Intramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
Curr Opin Neurobiol. 2013 Aug;23(4):675-83. doi: 10.1016/j.conb.2013.01.003. Epub 2013 Jan 29.
Drug craving and relapse to drug use during abstinence are defining features of addiction. Evidence indicates that drug craving and relapse in humans are often provoked by acute exposure to the self-administered drug, drug-associated cues, or stress. During the last two decades, this clinical scenario has been primarily studied at the preclinical level using the classical reinstatement model. However, a single preclinical model cannot capture the complicated nature of human drug relapse. Therefore, more recently, we and others have developed several other models to study different facets of human drug relapse. In this review, we introduce and discuss recent findings from these other relapse models, including incubation of drug craving, reacquisition and resurgence models, and punishment-based and conflict-based relapse models.
药物渴求及戒断后复吸是成瘾的重要特征。有证据表明,人类的药物渴求及复吸通常是由急性接触到自身给药、药物相关线索或应激引起的。在过去的二十年中,该临床场景主要通过经典的复吸模型在临床前水平进行研究。然而,单一的临床前模型并不能捕捉到人类药物复吸的复杂本质。因此,最近我们和其他人开发了几种其他模型来研究人类药物复吸的不同方面。在这篇综述中,我们介绍和讨论了这些其他复吸模型的最新发现,包括药物渴求的潜伏期、重新获得和再现模型,以及基于惩罚和基于冲突的复吸模型。