We studied modulation of the P300 by monetary reward expected to be received on a sustained attention task in 18 individuals with current cocaine use disorders (CUD) and 18 control subjects. Results in the controls revealed sensitivity to money as measured with P300 amplitude and speed of behavioral response and their intercorrelations. In contrast, despite generally faster P300 waveforms and higher self-reported interest in the task, CUD did not display these responses to money vs. nonreward; at the behavioral level, this impairment correlated with frequency of recent cocaine use. These preliminary results suggest a compromised sensitivity to a secondary reinforcer in CUD. This deficit, that needs to be replicated in larger samples of currently active vs. abstaining CUD, may underlie the compromised ability to advantageously modify behavior in response to changing inner motivations and environmental contingencies.
KeywordsCocaine addiction; early withdrawal; current drug abuse; P300; reward processing; monetary reward; secondary reinforcement; inhibitory control Drug addiction is a complex disease characterized by recurrent drug intoxication, craving, bingeing, withdrawal and relapse as modulated by genetic, developmental, experiential and environmental factors. Neurobiological research has traditionally highlighted the role in drug addiction of the mesocorticolimbic dopaminergic reward circuitry (Goldstein & Volkow, 2002;Volkow, Fowler, Wang, & Swanson, 2004) and indeed impairments in the processing of drug reward and drug-related cues have been frequently studied (Childress, et al., 1999;Di Chiara & Imperato, 1988). Recently, neuroimaging studies have highlighted a compromise in the processing of non-drug reward in drug-addicted individuals. For example, cocaine addicted but not healthy control individuals showed less activation of corticolimbic brain areas when viewing an erotic video than when exposed to a cocaine video (Garavan, et al., 2000).In a more recent functional magnetic resonance imaging (fMRI) study, we similarly reported that neuronal and behavioral sensitivity to a more abstract monetary reward was compromised in cocaine addiction (Goldstein, et al., 2007a;Goldstein, et al., 2007b). Specifically, whereas controls reported valuing higher amounts of money more than lower amounts, more than half *Correspondence and Requests for materials should be addressed to: Rita Z. Goldstein, Brookhaven National Laboratory, P. O. Box 5000, Upton, NY, 11973-5000; tel. (631) 344-2657; fax (631)
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript of the individuals with cocaine use disorders (iwCUD=CUD) rated the value of all abstract monetary amounts equally ($10=$1000) (Goldstein, et al., 2007b). In parallel, CUD demonstrated reduced prefrontal cortical responsivity to differences between other monetary amounts (45¢, 1¢ and 0¢) received for accurate performance on a sustained attention fMRI task (Goldstein, et al., 2007a). These altered prefrontal cortical responses to money (...