10.1 Neurophysiology of Reward and Addiction Flashcards

1
Q

Motivation is a process that mediates goal-directed responses or goal-seeking behavior to changes in the _______ or _______ _______.

A

external; internal environment

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2
Q

Reinforcement is the consequence of operant/learned behaviors that ______ ____ ______ that a behavior will be ______ under similar conditions each time.

A

alters the probability; repeated

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3
Q

Saliency is something important in the _____ ______ worth paying attention to.

A

surrounding environment

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4
Q

What is a reward?

A

Objects, stimuli, or activities that have positive value.

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5
Q

Aversion is a ______ reinforcement of behavior that the individual will learn to ____ in future encounters.

A

negative; avoid

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6
Q

Pleasure is a _____ sensation often referred to as ______ or ______.

A

positive; eupohore; hedonia

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7
Q

The physiologic purpose of pleasure is to promote behaviors that are consistent with _____ __ ____ and the _____.

A

survival of self; species

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8
Q

What are natural rewards elicited by?

A

caring for young, palatable food, mating, and exercise

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9
Q

______ neurons encode the discrepancy between reward predictions and information about the actual reward received and broadcast the signal downstream to reward centers in the brain.

A

Dopaminergic

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10
Q

An unpredicted reward elicits an activation called a ______ ______ ______.

A

positive prediction error

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11
Q

A fully predicted reward elicits _____ _____.

A

no response

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12
Q

Omission of a predicted reward elicits a ______.

A

depression

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13
Q

Over repeated drug use, the repetition of reward prediction error (RPE) signals would ______ drug-related cues and behaviors.

A

reinforce

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14
Q

_______ _______ produce error-correcting DA-RPE signals only until the predictions match the actual events.

A

Natural rewards

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15
Q

_______ is associated with the reinforcing effects of most drugs of abuse.

A

Dopamine

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16
Q

Drugs of abuse increase _______ _______ concentrations in limbic regions, including the nucleus accumbens.

A

extracellular dopamine

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17
Q

Drugs of abuse provide _____ and _____ increases in dopamine than natural reinforces such as food and sex.

A

longer; larger

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18
Q

Which drugs increase dopamine directly?

A

cocaine, amphetamine, methamphetamine, and ecstasy

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19
Q

Which drugs increase dopamine indirectly via other neuron receptors?

A

nicotine, alcohol, opiates, and marijuana

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20
Q

Salience refers to a stimuli or environmental changes that are ______ or elicit an ______-______ switch.

A

arousing; attentional-behavioral

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21
Q

Salience affects the ______ to seek an anticipated reward and facilitates _____ _____.

A

motivation; conditioned learning

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22
Q

Because dopamine is involved in the _____ of reward and ______, drug-induced increases in dopamine will inherently motivate further procurement of more drug, regardless or whether or not the effects of the drug are perceived as pleasurable.

A

prediction; salience

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23
Q

Salience leads to a situation in which _____ _____ associated with the drug can increase dopamine themselves and elicit the desire for the drug.

A

sensory stimuli

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24
Q

What does the mesolimbic system consist of?

A

nucleus accumbens, ventral tegmental area (VTA), limbic system, and pre-frontal cortex

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25
Q

What are the important neurotransmitters in the mesolimbic system?

A

dopamine, GABA, opioids, EAAs, dynorphin, and orexin

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26
Q

The main function of the nucleus accumbens is to _____ sensations of pleasure/reward.

A

suppress

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27
Q

The nucleus accumbens is _______ ______ by a constant trickle of EAAs like glutamate.

A

constitutively activated

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28
Q

The nucleus accumbens neurons are GABAergic meaning the activation of these neurons stimulate them to _____ _____.

A

release GABA

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29
Q

GABA is _____, so stimulation of nucleus accumbens neurons will _____ their target.

A

inhibitory; inhibit

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30
Q

Constitutive inhibition of the pre-frontal cortex targets keeps the brain in a ______-_____ state.

