This table shows selected key brain regions affected by cue-induced cocaine craving in cocaine-addicted people (cocaine-use imagery compared with neutral imagery). The table follows below:

 

Brain Region

Putative Role in Behavior

Activity Changes During Cocaine Craving

 

 

Men

Women

Right nucleus accumbens

Processes anticipated and attained rewards— probably contributes to the expectation of pleasure during craving

Increased activity

Increased activity

Amygdala

Generates and regulates emotional responses; assesses the positive or negative value of experiences and forms associations between experiences and emotional consequences

Increased activity

Decreased activity

Dorsal anterior cingulate cortex

Monitors competing options, inhibits goal-inappropriate behavior, and plans movements related to obtaining rewards; activity influenced by past experiences— possibly provides cognitive control of drug-seeking behavior

Increased activity

Increased activity, greater than that of men

Ventral anterior cingulate cortex

Regulates emotional response to cocaine cues; activation may precede craving onset

Increased activity

Increased activity, less than that of men

Frontal cortex

Monitors relationship of drug cue to drug availability; provides inhibition or control over actions; activity influenced by past experiences—possibly counterregulates emotional input

Increased activity

Increased activity, greater than that of men