Arnold Miranda E, Schank Jesse R
Department of Physiology and Pharmacology, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
Department of Physiology and Pharmacology, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
Front Neuroendocrinol. 2023 Oct;71:101095. doi: 10.1016/j.yfrne.2023.101095. Epub 2023 Aug 7.
Compulsive drug intake is characterized by the continuation of use regardless of negative consequences. This is modeled preclinically using procedures where a negative stimulus is delivered contingently with consumption of the reinforcer. In humans, women and men exhibit different drug taking behavior as it pertains to overall use, withdrawal symptoms, and rate of dependence. In substance use research, females have often been excluded from many studies due to concerns that circulating sex hormones may affect drug seeking behavior. However, the more recent inclusion of females in preclinical studies has identified interesting sex differences in aversion-resistant intake of drugs and alcohol. This review will serve to summarize key findings in aversion-related intake of alcohol, psychostimulants, and opioids in females by examining studies that have included female subjects. Further discussion will examine the effect of intake model, neuroanatomical pathways, and sex hormones in the expression of aversion-resistant drug and alcohol consumption.
强迫性药物摄入的特征是不顾负面后果继续使用。这在临床前通过一些程序进行模拟,即负面刺激与强化物的消耗同时出现。在人类中,女性和男性在药物使用行为上表现出不同,涉及总体使用情况、戒断症状和依赖率。在药物使用研究中,由于担心循环性激素可能影响觅药行为,女性常常被排除在许多研究之外。然而,最近在临床前研究中纳入女性后,发现了在对厌恶有抗性的药物和酒精摄入方面有趣的性别差异。本综述将通过审视纳入女性受试者的研究,总结女性在与厌恶相关的酒精、精神兴奋剂和阿片类药物摄入方面的主要发现。进一步的讨论将探讨摄入模型、神经解剖学通路和性激素对有厌恶抗性的药物和酒精消费表达的影响。