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Editorial: Extinction of Drug-Seeking Behavior 社论:药物寻求行为的消失
Pub Date : 2010-05-04 DOI: 10.2174/1874941001003020055
M. Olive
Some of the key defining characteristics of drug addiction (substance dependence) is the persistence of drug-seeking behavior despite attempts at abstinence, adverse health and legal consequences, and impaired social, occupational or academic functioning [1]. From a behavior modification standpoint, extinction refers to the gradual and intentional reduction of a maladaptive behavior, such as drug-seeking or drug self-administration behavior. From a cognitive-behavioral therapeutic perspective, extinction refers to a gradual and intentional reduction in psychological and/or physiological responses, such as autonomic nervous system activation and drug craving, to drug-associated stimuli. In the latter sense, extinction is essentially a “desensitization” process that is performed via cue exposure therapy (CET). During CET, addicts are presented with pictures of or actual physical exposure to drug-related stimuli such as drug paraphernalia (i.e., crack pipes), drug-related olfactory stimuli (i.e., the aroma of alcohol or cigarette smoke), or even drug self-administration contextual environments. Over time, the conditioned psychological and physiological responses to drug-associated stimuli extinguish. Similar cue exposure therapy procedures, such as exposure plus response prevention, are successfully used for the treatment of anxiety disorders including disabling phobias, obsessive-compulsive disorder, and post-traumatic stress disorder.
药物成瘾(物质依赖)的一些关键特征是,尽管试图戒断,但寻求药物的行为持续存在,造成不利的健康和法律后果,并损害社会、职业或学术功能[b]。从行为矫正的角度来看,消失是指逐渐和有意地减少一种适应不良的行为,如寻求药物或药物自我给药行为。从认知行为治疗的角度来看,消退是指对药物相关刺激的心理和/或生理反应(如自主神经系统激活和药物渴望)逐渐和有意地减少。在后一种意义上,消失本质上是一种“脱敏”过程,通过提示暴露疗法(CET)进行。在CET期间,上瘾者会看到与毒品有关的刺激物的图片或实际接触,如吸毒用具(如可卡因烟斗),与毒品有关的嗅觉刺激(如酒精或香烟的气味),甚至是自我给药的环境。随着时间的推移,对药物相关刺激的条件心理和生理反应会消失。类似的线索暴露治疗程序,如暴露加反应预防,已成功用于治疗焦虑症,包括致残恐惧症、强迫症和创伤后应激障碍。
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引用次数: 0
Neuroanatomical Structures Underlying the Extinction of Drug-Seeking Behavior~!2009-09-18~!2010-01-24~!2010-04-09~! 药物寻求行为消失背后的神经解剖结构2009-09-18 2010-01-24 2010-04-09
Pub Date : 2010-05-04 DOI: 10.2174/1874941001003020063
R. M. Cleva, J. Gass
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引用次数: 6
The Role of N-Acetylcysteine in Inhibiting Responding During Extinction in Rats Trained to Self-Administer Cocaine. n -乙酰半胱氨酸在自我给药大鼠灭绝过程中抑制反应的作用。
Pub Date : 2010-05-04 DOI: 10.2174/1874941001003020088
S. Larowe, P. Kalivas
Previous work has found that N-acetylcysteine inhibits extinction responding in rats trained to self-administer heroin. The current study examined the ability of N-acetylcysteine to inhibit extinction responding in rats trained to self-administer cocaine. Rats were trained to self-administer cocaine (0.39mg/kg) for 10 to 12 days and were pretreated with either N-acetylcysteine (60mg/kg) or saline beginning on the first day of extinction training and on each extinction training day thereafter. Results indicated that chronically administered N-acetylcysteine reduced lever pressing during extinction sessions. In addition to demonstrating the impact N-acetylcysteine has on lever pressing during extinction, the present study underscores the importance of using responding during extinction as a dependent measure in the development of medications for addictive behaviors.
