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在缺乏近端药物配对刺激的情况下,寻求芬太尼的行为减少。

Decreased incubation of fentanyl seeking in the absence of proximal drug-paired stimuli.

作者信息

Yates Justin R, Broderick Maria R

机构信息

Department of Psychological Science, Northern Kentucky University.

Department of Biological Sciences, Northern Kentucky University.

出版信息

Exp Clin Psychopharmacol. 2025 Jun;33(3):239-247. doi: 10.1037/pha0000763. Epub 2025 Jan 2.

Abstract

Treating substance use disorders is difficult as individuals often resume substance use during abstinence. One potential factor contributing to the recurrence of substance use is incubation of drug craving. Specifically, individuals report higher levels of craving when presented with drug-paired stimuli across abstinence, although this effect is largely absent in opioid-dependent individuals. In preclinical studies, rodents show increased responding on a previously reinforced manipulandum when presented with drug cues, including for opioids. When proximal cues are not presented, self-reported craving tends to decrease across abstinence; however, incubation of drug seeking in the absence of proximal stimuli is rarely tested in animals. As such, we trained male and female Sprague Dawley rats to self-administer the synthetic opioid fentanyl (2.5 μg/kg/infusion) during ten 60-min sessions. Rats were then given three extinction sessions on Days 1, 21, and 30 of withdrawal. Unlike other studies measuring incubation of craving, we did not present drug-paired stimuli (e.g., stimulus lights) during these extinction sessions. Incubation of fentanyl seeking was not observed in the present experiment; instead, responses on the previously drug-paired lever tended to decrease across the three extinction sessions. Based on the results of this experiment, we provide a discussion of some potential interpretational issues associated with the incubation of craving paradigm, including the difficulty in dissociating drug craving from operant sensation seeking (i.e., rodents will respond on a manipulandum to earn access to audiovisual cues that are presented alone). (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

治疗物质使用障碍很困难,因为个体在戒断期间常常会恢复使用物质。导致物质使用复发的一个潜在因素是药物渴望的潜伏期。具体而言,个体在整个戒断期间面对与药物配对的刺激时会报告更高水平的渴望,尽管这种效应在阿片类药物依赖个体中基本不存在。在临床前研究中,啮齿动物在面对包括阿片类药物在内的药物线索时,对先前强化的操作物的反应会增加。当没有近端线索时,自我报告的渴望往往会在整个戒断期间下降;然而,在没有近端刺激的情况下对觅药行为潜伏期的研究在动物中很少进行。因此,我们训练了雄性和雌性斯普拉格-道利大鼠在十个60分钟的实验环节中自我注射合成阿片类药物芬太尼(2.5微克/千克/注射)。然后在戒断的第1天、第21天和第30天对大鼠进行三次消退实验。与其他测量渴望潜伏期的研究不同,我们在这些消退实验中没有呈现与药物配对的刺激(例如刺激灯)。在本实验中未观察到芬太尼觅药行为的潜伏期;相反,在三个消退实验中,对先前与药物配对的杠杆的反应往往会下降。基于本实验的结果,我们讨论了一些与渴望潜伏期范式相关的潜在解释问题,包括难以将药物渴望与操作性感觉寻求区分开来(即啮齿动物会对操作物做出反应以获得单独呈现的视听线索)。(《心理学文摘数据库记录》(c)2025美国心理学会,保留所有权利)

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