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应激时阿片类药物抑制的皮质醇反应与负面情绪和社会奖励的渴望增加有关。

Opioid-blunted cortisol response to stress is associated with increased negative mood and wanting of social reward.

机构信息

Department of Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria.

Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.

出版信息

Neuropsychopharmacology. 2022 Sep;47(10):1798-1807. doi: 10.1038/s41386-022-01283-8. Epub 2022 Feb 9.

Abstract

Animal research suggests a central role of the μ-opioid receptor (MOR) system in regulating affiliative behaviors and in mediating the stress-buffering function of social contact. However, the neurochemistry of stress-related social contact seeking in humans is still poorly understood. In a randomized, double-blind, between-subjects design, healthy female volunteers (N = 80) received either 10 mg of the µ-opioid agonist morphine sulfate, or a placebo. Following a standardized psychosocial stress induction, participants engaged in a social reward task, in which the motivation to obtain skin-to-skin social touch and the hedonic reactions elicited by such touch were assessed. Morphine prevented the increase of salivary cortisol typically observed following acute stress exposure. Notably, this altered HPA axis responsivity was associated with increased negative affect in response to psychosocial stress, and with enhanced subjective wanting of highly rewarding social contact. These findings provide novel evidence on the effect of exogenous opioids administration on the reactions to psychosocial stress and point to a state-dependent regulation of social motivation.

摘要

动物研究表明,μ 阿片受体(MOR)系统在调节亲和行为和介导社会接触的应激缓冲功能方面起着核心作用。然而,人类与应激相关的社会接触寻求的神经化学仍知之甚少。在一项随机、双盲、受试者间设计中,健康女性志愿者(N=80)分别接受 10 毫克 μ 阿片激动剂硫酸吗啡或安慰剂。在进行标准化的心理社会应激诱导后,参与者参与了一项社会奖励任务,评估获得皮肤与皮肤接触的社会触摸的动机和这种触摸引起的愉悦反应。吗啡阻止了急性应激暴露后通常观察到的唾液皮质醇的增加。值得注意的是,这种改变的 HPA 轴反应性与对心理社会应激的负面反应增加有关,并与增强对高度奖励性社会接触的主观渴望有关。这些发现为外源性阿片类药物给药对心理社会应激反应的影响提供了新的证据,并指出社会动机的状态依赖性调节。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27eb/9372154/3d2fe4f4e44d/41386_2022_1283_Fig1_HTML.jpg

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