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Drug Addiction: Updating Actions to Habits to Compulsions Ten Years On

Accepted version
Peer-reviewed

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Type

Article

Change log

Authors

Everitt, BJ 
Robbins, TW 

Abstract

A decade ago, we hypothesized that drug addiction can be viewed as a transition from voluntary, recreational drug use to compulsive drug-seeking habits, neurally underpinned by a transition from prefrontal cortical to striatal control over drug seeking and taking as well as a progression from the ventral to the dorsal striatum. Here, in the light of burgeoning, supportive evidence, we reconsider and elaborate this hypothesis, in particular the refinements in our understanding of ventral and dorsal striatal mechanisms underlying goal-directed and habitual drug seeking, the influence of drug-associated Pavlovian-conditioned stimuli on drug seeking and relapse, and evidence for impairments in top-down prefrontal cortical inhibitory control over this behavior. We further review animal and human studies that have begun to define etiological factors and individual differences in the propensity to become addicted to drugs, leading to the description of addiction endophenotypes, especially for cocaine addiction. We consider the prospect of novel treatments for addiction that promote abstinence from and relapse to drug use.

Description

Keywords

endophenotype, inhibitory control, insula, prefrontal cortex, striatum, vulnerability, Animals, Brain, Compulsive Behavior, Conditioning (Psychology), Drug-Seeking Behavior, Habits, Humans, Substance-Related Disorders

Journal Title

Annual Review of Psychology

Conference Name

Journal ISSN

0066-4308
1545-2085

Volume Title

67

Publisher

Annual Reviews, Inc.
Sponsorship
Medical Research Council (G1002231)
Medical Research Council (G1000183)
Medical Research Council (G0001354)
Medical Research Council (G0600196)
Medical Research Council (G9537855)
Medical Research Council (G0701500)
Medical Research Council (G0701497)
Medical Research Council (G0802729)
Medical Research Council (MR/N02530X/1)
We have received generous and long-term support from the Medical Research Council for the research on drug addiction summarized here: B.J.E., T.W.R., and A. Dickinson, G9537555 (1996–2001) and G9537855 (2001–2006); B.J.E., T.W.R., A. Dickinson, and J. Dalley, G0600196 (2006–2011); B.J.E., T.W.R., J. Dalley, and A. Milton, G1002231 (2011–2016); J. Dalley, T.W.R., B.J.E., T. Fryer, J.-C. Baron, and F. Airbirhio, G0701500 (2008–2012); K. Ersche, E. Bullmore, and T.W.R., G0701497 (2008–2011); and J. Dalley, B.J.E., and T.W.R., G0802729 (2009–2011).