The impact of orbitofrontal dysfunction on cocaine addiction

被引:153
作者
Lucantonio, Federica [1 ]
Stalnaker, Thomas A. [2 ]
Shaham, Yavin [2 ]
Niv, Yael [3 ,4 ]
Schoenbaum, Geoffrey [1 ,2 ]
机构
[1] Univ Maryland, Sch Med, Dept Anat & Neurobiol, Baltimore, MD 21201 USA
[2] Natl Inst Drug Abuse, Intramural Res Program, Baltimore, MD USA
[3] Princeton Univ, Dept Psychol, Princeton, NJ 08544 USA
[4] Princeton Univ, Inst Neurosci, Princeton, NJ 08544 USA
关键词
ORBITAL PREFRONTAL CORTEX; DECISION-MAKING; DRUG-ADDICTION; BASOLATERAL AMYGDALA; NEURONAL-ACTIVITY; METHAMPHETAMINE ABUSERS; AMPHETAMINE EXPOSURE; BEHAVIORAL-CONTROL; REWARD PREFERENCE; EXPERIENCED RATS;
D O I
10.1038/nn.3014
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Cocaine addiction is characterized by poor judgment and maladaptive decision-making. Here we review evidence implicating the orbitofrontal cortex in such behavior. This evidence suggests that cocaine-induced changes in orbitofrontal cortex disrupt the representation of states and transition functions that form the basis of flexible and adaptive 'model-based' behavioral control. By impairing this function, cocaine exposure leads to an overemphasis on less flexible, maladaptive 'model-free' control systems. We propose that such an effect accounts for the complex pattern of maladaptive behaviors associated with cocaine addiction.
引用
收藏
页码:358 / 366
页数:9
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