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强化衰减作为一种行为技术,用于抑制大鼠的条件性回避反应:与奥氮平的比较研究。

Reinforcement attenuation as a behavioral technique to suppress conditioned avoidance response in rats: A comparative study with olanzapine.

机构信息

Faculty of Psychology, Southwest University, Chongqing, China.

Key Laboratory of Cognition and Personality (Southwest University), Ministry of Education, Chongqing, China.

出版信息

J Psychopharmacol. 2019 Jan;33(1):86-100. doi: 10.1177/0269881118805497. Epub 2018 Oct 18.

Abstract

BACKGROUND

Antipsychotic treatment is effective in the treatment of psychosis, although it also brings with it some unwanted side effects and is associated with low compliance. Finding a non-pharmacological alternative for antipsychotic treatment is highly desirable.

AIMS

This preclinical study examined the 'antipsychotic' efficacy of such a behavioral technique using a conditioned avoidance response model. This technique, termed (RA), is to administer a brief footshock (0.1-2.0 s, 0.8 mA) at the end of each trial regardless of whether a well-trained rat makes an avoidance response or not.

RESULTS

RA achieved the same avoidance suppressing effect as olanzapine (an atypical antipsychotic drug), including both acute suppression and sensitized suppression of avoidance response in well-trained Sprague-Dawley adult male rats. Interestingly, the RA-induced sensitization (an enhanced disruption of avoidance responding) enhanced subsequent olanzapine sensitivity, whereas the olanzapine (1.0 mg/kg)-induced sensitization had little impact on later RA treatment. When RA and olanzapine (0.5 mg/kg, subcutaneously) were used together, the RA-induced sensitization was still detectable in the RA challenge test, although its magnitude was reduced by olanzapine. Finally, we showed that the RA-induced sensitization in avoidance suppression persisted from adolescence into adulthood, long after such a treatment was terminated.

CONCLUSIONS

These findings demonstrate that the RA is functionally equivalent (if not superior) to antipsychotic treatment in the avoidance suppression effect (both acute and sensitization effects) in both adolescent and adult animals. Behavioral therapies that specifically target the reinforcer of psychotic thoughts might be a viable strategy for the treatment of psychosis.

摘要

背景

抗精神病药物治疗在治疗精神病方面非常有效,但同时也带来了一些不良反应,且患者的依从性较差。因此,人们非常希望找到一种非药物治疗的替代方法。

目的

本临床前研究使用条件回避反应模型来检验这种行为技术的“抗精神病”疗效。这种技术称为 RA,即在每次试验结束时,无论经过良好训练的大鼠是否做出回避反应,都会给予短暂的足底电击(0.1-2.0 s,0.8 mA)。

结果

RA 达到了与奥氮平(一种新型抗精神病药物)相同的回避抑制效果,包括对经过良好训练的 Sprague-Dawley 成年雄性大鼠的急性抑制和敏感抑制。有趣的是,RA 诱导的敏感化(回避反应的增强破坏)增强了随后的奥氮平敏感性,而奥氮平(1.0 mg/kg)诱导的敏感化对随后的 RA 治疗几乎没有影响。当 RA 和奥氮平(0.5 mg/kg,皮下)一起使用时,尽管奥氮平降低了其幅度,但仍能在 RA 挑战测试中检测到 RA 诱导的敏感化。最后,我们表明,在终止治疗后很久,RA 诱导的回避抑制敏感化仍持续存在于青春期到成年期。

结论

这些发现表明,RA 在回避抑制效应(急性和敏感化效应)方面与抗精神病药物治疗在青春期和成年动物中具有同等(甚至更优)的功能等效性。针对精神病性思维的强化物的行为疗法可能是治疗精神病的一种可行策略。

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