Moeller SJ Supplementary 1 SUPPLEMENTARY MATERIALS AND METHODS Subjects Subjects from both samples were recruited using advertisements in local newspapers, by word-of mouth, and from local treatment facilities. All were fully informed of all study procedures and risks, and provided written consent in accordance with the local Institutional Review Board. Subjects were healthy and free of medications, as ascertained during a full physical and neurological examination by a neurologist and a diagnostic interview by a clinical psychologist. This interview included the Structured Clinical Interview for DSM-IV Axis I Disorders [research version1, 2], the Addiction Severity Index3, the Cocaine Selective Severity Assessment Scale4 and the Cocaine Craving Questionnaire5. Exclusion criteria were as follows: (A) history of head trauma or loss of consciousness (> 30 min) or other neurological disease of central origin (including seizures); (B) abnormal vital signs at time of screening; (C) history of major medical conditions, encompassing cardiovascular (including high blood pressure, cardiac arrhythmias apart from sinus bradycardia, or an abnormal electrocardiography at time of screening), endocrinological (including metabolic), oncological, or autoimmune diseases; (D) history of major psychiatric disorder (other than substance abuse or dependence for the cocaine subjects and/or nicotine dependence for both groups); (E) pregnancy as confirmed with a urine test in all female subjects; (F) contraindications to the MRI environment; and (G) except for cocaine in the cocaine subjects, positive urine screens for psychoactive drugs or their metabolites (amphetamine/methamphetamine, phencyclidine, benzodiazepines, cannabis, opiates, barbiturates and inhalants). For Sample 2, history of glaucoma was added as an additional exclusionary criterion because of methylphenidate administration. Moeller SJ Supplementary 2 Sample 1 comorbidities were as follows: one subject also met criteria for current marijuana dependence, and 23 cocaine subjects were current cigarette smokers. Past comorbidities were identified in 25 cocaine subjects and included fully sustained remission for alcohol (N=18), marijuana (N=11), opioid (N=1), hallucinogen (N=1), other stimulant (N=1) or polysubstance (N=2) use disorders. Sample 2 comorbidities were as follows: one cocaine subject also met criteria for current heroin dependence, and 10 cocaine subjects were current cigarette smokers. Comorbidities in remission among the cocaine subjects included alcohol (N=8) and marijuana (N=6) use disorders. Task Training Just before the fMRI task, subjects completed extensive training to decrease performance differences between the groups. Training consisted of at least two complete task runs with different color randomizations, once outside and once inside the scanner (one Sample 1 cocaine subject did not perform the training inside the scanner). After training, all subjects had achieved accuracies of ≥ 50%. Calculation of Post-Conflict and Post-Error Slowing Post-conflict slowing was calculated as ([iC+cI] – [cC+iI], where iC=congruent trial preceded by an incongruent trial, cI=incongruent trial preceded by a congruent trial, etc.; note the iI were null events, as in our task the incongruent events did not occur back-to-back) and post-error slowing (i.e., comparing RT for trials after errors versus RT for trials after correct responses)6. Following established procedures6, for the post-conflict slowing we excluded trials with an exact stimulus repetition (in color, word, or both) across consecutive trials, which could artifactually influence post-conflict slowing scores7. For post-error slowing, we calculated three scores: (A) slowing after an error when the current trial is a congruent event, (B) slowing after an error when the Moeller SJ Supplementary 3 current trial is an incongruent event, and (C) their sum. Post-error slowing is an adaptive, corrective response that is thought to enable more controlled