Vanderschuren Louk J M J, Everitt Barry J
Department of Experimental Psychology, University of Cambridge, Cambridge CB2 3EB, UK.
Science. 2004 Aug 13;305(5686):1017-9. doi: 10.1126/science.1098975.
Compulsive drug use in the face of adverse consequences is a hallmark feature of addiction, yet there is little preclinical evidence demonstrating the actual progression from casual to compulsive drug use. Presentation of an aversive conditioned stimulus suppressed drug seeking in rats with limited cocaine self-administration experience, but no longer did so after an extended cocaine-taking history. In contrast, after equivalent extended sucrose experience, sucrose seeking was still suppressed by an aversive conditioned stimulus. Persistent cocaine seeking in the presence of signals of environmental adversity after a prolonged cocaine-taking history was not due to impaired fear conditioning, nor to an increase in the incentive value of cocaine, and may reflect the establishment of compulsive behavior.
尽管面临不良后果仍强迫性使用药物是成瘾的一个标志性特征,但几乎没有临床前证据表明从偶尔使用药物到强迫性使用药物的实际进展情况。呈现厌恶条件刺激会抑制可卡因自我给药经验有限的大鼠的觅药行为,但在有长期可卡因使用史后则不再如此。相比之下,在有同等时长的蔗糖使用经验后,蔗糖觅求行为仍会被厌恶条件刺激所抑制。在有长期可卡因使用史后,在存在环境逆境信号的情况下持续的可卡因觅求行为并非由于恐惧条件反射受损,也不是由于可卡因的激励价值增加,可能反映了强迫行为的形成。