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Value-based cognition and drug dependency
Addictive Behaviors ( IF 3.7 ) Pub Date : 2021-07-28 , DOI: 10.1016/j.addbeh.2021.107070
Kavinash Loganathan 1
Affiliation  

Value-based decision-making is thought to play an important role in drug dependency. Achieving elevated levels of euphoria or ameliorating dysphoria/pain may motivate goal-directed drug consumption in both drug-naïve and long-time users. In other words, drugs become viewed as the preferred means of attaining a desired internal state. The bias towards choosing drugs may affect one’s cognition. Observed biases in learning, attention and memory systems within the brain gradually focus one’s cognitive functions towards drugs and related cues to the exclusion of other stimuli. In this narrative review, the effects of drug use on learning, attention and memory are discussed with a particular focus on changes across brain-wide functional networks and the subsequent impact on behaviour. These cognitive changes are then incorporated into the cycle of addiction, an established model outlining the transition from casual drug use to chronic dependency. If drug use results in the elevated salience of drugs and their cues, the studies highlighted in this review strongly suggest that this salience biases cognitive systems towards the motivated pursuit of addictive drugs. This bias is observed throughout the cycle of addiction, possibly contributing to the persistent hold that addictive drugs have over the dependent. Taken together, the excessive valuation of drugs as the preferred means of achieving a desired internal state affects more than just decision-making, but also learning, attentional and mnemonic systems. This eventually narrows the focus of one’s thoughts towards the pursuit and consumption of addictive drugs.



中文翻译:

基于价值的认知和药物依赖

人们认为基于价值的决策在药物依赖中起着重要作用。实现高水平的欣快感或减轻烦躁/疼痛可能会促使未吸毒者和长期吸毒者以目标为导向的药物消费。换句话说,药物被视为获得所需内部状态的首选手段。选择药物的偏见可能会影响一个人的认知。在大脑中观察到的学习、注意力和记忆系统的偏见逐渐将一个人的认知功能集中在药物和相关线索上,以排除其他刺激。在这篇叙述性评论中,我们讨论了吸毒对学习、注意力和记忆的影响,特别关注整个大脑功能网络的变化以及随后对行为的影响。然后将这些认知变化纳入成瘾循环,这是一个既定模型,概述了从偶然吸毒到慢性依赖的转变。如果吸毒导致药物及其线索的显着性升高,则本综述中强调的研究强烈表明,这种显着性会使认知系统偏向于有动机地追求成瘾药物。在整个成瘾周期中都观察到这种偏见,这可能导致成瘾药物对依赖者的持续持有。综上所述,将药物作为实现理想内部状态的首选手段的过度评估不仅影响决策,而且影响学习、注意力和记忆系统。这最终会缩小人们对成瘾药物的追求和消费的关注范围。一个既定的模型,概述了从偶然吸毒到长期依赖的转变。如果吸毒导致药物及其线索的显着性升高,则本综述中强调的研究强烈表明,这种显着性会使认知系统偏向于有动机地追求成瘾药物。在整个成瘾周期中都观察到这种偏见,这可能导致成瘾药物对依赖者的持续持有。综上所述,将药物作为实现理想内部状态的首选手段的过度评估不仅影响决策,而且影响学习、注意力和记忆系统。这最终会缩小人们对成瘾药物的追求和消费的关注范围。一个既定的模型,概述了从偶然吸毒到长期依赖的转变。如果吸毒导致药物及其线索的显着性升高,则本综述中强调的研究强烈表明,这种显着性会使认知系统偏向于有动机地追求成瘾药物。在整个成瘾周期中都观察到这种偏见,这可能导致成瘾药物对依赖者的持续持有。综上所述,将药物作为实现理想内部状态的首选手段的过度评估不仅影响决策,而且影响学习、注意力和记忆系统。这最终会缩小人们对成瘾药物的追求和消费的关注范围。如果吸毒导致药物及其线索的显着性升高,则本综述中强调的研究强烈表明,这种显着性会使认知系统偏向于有动机地追求成瘾药物。在整个成瘾周期中都观察到这种偏见,这可能导致成瘾药物对依赖者的持续持有。综上所述,将药物作为实现理想内部状态的首选手段的过度评估不仅影响决策,而且影响学习、注意力和记忆系统。这最终会缩小人们对成瘾药物的追求和消费的关注范围。如果吸毒导致药物及其线索的显着性升高,则本综述中强调的研究强烈表明,这种显着性会使认知系统偏向于有动机地追求成瘾药物。在整个成瘾周期中都观察到这种偏见,这可能导致成瘾药物对依赖者的持续持有。综上所述,将药物作为实现理想内部状态的首选手段的过度评估不仅影响决策,而且影响学习、注意力和记忆系统。这最终会缩小人们对成瘾药物的追求和消费的关注范围。本综述中强调的研究强烈表明,这种显着性使认知系统偏向于有动机地追求成瘾性药物。在整个成瘾周期中都观察到这种偏见,这可能导致成瘾药物对依赖者的持续持有。综上所述,将药物作为实现理想内部状态的首选手段的过度评估不仅影响决策,而且影响学习、注意力和记忆系统。这最终会缩小人们对成瘾药物的追求和消费的关注范围。本综述中强调的研究强烈表明,这种显着性使认知系统偏向于有动机地追求成瘾性药物。在整个成瘾周期中都观察到这种偏见,这可能导致成瘾药物对依赖者的持续持有。综上所述,将药物作为实现理想内部状态的首选手段的过度评估不仅影响决策,而且影响学习、注意力和记忆系统。这最终会缩小人们对成瘾药物的追求和消费的关注范围。过度评价药物作为实现理想内部状态的首选手段不仅影响决策,还影响学习、注意力和记忆系统。这最终会缩小人们对成瘾药物的追求和消费的关注范围。过度评价药物作为实现理想内部状态的首选手段不仅影响决策,还影响学习、注意力和记忆系统。这最终会缩小人们对成瘾药物的追求和消费的关注范围。

更新日期:2021-08-03
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