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Cocaine dependence modulates the effect of HIV infection on brain activation during intertemporal decision making.

Publication ,  Journal Article
Meade, CS; Hobkirk, AL; Towe, SL; Chen, N-K; Bell, RP; Huettel, SA
Published in: Drug Alcohol Depend
September 1, 2017

BACKGROUND: Both HIV infection and chronic cocaine use alter the neural circuitry of decision making, but the interactive effects of these commonly comorbid conditions have not been adequately examined. This study tested how cocaine moderates HIV-related neural activation during an intertemporal decision-making task. METHODS: The sample included 73 participants who differed on cocaine and HIV status (18 COC+/HIV+, 19 COC+/HIV-, 19 COC-/HIV+, 17 COC-/HIV-). Participants made choices between smaller, sooner and larger, delayed rewards while undergoing functional MRI. Choices varied in difficulty based on subjective value: hard (equivalently valued), easy (disparately valued), and control choices. A mixed-effects model controlling for education and smoking identified main and interactive effects of HIV and COC during hard relative to easy choices (difficulty contrast). RESULTS: COC+ status was associated with lower activation in bilateral frontal gyri and right insular and posterior parietal cortices. HIV+ status was associated with higher activation in the visual cortex, but lower activation in bilateral prefrontal cortices and cerebellum and left posterior parietal cortex. COC moderated the effects of HIV in several clusters centered in the bilateral prefrontal cortices and cerebellum. In post-hoc analyses, there were significant effects of HIV status on activation for COC+, but not COC-, participants; interaction effects remained after controlling for polysubstance use. CONCLUSION: Cocaine use may diminish the compensatory neural activation often seen among HIV+ samples during decision making. Our results highlight the importance of examining the neuropsychiatric effects of comorbid medical conditions to identify potential neural targets for cognitive remediation interventions.

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Published In

Drug Alcohol Depend

DOI

EISSN

1879-0046

Publication Date

September 1, 2017

Volume

178

Start / End Page

443 / 451

Location

Ireland

Related Subject Headings

  • Substance Abuse
  • Reward
  • Prefrontal Cortex
  • Magnetic Resonance Imaging
  • Humans
  • HIV Infections
  • Frontal Lobe
  • Delay Discounting
  • Decision Making
  • Cocaine-Related Disorders
 

Citation

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Meade, C. S., Hobkirk, A. L., Towe, S. L., Chen, N.-K., Bell, R. P., & Huettel, S. A. (2017). Cocaine dependence modulates the effect of HIV infection on brain activation during intertemporal decision making. Drug Alcohol Depend, 178, 443–451. https://doi.org/10.1016/j.drugalcdep.2017.05.043
Meade, Christina S., Andrea L. Hobkirk, Sheri L. Towe, Nan-Kuei Chen, Ryan P. Bell, and Scott A. Huettel. “Cocaine dependence modulates the effect of HIV infection on brain activation during intertemporal decision making.Drug Alcohol Depend 178 (September 1, 2017): 443–51. https://doi.org/10.1016/j.drugalcdep.2017.05.043.
Meade CS, Hobkirk AL, Towe SL, Chen N-K, Bell RP, Huettel SA. Cocaine dependence modulates the effect of HIV infection on brain activation during intertemporal decision making. Drug Alcohol Depend. 2017 Sep 1;178:443–51.
Meade, Christina S., et al. “Cocaine dependence modulates the effect of HIV infection on brain activation during intertemporal decision making.Drug Alcohol Depend, vol. 178, Sept. 2017, pp. 443–51. Pubmed, doi:10.1016/j.drugalcdep.2017.05.043.
Meade CS, Hobkirk AL, Towe SL, Chen N-K, Bell RP, Huettel SA. Cocaine dependence modulates the effect of HIV infection on brain activation during intertemporal decision making. Drug Alcohol Depend. 2017 Sep 1;178:443–451.
Journal cover image

Published In

Drug Alcohol Depend

DOI

EISSN

1879-0046

Publication Date

September 1, 2017

Volume

178

Start / End Page

443 / 451

Location

Ireland

Related Subject Headings

  • Substance Abuse
  • Reward
  • Prefrontal Cortex
  • Magnetic Resonance Imaging
  • Humans
  • HIV Infections
  • Frontal Lobe
  • Delay Discounting
  • Decision Making
  • Cocaine-Related Disorders