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吗啡耐受性的获得作为一种关联过程。

Morphine tolerance acquisition as an associative process.

作者信息

Siegel S

出版信息

J Exp Psychol Anim Behav Process. 1977 Jan;3(1):1-13. doi: 10.1037//0097-7403.3.1.1.

Abstract

The results of several experiments supported the proposal that morphine analgesic tolerance is a manifestation of an association between the drug administration ritual and the systemic effects of the drug: (a) Presenting environmental cues previously associated with morphine, but without the drug, attenuated established tolerance (i.e., morphine tolerance can be extinguished), (b) repeated presentations of the morphine administration procedure, prior to its pairing with the opiate, retarded the acquisition of tolerance (i.e., morphine tolerance is subject to "latent inhibition"), and (c) placebo sessions interspersed between morphine sessions deleteriously affected the development of tolerance (i.e., morphine tolerance is subject to the decremental effects of partial reinforcement). These findings appear inexplicable by most traditional theories of tolerance, which do not emphasize the role of drug-associated environmental cues in the development of tolerance. Additionally, it is suggested that the conditioning analysis of tolerance is congenial with a current view of habituation, and there may be a similar associative basis for the response decrement to both endogenous and exogenous iterative stimulation.

摘要

多项实验结果支持了以下观点

吗啡镇痛耐受性是药物给药程序与药物全身效应之间关联的一种表现形式:(a) 呈现先前与吗啡相关但无药物的环境线索,可减弱已建立的耐受性(即吗啡耐受性可被消除);(b) 在吗啡与阿片类药物配对之前,重复呈现吗啡给药程序会延缓耐受性的形成(即吗啡耐受性会受到“潜伏抑制”的影响);(c) 在吗啡给药疗程之间穿插安慰剂疗程会对耐受性的发展产生有害影响(即吗啡耐受性会受到部分强化递减效应的影响)。这些发现似乎无法用大多数传统耐受性理论来解释,这些理论并未强调与药物相关的环境线索在耐受性形成中的作用。此外,有人认为对耐受性的条件分析与当前关于习惯化的观点相符,对内源性和外源性反复刺激的反应递减可能存在类似的关联基础。

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