Table 1 |.
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 increase90–92,97 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 tasks90–92 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.