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Substance Abuse Relapse: Is it All in Your Head?

By ExecuCare Team on March 17, 2011 / The Brain and Addiction / 1 Comment

An addict’s abnormal brain biology may increase his or her risk of substance abuse relapse. Studies show that MRI-based neuroimaging research holds potential in identifying markers for this increase, as published in Alcoholism: Clinical & Experimental Research in June 2011.

At least 60 percent of individuals in recovery for alcohol abuse disorders relapse within six months of treatment. Because the reward system of the brain (BRS) has been “implicated in the development and maintenance of all forms of addictive disorders,” researchers of the neuroimaging study compared thickness, surface area and volume of neocortical components of the reward system of the brain. The study participants included three groups: light drinkers, alcohol-dependent individuals still abstinent after treatment, and those who relapsed. (Medical News Today)

The reward system of the brain (BRS) includes regions in the frontal and temporal lobes, limbic system, basal ganglia and other subcortical structures. These form a functional network which involves our experience and response to pleasure and aversion, mood regulation, higher-level cognitive abilities, such as problem-solving, reasoning, decision-making, planning and judgment, memory, as well as impulse control. It is believed that abnormal biology of the BRS may play a significant role in the development of drug and alcohol dependencies.

Researchers used magnetic resonance imaging (MRI) to examine the BRS and determine whether there were structural differences in the brain’s cortex for the three groups. The findings support the fact that neurobiological factors influence relapse. Of the two groups who suffered with alcohol dependency (abstainers and relapsers), their brain’s had significantly thinner cortices in the BRS and throughout the brain. Those who had relapsed showed showed the most substantial structural abnormalities in the BRS with lower surface area and volume than the abstainers and the control group. This may mean they have fewer brain cells and neural resources available to assist with recovery. (Medical News Today)

Another significant finding was that of those individuals who relapsed, the ones with the greater volume and surface area in several regions of the BRS had a less severe relapse.

Not only do neuroimaging techniques promote a better understanding of the neurobiological factors associated with relapse, but as this study shows, such methods can be useful in identifying addicts with the greatest degree of neurobiological abnormalities and thus the most at risk for relapse at the beginning of treatment. This can help predict who will benefit most from certain treatments and aftercare plans.

Genes and Addiction: Can One Influence the Other?

By ExecuCare Team on March 9, 2011 / The Brain and Addiction / 2 Comments

There is a definite link between genes and addiction and the level of a specific genotype can influence the severity of addiction. A study conducted at the U.S. Department of Energy’s (DOE) Brookhaven National Laboratory demonstrated that drug addicted individuals who have a certain genetic makeup have decreased gray matter density – and therefore fewer neurons – in areas of the brain that are essential for decision-making, self-control, and learning and memory. The research is reported in the March 7, 2011 issue of the Archives of General Psychiatry. Read more →

Number One, International Killer: Alcohol

By ExecuCare Team on February 27, 2011 / Alcoholism / Comments Off

Alcohol contributes to 2.5 million deaths worldwide a year, making it the number one international killer for 2011, according to the World Health Organization (WHO). There is also a growing concern over the number of alcohol-related injuries such as car accidents, burns, falls and poisonings, as well as other social and financial tolls such violence, disease, child neglect and job absenteeism.

“Substance abuse disorders profoundly affect our society,” said Dr. Nora Volkow, Director of the National Institute on Drug Abuse (NIDA). In economic terms, alcohol abuse disorders costs the U.S. approximately half a trillion dollars a year. But as Dr. Volkow said, “[Alcohol abuse] is much more insidious, eroding the foundation of human relationships and the established social contract.” (Medical News Today)

A new federal study in the U.S. found that parents are giving their children alcoholic beverages at a much higher rate than most people realize. According to a report from SAMHSA, in the past month alone 200,000 kids were given alcohol by a parent or other adult family member. This is especially dangerous with studies confirming that drinking as a teenager is a potential gateway to alcohol problems in adulthood. In fact, studies show that people who begin drinking before the age of fifteen are six times more likely than those who start at twenty-one to develop an alcohol problem. Parents need to be aware that providing alcohol to children can expose them to an increased risk for alcohol abuse.

The key finding in a recent study regarding the Rutgers Alcohol Problem Index (RAPI), which is widely used to assess adolescent drinking-related problems, found that the more drinking-related problems experienced by an adolescent at the age of eighteen, the greater the likelihood of alcoholism being diagnosed at the age of twenty-five.

Addiction Prevention: Instant Gratification vs. Future Consequences

By ExecuCare Team on February 12, 2011 / Prevention / Comments Off

Addiction prevention programs that emphasize negative future consequences of substance abuse don’t appear to be working. Essentially, addicts not only value instant pleasure but they also devalue future consequences. Despite the fact that now more than ever, schools educate students on the risks of substance abuse, the number of cases involving substance abuse disorders continues to climb.

This is also true regardless of television regularly displaying the destructive nature of drug abuse, including its negative consequences and social repercussions while intoxicated (often surrounding celebrity hype) and the harsh rigors of trying to get and stay sober (often shown through popular reality shows such as “Intervention”). And while educational exposure to the negative, long-term repercussions of drug and alcohol use maybe prevent some people from developing addictions, others remain vulnerable. Scientists are starting to understand why this is the case.

