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与非人类相比,人类的药物辨别:现状与未来方向。

Drug discrimination by humans compared to nonhumans: current status and future directions.

作者信息

Kamien J B, Bickel W K, Hughes J R, Higgins S T, Smith B J

机构信息

Department of Psychiatry, University of Vermont, Burlington 05401.

出版信息

Psychopharmacology (Berl). 1993;111(3):259-70. doi: 10.1007/BF02244940.

Abstract

In drug discrimination (DD) procedures, behavior is differentially reinforced depending on the presence or absence of specific drug stimuli. The DD paradigm has been widely adopted by behavioral pharmacologists because of its specificity of stimulus control, concordance with drug action at cellular levels and its use as a preclinical model of subject-rated effects in humans. With the successful extension of DD to humans, a comparison of human and nonhuman DD will help place each in the context of the other. Twenty-eight studies of DD in humans are reviewed, including studies of amphetamine, opioid, benzodiazepine, caffeine, nicotine, marijuana and ethanol discriminative stimuli. Comparison of procedures between studies in humans and nonhumans reveals a common tradition, except the use of instructions appears to facilitate greatly DD acquisition in humans. Findings were qualitatively similar between humans and nonhumans. Potency relationships were quantitatively similar between humans and most, but not all, other species. Areas of human DD needing additional empirical evaluation include the influence of instructions, the effects of training dose and the effects of antagonists. Additionally, antihistamines, barbiturates, nicotine and marijuana are under-represented in human DD.

摘要

在药物辨别(DD)程序中,行为会根据特定药物刺激的存在与否而得到不同程度的强化。由于其刺激控制的特异性、与细胞水平药物作用的一致性以及作为人类主观评定效应的临床前模型,DD范式已被行为药理学家广泛采用。随着DD成功扩展至人类,对人类和非人类DD进行比较将有助于将两者置于相互关联的背景中。本文综述了28项关于人类DD的研究,包括对苯丙胺、阿片类药物、苯二氮卓类药物、咖啡因、尼古丁、大麻和乙醇辨别刺激的研究。对人类和非人类研究程序的比较揭示了一个共同的传统,只是使用指示似乎极大地促进了人类DD的习得。人类和非人类的研究结果在性质上相似。效力关系在人类与大多数(但并非所有)其他物种之间在数量上相似。人类DD中需要额外实证评估的领域包括指示的影响、训练剂量的效应以及拮抗剂的效应。此外,抗组胺药、巴比妥类药物、尼古丁和大麻在人类DD研究中的代表性不足。

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