Sections
Conceptual Framework, Definitions, and Animal Models | Neurobiological Mechanisms of the Binge/Intoxication
Stage | Neurobiological Mechanisms of the Withdrawal/Negative
Affect Stage | Neurobiological Mechanisms of the Preoccupation/Anticipation Stage | Overall Neurocircuitry of Addiction | Molecular and Cellular Mechanisms in the Brain Circuits
Associated With Addiction | Brain Imaging Circuits Involved in Human Addiction | Conclusion | Key Points | References | Suggested Reading
Excerpt
Drug addiction, also known as substance dependence, is a chronic,
relapsing disorder characterized by 1) compulsion to seek and take
the drug, 2) loss of control in limiting intake, and 3) emergence
of a negative emotional state (e.g., dysphoria, anxiety, irritability)
when access to the drug is prevented (defined here as dependence)
(Koob and Le Moal 1997). Addiction and substance
dependence, as currently defined in DSM-IV-TR (American Psychiatric Association 2000), will be used interchangeably
throughout this chapter and refer to a final stage of a usage process
that moves from drug use to addiction. Clinically, the occasional
but limited use of a drug with the potential for abuse or dependence
is distinct from escalated drug use and the emergence of a chronic
drug-dependent state. An important goal of current neurobiological
research is to understand the neuropharmacological and neuroadaptive
mechanisms within specific neurocircuits that mediate the transition
from occasional, controlled drug use to the loss of behavioral control
over drug seeking and drug taking that defines chronic addiction.