The University of Sydney, Brain and Mind Centre, Sydney, NSW 2050, Australia; The University of Sydney, Faculty of Science, School of Psychology, Sydney, NSW 2006, Australia.
Department of Psychology, University of California, San Diego, School of Medicine, La Jolla, CA 92093, USA.
Neurosci Biobehav Rev. 2022 Jan;132:730-756. doi: 10.1016/j.neubiorev.2021.11.017. Epub 2021 Nov 25.
Understanding factors that contribute to the escalation of alcohol consumption is key to understanding how an individual transitions from non/social drinking to AUD and to providing better treatment. In this review, we discuss how the way ethanol is consumed as well as individual and environmental factors contribute to the escalation of ethanol consumption from intermittent low levels to consistently high levels. Moreover, we discuss how these factors are modelled in animals. It is clear a vast array of complex, interacting factors influence changes in alcohol consumption. Some of these factors act early in the acquisition of ethanol consumption and initial escalation, while others contribute to escalation of ethanol consumption at a later stage and are involved in the development of alcohol dependence. There is considerable need for more studies examining escalation associated with the formation of dependence and other hallmark features of AUD, especially studies examining mechanisms, as it is of considerable relevance to understanding and treating AUD.
了解导致酒精消费升级的因素是理解个体如何从不饮酒或社交饮酒转变为 AUD 以及提供更好治疗的关键。在这篇综述中,我们讨论了乙醇的消费方式以及个体和环境因素如何导致乙醇消费从间歇性低水平到持续高水平的升级。此外,我们还讨论了这些因素在动物模型中的表现。显然,大量复杂的相互作用的因素会影响酒精消费的变化。其中一些因素在乙醇消费的初始获取和初始升级阶段发挥作用,而其他因素则在乙醇消费升级的后期阶段发挥作用,并与酒精依赖的发展有关。非常需要更多研究来检查与依赖形成相关的升级以及 AUD 的其他标志性特征,特别是研究检查机制,因为这对于理解和治疗 AUD 具有相当大的意义。