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奖励比较:成瘾的致命弱点与希望

Reward Comparison: The Achilles' heel and hope for addiction.

作者信息

Grigson Patricia Sue

出版信息

Drug Discov Today Dis Models. 2008 Winter;5(4):227-233. doi: 10.1016/j.ddmod.2009.03.005.

Abstract

In the words of the late Charles Flaherty, reward comparison is commonplace. Rats and man, it appears, compare all rewards and this capacity likely contributes to our ability to select the most appropriate reward/behavior (food, water, salt, sex), at the most ideal level (e.g., a certain sweetness), at any given time. A second advantage of our predisposition for reward comparison is that the availability of rich alternative rewards can protect against our becoming addicted to any single reward/behavior. Thus, the potential protective effects of natural rewards/enrichment are addressed. Despite this, behavior can become inflexible when, through the development of addiction, stress, drug, or cues elicit craving, withdrawal, and ultimately, drug-seeking. Drug-seeking corresponds with a 'window of inopportunity', when even potent natural rewards have little or no impact on behavior. During this time, there is a unitary solution to the need state, and that solution is drug. The present animal model explores this 'window of inopportunity' when natural rewards are devalued and drug-seeking is engaged and considers a mode of possible intervention.

摘要

用已故的查尔斯·弗莱厄蒂的话来说,奖励比较是很常见的。老鼠和人类似乎都会比较所有的奖励,这种能力可能有助于我们在任何给定时间,在最理想的水平(例如,一定的甜度)上选择最合适的奖励/行为(食物、水、盐、性)。我们倾向于奖励比较的第二个好处是,丰富的替代奖励的可用性可以防止我们对任何单一奖励/行为上瘾。因此,自然奖励/丰富环境的潜在保护作用得到了探讨。尽管如此,当通过成瘾、压力、药物或线索引发渴望、戒断并最终导致觅药行为时,行为可能会变得僵化。觅药行为与一个“机会缺失窗口”相对应,在这个时候,即使是强效的自然奖励对行为也几乎没有影响。在这段时间里,对需求状态有一个统一的解决方案,而这个解决方案就是药物。目前的动物模型探索了这个“机会缺失窗口”,此时自然奖励被贬低,觅药行为被引发,并考虑了一种可能的干预模式。

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