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Pharmacological treatments of alcohol and drug addiction: what's new?

机译:酒精和药物成瘾的药物治疗:新功能?

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摘要

Addiction is a chronic, relapsing disorder characterized by compulsive substance seeking and substance use despite negative consequences [1]. This complex brain disease involves interactions between genetic components, individual and environmental factors (including familial, peer models, exposure to stressful factors, traumatic experiences, incarceration) [2]. Cognitive deficits (memory, learning, decision making, inhibitory control) also play a major role in the development and the persistence of this disease [3]. Many models, such as incentive salience [4], or a progression from impulsivity (positive reinforcement) to compulsivity (negative reinforcement) [5] or reward deficiency [6] have been proposed for addictions. Across these models, motivational neurocircuitry, including dopaminergic systems, is dysregulated. Additionaly, brain imaging studies of dependent-patients have demonstrated brain structural abnormalities as well as changes in reward circuitry and neurotransmitter systems and metabolite changes [2].
机译:成瘾是一种慢性复发性疾病,尽管有负面后果,但其特征是强迫性寻求物质和使用毒品[1]。这种复杂的脑部疾病涉及遗传成分,个体和环境因素(包括家庭,同龄人模型,暴露于压力因素,创伤经历,监禁)之间的相互作用[2]。认知缺陷(记忆,学习,决策,抑制性控制)在这种疾病的发生和持续中也起着重要作用[3]。对于成瘾,已经提出了许多模型,例如激励显着性[4]或从冲动(正强化)到强迫(负强化)[5]或奖励不足[6]的过程。在这些模型中,包括多巴胺能系统在内的动机神经回路失调。另外,对依赖患者的脑成像研究表明脑结构异常以及奖赏回路和神经递质系统的变化以及代谢物的变化[2]。

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