A neurocognitive approach to understanding the neurobiology of addiction

作者:Noel Xavier*; Brevers Damien; Bechara Antoine
来源:Current Opinion in Neurobiology, 2013, 23(4): 632-638.
DOI:10.1016/j.conb.2013.01.018

摘要

Recent concepts of addiction to drugs (e.g. cocaine) and non-drugs (e.g. gambling) have proposed that these behaviors are the product of an imbalance between three separate, but interacting, neural systems: an impulsive, largely amygdala striatum dependent, neural system that promotes automatic, habitual and salient behaviors; a reflective, mainly prefrontal cortex dependent, neural system for decision-making, forecasting the future consequences of a behavior, and inhibitory control; and the insula that integrates interoception states into conscious feelings and into decision-making processes that are involved in uncertain risk and reward. These systems account for poor decision-making (i.e. prioritizing short-term consequences of a decisional option) leading to more elevated addiction risk and relapse. This article provides neural evidence for this three-systems neural model of addiction.

  • 出版日期2013-8