Mechanisms of Alcohol Addiction: Bridging Human and Animal Studies

Autor: Kenneth J. Sher, Andrea C. King, Lara A. Ray, Ashley Vena, John Kramer, Leandro F. Vendruscolo, Danielle M. Dick, Laura Acion
Rok vydání: 2020
Předmět:
media_common.quotation_subject
Self Administration
Craving
Review
Basic Behavioral and Social Science
Oral and gastrointestinal
Structural equation modeling
Developmental psychology
Substance Misuse
Alcohol Use and Health
03 medical and health sciences
0302 clinical medicine
Clinical Research
Behavioral and Social Science
mental disorders
medicine
Addictive
Psychology
Animals
Humans
Animal testing
media_common
Behavior
Motivation
Operationalization
Ethanol
Animal
Addiction
Alcohol dependence
Neurosciences
Substance Abuse
Allostasis
General Medicine
medicine.disease
Reinforcement
Brain Disorders
030227 psychiatry
Behavior
Addictive

Alcoholism
Disease Models
Animal

Good Health and Well Being
Disease Models
Public Health and Health Services
medicine.symptom
Addictive behavior
Reinforcement
Psychology

030217 neurology & neurosurgery
Zdroj: Alcohol Alcohol
Alcohol and alcoholism (Oxford, Oxfordshire), vol 55, iss 6
ISSN: 1464-3502
0735-0414
Popis: Aim The purpose of this brief narrative review is to address the complexities and benefits of extending animal alcohol addiction research to the human domain, emphasizing Allostasis and Incentive Sensitization, two models that inform many pre-clinical and clinical studies. Methods The work reviewed includes a range of approaches, including: a) animal and human studies that target the biology of craving and compulsive consumption; b) human investigations that utilize alcohol self-administration and alcohol challenge paradigms, in some cases across 10 years; c) questionnaires that document changes in the positive and negative reinforcing effects of alcohol with increasing severity of addiction; and d) genomic structural equation modeling based on data from animal and human studies. Results Several general themes emerge from specific study findings. First, positive reinforcement is characteristic of early stage addiction and sometimes diminishes with increasing severity, consistent with both Allostasis and Incentive Sensitization. Second, evidence is less consistent for the predominance of negative reinforcement in later stages of addiction, a key tenant of Allostasis. Finally, there are important individual differences in motivation to drink at a given point in time as well as person-specific change patterns across time. Conclusions Key constructs of addiction, like stage and reinforcement, are by necessity operationalized differently in animal and human studies. Similarly, testing the validity of addiction models requires different strategies by the two research domains. Although such differences are challenging, they are not insurmountable, and there is much to be gained in understanding and treating addiction by combining pre-clinical and clinical approaches.
Databáze: OpenAIRE