responding to prevent future errors8, 9 . Task-Related Ratings (Sample 1 Only) To bolster the case for fatigue, we further examined task-related ratings that were obtained while these same Sample 1 subjects performed a drug Stroop task, which has been extensively described elsewhere10-13. All subjects performed the drug Stroop task before the color word Stroop task (drug Stroop data are not presented here). In particular, we inspected self-reported ratings of ‘sleepiness’ (a proxy for fatigue) (‘‘how sleepy are you right now?’’) (response scale: not at all to very much, 0 to 10) and parallel ratings for ‘interest’ (a proxy for vigilance and attention) (‘‘how interested are you in the task right now?’’) (same response scale). To obtain a measure of how much fatigue (or interest) increased during this drug Stroop task, we subtracted sleepiness ratings collected at the beginning of the drug Stroop task from the sleepiness ratings collected at the end of this task (the latter rating collected immediately before beginning the color word Stroop task). Both ratings were obtained using custom programs written in C++ and were presented through MRI compatible goggles. Methylphenidate Procedures (Sample 2 only) During two fMRI scanning sessions on two separate study days, oral methylphenidate (20 mg) or placebo (lactose) was administered in a counterbalanced fashion across all subjects (note that there were no differences between the groups in number of days between the methylphenidate and placebo scans (cocaine: 8.82.9; control: 20.416.8; P>0.1). Oral methylphenidate or placebo was given 90 minutes prior to completion of the color word Stroop task, within the window of its peak effects (60-120 minutes)14. Measures of cardiovascular functioning (heart Moeller SJ Supplementary 4 rate, blood pressure) and self-reports of methylphenidate effects were collected throughout the study. Heart rate was monitored at baseline (pre-medication), 45 min post-medication, 120 min post-medication, and post-fMRI as part of medical clearance. Blood pressure was taken at baseline and post-fMRI (in conjunction with the first and fourth heart rate measurements). Subjects also completed the Profile of Mood States, for which they provided self-report ratings (0-10, “How do you feel right now?”) for the dimensions of “high” and “methylphenidate desire.” These self-report measures were collected pre-medication, 45 min post-medication, and 120 min post-medication. Results of these measures are reported elsewhere15, showing that this oral dose of methylphenidate does not increase craving in cocaine subjects. To comprehensively monitor the stimulant effects of methylphenidate (i.e., elevated cardiovascular reactivity, of special concern to a cocaine addicted population), study personnel were not blinded to the administered challenge during running of most subjects (N=25). Once it became clear that risks were minimal, we transitioned to double-blind MPH administration (N=4, two of whom were controls). However, even with single-blind administration, there were no differences between study days in post-fMRI guesses for the medication received (guess methylphenidate vs. placebo; χ2(1)=0.0, P>0.6), indicating that subjects were not fully aware of the exact type of medication received. Thus, we included these four subjects to maximize the number of subjects available for analysis. We also accounted for potential effects of single-blind versus double-blind medication administration as described below. Covariate Analyses SPSS analyses were used to control for variables that differed between the groups (Table 1, main text). For these covariate analyses, we inspected associations between the respective covariate and our dependent variables of interest [regions of interest (ROIs), behavioral measures]; if Moeller SJ Supplementary 5 significantly correlated across all study subjects (P<0.05), these variables were entered as covariates in the relevant SPSS ANOVA or as control variables in partial