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The ReCoDe addiction research consortium: Losing and regaining control over drug intake-Findings and future perspectives.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Banaschewski, Tobias 
Bermpohl, Felix 

Abstract

Substance use disorders (SUDs) are seen as a continuum ranging from goal-directed and hedonic drug use to loss of control over drug intake with aversive consequences for mental and physical health and social functioning. The main goals of our interdisciplinary German collaborative research centre on Losing and Regaining Control over Drug Intake (ReCoDe) are (i) to study triggers (drug cues, stressors, drug priming) and modifying factors (age, gender, physical activity, cognitive functions, childhood adversity, social factors, such as loneliness and social contact/interaction) that longitudinally modulate the trajectories of losing and regaining control over drug consumption under real-life conditions. (ii) To study underlying behavioural, cognitive and neurobiological mechanisms of disease trajectories and drug-related behaviours and (iii) to provide non-invasive mechanism-based interventions. These goals are achieved by: (A) using innovative mHealth (mobile health) tools to longitudinally monitor the effects of triggers and modifying factors on drug consumption patterns in real life in a cohort of 900 patients with alcohol use disorder. This approach will be complemented by animal models of addiction with 24/7 automated behavioural monitoring across an entire disease trajectory; i.e. from a naïve state to a drug-taking state to an addiction or resilience-like state. (B) The identification and, if applicable, computational modelling of key molecular, neurobiological and psychological mechanisms (e.g., reduced cognitive flexibility) mediating the effects of such triggers and modifying factors on disease trajectories. (C) Developing and testing non-invasive interventions (e.g., Just-In-Time-Adaptive-Interventions (JITAIs), various non-invasive brain stimulations (NIBS), individualized physical activity) that specifically target the underlying mechanisms for regaining control over drug intake. Here, we will report on the most important results of the first funding period and outline our future research strategy.

Description

Keywords

addiction, alcohol, alternative rewards, ambulatory assessment (AA), animal models, behavioural control, cocaine, cognitive control, computational models, craving, decision‐making, ecological momentary assessment (EMA), habit formation, relapse, tobacco, Humans, Substance-Related Disorders, Animals, Germany, Behavior, Addictive, Alcoholism

Journal Title

Addict Biol

Conference Name

Journal ISSN

1355-6215
1369-1600

Volume Title

Publisher

Wiley
Sponsorship
The Collaborative Research Center (CRC) (Transregio - TRR 265 - Losing and regaining control over drug intake – from trajectories to mechanisms and interventions) – the ReCoDe consortium) is funded by the German Research Foundation (Deutsche Forschungsgemeinschaft DFG). The project is carried out using the Mannheim (CIMH)/Charité infrastructure of the German Center for Mental Health (DZPG). Open Access funding enabled and organized by Projekt DEAL.