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Study Reveals Brain Differences in Teens Who Use Substances Early

The study, published in JAMA Network Open, analyzed data from nearly 10,000 adolescents.

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A recent study suggests that structural differences in the brain may play a role in the early initiation of substance use among adolescents. Researchers found significant variations in the brain structures of teens who began using substances before the age of 15. These differences were noted even before the teens had any substance use experience, highlighting a potential risk factor for future substance abuse.

Brain Structure Linked to Early Substance Use

The study, published in JAMA Network Open, analyzed data from nearly 10,000 adolescents. Researchers from Washington University in St. Louis examined MRI scans of children aged 9 to 11, collected as part of the Adolescent Brain Cognitive Development (ABCD) study. Over the following three years, the researchers tracked substance use, focusing on alcohol, nicotine, and cannabis, the most common substances used in early adolescence.

The study found that adolescents who reported using substances before age 15 had distinct brain differences compared to those who did not. Specifically, the differences were seen in the brain’s cortex, which is responsible for higher-level functions like decision-making and memory. These structural variations included increased total brain volume and subcortical volume in teens who used substances early.

Potential Risk Factor for Substance Abuse

The research team highlighted that these brain differences may not be entirely caused by substance use itself. Instead, they could indicate an existing vulnerability to substance abuse, influenced by genetic, environmental, and other neurological factors. Dr. Nora Volkow, director of the National Institute on Drug Abuse, noted that understanding the relationship between brain structure and substance use is crucial for developing effective prevention strategies.

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In addition to overall brain volume, the study identified 39 regional brain structure differences, particularly in cortical thickness. These findings suggest that structural brain differences could be a risk factor for the initiation of substance use. However, the team emphasized that brain structure alone cannot predict substance use, and more research is needed to understand the full scope of these relationships.

Further Research Needed to Explore Causality

Dr. Alex Miller, the study’s lead author, emphasized the need for continued research to determine how these initial brain structure differences might change over time. The team’s secondary analysis showed that the brain differences were present even in participants who had not used substances at the time of their initial MRI scans. This challenges the idea that such differences are solely a result of substance exposure.

The study team believes that future research will be key in understanding how early brain structure differences interact with substance use and the development of substance use disorders. They hope that their findings, combined with genetic and environmental data, will lead to more accurate models of addiction and improved prevention strategies.

This groundbreaking research underscores the importance of understanding adolescent brain development and its potential link to early substance use. However, the team stresses that these findings should not be used as diagnostic tools, and more work is needed before they can inform clinical prevention strategies.

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