Reward-Related Attentional Bias and Adolescent Substance Use: A Prognostic Relationship?

Current cognitive-motivational addiction theories propose that prioritizing appetitive, reward-related information (attentional bias) plays a vital role in substance abuse behavior. Previous cross-sectional research has shown that adolescent substance use is related to reward-related attentional bia...

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Main Authors: van Hemel-Ruiter, Madelon E., de Jong, Peter J., Ostafin, Brian D., Oldehinkel, Albertine J.
Format: Online
Language:English
Published: Public Library of Science 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376386/
id pubmed-4376386
recordtype oai_dc
spelling pubmed-43763862015-04-04 Reward-Related Attentional Bias and Adolescent Substance Use: A Prognostic Relationship? van Hemel-Ruiter, Madelon E. de Jong, Peter J. Ostafin, Brian D. Oldehinkel, Albertine J. Research Article Current cognitive-motivational addiction theories propose that prioritizing appetitive, reward-related information (attentional bias) plays a vital role in substance abuse behavior. Previous cross-sectional research has shown that adolescent substance use is related to reward-related attentional biases. The present study was designed to extend these findings by testing whether these reward biases have predictive value for adolescent substance use at three-year follow-up. Participants (N = 657, mean age = 16.2 yrs at baseline) were a sub-sample of Tracking Adolescents’ Individual Lives Survey (TRAILS), a large longitudinal community cohort study. We used a spatial orienting task as a behavioral index of appetitive-related attentional processes at baseline and a substance use questionnaire at both baseline and three years follow-up. Bivariate correlational analyses showed that enhanced attentional engagement with cues that predicted potential reward and nonpunishment was positively associated with substance use (alcohol, tobacco, and cannabis) three years later. However, reward bias was not predictive of changes in substance use. A post-hoc analysis in a selection of adolescents who started using illicit drugs (other than cannabis) in the follow-up period demonstrated that stronger baseline attentional engagement toward cues of nonpunishment was related to a higher level of illicit drug use three years later. The finding that reward bias was not predictive for the increase in substance use in adolescents who already started using substances at baseline, but did show prognostic value in adolescents who initiated drug use in between baseline and follow-up suggests that appetitive bias might be especially important in the initiation stages of adolescent substance use. Public Library of Science 2015-03-27 /pmc/articles/PMC4376386/ /pubmed/25816295 http://dx.doi.org/10.1371/journal.pone.0121058 Text en © 2015 van Hemel-Ruiter et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author van Hemel-Ruiter, Madelon E.
de Jong, Peter J.
Ostafin, Brian D.
Oldehinkel, Albertine J.
spellingShingle van Hemel-Ruiter, Madelon E.
de Jong, Peter J.
Ostafin, Brian D.
Oldehinkel, Albertine J.
Reward-Related Attentional Bias and Adolescent Substance Use: A Prognostic Relationship?
author_facet van Hemel-Ruiter, Madelon E.
de Jong, Peter J.
Ostafin, Brian D.
Oldehinkel, Albertine J.
author_sort van Hemel-Ruiter, Madelon E.
title Reward-Related Attentional Bias and Adolescent Substance Use: A Prognostic Relationship?
title_short Reward-Related Attentional Bias and Adolescent Substance Use: A Prognostic Relationship?
title_full Reward-Related Attentional Bias and Adolescent Substance Use: A Prognostic Relationship?
title_fullStr Reward-Related Attentional Bias and Adolescent Substance Use: A Prognostic Relationship?
title_full_unstemmed Reward-Related Attentional Bias and Adolescent Substance Use: A Prognostic Relationship?
title_sort reward-related attentional bias and adolescent substance use: a prognostic relationship?
description Current cognitive-motivational addiction theories propose that prioritizing appetitive, reward-related information (attentional bias) plays a vital role in substance abuse behavior. Previous cross-sectional research has shown that adolescent substance use is related to reward-related attentional biases. The present study was designed to extend these findings by testing whether these reward biases have predictive value for adolescent substance use at three-year follow-up. Participants (N = 657, mean age = 16.2 yrs at baseline) were a sub-sample of Tracking Adolescents’ Individual Lives Survey (TRAILS), a large longitudinal community cohort study. We used a spatial orienting task as a behavioral index of appetitive-related attentional processes at baseline and a substance use questionnaire at both baseline and three years follow-up. Bivariate correlational analyses showed that enhanced attentional engagement with cues that predicted potential reward and nonpunishment was positively associated with substance use (alcohol, tobacco, and cannabis) three years later. However, reward bias was not predictive of changes in substance use. A post-hoc analysis in a selection of adolescents who started using illicit drugs (other than cannabis) in the follow-up period demonstrated that stronger baseline attentional engagement toward cues of nonpunishment was related to a higher level of illicit drug use three years later. The finding that reward bias was not predictive for the increase in substance use in adolescents who already started using substances at baseline, but did show prognostic value in adolescents who initiated drug use in between baseline and follow-up suggests that appetitive bias might be especially important in the initiation stages of adolescent substance use.
publisher Public Library of Science
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376386/
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