先前的研究发现n -乙酰半胱氨酸抑制了自我使用海洛因的大鼠的消退反应。目前的研究检测了n -乙酰半胱氨酸抑制自我服用可卡因的大鼠的灭绝反应的能力。训练大鼠自我给药可卡因(0.39mg/kg) 10 ~ 12天,并在消退训练第一天及以后每个消退训练日分别给予n -乙酰半胱氨酸(60mg/kg)或生理盐水预处理。结果表明,长期给药n -乙酰半胱氨酸减少了消失过程中的杠杆按压。除了证明n -乙酰半胱氨酸对消退期间杠杆按压的影响外,本研究还强调了在成瘾行为药物开发中使用消退期间反应作为依赖措施的重要性。
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引用次数: 8
The Potent Effect of Environmental Context on Relapse to Alcohol-Seeking After Extinction. 环境背景对灭绝后嗜酒复发的有力影响。
Pub Date : 2010-05-04 DOI: 10.2174/1874941001003020076
P. Janak, N. Chaudhri
Environments in which the pharmacological effects of alcohol have been experienced become potent triggers for relapse in abstinent humans. Animal models developed to study the effect of environmental contexts on relapse to alcohol-seeking behavior demonstrate that alcohol-seeking is renewed by exposure to an alcohol-associated context, following the extinction of alcohol-seeking in a different context. Hence, contexts in which alcohol conditioning and extinction learning occur can be critical determinants for whether or not alcohol-seeking behavior is observed. This review summarizes preclinical research to date examining the role of alcohol contexts on the reinstatement of extinguished responding for alcohol. Behavioral studies have elucidated factors that are important for eliciting context-dependent relapse, and have uncovered novel interactions between alcohol-seeking driven by discrete alcohol cues in different contexts. Neuropharmacological studies provide substantial evidence for a role of dopaminergic systems in context-dependent reinstatement, and growing support for opioidergic mechanisms as well. Several key limbic brain regions have been identified in the modulation of alcohol-seeking by context, supporting a proposed neural circuit that includes the hippocampus, nucleus accumbens, basolateral amygdala, lateral hypothalamus, and the paraventricular thalamus.
已经经历过酒精药理作用的环境成为戒酒者复发的有力诱因。为研究环境背景对寻求酒精行为复发的影响而开发的动物模型表明,在不同的环境中寻求酒精行为消失后,寻求酒精行为会在暴露于与酒精相关的环境中重新出现。因此,酒精条件反射和消退学习发生的环境可能是是否观察到寻求酒精行为的关键决定因素。这篇综述总结了临床前研究迄今为止检查酒精环境的作用在酒精的熄灭反应恢复。行为研究已经阐明了诱发情境依赖性复发的重要因素,并揭示了在不同情境下由离散酒精线索驱动的寻酒行为之间的新相互作用。神经药理学研究为多巴胺能系统在情境依赖性恢复中的作用提供了大量证据,并越来越多地支持阿片能机制。已经确定了几个关键的边缘脑区域在酒精寻求的调节中,支持了一个拟议的神经回路,包括海马、伏隔核、基底外侧杏仁核、外侧下丘脑和室旁丘脑。
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引用次数: 48
Progress in Cue Exposure Therapy for the Treatment of Addictive Disorders: A Review Update~!2009-11-25~!2010-02-08~!2010-04-09~! 提示暴露疗法治疗成瘾性疾病的进展:综述更新2009-11-25 2010-02-08 2010-04-09
Pub Date : 2010-05-04 DOI: 10.2174/1874941001003020092
T. Martin, S. Larowe, R. Malcolm
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引用次数: 26
Extinction Learning as a Model of Drug Treatment and Relapse: A Behavioral Overview~!2009-12-19~!2010-02-03~!2010-04-09~! 作为药物治疗和复发模型的消退学习:行为学综述2009-12-19 2010-02-03 2010-04-09
Pub Date : 2010-05-04 DOI: 10.2174/1874941001003020057
J. Widholm
Extinction is the process by which a previously established stimulus relationship is broken by the removal of reinforcers and/or biologically relevant stimuli, causing a reduction in responding. Given the importance of this phenomenon in terms of understanding not only learning and behavior, but also of enhancing our understanding of drug addiction and treatment, there is renewed attention being given to the study of extinction in the behavioral, neuroscientific, and therapeutic disciplines. The purpose of the current review is to provide an overview of the basic Pavlovian extinction paradigm and its relevance for treating drug addiction and discuss the typical “threats to extinction” as they model the tendency for drug relapse.
