Abstract
Substance use disorder (SUD) is characterized by continued drug use despite adverse consequences. Methcathinone is a new type of psychoactive substance that is associated with high excitement and impulsive behaviors. However, it is unclear if individuals with methcathinone use disorders (MCUD) are with impaired decision-making ability. We analyzed the task performance in 45 male MCUD subjects and 35 male matched healthy controls (HC) with intertemporal decision-making task. Constant sensitivity discounting model was used to estimate potential changes in both discounting rate and time sensitivity. The results showed that MCUD individuals exhibited a higher delay discounting rate (p = 0.003, Cohen’s d = 0.683) and reduced sensitivity to time (p < 0.001, Cohen’s d = 1.662). The delay discounting rate was correlated to the first age for drug use (r = − 0.41, p = 0.004), and the time sensitivity was negatively correlated with the duration of abstinence (r = − 0.31, p = 0.036). We conclude that MCUD individuals are with impaired decision-making ability and time perception disturbances.
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Acknowledgements
The authors thank Professor Trevor Robbins for his critical comments on this study.
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The work was also supported by the Guangdong grant ‘Key technologies for the treatment of brain disorders’ (No. 2018B030331001), Hundred-Talent Fund from Shanghai Municipal Commission of Health (2018BR21), Medicine and Engineering Interdisciplinary Research Fund of Shanghai Jiao Tong University (ZH2018ZDA30), and innovative research team of high-level local universities in Shanghai.
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T-FY designed the study and provided the funding support; Z-YL, L-LR, and BY provided the experiment program and the statistical analysis strategy; TS, HZ, and L-XW collected the data; NZ and HZ searched the literature, analyzed the data, and wrote the manuscript; BS and YL provided analysis suggestion and revised the manuscript. All authors contributed to and have approved the final manuscript.
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Zeng, N., Zheng, H., Shi, T. et al. Impaired delay discounting and time sensitivity in methcathinone use disorder. Eur Arch Psychiatry Clin Neurosci 272, 1595–1602 (2022). https://doi.org/10.1007/s00406-021-01372-7
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DOI: https://doi.org/10.1007/s00406-021-01372-7