correlations as appropriate16. All continuous and normally distributed variables were inspected with parametric tests (within groups: paired t-test; between groups: independent t-tests; correlations: Pearson r). Variables that were not normally distributed were inspected with the respective non-parametric tests (Wilcoxon, Mann-Whitney U, or Spearman r). SUPPLEMENTAL RESULTS Sample 1: Additional Behavior Given our central interest in the neural response to error, in addition to the analyses described in the main text we performed a 2 (repetition) × 2 (congruency) × 2 (correctness) × 2 (group) mixed ANOVA for RT. This analysis revealed only a main effect of congruency as expected (P<0.001); no main effects or interactions were observed for correctness (i.e., RT for error trials versus RT for correct trials) (F<2.1, P>0.1). Thus, it is unlikely that the fMRI effects reported in the main text are attributable to differences in RT. Although post-error slowing previously has been linked to adaptive, top-down control8, 9, we nonetheless endeavored to link it to task performance in the current study. Because the overall number of errors was not large (see Table 1, main text) – meaning it was not feasible to analyze back-to-back errors in this sample – we tested for correlations between post-error slowing with RT and task performance across the task. In the cocaine subjects only, there was a trend for those who showed the greatest increase in task errors (fourth repetition>first repetition) to also show the greatest decrease in respective post-error slowing (r=-0.48, P<0.05). Because this effect did not meet the nominal P<0.01 significance level established for correlations in this Moeller SJ Supplementary 6 study, effects of post-error slowing in the current study should be interpreted with caution as also indicated in the main text. Sample 1: Additional SPM Across task repetitions and groups, and for both the ‘congruency’ and ‘correctness’ main effect contrasts, there were significant activations in multiple brain regions previously reported to be engaged by the color-word Stroop task6, 17 (Figure S1A-B). Such results contribute to a long- standing effort of using the color-word Stroop task to interrogate the prefrontal cortex in a range of subject populations that include healthy controls18, stimulant dependent populations19, schizophrenia patients20, and even relatives of affected probands21. Sample 1: Effects of Covariates Covarying out smoking history, which differed between the study groups (Table 1, main text), did not attenuate the post-error slowing repetition main effect or repetition × group interaction (P<0.05), the dACC repetition main effect (P<0.01), or the midbrain repetition × group interaction (P<0.01). The latter suggests that our results cannot be attributed to the desensitizing effects of cigarette smoking on midbrain dopamine neurons22. Covarying out age, which also differed between the groups (Table 1), did not attenuate the post-error slowing main effect of repetition (P<0.05) or the midbrain repetition × group interaction (P<0.001); however, covarying out age did attenuate the post-error slowing repetition × group interaction (P>0.07). Other effects did not require covariate analyses, as they were not associated with cigarette smoking or age16. In addition, note that the midbrain repetition × group interaction remained significant when dividing the cocaine subjects into those testing positive or negative for cocaine in urine23, 24, or when dividing the cocaine subjects into those with or without current cocaine dependence (with the latter encompassing cocaine abuse, remission, and polysubstance abuse; see above). Moeller SJ Supplementary 7 Sample 1: Effects of Second and Third Repetitions Here we reanalyzed our main results from the main text (increased errors, decreased post-error slowing, decreased dACC activity to error, repetition × group interaction in the midbrain) while also including the second and third task