消失是指先前建立的刺激关系因强化物和/或生物相关刺激的移除而被打破,导致反应减少的过程。鉴于这一现象的重要性,不仅在理解学习和行为方面,而且在加强我们对药物成瘾和治疗的理解方面,在行为、神经科学和治疗学科中,对灭绝的研究得到了新的关注。本综述的目的是概述基本的巴甫洛夫消失范式及其与治疗药物成瘾的相关性,并讨论典型的“灭绝威胁”,因为它们模拟了药物复发的趋势。
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引用次数: 3
Predictors of Early and Late Escalation of Smokeless Tobacco Use and Cigarette Smoking Among Swedish Adolescents 瑞典青少年中无烟烟草使用和吸烟的早期和晚期升级的预测因素
Pub Date : 2010-04-07 DOI: 10.2174/1874941001003010050
K. Rosendahl, M. Galanti
Knowledge concerning developmental trajectories of tobacco use has until recently been limited to smoking. We utilized information on 960 adolescents who participated in the BROMS cohort study, with follow-up between the ages of 11 and 18 years. Factors related to personal monetary allowance, psychosocial factors and alcohol drinking were used to predict individual probability of progression of snus (the Swedish smokeless tobacco) and of cigarettes. Predictors of snus use and smoking showed more similarities than differences. Friends' and parents' tobacco use did only discriminate between early and late progression in cigarette smoking (OR = 3.2, CI = 1.2 - 8.7 for friends' tobacco use and OR = 1.5, CI = 1.0 - 2.1 for parents' tobacco use). Weekly alcohol drinking was the strongest predictor of early progression to use tobacco (OR = 2.6, CI = 1.1 - 6.2 for snus use and OR = 6.3, CI = 2.4 - 16.8 for cigarette smoking). This knowledge can be used as a base for dedicated prevention strategies targeting different groups of young users.
直到最近,有关烟草使用发展轨迹的知识还仅限于吸烟。我们利用960名参加BROMS队列研究的青少年的信息,随访年龄在11至18岁之间。使用与个人货币津贴、社会心理因素和饮酒有关的因素来预测鼻烟(瑞典无烟烟草)和香烟的个人进展概率。鼻烟使用和吸烟的预测指标显示出更多的相似性而不是差异性。朋友和父母的烟草使用仅在吸烟的早期和晚期进展中有所区别(朋友的烟草使用OR = 3.2, CI = 1.2 - 8.7,父母的烟草使用OR = 1.5, CI = 1.0 - 2.1)。每周饮酒是早期发展为吸烟的最强预测因子(使用鼻烟OR = 2.6, CI = 1.1 - 6.2,吸烟OR = 6.3, CI = 2.4 - 16.8)。这些知识可以作为针对不同青年使用者群体的专门预防战略的基础。
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引用次数: 4
Interpersonal Self-Perception and Memories on Parental Rearing in Alcohol Dependent Patients and Outpatient Controls 酒精依赖患者与门诊对照中父母教养对人际自我知觉与记忆的影响
Pub Date : 2010-01-19 DOI: 10.2174/1874941001003010043
A. Jong, P. Jacobs
The aim of the present study is to explore the relation between interpersonal self-perceptions and memories on parental rearing taking into account the influence of alcohol dependence. Based on interpersonal and object relation theories, the existence and the directions of this relation are hypothesized. A comparative, cross-sectional study was conducted including 126 alcohol dependent inpatients (87 males, 39 females) and 119 healthy control subjects without alcohol-related problems or psychopathology (64 males, 49 females). The interpersonal self-perception was measured with the ICL-R and memories on parental rearing with the EMBU. Results show that memories on parental rearing significantly contribute to interpersonal self-perceptions especially in healthy male subjects and alcohol dependent females. Memories of rearing styles by father are most influential in female and those of mother in male. Limitations of the study are discussed, as well as some clinical implications.
