Triple network dynamics and future alcohol consumption in adolescents

Abstract

BackgroundHuman neuroimaging increasingly suggests that the brain is best modeled as a highly interconnected and dynamic system. However, novel methodology for studying functional brain network dynamics have never been applied to the study of adolescent alcohol consumption. We sought to determine whether brain network dynamics are related to future drinking behavior in teenagers. MethodsResting-state functional magnetic resonance imaging (fMRI) time series from 17-year-old non/low drinking participants (n=295) of the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) study were used to fit a Hidden Semi-Markov Model (HSMM). Regions of the default mode network (DMN), salience network (SN), and central executive network (CEN), collectively known as the Triple Network, were included in modeling. The HSMM identified the most-likely state sequence for each participant, a trajectory through distinct brain network states over the course of their fMRI scan. Poisson regression models were used to assess relationships between state sequence metrics and future drinking frequency. Potential sex differences in state sequence metrics or the relationship between sequence metrics and future drinking were assessed with permutation testing and interactions in regression models. ResultsNo sex differences in state sequence metrics were observed. However, the relationship between occupancy times and future drinking frequency differed by sex for two brain states. In the full sample, occupancy time in a state characterized by high interconnectivity between the SN and CEN was negatively associated with drinking. Occupancy time in a separate state characterized by high activation in the DMN and SN, but low activation in the CEN, was negatively associated with future drinking. ConclusionsBrain network dynamics may be useful neural markers of predisposition to drinking in adolescents. Brain states which make teens vulnerable or resilient to drinking may differ between sexes.