Weng, Yihe and Boyle, Rory and Lee, Chi Tak and Quinn, Declan and Earley, Clodagh and Splittgerber, Maike and Zhang, Lili and Franzen, Luisa and Banaschewski, Tobias and Bokde, Arun L W and Desrivières, Sylvane and Flor, Herta and Grigis, Antoine and Garavan, Hugh and Gowland, Penny and Heinz, Andreas and Brühl, Rüdiger and Martinot, Jean-Luc and Martinot, Marie-Laure Paillère and Artiges, Eric and McGrath, Jane and Nees, Frauke and Papadopoulos Orfanos, Dimitri and Poustka, Luise and Holz, Nathalie and Hohmann, Sarah and Smolka, Michael N and Vaidya, Nilakshi and Schumann, Gunter and Walter, Henrik and Weigard, Alexander and Whelan, Robert (2026) Model-based analysis of stop-signal data reveals robust neural and clinical correlates of evidence accumulation but not inhibition. Neuropsychopharmacology, Early online, https://doi.org/10.1038/s41386-026-02401-6.
External website: https://www.nature.com/articles/s41386-026-02401-6
Poor inhibitory control and decision-making are often considered as risks for substance use and other adverse psychiatric outcomes. The Stop-Signal Task (SST) is a widely used protocol, from which inhibitory control is indexed by stop signal reaction time (SSRT). However, heretofore models of SSRT may be too simplistic to capture complex processes underlying task performance. In contrast, the Racing Diffusion Ex-Gaussian ABCD (RDEX-ABCD) model provides a more mechanistic framework, capturing both inhibitory control and task-general decision-making processes during the SST. Here, we applied the RDEX-ABCD model to SST data from the IMAGEN cohort (n > 1000) at ages 19 and 23, and examined model parameters in relation to substance use via Elastic Net regression. Connectome-based predictive modeling was then performed to identify brain networks predicting parameters, and the association between these networks and substance use was examined. We found that parameters indexing inhibitory control had no associations with substance use and were only weakly associated with brain connectivity. In contrast, parameters reflecting general decision-making processes - such as efficiency of evidence accumulation, decision threshold (response caution), probability of go failure - and their associated brain activity were significant predictors of cannabis and cigarette use. These findings suggested that efficiency of evidence accumulation, a neurocognitive mechanism that facilitates adaptive decision making across many contexts, emerged as a robust predictor of substance use vulnerability. Overall, general decision-making mechanisms may act as more reliable indicators of vulnerability to substance use than the conventional inhibitory control measures.
E Concepts in biomedical areas > Nervous system physiology (brain, neural)
F Concepts in psychology > Behaviour > Choice-making / reward behaviour
F Concepts in psychology > Behaviour > Risk-taking behaviour (delay discounting)
G Health and disease > Substance use disorder (addiction)
VA Geographic area > International
VA Geographic area > Europe > Ireland
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