Brain fMRI and craving response to heroin-related cues in patients on methadone maintenance treatment

Am J Drug Alcohol Abuse. 2011 Mar;37(2):123-30. doi: 10.3109/00952990.2010.543997. Epub 2011 Jan 11.

Abstract

Objective: To investigate the subjective craving and brain response to heroin-related cues in former heroin addicts on long-term methadone maintenance treatment.

Methods: Fourteen participants completed an event-related functional magnetic resonance imaging task including heroin-related and nonheroin-related (neutral) cues. Craving self-reports were collected before and after the task.

Results: Although no significant craving changes were associated with the task, blood oxygen-level dependence intensity was significantly greater during exposure to heroin-related cues, compared to neutral cues in brain areas studied.

Conclusions and scientific significance: The results indicate that the learned brain response of former heroin addicts to drug-related stimuli may persist despite long-term methadone maintenance treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brain / drug effects*
  • Brain / metabolism
  • Cues*
  • Heroin Dependence / psychology*
  • Heroin Dependence / rehabilitation
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Male
  • Methadone / administration & dosage
  • Middle Aged
  • Narcotics / administration & dosage
  • Opiate Substitution Treatment / methods
  • Oxygen / blood
  • Time Factors

Substances

  • Narcotics
  • Oxygen
  • Methadone