A

reward-neutral

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31
Q

When you do something that elicits a reward, the _____ becomes activated.

A

ventral tegmental area (VTA)

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32
Q

Dopaminergic neurons from the VTA project to the _____ _____.

A

nucleus accumbens

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33
Q

Ultimately, when you do something that elicits a reward, the nucleus accumbens activity (releasing GABA & suppressing sensations of pleasure) is _____.

A

inhibited

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34
Q

Decreased nucleus accumbens activity (decreased GABA release) results in _______ ____ _______.

A

sensation of pleasure

35
Q

The VTA is activated by ____, ____, or _____.

A

EAAs (glutamate); orexin; acetylcholine

36
Q

The pre-frontal cortex releases ______.

A

EAAs (glutamate)

37
Q

The dorsal tegmental area releases ______.

A

acetylcholine

38
Q

The hypothalamus releases _____ and is activated by ______ ___ ____.

A

orexin; consumption of food

39
Q

Nucleus accumbens neurons release ____ and _______.

A

GABA and dynorphin

40
Q

Dynorphin is an _____ that binds to the ____-____ receptor in the VTA.

A

opioid; kappa-opioid

41
Q

Together, GABA and dynorphin _____ the additional release of dopamine from the VTA as a means to ____ the reward process.

A

suppress; halt

42
Q

The inactivation of the nucleus accumbens via dopaminergic neurons from the VTA is termed the ________-________ ____ ______.

A

dopamine-hypothesis of reward

43
Q

Many drugs of abuse activate the ______ __-_____.

A

mesolimbic DA-system

44
Q

Endogenous opioids activate the _____-_______ reward pathway.

A

dopamine-independent

45
Q

Exercise, ethanol, and other activities increase endogenous opioid signaling at the ____, _____, and _____.

A

VTA; nucleus accumbens; pre-frontal cortex

46
Q

Opioids activate ___-receptors which activate dopaminergic neurons in the VTA (via inhibiting local VTA interneurons which normally suppress dopaminergic activity), activate local interneurons in the nucleus accumbens (via inhibiting GABA-ergic neurons), and activate the pre-frontal cortex.

A

mu

47
Q

Opioids _____ dopaminergic neurons in the VTA, allowing ______ dopamine in the nucleus accumbens, inhibiting GABA release, resulting in a profound sense of _____ via activation of the PFC.

A

disinhibit/activate; increased; pleasure

48
Q

Compared to normal reward stimuli, rewards due to drugs of abuse are ______ to an otherwise mild stimulus because the dopamine signal in the nucleus accumbens is not proportional to the stimulus.

A

exaggerated

49
Q

Chronic drug exposure alters the ______ of neurons in dopamine-related circuits.

A

morphology

50
Q

Drugs have been reported to alter the expression of certain ______ _____ as well as a variety of proteins involved in neurotransmission.

A

transcription factors

51
Q

What neurotransmitters have been documented to have addiction-related adaptations?

A

Dopamine, glutamate, GABA, opioids, serotonin, and various neuropeptides.

52
Q

In people with addictions, abnormal neurotransmitter levels are found in the ________ region of the brain.

A

mesocortical

53
Q

What does the mesocortical region of the brain include?

A

orbitofrontal cortex and cingulate cortex

54
Q

The orbitofrontal cortex is involved in _____ _____.

A

compulsive behavior

55
Q

The cingulate gyrus regulates ________.

A

disinhibition

56
Q

What are conditioned associations?

A

A lasting memory that is created which associates good feelings with the circumstance and environment in which they occur.

57
Q

Conditioned associations occur in the ______ and utilize circuitry which mediates _____ in the ______ when the abuser encounters the persons or things and is then driven to make poor decisions or seek out more drugs in spite of obstacles.

