Koek Wouter
Department of Psychiatry, University of Texas Health Science Center, San Antonio, Texas 78229-3900, USA.
Behav Pharmacol. 2011 Sep;22(5-6):430-40. doi: 10.1097/FBP.0b013e328348ed3b.
Drug discrimination and drug state dependence are often thought to be based on the same drug actions, and to differ only in the doses needed to produce them, with discrimination occurring at low doses and state dependence at high doses. Testing this hypothesis has been hampered by the use of discrimination and state dependence procedures that differed in many respects. In 1986, Colpaert introduced a procedure to study state dependence in rats that used the same response, the same reinforcer, and the same reinforcement schedule that are commonly used in drug discrimination. Using this procedure, differences between drug state dependence and drug discrimination were found with some drugs (e.g. alcohol), consistent with the hypothesis that the procedures differ in the drug properties they measure, but not with other drugs (e.g. chlordiazepoxide). Thus, state dependence and drug discrimination can generate different outcomes, but the conditions in which they do require further study. However, all the studies conducted with the procedure introduced by Colpaert clearly show that state dependence is not necessarily only a high-dose phenomenon, but can also occur at doses at which many central nervous system drugs produce their characteristic effects. This finding led to the hypothesis that state dependence may be involved in the therapeutic and other effects of psychoactive drugs.
药物辨别和药物状态依赖通常被认为基于相同的药物作用,且仅在产生这些作用所需的剂量上有所不同,辨别在低剂量时出现,而状态依赖在高剂量时出现。由于在许多方面存在差异的辨别和状态依赖程序的使用,对这一假设的检验受到了阻碍。1986年,科尔帕特引入了一种在大鼠中研究状态依赖的程序,该程序使用了与药物辨别中常用的相同反应、相同强化物和相同强化时间表。使用该程序,发现某些药物(如酒精)的药物状态依赖和药物辨别之间存在差异,这与该程序在其所测量的药物特性上存在差异的假设一致,但其他药物(如氯氮卓)并非如此。因此,状态依赖和药物辨别可以产生不同的结果,但它们产生不同结果的条件需要进一步研究。然而,所有使用科尔帕特引入的程序进行的研究都清楚地表明,状态依赖不一定只是一种高剂量现象,也可能发生在许多中枢神经系统药物产生其特征性作用的剂量下。这一发现导致了这样一种假设,即状态依赖可能与精神活性药物的治疗及其他作用有关。