Gender Variations in Reward System Activation Associated with Substance Use Issues in High-Risk Adolescents - Report - MDSpire

Gender Variations in Reward System Activation Associated with Substance Use Issues in High-Risk Adolescents

  • By

  • Olivia K. Murray

  • Paola P. Mattey-Mora

  • Joseph Aloi

  • Sydney Lovins

  • Michael P. Smoker

  • Leslie A. Hulvershorn

  • December 4, 2025

  • 0 min

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Clinical Report: Gender Variations in Reward System Activation in Adolescents

Overview

This study investigates sex differences in brain activation related to risky decision-making and substance use disorders in adolescents with externalizing disorders. Findings indicate that specific brain regions, particularly the nucleus accumbens and subgenual anterior cingulate cortex, show varying activation patterns between males and females, influencing the risk of problematic substance use.

Background

Adolescents with externalizing disorders, such as ADHD and conduct disorder, are at a heightened risk for substance use disorders due to impulsivity and risky decision-making. Understanding the neurobiological underpinnings of these behaviors, particularly how they differ by sex, is crucial for developing targeted interventions. This study sheds light on the neural mechanisms that may protect against substance use, emphasizing the need for sex-specific approaches in prevention and treatment.

Data Highlights

{'additional_male_data': 'Include activation data for males in the right subgenual anterior cingulate cortex.'}

Key Findings

{'add_male_activation': 'Include a point about male activation patterns in the right subgenual anterior cingulate cortex.'}

Clinical Implications

{'expand_interventions': 'Provide examples of tailored interventions for females based on the findings.'}

Conclusion

{'reiterate_research': 'Emphasize the need for further research on sex differences in substance use risk.'}

References

  1. Hirschbichler et al., Brain, 2023 -- Stimulation of the human ventral tegmental area enhances strategic wagering
  2. BMC Psychiatry, 2023 -- Unconventional Impact of Reward-Based Choices on Immediate Mood in Patients with Methamphetamine Use Disorder
  3. BMC Psychiatry, 2023 -- The Influence of Childhood Abuse on Early Substance Use: Gender Variations in the Effects of Different Maltreatment Types and Associated Psychiatric Disorders
  4. Brain, 2023 -- Modulations in Local Field Potentials of Reward Circuits Anticipate Risk-Taking Behavior
  5. Clinical Practice Guideline, ScienceDirect -- Assessment and Treatment of Adolescents and Young Adults With Substance Use Disorders and Problematic Substance Use
  6. BMJ, 2024 -- ADHD drug treatment and risk of suicidal behaviours, substance misuse, accidental injuries, transport accidents, and criminality: emulation of target trials
  7. Brain — Risk, reward or repetition? New data on human ventral tegmental area stimulation challenge dominant frameworks
  8. Clinical Practice Guideline: Assessment and Treatment of Adolescents and Young Adults With Substance Use Disorders and Problematic Substance Use (Excluding Tobacco) - ScienceDirect
  9. ADHD drug treatment and risk of suicidal behaviours, substance misuse, accidental injuries, transport accidents, and criminality: emulation of target trials | The BMJ

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