Perry Christina J, Zbukvic Isabel, Kim Jee Hyun, Lawrence Andrew J
Behavioural Neuroscience Division, The Florey Institute of Neuroscience and Mental Health, Parkville, Vic., Australia; Florey Department of Neuroscience and Mental Health, University of Melbourne, Parkville, Vic., Australia.
Br J Pharmacol. 2014 Oct;171(20):4636-72. doi: 10.1111/bph.12735. Epub 2014 Jul 2.
Environmental stimuli are powerful mediators of craving and relapse in substance-abuse disorders. This review examined how animal models have been used to investigate the cognitive mechanisms through which cues are able to affect drug-seeking behaviour. We address how animal models can describe the way drug-associated cues come to facilitate the development and persistence of drug taking, as well as how these cues are critical to the tendency to relapse that characterizes substance-abuse disorders. Drug-associated cues acquire properties of conditioned reinforcement, incentive motivation and discriminative control, which allow them to influence drug-seeking behaviour. Using these models, researchers have been able to investigate the pharmacology subserving the behavioural impact of environmental stimuli, some of which we highlight. Subsequently, we examine whether the impact of drug-associated stimuli can be attenuated via a process of extinction, and how this question is addressed in the laboratory. We discuss how preclinical research has been translated into behavioural therapies targeting substance abuse, as well as highlight potential developments to therapies that might produce more enduring changes in behaviour.
环境刺激是物质使用障碍中渴望和复发的有力调节因素。本综述探讨了动物模型如何被用于研究线索能够影响药物寻求行为的认知机制。我们阐述了动物模型如何能够描述与药物相关的线索促进药物使用的发展和持续的方式,以及这些线索对于物质使用障碍所特有的复发倾向为何至关重要。与药物相关的线索获得了条件强化、动机激励和辨别控制的特性,这使它们能够影响药物寻求行为。利用这些模型,研究人员得以探究支持环境刺激行为影响的药理学,我们在此突出了其中一些。随后,我们研究与药物相关的刺激的影响是否可以通过消退过程来减弱,以及这个问题在实验室中是如何解决的。我们讨论了临床前研究如何转化为针对物质使用障碍的行为疗法,并强调了可能在行为上产生更持久变化的疗法的潜在发展。