Department of Psychology and Behavioural and Clinical Neuroscience Institute, University of Cambridge, UK.
Neurosci Biobehav Rev. 2013 Nov;37(9 Pt A):1946-54. doi: 10.1016/j.neubiorev.2013.02.010. Epub 2013 Feb 21.
We revisit our hypothesis that drug addiction can be viewed as the endpoint of a series of transitions from initial voluntarily drug use to habitual, and ultimately compulsive drug use. We especially focus on the transitions in striatal control over drug seeking behaviour that underlie these transitions since functional heterogeneity of the striatum was a key area of Ann Kelley's research interests and one in which she made enormous contributions. We also discuss the hypothesis in light of recent data that the emergence of a compulsive drug seeking habit both reflects a shift to dorsal striatal control over behaviour and impaired prefontal cortical inhibitory control mechanisms. We further discuss aspects of the vulnerability to compulsive drug use and in particular the impact of impulsivity. In writing this review we acknowledge the untimely death of an outstanding scientist and a dear personal friend.
我们重新审视了这样一个假设,即药物成瘾可以被视为一系列从最初自愿使用药物到习惯性、最终强迫性使用药物的转变的终点。我们特别关注纹状体对药物寻求行为控制的转变,因为纹状体的功能异质性是安·凯利研究兴趣的一个关键领域,也是她做出巨大贡献的一个领域。我们还根据最近的数据讨论了这一假设,即强迫性药物寻求习惯的出现既反映了对背侧纹状体对行为控制的转变,也反映了前额皮质抑制控制机制的受损。我们进一步讨论了易患强迫性药物使用的各个方面,特别是冲动性的影响。在撰写这篇综述时,我们向这位杰出科学家和亲爱的个人朋友的英年早逝表示哀悼。