本研究的目的是探讨在酒精依赖的影响下,人际自我知觉与父母教养记忆之间的关系。基于人际关系和客体关系理论,对这种关系的存在及其走向进行了假设。对126名酒精依赖住院患者(男性87人,女性39人)和119名没有酒精相关问题或精神病理的健康对照(男性64人,女性49人)进行了比较、横断面研究。人际自我知觉用ICL-R量表测量,父母教养记忆用EMBU量表测量。结果表明,父母教养记忆对人际关系自我知觉有显著影响,尤其是在健康男性和酒精依赖女性中。父亲的教养方式记忆对女性影响最大,母亲的教养方式记忆对男性影响最大。讨论了本研究的局限性,以及一些临床意义。
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引用次数: 4
The ACID-Survey: Methodology and Design of an Online Survey to Assess Alcohol and Recreational Cocaine Use and its Consequences for Traffic Safety 酸调查:在线调查的方法和设计,以评估酒精和娱乐性可卡因使用及其对交通安全的影响
Pub Date : 2010-01-13 DOI: 10.2174/1874941001003010024
J. Verster, Y. Kuerten, B. Olivier, M. Laar
Studies report consistently that cocaine and alcohol is currently the most upcoming drug combination in Europe. The Alcohol and Cocaine Impaired Drivers (ACID)-survey was conducted among Dutch partygoers (18-30 years old) to establish who will drive a car after using alcohol and/or cocaine and why. The purpose of this paper is to describe the methodology and design of the ACID-survey. The online survey comprised a large number of questions on demographics and respondent characteristics, alcohol and drug use, reasons for driving after using cocaine, and prevention methods. A total of 64,575 subjects read the invitation and 10,153 started the survey (15.7%). N=7,834 subjects completed the survey and met all criteria to be included in the analyses. The ACID-survey has provided a valid and reliable data set, representative for Dutch partygoers. The employed methodology showed to be a cost efficient way to monitor substance use and other risk behaviors in a high risk group of young adults.
研究一致报告说,可卡因和酒精目前是欧洲最常见的毒品组合。这项名为“酒精和可卡因损害司机”(ACID)的调查是在参加派对的荷兰人(18-30岁)中开展的,目的是确定哪些人在饮酒和/或吸食可卡因后会开车,以及原因。本文的目的是描述酸度调查的方法和设计。在线调查包括大量关于人口统计和受访者特征、酒精和药物使用、使用可卡因后开车的原因以及预防方法的问题。共有64,575名受试者阅读了邀请函,10,153名受试者(15.7%)开始了调查。N=7,834名受试者完成了调查,符合纳入分析的所有标准。acid调查提供了一个有效和可靠的数据集,代表了荷兰的聚会者。所采用的方法表明是一种成本效益高的方法,可以监测青年人高风险群体的物质使用和其他危险行为。
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引用次数: 9
Absinthe, Absinthism and Thujone - New Insight into the Spirit's Impact on Public Health 苦艾酒、苦艾酒和图琼酒——精神对公众健康影响的新见解
Pub Date : 2010-01-13 DOI: 10.2174/1874941001003010032
D. Lachenmeier, David Nathan-Maister, Theodore A Breaux, J. Luauté, J. Emmert
Absinthe, a strong alcoholic aperitif, is notorious for containing the compound 'thujone', which has been commonly regarded as its 'active ingredient'. It has been widely theorized that the thujone content of vintage absinthe made it harmful to public health, and caused the distinct syndrome absinthism, which was extensively described in the literature prior to the spirit's ban in 1915. The interdisciplinary research presented in this paper shows that 1) absinthism cannot be distinguished from common alcoholism in the medical research literature of the time, and that 2) due to the physical chemistry of the distillation process, the thujone content of vintage absinthe was considerably lower than previously estimated and corresponds to levels generally recognized as safe, as proven by analyses of absinthes from the pre-ban era. Due to the re-legalization of absinthe in the European Union and more recently in the United States, potential public health concerns have re-emerged, not expressly based on worries about thujone content or absinthism, but on alcohol-related harm and youth protection issues, exacerbated by marketing strategies promoting absinthe using false and discredited claims pertaining to thujone and stubbornly persistant myths.
苦艾酒是一种烈性开胃酒,因含有化合物“图琼酮”而臭名昭著,图琼酮通常被认为是苦艾酒的“活性成分”。人们普遍认为,年份苦艾酒中含有的苦琼对公众健康有害,并导致了苦艾酒综合症,在1915年这种酒被禁止之前,文献中对这种症状进行了广泛的描述。本文提出的跨学科研究表明,1)在当时的医学研究文献中,苦艾酒与普通的酒精中毒无法区分,2)由于蒸馏过程的物理化学,年份苦艾酒的图琼酮含量大大低于先前的估计,并且与一般认为安全的水平相对应,这是通过对禁令前时代苦艾酒的分析证明的。由于苦艾酒在欧洲联盟和最近在美国重新合法化,潜在的公共健康问题再次出现,不是明确基于对苦艾酒含量或苦艾酒的担忧,而是基于与酒精有关的危害和青年保护问题,而营销策略利用与苦艾酒有关的虚假和不可信的说法和顽固的神话来推广苦艾酒,加剧了这种担忧。
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引用次数: 12
期刊
The open addiction journal
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