DSM-5 from the viewpoint of basic study of dependence and addiction.

Naoyuki Hironaka
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Abstract

In this review, current progress of neurobehavioral research using animal model of dependence and/or addiction is described in light of DSM-5. Although the terms "dependence" and "abuse" are deleted in DSM-5, the concept of dependence and the related animal experiments, drug self-administration, conditioned place preference, and drug discrimination are still useful to predict abuse liability of chemical substances. At the same time, it is necessary to model addictive nature of behavior in animals. Impulsivity, compulsivity, and comorbidity of addiction to other mental disorders are the major topics of such research area. At the same time, basic research aimed at treatment of dependence/addiction has been progressed. For example, a methamphetamine monoclonal antibody, a new chemical acting on DARPP-32 (dopamine and c-AMP-regulated phophoprotein-32), a galanin analogue, oxytocin, and others are included in such attempt. As DSM-5 mentioned the brain reward system as the major site of substance-related and addictive disorders, clinicians would be more interested in biological substrates of dependence/addiction. It is expected that the emergence of new diagnostic criteria promotes mutual communication between basic and clinical researchers.

从依赖和成瘾基础研究的角度看DSM-5。
本文综述了基于DSM-5的依赖和/或成瘾动物模型的神经行为研究进展。虽然在DSM-5中删除了“依赖”和“滥用”这两个术语,但是依赖的概念以及相关的动物实验、药物自我给药、条件区位偏好、药物歧视等对预测化学物质的滥用倾向仍然是有用的。同时,有必要对动物行为的成瘾性进行建模。冲动性、强迫性和成瘾与其他精神障碍的共病是这一研究领域的主要课题。与此同时,旨在治疗依赖/成瘾的基础研究也取得了进展。例如,甲基苯丙胺单克隆抗体、一种作用于DARPP-32(多巴胺和c- amp调节的磷酸化蛋白-32)的新化学物质、丙氨酸类似物、催产素等都被包括在这种尝试中。由于DSM-5提到大脑奖励系统是物质相关和成瘾障碍的主要部位,临床医生将对依赖/成瘾的生物学基础更感兴趣。预计新的诊断标准的出现将促进基础和临床研究人员之间的相互交流。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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