National Institute on Drug Abuse, 301 North Stonestreet Avenue, MSC 6025, Bethesda, MD 20892-6025, USA.
National Institute on Drug Abuse, 301 North Stonestreet Avenue, MSC 6025, Bethesda, MD 20892-6025, USA.
Psychiatr Clin North Am. 2022 Sep;45(3):321-334. doi: 10.1016/j.psc.2022.05.001. Epub 2022 Jul 31.
While substance experimentation typically begins in adolescence, substance use disorders (SUDs) usually develop in late teens or early adulthood, often in individuals who are vulnerable because of biological and socioeconomic risk factors. Severe SUDs-synonymous with addiction-involve changes in limbic and prefrontal brain areas after chronic drug exposure. These changes involve learned associations between drug reward and cues that trigger the anticipation of that reward (known as incentive salience), as well as heightened dysphoria during withdrawal and weakened prefrontal circuits needed for inhibiting habitual responses.
尽管物质实验通常始于青春期,但物质使用障碍(SUD)通常在青少年后期或成年早期发展,通常发生在因生物和社会经济风险因素而脆弱的个体中。严重的 SUD——等同于成瘾——涉及慢性药物暴露后边缘和前额叶脑区的变化。这些变化涉及药物奖励与引发该奖励预期的线索之间的习得关联(称为激励显著性),以及戒断期间的烦躁加剧和抑制习惯性反应所需的前额叶回路减弱。