repetitions, therefore testing for graded effects as a function of time-on-task. Errors For task errors, we expected significant repetition-related increases (Repetition 1 < Repetition 2 < Repetition 3 < Repetition 4) across all subjects. Consistent with hypotheses, the linear contrast was significant across the congruent and incongruent trials, and across all subjects, indicating that subjects committed progressively more errors throughout the task [F(1,51)=20.0, P<0.001]. There was also a congruency × repetition linear contrast interaction [F(1,51)=22.0, P<0.001], such that this linear increase in errors was significant only during the congruent trials [F(1,51)=21.8, P<0.001] (Figure S2A). In addition to supporting the effects above, this finding again speaks against alternative explanations of our results (e.g., practice effects). Post-Error Slowing For post-error slowing, we expected a repetition × group interaction, such that repetition-related decreases (Repetition 1 > Repetition 2 > Repetition 3 > Repetition 4) would be more pronounced in the healthy control subjects. Consistent with hypotheses, the linear contrast was significant for the repetition × group interaction [F(1,41)=7.9, P<0.01]. In particular, the descending linear contrast was significant only in controls [F(1,17)=16.9, P<0.01] (Figure S2B), indicating that only this group progressively decreased their post-error slowing throughout the task (although inspection of the means indicates a possible floor effect in the cocaine subjects). SPM Moeller SJ Supplementary 8 To examine all four repetitions in the dACC/supplementary motor area and midbrain, we estimated a 4 (repetition: first, second, third, fourth) × 2 (group: control, cocaine) mixed ANOVA in SPM. Analyzing all repetitions resulted in 27/33 cocaine subjects and 14/20 controls included in this model. We then extracted the error-induced BOLD signal in the same peak coordinates in the dACC/supplementary motor area and midbrain that were found for the main analyses (i.e., those that emerged when analyzing the first and last task repetitions; see Table 2, main text, for peak coordinates) for subsequent analysis in SPSS. dACC. For the dACC, we expected significant repetition-related activation decreases (Repetition 1 > Repetition 2 > Repetition 3 > Repetition 4) across all subjects. Consistent with hypotheses, the descending linear contrast was significant across all subjects for all three dACC/supplementary motor area peak coordinates [Fs(1,39)>8.4, P<0.01] (Figure S2C). These results indicate that activity in the dACC (and supplementary motor area) progressively decreased with repetition throughout the task in all subjects, further buttressing the idea of mental fatigue (which occurred in a graded fashion as a function of time-on-task). Midbrain. For the midbrain, we expected a repetition × group interaction, such that repetitionrelated activation decreases would emerge in the cocaine subjects, while repetition-related activation increases (Repetition 1 < Repetition 2 < Repetition 3 < Repetition 4) would emerge in controls. Indeed, the repetition × group linear contrast interaction in the midbrain was significant [F(1,39)=9.4, P<0.01], such that the cocaine subjects progressively decreased response in this region with repetition as hypothesized [F(1,26)=16.3, P<0.001] (Figure S2D). Although the healthy controls did not progressively increase response in this region with repetition [F(1,13)=0.8, P>0.3), the significant omnibus interaction directly supports the findings for the first and last task repetition. Moeller SJ Supplementary 9 Sample 2: Behavior Because methylphenidate previously has been shown to facilitate task performance in cocaine addicted individuals15, 25 and even in healthy controls15, here we tested its impact on performance of the color word Stroop task. We were specifically interested in testing for methylphenidate modulation of task repetition effects [note that main effects of methylphenidate (i.e., collapsed across