Individual differences in delay discounting and nicotine self-administration in rats

Delay discounting—a behavioral measure of impulsivity defined as a tendency to prefer a small, immediate reward over a larger reward delayed in time—has been extensively linked with tobacco smoking. However, the causal direction of this relationship remains unclear. One possibility is that delay discounting may be a marker for an underlying vulnerability to nicotine reinforcement—a possibility which can be isolated using an animal model. In the current study, we investigated whether indifference points derived using an adjustable delay procedure of delay discounting predicted several indices of nicotine reinforcement in rats, including rate of acquisition of nicotine self-administration, break point reached on a progressive ratio schedule of reinforcement, or a shift in the dose-response curve. Stable indifference points were assessed for 63 male Sprague-Dawley rats, and extreme groups of highly impulsive (HI; n=15) and low impulsive (LI; n=11) rats were selected to self-administer nicotine. Rats responded by nose poking for infusions of 0.03 mg/kg nicotine during 1 hour daily sessions. After a 20 session acquisition period, rats completed 3 4-hour progressive ratio sessions, during which the response requirement was increased after each infusion earned. This was followed by 3 1-hour fixed ratio sessions at each of 3 nicotine doses, presented in ascending order (0.015, 0.03, and 0.09 mg/kg). All but one rat (HI group) acquired stable nicotine self-administration; however, no group differences in rate of acquisition were observed. HI and LI rats did not differ in their responses on a progressive ratio schedule or infusions earned at any dose of nicotine, although a significant dose-response effect was observed overall. Indifference points reassessed after self-administration were highly correlated with original indifference points, and mean indifference points for each group at the second assessment did not differ significantly from baseline assessment. These results suggest that delay discounting is a highly reliable measure, but may not be a predictive marker for increased vulnerability to nicotine self-administration in rats

“I Use Weed for My ADHD”: A Qualitative Analysis of Online Forum Discussions on Cannabis Use and ADHD

<div><p>Background</p><p>Attention-deficit/hyperactivity disorder (ADHD) is a risk factor for problematic cannabis use. However, clinical and anecdotal evidence suggest an increasingly popular perception that cannabis is therapeutic for ADHD, including via online resources. Given that the Internet is increasingly utilized as a source of healthcare information and may influence perceptions, we conducted a qualitative analysis of online forum discussions, also referred to as threads, on the effects of cannabis on ADHD to systematically characterize the content patients and caregivers may encounter about ADHD and cannabis.</p><p>Methods</p><p>A total of 268 separate forum threads were identified. Twenty percent (20%) were randomly selected, which yielded 55 separate forum threads (mean number of individual posts per forum thread = 17.53) scored by three raters (Cohen’s kappa = 0.74). A final sample of 401 posts in these forum threads received at least one endorsement on predetermined topics following qualitative coding procedures.</p><p>Results</p><p>Twenty-five (25%) percent of individual posts indicated that cannabis is therapeutic for ADHD, as opposed to 8% that it is harmful, 5% that it is both therapeutic and harmful, and 2% that it has no effect on ADHD. This pattern was generally consistent when the year of each post was considered. The greater endorsement of therapeutic versus harmful effects of cannabis did not generalize to mood, other (non-ADHD) psychiatric conditions, or overall domains of daily life. Additional themes emerged (e.g., cannabis being considered sanctioned by healthcare providers).</p><p>Conclusions</p><p>Despite that there are no clinical recommendations or systematic research supporting the beneficial effects of cannabis use for ADHD, online discussions indicate that cannabis is considered therapeutic for ADHD—this is the first study to identify such a trend. This type of online information could shape ADHD patient and caregiver perceptions, and influence cannabis use and clinical care.</p></div

Internet Forum Identification Summary.

<p>Internet Forum Identification Summary.</p

The percentage of individual post endorsements for each respective code on the effects of cannabis on ADHD per year (2004–2014) among the 401 posts analyzed.

<p>The percentage of individual post endorsements for each respective code on the effects of cannabis on ADHD per year (2004–2014) among the 401 posts analyzed.</p

Neurobiology of social reward valuation in adults with a history of anorexia nervosa.

ObjectiveAnorexia nervosa (AN) is a disorder characterized by atypical patterns of reward valuation (e.g. positive valuation of hunger). Atypical reward processing may extend into social domains. If so, such findings would be of prognostic significance as impaired social functioning predicts worse outcome. We explore neural circuits implicated in social reward processing in individuals with a history of AN who are weight-restored relative to controls and examine the effects of illness course on the experience of social value.Method20 weight-restored individuals with a history of AN (AN-WR) and 24 healthy control (HC) participants were assessed using fMRI tasks that tapped social reward: smiling faces and full human figures that varied in attractiveness and weight.ResultsAN-WR differed from HC in attractiveness ratings by weight (negatively correlated in AN-WR). While there were no significant differences when viewing smiling faces, viewing full figures resulted in decreased activation in regions implicated in reward valuation (the right caudate) for AN-WR and this region was negatively correlated with a sustained course of the disorder. Exploratory whole brain analyses revealed reduced activation in regions associated with social reward, self-referential processing, and cognitive reappraisal (e.g., medial prefrontal cortex, striatum, and nucleus accumbens) with sustained disorder course.DiscussionThe rewarding value of full body images decreases with a sustained disorder course. This may reflect an extension of atypical reward processing documented in AN-WR, perhaps as a function of starvation dampening visceral motivational signals; the deployment of cognitive strategies that lessen the experience of reward; and/or the nature of the stimuli themselves as provocative of eating disorder symptoms (e.g., thin bodies). These findings did not extend to smiling face stimuli. Advances in technology (e.g., virtual avatars, text messaging) may provide novel means to build relationships, including therapeutic relationships, to support improved social connections without threats to symptom provocation