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What is addiction?
Difficulty controlling behavior aimed at a specific target
Goes against natural selection, intentionally engaging in self-destructing behavior
Encompasses variety of stimuli
What is the most prevalent and problematic substance?
Alcohol
Addiction varies by both…
Culture and sex
Men are more susceptible to addiction
What is the lifetime prevalence of those with alcohol addiction or dependency in America? What about point prevalence?
29% for lifetime prevalence
10% for point prevalence
Point vs. lifetime prevalence
Point prevalence: How many people are dependent on alcohol right now?
Lifetime prevalence: How many people have ever been dependent on alcohol in their lifetime?
How many substances does the DSM classify under use disorders?
17 different substances
Little variation in basic criteria
Generally, what are the symptoms of withdrawal?
The opposite of the substance’s pleasurable effects
3 parts of the brain-reward system
Ventral tegmental area (VTA), nucleus accumbens, and the medial forebrain bundle
Repeated use of the brain-reward system results in…
Homeostatic neuroadaptation (downregulation)
Less NT released
What is anhedonia? What neurotransmitter is typically involved?
Lack of pleasure, considered a mild form of depression
Common to all recreational drug withdrawal
Dopamine is typically involved
What is stage 1 of addiction?
Binge / intoxication
Primarily dopamine / opioid system, built to reward good behavior
Repeated use causes downregulation
Positive reinforcement of behavior (drugs feel good)
What is stage 2 of addiction?
Withdrawal negative affect
Stress hormones released with extended period of abstinence
Opposite symptoms than what the drug was creating
Negative reinforcement —> using substances to avoid negative effects
What is stage 3 of addiction?
Preoccupation / anticipation
Involves the prefrontal cortex
Driven by withdrawal symptoms + classical conditioning
Substances and stimuli become powerfully paired
Exposure to CS evokes strong cravings (priming effect)
How is alcohol consumption studied in rodent models?
Via consumption ratios
Rats offered water bottle vs. alcohol bottle
If consumption of alcohol is over 50%, it shows preference
What is the best percentage of alcohol, in terms of preference in animal models?
4%
Inbred P rats symptoms
Will consume to intoxication
Will work for alcohol
Consume for the psychoactive effects
Experience withdrawals and relapses
Alcohol naive P rats definition and symptoms
Offspring but have never been exposed to alcohol
Lower serotonin and dopamine levels
Higher GABA terminals and opioid receptors