How does stress increase risk of drug abuse and relapse?
paper
Cited
Public
Unavailable
- Authors
- Sinha, R
- Year
- 2001
- Journal
- Psychopharmacology
- PMID
- 11797055
- DOI
- 10.1007/s002130100917
RATIONALE: The notion that stress leads to drug abuse in vulnerable individuals and relapse in addicts is not new. Most major theories of addiction postulate that stress plays an important role in increasing drug use and relapse. Several animal studies and some human laboratory studies have shown that stress exposure enhances drug self-administration. Although clinical observations suggest that exposure to stress increases drug use, and are associated with craving and relapse in addicts, human research in this area is largely correlational and at times contradictory. OBJECTIVE: Given the growing preclinical evidence that supports the key role of stress in substance abuse, careful examination of this research area in humans is warranted. This paper examines empirical evidence on how stress may increase the vulnerability to drug abuse, and explores whether chronic drug abuse alters the stress response and coping in addicts, thereby increasing the likelihood of drug seeking and relapse. Unanswered questions on the association between stress and substance abuse in humans are identified. CONCLUSION: Preclinical research has shown that stress, in addition to drug itself, plays a key role in perpetuating drug abuse and relapse. However, the mechanisms underlying this association in humans remain unclear. A greater understanding of how stress may perpetuate drug abuse will likely have a significant impact on both prevention and treatment development in the field of addiction.
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| Young Investigator Award symposium. | Witkiewitz K et al. | β | 2009 | β |
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| Evaluation of a trauma-informed and gender-responsive intervention for women in drug treatment. | Covington SS et al. | β | 2008 | β |
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| Review. Genetics of addictions: strategies for addressing heterogeneity and polygenicity of substance use disorders. | Wong CC et al. | β | 2008 | β |
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| How gene-stress-behavior interactions can promote adolescent alcohol use: the roles of predrinking allostatic load and childhood behavior disorders. | Zimmermann US et al. | β | 2007 | β |
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| Relationships between self-reported unfair treatment and prescription medication use, illicit drug use, and alcohol dependence among Filipino Americans. | Gee GC et al. | β | 2007 | β |
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| The effect of neighborhood context on the drug use of American Indian youth of the Southwest. | Yabiku ST et al. | β | 2007 | β |
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| On blending practice and research: the search for commonalities in substance abuse treatment. | Kellogg S et al. | β | 2006 | β |
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| Toward a model of drug relapse: an assessment of the validity of the reinstatement procedure. | Epstein DH et al. | β | 2006 | β |
| Transient changes in nucleus accumbens amino acid concentrations correlate with individual responsivity to the predator fox odor 2,5-dihydro-2,4,5-trimethylthiazoline. | Venton BJ et al. | β | 2006 | β |
| What explains the association between neighborhood-level income inequality and the risk of fatal overdose in New York City? | Nandi A et al. | β | 2006 | β |
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| Cannabinoid CB(1) antagonist SR 141716A attenuates reinstatement of heroin self-administration in heroin-abstinent rats. | Fattore L et al. | β | 2005 | β |
| Cocaine experience establishes control of midbrain glutamate and dopamine by corticotropin-releasing factor: a role in stress-induced relapse to drug seeking. | Wang B et al. | β | 2005 | β |
| Conceptual framework for the etiology of alcoholism: a "kindling"/stress hypothesis. | Breese GR et al. | β | 2005 | β |
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| Co-occurring mental and substance use disorders: the neurobiological effects of chronic stress. | Brady KT et al. | β | 2005 | β |
| Dissecting the genetic effect of the CRH system on anxiety and stress-related behaviour. | Deussing JM et al. | β | 2005 | β |
| Dissection of hypothalamic-pituitary-adrenal axis pathology in 1-month-abstinent alcohol-dependent men, part 1: adrenocortical and pituitary glucocorticoid responsiveness. | Adinoff B et al. | β | 2005 | β |
| Dissection of hypothalamic-pituitary-adrenal axis pathology in 1-month-abstinent alcohol-dependent men, part 2: response to ovine corticotropin-releasing factor and naloxone. | Adinoff B et al. | β | 2005 | β |
| Early environmental experience alters baseline and ethanol-induced cognitive impulsivity: relationship to forebrain 5-HT1A receptor binding. | Hellemans KG et al. | β | 2005 | β |
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| Factors mediating alcohol craving and relapse: stress, compulsivity, and genetics. | Rodd ZA et al. | β | 2005 | β |
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