A

hippocampus; cravings; amygdala

58
Q

Dynorphin feeds back from nucleus accumbens and helps to _____ dopaminergic signaling from the VTA.

A

suppress

59
Q

The locus coeruleus is involved in _____ and ______.

A

arousal; vigilance

60
Q

_____ ______ is due to excessive noradrenergic output from the locus coeruleus and CREB-dependent upregulation of target genes (dynorphin) in the locus coeruleus.

A

Physical dependency

61
Q

DeltaFosB and AP-1 are upregulated by ____ and ____ ___ ____.

A

stress; drugs of abuse

62
Q

______ and ____ upregulate expression of EAA receptor expression, elements of cell signal transduction pathways, and factors promoting drug seeking, motivation, and locomotion.

A

DeltaFosB and AP-1

63
Q

Eventually, becoming _______ to fear drug withdrawal effects (which can be relieved by taking the drug) might lead to any source of stress or frustration becoming a ___ for drug use.

A

conditioned; cue

64
Q

____ ______ is learning that one behavior is associated or leads to something unpleasant or aversive.

A

Fear conditioning

65
Q

________ release within the reward circuit alters the subjective value assigned to fearful stimuli and directly affects memory consolidation.

A

Dopamine

66
Q

Dopamine can alter the _____ through which fear occurs, alter the _____ itself, and/or alter the expression of the ______.

A

conditions; association; memory

67
Q

In a non-addicted brain, the saliency of substances and substance cues should be ___.

A

low

68
Q

In a non-addicted brain, conditioned cues have _____ to ____ influence on the saliency of drug-substances.

A

little; no

69
Q

In a non-addicted brain, the saliency of natural rewards greatly ______ the saliency of drugs.

A

overrides

70
Q

In an addicted brain, the saliency of substances and substance-related cues is _____.

A

increased

71
Q

In an addicted brain, the pre-frontal cortex ____ _____ the drive to seek substances.

A

cannot inhibit

72
Q

In an addicted brain, conditioned cues _____ the saliency of substances, further increasing _______-_______ behavior.

A

reinforce; substance-seeking

73
Q

In an addicted brain, the saliency of substances ______ the saliency of natural rewards (which __ _____ influence behavior).

A

overrides; no longer

74
Q

What does dopamine modulate in the amygdala?

A

retrieval of fear memories

75
Q

Dopamine in the ______ signals prediction error between expected outcome and actual reward.

A

VTA

76
Q

Dopamine in the ______ ______ modulates assignment of salience to certain stimuli and mediate decisions that seek (or avoid) a desirable (or aversive) situation.

A

nucleus accumbens

77
Q

Acute stress (______ ______ ______) usually increases dopamine release in the nucleus accumbens in the short term.

A

corticotropin releasing factor (CRF)

78
Q

______, ______, ______ stress results in CRF inducing a dopamine release. This causes dopamine to now be associated with ______ rather than pleasurable, appetitive results. This switches the _____ _____ to acute stressors.

A

prolonged; chronic; severe; aversion; emotional response

79
Q

The _______ provides place and direction-contextual information about the environment in which stimuli are experienced.

A

hippocampus

80
Q

Dopamine in the _____ _____ and _____ _____ causes a motor response associated with navigating the environment toward a desirable cue with the goal of engaging in the activity that elicits rewards.

A

substantia nigra; dorsal striatum

81
Q

____-____ _______ is a persistent increase in synaptic strength following high-frequency stimulation of a chemical synapse.

A

long-term potentiation

82
Q

In the ____ term, increased phosphorylation of ____ receptors and insertion of additional those receptors into the post-synaptic membrane of the locus coeruleus causes physical dependency.

A

short; AMPA

83
Q

In the ____ term, ____-dependent upregulation of target genes involved in learning and memory causes physical dependency.

A

long; CREB

84
Q

Activation of the calcium-calmodulin-CREB mechanism causes _______ _______ in the ____ term.

A

physical dependency; long