A mathematical model of reward-mediated learning in drug addiction

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Hauptverfasser: Chou, Tom, D'Orsogna, Maria
Format: Preprint
Veröffentlicht: 2022
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author Chou, Tom
D'Orsogna, Maria
author_facet Chou, Tom
D'Orsogna, Maria
contents Substances of abuse are known to activate and disrupt neuronal circuits in the brain reward system. We propose a simple and easily interpretable dynamical systems model to describe the neurobiology of drug addiction that incorporates the psychiatric concepts of reward prediction error (RPE), drug-induced incentive salience (IST), and opponent process theory (OPT). Drug-induced dopamine releases activate a biphasic reward response with pleasurable, positive "a-processes" (euphoria, rush) followed by unpleasant, negative "b-processes" (cravings, withdrawal). Neuroadaptive processes triggered by successive intakes enhance the negative component of the reward response, which the user compensates for by increasing drug dose and/or intake frequency. This positive feedback between physiological changes and drug self-administration leads to habituation, tolerance and eventually to full addiction. Our model gives rise to qualitatively different pathways to addiction that can represent a diverse set of user profiles (genetics, age) and drug potencies. We find that users who have, or neuroadaptively develop, a strong b-process response to drug consumption are most at risk for addiction. Finally, we include possible mechanisms to mitigate withdrawal symptoms, such as through the use of methadone or other auxiliary drugs used in detoxification.
format Preprint
id arxiv_https___arxiv_org_abs_2205_10704
institution arXiv
publishDate 2022
record_format arxiv
spellingShingle A mathematical model of reward-mediated learning in drug addiction
Chou, Tom
D'Orsogna, Maria
Neurons and Cognition
Substances of abuse are known to activate and disrupt neuronal circuits in the brain reward system. We propose a simple and easily interpretable dynamical systems model to describe the neurobiology of drug addiction that incorporates the psychiatric concepts of reward prediction error (RPE), drug-induced incentive salience (IST), and opponent process theory (OPT). Drug-induced dopamine releases activate a biphasic reward response with pleasurable, positive "a-processes" (euphoria, rush) followed by unpleasant, negative "b-processes" (cravings, withdrawal). Neuroadaptive processes triggered by successive intakes enhance the negative component of the reward response, which the user compensates for by increasing drug dose and/or intake frequency. This positive feedback between physiological changes and drug self-administration leads to habituation, tolerance and eventually to full addiction. Our model gives rise to qualitatively different pathways to addiction that can represent a diverse set of user profiles (genetics, age) and drug potencies. We find that users who have, or neuroadaptively develop, a strong b-process response to drug consumption are most at risk for addiction. Finally, we include possible mechanisms to mitigate withdrawal symptoms, such as through the use of methadone or other auxiliary drugs used in detoxification.
title A mathematical model of reward-mediated learning in drug addiction
topic Neurons and Cognition
url https://arxiv.org/abs/2205.10704