Department of Pharmacology, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, 100191, China.
National Institute on Drug Dependence, Peking University, No. 38, Xueyuan Road, Haidian District, Beijing, 100191, China.
Adv Exp Med Biol. 2017;1010:73-89. doi: 10.1007/978-981-10-5562-1_5.
Addiction is a chronically relapsing disease characterized by drug intoxication, craving, bingeing, and withdrawal with loss of control. An increasing number of studies have indicated that non-substance addiction, like internet addiction and pathological gambling, share clinical, phenomenological, and biological features with substance addiction. With the development of imaging technology in the past three decades, neuroimaging studies have provided information on the neurobiological effects, and revealed neurochemical and functional changes in the brains of both drug-addicted and non-substance addicted subjects. Imaging techniques play a more critical role in understanding the neuronal processes of addiction and will lead the direction in future research for medication development of addiction treatment, especially for non-substance addiction, which shares an increasing percentage of addiction disorder. This article will review the similarities and differences between substance and non-substance addiction based on neuroimaging studies that may provide clues for future study on these two main kinds of addiction, especially the growing non-substance addiction.
成瘾是一种慢性复发性疾病,其特征是药物中毒、渴望、狂饮和戒断,失去控制。越来越多的研究表明,非物质成瘾,如网络成瘾和病理性赌博,与物质成瘾具有临床、现象学和生物学特征。随着过去三十年成像技术的发展,神经影像学研究提供了神经生物学效应的信息,并揭示了药物成瘾和非物质成瘾受试者大脑的神经化学和功能变化。成像技术在理解成瘾的神经元过程中起着更关键的作用,并将引领未来成瘾治疗药物开发的研究方向,特别是对于非物质成瘾,其成瘾障碍的比例在不断增加。本文将根据神经影像学研究综述物质和非物质成瘾之间的异同,这些研究可能为这两种主要成瘾类型的未来研究,特别是不断增长的非物质成瘾研究提供线索。