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给药相关:吗啡起效线索引发的条件性痛觉过敏。

Intraadministration associations: conditional hyperalgesia elicited by morphine onset cues.

作者信息

Sokolowska Marta, Siegel Shepard, Kim Joseph A

机构信息

Department of Psychology, McMaster University, Hamilton, Ontario, L8S 4K1, Canada.

出版信息

J Exp Psychol Anim Behav Process. 2002 Jul;28(3):309-20.

Abstract

There is evidence that exteroceptive cues associated with drug administration elicit conditional compensatory responding (e.g., hyperalgesia in organisms with a history of morphine administration). Recently it has become apparent that, within each administration, interoceptive early-drug onset cues (DOCs) may become associated with the later, larger drug effect (intraadministration associations). The present experiments evaluated DOC-elicited conditional hyperalgesia in rats intravenously infused with morphine. The results indicated that DOC-elicited hyperalgesia contributes to tolerance to the analgesic effect of morphine, and such DOC-elicited hyperalgesia is an associative phenomenon, rather than a sensitized response to the opiate. The findings suggest that associative analyses of tolerance should acknowledge the conditional responding elicited by DOCs, and extinction-based addiction treatments should incorporate extinction of DOC-elicited conditional responding.

摘要

有证据表明,与药物给药相关的外感受性线索会引发条件性代偿反应(例如,在有吗啡给药史的生物体中出现痛觉过敏)。最近已经很明显,在每次给药过程中,内感受性早期药物起效线索(DOCs)可能会与后来更大的药物效应相关联(给药内关联)。本实验评估了静脉注射吗啡的大鼠中DOCs引发的条件性痛觉过敏。结果表明,DOCs引发的痛觉过敏会导致对吗啡镇痛作用的耐受性,并且这种DOCs引发的痛觉过敏是一种关联现象,而不是对阿片类药物的敏化反应。这些发现表明,对耐受性的关联分析应该承认DOCs引发的条件性反应,并且基于消退的成瘾治疗应该纳入对DOCs引发的条件性反应的消退。

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