Foltin Richard W, Haney Margaret, Rubin Eric, Reed Stephanie C, Vadhan Nehal, Balter Rebecca, Evans Suzette M
Division on Substance Abuse, New York State Psychiatric Institute and Department of Psychiatry, Columbia University Medical Center, 1051 Riverside Drive, Unit 120, New York, NY 10032, USA.
Division on Substance Abuse, New York State Psychiatric Institute and Department of Psychiatry, Columbia University Medical Center, 1051 Riverside Drive, Unit 120, New York, NY 10032, USA.
Pharmacol Biochem Behav. 2015 Jul;134:12-21. doi: 10.1016/j.pbb.2015.03.023. Epub 2015 Apr 28.
Human drug use involves repeated choices to take drugs or to engage in alternative behaviors. The purpose of this study was to examine how response cost for cocaine and the value of an alternative reinforcer (opportunity to play a game of chance) and how 'free' doses (with minimal response cost) affected cocaine choice. Two laboratory studies of cocaine self-administration were conducted in a group of humans who were habitual cocaine smokers and in a group of rhesus monkeys that intravenously self-administered cocaine. Nine human cocaine smokers who were not seeking treatment for their cocaine were repeatedly presented with the choice to smoke 25mg cocaine base or play a game of chance for a monetary bonus paid at study completion. The response cost for choosing cocaine varied (up to 4000 responses/dose) and the number of game plays varied (up to 8). In this sample of humans, increasing either the response cost for cocaine or increasing the value of the alternative reinforcer did not significantly affect cocaine choice, while increasing both simultaneously slightly decreased cocaine choice and increased choice of the alternative. In monkeys, the dose-response function for cocaine self-administration (10 choices of 0.0125-0.1mg/kg/infusion vs. candy coated chocolate) was steep and we failed to achieve a 50/50 cocaine/candy choice even after substantially manipulating cost and number of candies available. Providing a large 'free' self-administered cocaine dose to humans did not significantly affect cocaine choice, whereas in monkeys, a large free dose of cocaine decreased cocaine choice when higher doses of cocaine were available for self-administration. The present results demonstrate that in the laboratory, it is difficult to modify on-going cocaine self-administration behavior in both humans and non-human primates.
人类使用毒品涉及反复做出吸毒或参与其他行为的选择。本研究的目的是考察可卡因的反应代价、替代强化物的价值(玩机会游戏的机会)以及“免费”剂量(反应代价最小)如何影响可卡因的选择。在一组有可卡因吸食习惯的人类和一组静脉注射可卡因的恒河猴中进行了两项可卡因自我给药的实验室研究。九名未寻求可卡因治疗的人类可卡因吸食者被反复给予选择:吸食25毫克可卡因碱或玩机会游戏以在研究结束时获得金钱奖励。选择可卡因的反应代价各不相同(最高可达4000次反应/剂量),玩游戏的次数也各不相同(最高可达8次)。在这组人类样本中,增加可卡因的反应代价或增加替代强化物的价值均未显著影响可卡因的选择,而同时增加两者则略微降低了可卡因的选择并增加了对替代物的选择。在猴子中,可卡因自我给药的剂量反应函数(0.0125 - 0.1毫克/千克/注射,10次选择,与裹糖巧克力相比)很陡峭,即使在大幅操纵代价和可用糖果数量后,我们也未能实现可卡因/糖果50/50的选择。给人类提供大量“免费”自我给药的可卡因剂量并未显著影响可卡因的选择,而在猴子中,当有更高剂量的可卡因可供自我给药时,大量免费剂量的可卡因降低了可卡因的选择。目前的结果表明,在实验室中,很难改变人类和非人类灵长类动物正在进行的可卡因自我给药行为。