TY - JOUR
T1 - Adolescent psychotherapy for addiction medicine
T2 - From brain development to neurocognitive treatment mechanisms
AU - Thayer, Rachel E.
AU - Feldstein Ewing, Sarah
PY - 2015
Y1 - 2015
N2 - Effectively treating addiction is a challenge among any population, and treatment for adolescents may be particularly challenging in the context of ongoing neurodevelopment, which may alter the brain's initial response to substances as well as its response to treatment. One way to improve treatment outcomes for youth is to use a translational perspective that explicitly connects cognitive and neurodevelopmental fields with the field of behavioral therapies. This integrative approach is a potential first step to inform the correspondence between the neurocognitive and behavioral fields in youth addiction. This chapter seeks to provide context for neurocognitive treatment studies by first discussing recent structural and functional neuroimaging studies showing associations with substance use or behavioral addictions. Several regions of interest are then proposed that appear to also be associated with addiction treatment across multiple studies, namely, the accumbens/striatum, precuneus, insula, anterior cingulate cortex, and dorsolateral prefrontal cortex. This research suggests that reward, self-reflective, and executive control areas might be especially relevant in youth behavioral treatment response, and preliminary evidence suggests that existing treatments may encourage neurocognitive changes in these areas.
AB - Effectively treating addiction is a challenge among any population, and treatment for adolescents may be particularly challenging in the context of ongoing neurodevelopment, which may alter the brain's initial response to substances as well as its response to treatment. One way to improve treatment outcomes for youth is to use a translational perspective that explicitly connects cognitive and neurodevelopmental fields with the field of behavioral therapies. This integrative approach is a potential first step to inform the correspondence between the neurocognitive and behavioral fields in youth addiction. This chapter seeks to provide context for neurocognitive treatment studies by first discussing recent structural and functional neuroimaging studies showing associations with substance use or behavioral addictions. Several regions of interest are then proposed that appear to also be associated with addiction treatment across multiple studies, namely, the accumbens/striatum, precuneus, insula, anterior cingulate cortex, and dorsolateral prefrontal cortex. This research suggests that reward, self-reflective, and executive control areas might be especially relevant in youth behavioral treatment response, and preliminary evidence suggests that existing treatments may encourage neurocognitive changes in these areas.
KW - Addiction
KW - Adolescence
KW - Neuroimaging
KW - Psychotherapy
UR - http://www.scopus.com/inward/record.url?scp=84949961098&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84949961098&partnerID=8YFLogxK
U2 - 10.1016/bs.pbr.2015.07.020
DO - 10.1016/bs.pbr.2015.07.020
M3 - Article
C2 - 26822364
AN - SCOPUS:84949961098
JO - Progress in Brain Research
JF - Progress in Brain Research
SN - 0079-6123
ER -