People who are at risk for developing substance abuse disorders tend to exhibit a trait called “delay discounting,” which is a cognitive function that involves circuits in the frontal cortex of the brain that stores and manages information necessary to guide behavior. This trait causes the tendency to devalue rewards and punishments that occur in the future. It is often paralleled by “reward myopia,” a tendency to choose immediate rewarding stimuli like drugs or alcohol. This may be one reason why education alone cannot prevent substance abuse. Studies have found that people vulnerable to addiction, who know that drugs are harmful in the long-run, devalue such information and are drawn to the instant rewarding effects of drugs or alcohol. (Medical News Today)

This is also evident with those suffering from substance dependencies who face legal, financial, or health problems. Studies have shown they almost consistently choose instant gratification as long as the reward is sooner, despite whether the future reward is greater. Neuroscientists understand that a major challenge in preventing and treating addiction is the reduced value of future reward, especially once the brain is hijacked by drugs or alcohol.

In a new study, published in Biological Psychiatry, faculty members of Virginia Tech Carilion Research Institute present a strategy that increases the value of future rewards in the minds of substance abuses and those at risk. The researches found that by increasing an individual’s ability to remember decreases the level of discounting future events. The head researcher reiterated, an “improved memory resulted in a greater appreciation of future reward.” (Medical News Today)

The idea for this rehabilitation technique was borrowed from methods used on stroke and traumatic brain injury victims. It involves individuals repeatedly performing working memory tasks. Ultimately, the brain “exercises” were found to promote the functioning of underlying cognitive circuits. When used on substance abuses, this cognitive rehabilitation tool improved working memory and reduced the discounting of delayed rewards. Such a tool may also prove to be invaluable in reaching those most at risk for substance abuse

Prescription Drugs, Binge Drinking Trends: Substance Abuse Surprises?

By ExecuCare Team on January 28, 2011 / Alcoholism, Prescription Drugs / Comments Off

Substance abuse demographic trends involving prescription drugs and binge drinking may surprise you. A 2011 report from the Centers for Disease Control and Prevention, the first of its kind, detailed the socioeconomic and racial disparities in an extensive range of health problems. Some trends remained the same across the board, and fairly obvious, such as “the poor, the uninsured and the less educated tend to live shorter, sicker lives” (New York Times).

For example, obesity and tobacco use were worse among individuals with low incomes, who lacked education or health insurance. While the opposite was true of binge drinking. Consuming more than four drinks for women and five for men in one sitting constitutes binge drinking. The study not only found that binge drinking was one the rise across the board, but that it was more common among those with higher incomes and better education, including college students. However, those with lower incomes, especially among American Indians, tended to consume more alcohol when they binge drink. (New York Times)

Another trend that has changed is prescription drug overdoses kill more people now than illegal drug overdoses (the opposite from 20 years ago). Prescription drug overdose death rates are now higher among White, non-Hispanics than other groups (a trend that shifted in 2002). One reason given for this: “doctors began prescribing stronger painkillers, antidepressants and antipsychotics, more easily obtained by people with health insurance” (New York Times).

This report came in January 2011, the same time the Food and Drug Administration (FDA) issued new, strict limits on the common ingredient acetaminophen found in prescription painkillers. In 2009, an advisory panel recommended that the FDA remove acetaminophen entirely from painkillers. The FDA has decided to allow prescription painkillers to contain 325 milligrams (about half of what they contain today). Companies have three years to adjust their product’s formula or remove it from the market. More than 200 million painkiller prescriptions are written each for Americans.

Alcoholism in Midlife Increases Risk of Dementia Later

By ExecuCare Team on January 13, 2011 / Alcoholism / Comments Off

Midlife alcohol consumption (not just alcoholism) is related to the risk of dementia assessed as much as 20 years later, according to a study reported in the December 2010 issue of the Journal of Alzheimer’s Disease. In particular, individuals who consume large amounts of alcohol are at a greater risk for cognitive impairment later on in life.

Not only was total alcohol consumption analyzed but also drinking patterns. The findings suggest that drinking large amounts at a single occasion, i.e. binge drinking, at least once a month was an independent factor that doubled the risk of cognitive impairment regardless of whether total alcohol consumption was controlled. The same was found for heavy drinking that resulted in passing out. Therefore, the study reports that not only is the amount of alcohol consumed significant in affecting the risks for cognitive impairment, but also the patterns by which alcohol is consumed.

The findings of the study are important in that changes or early symptoms associated with Alzheimer’s disease (the most common form of dementia) can begin as early as two to three decades prior to clinical manifestation of the disease. This means that identifying early risk factors can be imperative for prevention and treatment.

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Take the First Step: (770) 817-0711

Substance Abuse Relapse: Is it All in Your Head?

Genes and Addiction: Can One Influence the Other?

Number One, International Killer: Alcohol

Addiction Prevention: Instant Gratification vs. Future Consequences

Prescription Drugs, Binge Drinking Trends: Substance Abuse Surprises?

Alcoholism in Midlife Increases Risk of Dementia Later

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