all task conditions and repetitions) will be reported separately]. Behavioral data (errors, RT, and post-error slowing on congruent trials) were (separately) analyzed with 2 (medication: methylphenidate, placebo) 2 (repetition: first, third) 2 (congruency: congruent, incongruent) × 2 (group: cocaine, control) ANOVAs. In support of the main effect of repetition on post-error slowing above, there was a similar trend in this smaller sample (first>third: F1,17=3.6, P<0.08). In contrast, errors showed a unique pattern, such that the four-way interaction was significant (F1,23=4.3, P<0.05): only during the more prevalent congruent trials, placebo was associated with the expected decline in task performance (more errors) with repetition in controls but not in cocaine subjects; moreover, the opposite pattern of results for both groups emerged during methylphenidate. However, because this four-way interaction did not survive correction for covariates (see below), and did not approach significance when including all three repetitions (P>0.2), it requires replication in future studies with larger samples and is not further interpreted. There were main effects of congruency for the absolute number of errors (congruent trials>incongruent trials, P<0.001, again likely due to the higher number of congruent trials) and RT (incongruent trials>congruent trials, P<0.001), both consistent with the effects in Sample 1. There were no additional effects for RT (P>0.05). Sample 2: Additional SPM Moeller SJ Supplementary 10 Across task repetitions, medications, and groups, similar activation patterns to Sample 1 were observed in Sample 2 during both conflict and error trials (Figure S1C-D). Consistent with the results from Sample 1, there were no significant activations for the ‘correctness × congruency’ interaction contrast. Inspection of the Locus Coeruleus Because methylphenidate also acts on noradrenergic systems, and because our midbrain peak coordinate was located near the locus coeruleus, here we tested whether an ROI analysis of this region would reveal a significant way repetition × medication × group interaction. We created a bilateral 10 mm spherical mask around the locus coeruleus, taken from peak coordinates from a previous study26. SPM analysis was conducted using the same models as described in the main text. Similarly to our other ROI analysis with the midbrain (main text), SPM analyses were conducted using a search threshold of P<0.05 voxel-level corrected (extent of 15 voxels). The three-way interaction was not significant, speaking against a primary role of norepinephrine in the current findings (note that nonsignificant effects of this same locus coeruleus mask were likewise observed for the repetition × group interaction in Study 1). Sample 2: Effects of Covariates Covarying out age, depression, or smoking history, all of which differed between the study groups (Table 1, main text), did not attenuate the three-way repetition × medication × group interaction in the midbrain (P<0.05). Similarly, including double-blind versus single blind medication administration as a dummy covariate did not attenuate the three-way interaction in the midbrain (P<0.001). The latter result justifies inclusion of all 29 subjects. The four-way medication repetition congruency × group behavioral interaction for errors did not survive correction for age (P>0.1). Moeller SJ Supplementary 11 Sample 2: Effects of Third Task Repetition We tested the repetition × medication × group interaction in the midbrain while also including the second task repetition. We included subjects who had usable scans from 5/6 task conditions (2 medications × 3 repetitions), resulting in 13/14 cocaine subjects and 11/15 controls in the analysis. A 3 (repetition: first, second, third) × 2 (medication: methylphenidate, placebo) × 2 (group: control, cocaine) mixed ANOVA in SPM was estimated for this purpose. We predicted a three-way interaction. The same pattern of linear contrasts was expected for