496/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20210318 PL - England TA - Am J Drug Alcohol Abuse JT - The American journal of drug and alcohol abuse JID - 7502510 SB - IM MH - Adult MH - Affect/*physiology MH - Brain/physiopathology MH - Brain Mapping MH - Case-Control Studies MH - Craving MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - New Jersey MH - Opioid-Related Disorders/*physiopathology MH - Young Adult OTO - NOTNLM OT - Addiction OT - affect OT - aversive OT - decision OT - emotion OT - fmri OT - persistence OT - striatum EDAT- 2021/03/19 06:00 MHDA- 2021/08/24 06:00 CRDT- 2021/03/18 20:09 PHST- 2021/03/19 06:00 [pubmed] PHST- 2021/08/24 06:00 [medline] PHST- 2021/03/18 20:09 [entrez] AID - 10.1080/00952990.2021.1888960 [doi] PST - ppublish SO - Am J Drug Alcohol Abuse. 2021 May 4;47(3):319-329. doi: 10.1080/00952990.2021.1888960. Epub 2021 Mar 18.