Assessing orbitofrontal cortex volume as a predictor of subjective response to alcohol during early adolescence

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Publicat a:Alcohol vol. 128 (Nov 2025), p. 43-51
Autor principal: Aguilar, L.S.
Altres autors: Wallace, A.L., Courtney, K.E., Wade, N.E.
Publicat:
Elsevier Limited
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Accés en línia:Citation/Abstract
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022 |a 0741-8329 
022 |a 1873-6823 
024 7 |a 10.1016/j.alcohol.2025.08.002  |2 doi 
035 |a 3247613786 
045 2 |b d20251101  |b d20251130 
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100 1 |a Aguilar, L.S. 
245 1 |a Assessing orbitofrontal cortex volume as a predictor of subjective response to alcohol during early adolescence 
260 |b Elsevier Limited  |c Nov 2025 
513 |a Journal Article 
520 3 |a Adolescence marks a critical window wherein individual differences in brain structure may influence the emergence of alcohol use behaviors. The orbitofrontal cortex (OFC), a region involved in reward processing and behavioral regulation, may play a key role in shaping early responses to alcohol. This study examined whether smaller OFC volume at ages 9–10 predicted likelihood of experiencing subjective effects of alcohol by ages 13–14. Participants (N&#xa0;=&#xa0;206; 57&#xa0;% female) were drawn from the Adolescent Brain Cognitive Development Study. Baseline medial and lateral OFC volumes were used. Subjective response to alcohol was measured during follow-up using a binary outcome (1&#xa0;=&#xa0;any effect, 0&#xa0;=&#xa0;no effects). Mixed-effects logistic regression models tested the association between OFC and alcohol response, adjusting for sex, parental education, race/ethnicity, intracranial volume, and site. Smaller left medial OFC at Baseline was significantly associated with greater odds of reporting subjective effects (OR&#xa0;=&#xa0;1.70, p&#xa0;=&#xa0;.026). Youth who reported subjective effects also consumed more alcohol in the past year (p&#xa0;<&#xa0;.001), but did not differ in their alcohol expectancies. Among those reporting subjective effects, OFC volume was not significantly associated with the amount or frequency of alcohol use. These findings suggest that smaller OFC volume may not reflect pharmacological sensitivity per se, but instead relate to early drinking behavior sufficient to elicit noticeable effects. This may reflect underlying impulsivity-related traits or altered neurodevelopmental trajectories that predispose youth to early and potentially riskier patterns of alcohol use. Results underscore the potential value of identifying structural brain markers that contribute to individual vulnerability for alcohol use during adolescence. 
651 4 |a United States--US 
653 |a Child development 
653 |a Alcohol use 
653 |a Adolescents 
653 |a Drinking behavior 
653 |a Age 
653 |a Brain research 
653 |a Regression analysis 
653 |a Decision making 
653 |a Drug use 
653 |a Intellectual development 
653 |a Impulsive behavior 
653 |a Females 
653 |a Substance use disorder 
653 |a Adolescence 
653 |a Adults 
653 |a Teenagers 
653 |a Prefrontal cortex 
653 |a Individual differences 
653 |a Subjectivity 
653 |a Brain structure 
653 |a Brain 
653 |a Cortex 
653 |a Cognitive development 
653 |a Race 
653 |a Ethnicity 
653 |a Youth 
653 |a Adolescent development 
653 |a Behavior 
653 |a Sex education 
653 |a Impulsivity 
700 1 |a Wallace, A.L. 
700 1 |a Courtney, K.E. 
700 1 |a Wade, N.E. 
773 0 |t Alcohol  |g vol. 128 (Nov 2025), p. 43-51 
786 0 |d ProQuest  |t Criminal Justice Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3247613786/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3247613786/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3247613786/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch