Aims: Youth with a family history of substance use disorders (SUD) oftenhave particular emotional andbehavioral traits that are early predictors of later problem substance use. There is substantial evidence for a gender difference in risk trajectories such that females tend toward negative affectivity and males tend toward impulsivity. Gender differences in substance use are also evident during adolescence, concurrent with the appearance of genderbased developmental differences in the brain, indicating theremay also be gender-specific neural predictors in those at-risk for developing SUD. Methods: Longitudinal fMRI was conducted in males (n=18) and females (n=18) with a family history of SUD starting at ages 8–13 yrs. Participants performed an emotional arousal word task during fMRI at 1to 2-yr intervals (3–4 scans/participant), covering the age range of 8–17.5 yrs. Emotional words were positive, negative, or neutral, and participants were required to press a button indicating they understood the word when it appeared on the screen. A voxel-by-voxel analysis was conducted in SPM8 using a multiple regression model, designed to represent mixed linear effects and identify age-related changes between groups. Results: For performance measures, females demonstrated a significant reduction in reaction time to negative, positive, and neutral words across age, while males showed no change. Significant age-related differences were found between groups in the right premotor cortex (BA6) and right amygdala for the negative vs. neutral contrast, where males showed a significant decrease in activation with age (premotor: p= .006; amygdala: p= .001) and females non-significantly increased in activation (premotor: p= .111; amygdala: p= .351). Conclusions: These results reveal developmental differences in brain functional responses in emotional arousal between males and females at-risk for SUD. These differencesmay underlie gender differences in behavioral risk trajectories for SUD. Financial support:R01DA027261, R01AA12217, R01AA07065, T32 DA007267-19, and T32 DA7268-22.
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