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物质使用障碍中的人类奖励实验室模型。

Human laboratory models of reward in substance use disorder.

机构信息

Department of Psychology, Davidson College, Davidson, NC 28035, USA.

Recovery Research Institute, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

出版信息

Pharmacol Biochem Behav. 2024 Aug;241:173803. doi: 10.1016/j.pbb.2024.173803. Epub 2024 Jun 4.

DOI:10.1016/j.pbb.2024.173803
PMID:38843997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11223959/
Abstract

Human laboratory models in substance use disorder provide a key intermediary step between highly controlled and mechanistically informative non-human preclinical methods and clinical trials conducted in human populations. Much like preclinical models, the variety of human laboratory methods provide insights into specific features of substance use disorder rather than modelling the diverse causes and consequences simultaneously in a single model. This narrative review provides a discussion of popular models of reward used in human laboratory research on substance use disorder with a focus on the specific contributions that each model has towards informing clinical outcomes (forward translation) and analogs within preclinical models (backward translation). Four core areas of human laboratory research are discussed: drug self-administration, subjective effects, behavioral economics, and cognitive and executive function. Discussion of common measures and models used, the features of substance use disorder that these methods are purported to evaluate, unique issues for measure validity and application, and translational links to preclinical models and special considerations for studies wishing to evaluate homology across species is provided.

摘要

人类实验室模型在物质使用障碍中提供了一个关键的中间步骤,连接了高度受控和具有机制信息的非人类临床前方法与在人类群体中进行的临床试验。就像临床前模型一样,各种人类实验室方法提供了对物质使用障碍特定特征的深入了解,而不是在单个模型中同时模拟多种不同的原因和后果。本叙述性综述讨论了在物质使用障碍的人类实验室研究中使用的流行奖励模型,重点是每个模型在为临床结果提供信息(正向翻译)和临床前模型中的类似物(反向翻译)方面的具体贡献。讨论了人类实验室研究的四个核心领域:药物自我给药、主观效应、行为经济学以及认知和执行功能。讨论了常用的测量和模型、这些方法据称评估的物质使用障碍的特征、测量有效性和应用的独特问题、与临床前模型的转化联系以及希望评估跨物种同质性的研究的特殊考虑因素。