placebo as described above for Sample 1: repetition-related activation decreases in the cocaine subjects (Repetition 1 > Repetition 2 > Repetition 3), but repetition-related activation increases in controls (Repetition 1 < Repetition 2 < Repetition 3 < Repetition 4). The opposite pattern of linear contrasts was expected during methylphenidate. We again extracted the error-induced BOLD signal in the same midbrain peak coordinates that were found for the main analyses for subsequent analysis in SPSS. Results supported our hypotheses, revealing a significant three-way linear contrast interaction [F(1,11)=16.2, P<0.01]. During placebo, linear contrasts did not reach significance in either study group (P>0.1), although both study groups showed patterns of results in the hypothesized directions (Figure S3B). Importantly, during methylphenidate, the cocaine subjects showed progressively increased midbrain activity with repetition [F(1,10)=10.5, P<0.01], whereas the controls showed progressively decreased midbrain activity with repetition [F(1,5)=9.3, P<0.05] (Figure S3A). Moeller SJ Supplementary 12 Supplementary References 1. First MB, Spitzer RL, Gibbon M, Williams J. Williams J. Structured Clinical Interview for DSM-IV Axis I disorders - Patient Edition (SCID-I/P, Version 2.0). Biometrics Research Department, New York State Psychiatric Institute: New York, 1996. 2. Ventura J, Liberman RP, Green MF, Shaner A, Mintz J. Training and quality assurance with the Structured Clinical Interview for DSM-IV (SCID-I/P). Psychiatry Res 1998; 79(2): 163-173. 3. McLellan AT, Kushner H, Metzger D, Peters R, Smith I, Grissom G et al. The Fifth Edition of the Addiction Severity Index. J Subst Abuse Treat 1992; 9(3): 199-213. 4. Kampman KM, Volpicelli JR, McGinnis DE, Alterman AI, Weinrieb RM, D'Angelo L et al. Reliability and validity of the Cocaine Selective Severity Assessment. Addict Behav 1998; 23(4): 449-461. 5. Tiffany ST, Singleton E, Haertzen CA, Henningfield JE. The development of a cocaine craving questionnaire. Drug Alcohol Depend 1993; 34(1): 19-28. 6. Kerns JG, Cohen JD, MacDonald AW, 3rd, Johnson MK, Stenger VA, Aizenstein H et al. Decreased conflict- and error-related activity in the anterior cingulate cortex in subjects with schizophrenia. Am J Psychiatry 2005; 162(10): 1833-1839. 7. Mayr U, Awh E, Laurey P. Conflict adaptation effects in the absence of executive control. Nat Neurosci 2003; 6(5): 450-452. 8. Ridderinkhof KR, van den Wildenberg WPM, Wijnen J, Burle B. Response inhibition in conflict tasks is revealed in delta plots. In: Posner MI (ed). Cognitive neuroscience of attention. Guilford: New York, 2004. 9. Danielmeier C, Eichele T, Forstmann BU, Tittgemeyer M, Ullsperger M. Posterior Medial Frontal Cortex Activity Predicts Post-Error Adaptations in Task-Related Visual and Motor Areas. J Neurosci 2011; 31(5): 1780-1789. 10. Goldstein RZ, Tomasi D, Rajaram S, Cottone LA, Zhang L, Maloney T et al. Role of the anterior cingulate and medial orbitofrontal cortex in processing drug cues in cocaine addiction. Neuroscience 2007; 144(4): 1153-1159. 11. Goldstein RZ, Alia-Klein N, Tomasi D, Honorio Carrillo J, Maloney T, Woicik PA et al. Anterior cingulate cortex hypoactivations to an emotionally salient task in cocaine addiction. Proc Natl Acad Sci USA 2009; 106(23): 9453-9458. 12. Moeller SJ, Tomasi D, Woicik PA, Maloney T, Alia-Klein N, Honorio J et al. Enhanced midbrain response at 6-month follow-up in cocaine addiction, association with reduced drug-related choice. Addict Biol 2012. Moeller SJ Supplementary 13 13. Konova AB, Moeller SJ, Tomasi D, Parvaz MA, Alia-Klein N, Volkow ND et al. Structural and behavioral correlates of abnormal encoding of money value in the sensorimotor striatum in cocaine addiction. Eur J Neurosci in press. 14. Volkow ND, Wang GJ, Fowler JS, Gatley SJ, Logan J, Ding YS et al. Dopamine transporter occupancies in the human brain induced by therapeutic doses of oral methylphenidate. Am J Psychiatry 1998; 155(10): 1325-1331. 