Department of Behavioral Neuroscience, Oregon Health & Science University, Portland, OR, United States; Veterans Affairs Portland Health Care System, Portland, OR, United States.
Department of Behavioral Neuroscience, Oregon Health & Science University, Portland, OR, United States.
Int Rev Neurobiol. 2022;161:1-51. doi: 10.1016/bs.irn.2021.06.011. Epub 2021 Aug 20.
Experimentation with psychoactive drugs is often initiated in the peri-adolescent period, but knowledge of differences in the outcomes of peri-adolescent- vs adult-initiated exposure is incomplete. We consider the existing animal research in this area for (meth)amphetamines. Established for a number of phenotypes, is lower sensitivity of peri-adolescents than adults to acute effects of (meth)amphetamines, including neurotoxic effects of binge-level exposure. More variable are data for long-term consequences of peri-adolescent exposure on motivational and cognitive traits. Moreover, investigations often exclude an adult-initiated exposure group critical for answering questions about outcomes unique to peri-adolescent initiation. Despite this, it is clear from the animal research that (meth)amphetamine exposure during the peri-adolescent period, whether self- or other-administered, impacts brain motivational circuitry and cognitive function, and alters adult sensitivity to other drugs and natural rewards. Such consequences occurring in humans have the potential to predispose toward unfortunate and potentially disastrous family, social and livelihood outcomes.
青少年期前后尝试使用致幻类药物的现象较为常见,但对于青少年期前后尝试使用药物与成年后尝试使用药物的后果差异,我们的了解并不全面。我们对这一领域现有的动物研究进行了探讨,研究对象是苯丙胺类兴奋剂(包括冰毒)。有多项研究表明,与成年人相比,青少年对苯丙胺类兴奋剂的急性作用(包括狂欢剂量暴露的神经毒性)的敏感性较低。关于青少年期接触此类药物对动机和认知特征的长期后果的数据则更为多变。此外,许多研究排除了一个至关重要的成年组,无法回答关于青少年起始使用药物的独特后果的问题。尽管如此,从动物研究中可以清楚地看出,青少年期前后接触(包括自行或他人给药)苯丙胺类兴奋剂会影响大脑的动机回路和认知功能,并改变成年人对其他药物和自然奖励的敏感性。如果这种情况发生在人类身上,就有可能导致不幸和潜在灾难性的家庭、社会和生计后果。