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@ARTICLE{Preller:154211,
author = {Preller, K. H. and Herdener, M. and Schilbach, L. and
Stampfli, P. and Hulka, L. M. and Vonmoos, M. and Ingold, N.
and Vogeley, K. and Tobler, P. N. and Seifritz, E. and
Quednow, B. B.},
title = {{F}unctional changes of the reward system underlie blunted
response to social gaze in cocaine users},
journal = {Proceedings of the National Academy of Sciences of the
United States of America},
volume = {111},
number = {7},
issn = {1091-6490},
address = {Washington, DC},
publisher = {Academy},
reportid = {FZJ-2014-03590},
pages = {2842 - 2847},
year = {2014},
abstract = {Social interaction deficits in drug users likely impede
treatment, increase the burden of the affected families, and
consequently contribute to the high costs for society
associated with addiction. Despite its significance, the
neural basis of altered social interaction in drug users is
currently unknown. Therefore, we investigated basal social
gaze behavior in cocaine users by applying behavioral,
psychophysiological, and functional brain-imaging methods.
In study I, 80 regular cocaine users and 63 healthy controls
completed an interactive paradigm in which the
participants’ gaze was recorded by an eye-tracking device
that controlled the gaze of an anthropomorphic virtual
character. Valence ratings of different eye-contact
conditions revealed that cocaine users show diminished
emotional engagement in social interaction, which was also
supported by reduced pupil responses. Study II investigated
the neural underpinnings of changes in social reward
processing observed in study I. Sixteen cocaine users and 16
controls completed a similar interaction paradigm as used in
study I while undergoing functional magnetic resonance
imaging. In response to social interaction, cocaine users
displayed decreased activation of the medial orbitofrontal
cortex, a key region of reward processing. Moreover, blunted
activation of the medial orbitofrontal cortex was
significantly correlated with a decreased social network
size, reflecting problems in real-life social behavior
because of reduced social reward. In conclusion, basic
social interaction deficits in cocaine users as observed
here may arise from altered social reward processing.
Consequently, these results point to the importance of
reinstatement of social reward in the treatment of stimulant
addiction.},
cin = {INM-3},
ddc = {000},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {333 - Pathophysiological Mechanisms of Neurological and
Psychiatric Diseases (POF2-333) / 89572 - (Dys-)function and
Plasticity (POF2-89572)},
pid = {G:(DE-HGF)POF2-333 / G:(DE-HGF)POF2-89572},
typ = {PUB:(DE-HGF)16},
UT = {WOS:000331396500086},
pubmed = {pmid:24449854},
doi = {10.1073/pnas.1317090111},
url = {https://juser.fz-juelich.de/record/154211},
}