15. Goldstein RZ, Woicik PA, Maloney T, Tomasi D, Alia-Klein N, Shan J et al. Oral methylphenidate normalizes cingulate activity in cocaine addiction during a salient cognitive task. Proc Natl Acad Sci U S A 2010; 107(38): 16667-16672. 16. Stevens J. Applied multivariate statistics for the social sciences. 2nd ed. Lawrence Erlbaum Associates: New Jersey, 1992. 17. Leung HC, Skudlarski P, Gatenby JC, Peterson BS, Gore JC. An event-related functional MRI study of the stroop color word interference task. Cereb Cortex 2000; 10(6): 552560. 18. Kerns JG, Cohen JD, MacDonald AW, 3rd, Cho RY, Stenger VA, Carter CS. Anterior cingulate conflict monitoring and adjustments in control. Science 2004; 303(5660): 10231026. 19. Salo R, Ursu S, Buonocore MH, Leamon MH, Carter C. Impaired prefrontal cortical function and disrupted adaptive cognitive control in methamphetamine abusers: a functional magnetic resonance imaging study. Biol Psychiatry 2009; 65(8): 706-709. 20. Minzenberg MJ, Laird AR, Thelen S, Carter CS, Glahn DC. Meta-analysis of 41 functional neuroimaging studies of executive function in schizophrenia. Arch Gen Psychiatry 2009; 66(8): 811-822. 21. Becker TM, Kerns JG, Macdonald AW, 3rd, Carter CS. Prefrontal dysfunction in firstdegree relatives of schizophrenia patients during a Stroop task. Neuropsychopharmacology 2008; 33(11): 2619-2625. 22. Pidoplichko VI, DeBiasi M, Williams JT, Dani JA. Nicotine activates and desensitizes midbrain dopamine neurons. Nature 1997; 390(6658): 401-404. 23. Woicik PA, Moeller SJ, Alia-Klein N, Maloney T, Lukasik TM, Yeliosof O et al. The neuropsychology of cocaine addiction: Recent cocaine use masks impairment. Neuropsychopharmacology 2009; 34(5): 1112-1122. 24. Moeller SJ, Maloney T, Parvaz MA, Alia-Klein N, Woicik PA, Telang F et al. Impaired insight in cocaine addiction: Laboratory evidence and effects on cocaine-seeking behavior. Brain 2010; 133: 1484-1493. Moeller SJ Supplementary 14 25. Li CS, Morgan PT, Matuskey D, Abdelghany O, Luo X, Chang JL et al. Biological markers of the effects of intravenous methylphenidate on improving inhibitory control in cocaine-dependent patients. Proc Natl Acad Sci U S A 2010; 107(32): 14455-14459. 26. Minzenberg MJ, Watrous AJ, Yoon JH, Ursu S, Carter CS. Modafinil shifts human locus coeruleus to low-tonic, high-phasic activity during functional MRI. Science 2008; 322(5908): 1700-1702. Moeller SJ Supplementary 15 Supplementary Figure Legends Figure S1. Task activations across all subjects and conditions, split by Sample (A-B: Sample 1; C-D: Sample 2) and task events (conflict: A, C; error: B, D). Activations are thresholded at whole-brain PFWE<0.05 (family-wise error correction, 15 contiguous voxels). Note that no task activations were significant at this corrected threshold for the correctness × congruency interaction, for either Sample 1 or Sample 2. Figure S2. Sample 1 effects when including all four task repetitions. During the event-related color-word Stroop task, there were (A) progressively more congruent errors in all subjects and (B) progressively less post-error slowing (when the current trial was a congruent event) in controls. (C) There was also progressively less % BOLD signal change to error (compared with all correct trials) in the dorsal anterior cingulate cortex (dACC) in all subjects. (D) Finally, there was progressively less % BOLD signal change to error (compared with all correct trials) in the midbrain in the cocaine subjects, but not in controls. Asterisks denote repetition linear contrasts that are significant in only one study group (P<0.05). Figure S3. Sample 2 three-way medication × repetition × group interaction in the midbrain when including all three task repetitions. (A) During methylphenidate, there was progressively more midbrain response to error in the cocaine subjects, but progressively less in the control subjects. (B) An opposite (but nonsignificant) pattern of results was observed during placebo. Asterisks denote significant repetition linear