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习惯形成:对酒精中毒研究的启示。

Habit formation: implications for alcoholism research.

机构信息

Department of Psychology, Indiana University - Purdue University Indianapolis, Indianapolis, IN, USA.

Department of Psychology, Indiana University - Purdue University Indianapolis, Indianapolis, IN, USA.

出版信息

Alcohol. 2014 Jun;48(4):327-35. doi: 10.1016/j.alcohol.2014.02.004. Epub 2014 Apr 19.

Abstract

Characteristics of individuals with severe alcohol use disorders include heightened cue sensitivity, compulsive seeking, craving, and continued alcohol use in the face of negative consequences. Animal models are useful for understanding behavioral and neurological mechanisms underlying problematic alcohol use. Seeking of operant reinforcers including alcohol is processed by two mechanisms, commonly referred to as "goal-directed" (action-outcome) and "habitual" (stimulus-response). As substance use disorders are characterized by continued use regardless of unfavorable outcomes, it is plausible that drug use causes an unnatural disruption of these mechanisms. We present a critical analysis of literature pertaining to behavioral neuroscience alcoholism research involving habit formation. Traditionally, when operant behavior is unaffected by a loss of subjective value of a reinforcer (devaluation), the behavior is considered habitual. Acquisition of instrumental behavior requires corticostriatal mechanisms that depend heavily on the prefrontal cortex and ventral striatum, whereas practiced behavior is more predominantly controlled by the dorsal striatum. Dopaminergic signaling is necessary for the neurological adaptations involved in stimulus-response action, and drugs of abuse appear to facilitate habitual behavior through high levels of dopamine release. Evidence suggests that the use of alcohol as a reinforcer expedites habit formation, and that a history of alcohol use produces alterations in striatal morphology, aids habit learning for non-psychoactive reinforcers, and promotes alcohol drinking despite aversive adulterants. In this review, we suggest directions for future alcoholism research that seeks to measure action made despite a devalued outcome, including procedural modifications and genotypic, pharmacological, or neurological manipulations. Most alcoholism models currently in use fail to reach substantial blood ethanol concentrations, a shortcoming that may be alleviated through the use of high-drinking rodent lines. Additionally, satiety, one common mechanism of devaluing reinforcers, is not recommended for alcohol research because the psychoactive effects of alcohol depress response rates, mimicking devaluation effects. Overall, further research of habit formation and potentially related perseverative behaviors could be invaluable in discovering genetic variance, traits that correlate with persistent alcohol seeking, implicated neural structures and processes of alcohol use, and eventually novel pharmacological treatment for alcoholism.

摘要

个体有严重酒精使用障碍的特征包括增强线索敏感性、强迫性寻求、渴望和继续饮酒,尽管面临负面后果。动物模型对于理解行为和神经机制在有问题的酒精使用中很有用。操作强化物的寻求,包括酒精,是通过两种机制进行处理的,通常称为“目标导向”(行动-结果)和“习惯”(刺激-反应)。由于物质使用障碍的特征是继续使用,无论结果不利如何,因此可以合理地认为药物使用会导致这些机制的异常中断。我们对涉及习惯形成的行为神经科学酒精研究文献进行了批判性分析。传统上,当操作行为不受强化物主观价值丧失的影响(去值)时,该行为被认为是习惯的。工具行为的获得需要依赖于前额叶皮层和腹侧纹状体的皮质纹状体机制,而实践行为主要由背侧纹状体控制。多巴胺能信号对于涉及刺激-反应动作的神经适应是必要的,而滥用药物似乎通过高水平的多巴胺释放促进习惯行为。有证据表明,将酒精用作强化物会加速习惯的形成,并且饮酒史会导致纹状体形态的改变,有助于非精神活性强化物的习惯学习,并促进饮酒,尽管有厌恶的添加剂。在这篇综述中,我们建议未来的酒精研究方向,旨在衡量尽管有贬值的结果仍采取的行动,包括程序修改和基因型、药理学或神经学操作。目前使用的大多数酒精中毒模型都未能达到实质性的血液乙醇浓度,这一缺点可以通过使用高饮酒的啮齿动物品系来缓解。此外,饱腹感,一种常见的强化物贬值机制,不建议用于酒精研究,因为酒精的精神活性作用会降低反应率,模仿去值效果。总的来说,对习惯形成和潜在相关的坚持行为的进一步研究对于发现遗传变异、与持续饮酒寻求相关的特征、与酒精使用相关的神经结构和过程以及最终新的酒精中毒药理学治疗可能是非常宝贵的。

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