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Drug Addiction and Its Underlying Neurobiological Basis: Neuroimaging Evidence for the Involvement of the Frontal Cortex

American Journal of Psychiatry · 2002 · Vol. 159(10) · pp. 1642–1652
Rita Z. GoldsteinNora D. Volkow

Abstract

These results imply that addiction connotes cortically regulated cognitive and emotional processes, which result in the overvaluing of drug reinforcers, the undervaluing of alternative reinforcers, and deficits in inhibitory control for drug responses. These changes in addiction, which the authors call I-RISA (impaired response inhibition and salience attribution), expand the traditional concepts of drug dependence that emphasize limbic-regulated responses to pleasure and reward.

Neurotransmitter Receptor Influence on BehaviorNeural and Behavioral Psychology StudiesAttention Deficit Hyperactivity DisorderAddictionPsychologyOrbitofrontal cortexCravingNeuroscienceAnterior cingulate cortexPsychological dependenceSalience (neuroscience)CognitionNeuroimaging

MeSH terms

Cerebral CortexCompulsive BehaviorDopamineFrontal LobeHumansLimbic SystemModels, TheoreticalTerminology as TopicReinforcement, PsychologySubstance Withdrawal SyndromeSyndromeTomography, Emission-ComputedBehavior, AddictiveFluorodeoxyglucose F18Substance-Related Disorders
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