contrasts (P<0.05). Moeller SJ Supplementary 16 Table S1. Performance on the color-word Stroop fMRI task across all Sample 1 study subjects (33 cocaine subjects, 20 healthy controls). First task repetition Percent Accuracy Congruent Incongruent (Incongruent – congruent) # Errors2 Congruent Incongruent (Incongruent – congruent) Reaction time, all trials (msec) Congruent Incongruent (Incongruent – congruent) Reaction time, correct trials only (msec) Congruent Incongruent (Incongruent – congruent) Post-conflict slowing Post-error slowing: congruent trials1 Last task repetition Percent Accuracy Congruent Incongruent (Incongruent – congruent) # Errors Congruent Incongruent (Incongruent – congruent) Reaction time, all trials (msec) Congruent Incongruent (Incongruent – congruent) Reaction time, correct trials only (msec) Congruent Incongruent (Incongruent – congruent) Post-conflict slowing Post-error slowing: congruent trials1 t Cocaine N=33 Control N = 20 0.3 1.3 1.6 .94 .01 .59 .05 -.35 .04 .93 .02 .69 .05 -.24 .04 0.3 1.3 0.7 11.8 2.1 4.9 0.6 -6.9 1.8 12.9 3.2 3.7 0.6 -9.2 3.0 0.3 1.1 1.1 685.5 10.9 902.7 15.6 217.2 15.0 681.1 12.6 874.5 19.7 193.4 22.3 0.1 0.7 0.6 1.3 2.3* 686.1 11.0 904.1 19.4 218.1 16.1 932.5 21.8 41.9 15.2 683.5 13.6 885.0 20.1 201.5 21.3 885. 4 27.4 91.7 11.8 0.1 1.5 1.8 .89 .02 .58 .04 -.31 .04 .89 .02 .68 .05 -.21 .04 0.1 1.5 0.3 19.9 3.1 5.0 0.5 -14.9 2.9 20.3 4.5 3.9 0.6 -16.4 4.1 0.5 2.4* 2.2* 692.6 10.0 912.7 16.0 220.2 14.7 685.1 13.1 848.2 22.8 163.1 22.8 0.2 1.5 1.5 1.4 0.5 693.7 10.3 918.0 16.9 224.3 16.5 946.9 19.8 26.3 17.5 687.1 13.6 869.2 23.3 182.1 22.1 896.1 31.3 14.7 12.5 Note. Values are means standard error of the mean (SEM). *P<0.05; 1Data missing for one control, and three cocaine subjects; 2For errors, a seemingly unexpected main effect of congruency [congruent errors>incongruent errors: F(1,51)=37.8, P<0.001] is explained by the higher number of congruent trials than incongruent trials, thus providing more opportunities for errors to be committed during the former; indeed, a subsequent analysis of percent accuracy revealed the reliable Stroop interference effect [congruent percent accuracy>incongruent percent accuracy: F(1,51)=109.0, P<0.001], but there were no repetition effects. SPM mip [0, 18, 4 SPM mip [6, 15, 48 20 < SPM{T51} 20 SPM{T } 40 40 51 Moeller SJ Supplementary 17 < 60 60 80 Fig S1. SPMresults: .\ANOVA33SDI&20C_BI_BC Height threshold T = 5.10 Extent threshold k = 5 voxels Height threshold T = 5.10 Extent threshold k = 5 voxels 100 10 A. 20 30 40 Design matrix 100 10 50 activ < < contrast(s) < contrast(s) SPM mip [6, 21, 42] SPM mip [6, 18, 51] 2 6 15 10 20 < SPM{T69} 20 30 40 Design matrix B. activ < 80 SPMresults: .\ANOVA33SDI&20C_WB_CB 10 20 5 40 SPM{T69} < 0 60 0 Height threshold T = 4.93 Extent threshold k = 5 voxels 10 15 20 30 Design matrix 100 10 D. 12 10 10 8 6 5 4 2 0 60 SPMresults: .\ColorWord_Motivation_MPH_14CUD&15Control_3cond_WB_CB 100 C. 40 80 80 SPMresults: .\ColorWord_Motivation_MPH_14CUD&15Control_3cond_BI_BC Height threshold T = 4.93 Extent threshold k = 5 voxels 5 0 20 30 Design matrix 50 Moeller SJ Supplementary 18 Fig S2. B. 30 25 120 Linear (All Subjects): P<0.001 Post-Error Slowing (msec) (Congruent) Total Errors (Congruent) A. 20 15 10 5 0 80 60 40 20 0 -20 Cocaine Cocaine Linear (Interaction): P<0.01 Control Cocaine Cocaine Control Repetition 1 Repetition 3 Repetition 2 Repetition 4 Control Control D. 1 0.5 0 Linear (All Subjects): P<0.01 -0.5 Cocaine Cocaine Control Control % BOLD Signal Change: Midbrain: x=6, y=-18, z=-9 C. % BOLD Signal Change: dACC: x=6, y=12, z=45 * 100 1 * 0.5 0 Linear (Interaction): P<0.01 -0.5 Cocaine Cocaine Control Control Moeller SJ Supplementary 19 Fig S3. A. B. Placebo 1.5 1 * * 0.5 Repetition 1 0 Repetition 2 -0.5 Repetition 3 -1 % BOLD Signal Change: Midbrain: x=-3, y=-18, z=-15 % BOLD Signal Change: Midbrain: x=-3, y=-18, z=-15 Methylphenidate 1.5 1 0.5 0 -0.5 -1 -1.5 -1.5 Cocaine Cocaine Control Control Cocaine Cocaine Control Control