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觅药行为难以消除,且对多种认知增强剂有抗性。

Sign-tracking behavior is difficult to extinguish and resistant to multiple cognitive enhancers.

机构信息

Neuroscience Graduate Program, University of Michigan, Ann Arbor, MI, USA.

Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.

出版信息

Neurobiol Learn Mem. 2019 Sep;163:107045. doi: 10.1016/j.nlm.2019.107045. Epub 2019 Jul 15.

Abstract

The attribution of incentive-motivational value to drug-related cues underlies relapse and craving in drug addiction. One method of addiction treatment, cue-exposure therapy, utilizes repeated presentations of drug-related cues in the absence of drug (i.e., extinction learning); however, its efficacy has been limited due to an incomplete understanding of extinction and relapse processes after cues have been imbued with incentive-motivational value. To investigate this, we used a Pavlovian conditioned approach procedure to screen for rats that attribute incentive-motivational value to reward-related cues (sign-trackers; STs) or those that do not (goal-trackers; GTs). In Experiment 1, rats underwent Pavlovian extinction followed by reinstatement and spontaneous recovery tests. For comparison, a separate group of rats underwent PCA training followed by operant conditioning, extinction, and tests of reinstatement and spontaneous recovery. In Experiment 2, three cognitive enhancers (sodium butyrate, D-cycloserine, and fibroblast growth factor 2) were administered following extinction training to facilitate extinction learning. STs but not GTs displayed enduring resistance to Pavlovian, but not operant, extinction and were more susceptible to spontaneous recovery. In addition, none of the cognitive enhancers tested affected extinction learning. These results expand our understanding of extinction learning by demonstrating that there is individual variation in extinction and relapse processes and highlight potential difficulties in applying extinction-based therapies to drug addiction treatment in the clinic.

摘要

药物相关线索的激励动机价值归因是成瘾复发和渴求的基础。一种成瘾治疗方法,即线索暴露疗法,利用药物相关线索的反复呈现而不使用药物(即,消退学习);然而,由于对线索赋予激励动机价值后的消退和复发过程缺乏全面的了解,其疗效受到限制。为了研究这一点,我们使用了一种条件性趋近程序来筛选将激励动机价值归因于奖励相关线索的大鼠(目标追踪者;GTs)或那些不这样做的大鼠(信号追踪者;STs)。在实验 1 中,大鼠接受了条件性消退,随后进行了复燃和自发恢复测试。为了比较,另一组大鼠接受了 PCA 训练,然后进行了操作性条件作用、消退和复燃和自发恢复测试。在实验 2 中,在消退训练后给予三种认知增强剂(丁酸钠、D-环丝氨酸和成纤维细胞生长因子 2)以促进消退学习。只有 STs 而不是 GTs 表现出对条件性但不是操作性消退的持久抗性,并且更容易自发恢复。此外,测试的认知增强剂都没有影响消退学习。这些结果通过证明在消退和复发过程中存在个体差异,扩展了我们对消退学习的理解,并强调了在临床中将基于消退的疗法应用于成瘾治疗的潜在困难。

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