Skip to main content
. Author manuscript; available in PMC: 2022 Sep 19.
Published in final edited form as: Nat Neurosci. 2020 Apr 6;23(5):600–610. doi: 10.1038/s41593-020-0611-0

Table 1 |.

Alterations detected in specific brain regions of in vivo measures of gray matter volume and functional activity, associated with certain tasks and stimuli, in abstinent individuals with CUD.

Region / circuit Morphology Neural activity Association with function- or task-based activation
Frontal cortex/prefrontal cortex Decrease in volume (OFC)63,64,142 Decrease60,86,98,143 or increase9092,97 in activity based on task and absinence85 Decreased in decision-making60; decreased activity with uncertain reward143; decreased during cognitive appraisal of emotional stimuli98; decreased activity on attention task85,86, but increased activity after 1 year of abstinence is associated with better treatment outcome85; increased activity on working memory tasks9092 and responsivity to negative emotional stimuli97
Ventral striatum * 79 Decrease85,# or increase in activity144, based on task and abstinence Decreased activity on an attentional task85; increased activity during reward anticipation144
Dorsal striatum * 79 Decrease in activity85,# Decreased activity during attentional processing85
Hippocampus/temporal lobe Decrease in volume63,66 Decrease in activity (hipp)85,# Attentional processing85
Amygdala Decrease in volume69,70,145 Decrease85,# or increase97 in activity based on task Decreased functionality associated with attentional performance85, increased activation in response to negative emotional stimuli97
Cerebellum Increase in volume63,69 Decrease86,# or increase60,# in activity based on task Increased activation during decision-making60, decreased activity associated with attentional processing86
Mesocorticolimbic pathway Increase in activity93,94,146,147 Cannabis cue reactivity93,94,146,147

The majority of individuals with CUD were studied during periods of short abstinence from ~12 h to 4–5 days.

#,

longer periods of abstinence, from ~1 to 36 months;

*,

inconsistent observations.