Drug Addiction and Obesity Quiz

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Questions and Answers

What is a key difference in the effect of nicotine exposure in rodents between adolescence and adulthood?

  • Adolescent exposure leads to a decreased craving for nicotine, while adult exposure does the opposite.
  • Both adolescent and adult exposure cause the same changes in nicotine receptors but only adult exposure affects reinforcement value.
  • Adolescent exposure results in significant changes in nicotine receptors and increased reinforcement, while adult exposure does not. (correct)
  • Only adult exposure leads to an increased reinforcement value for nicotine.

What can increase the risk of nicotine dependence in offspring?

  • Parental nicotine use during adulthood.
  • A parent smoking during pregnancy. (correct)
  • Exposure to high levels of stress during adolescence.
  • Exposure to nicotine during the offspring's early childhood.

How is the potency of a reinforcer estimated?

  • Based on the speed at which dopamine levels in the brain increase.
  • Based on the magnitude and duration of dopamine increases in the nucleus accumbens. (correct)
  • Based on the rate at which the response is learned through the reinforcement.
  • Based on the changes in nicotine receptors in the brain.

Based on the provided text, how is the effect of stress on physiology characterized?

<p>Stress plays a significant role in both physiological role and learning, described by '+++'. (C)</p> Signup and view all the answers

In the context of the table provided, which category best describes physiological adaptation as necessary for survival?

<p>Physiologic (B)</p> Signup and view all the answers

According to the provided text, what is the role of conditioned responses in the context of learning?

<p>Conditioned responses can manifest as both habits and unnecessary responses as part of learning. (D)</p> Signup and view all the answers

What is the main difference between habits and conditioned responses in terms of their role?

<p>Habits are a category of conditioned responses, some are relevant and others are not. (C)</p> Signup and view all the answers

Based on the text, what is a feature of supraphysiologic adaptations?

<p>They are considered unnecessary. (C)</p> Signup and view all the answers

In the context of addiction, where are µ opioid receptors localized?

<p>On GABAergic neurons that receive input from the mesolimbic dopamine system (A)</p> Signup and view all the answers

What effect do µ opioid injections into specific brain regions have regarding food intake?

<p>They specifically augment the intake of high-fat, high-sugar foods. (C)</p> Signup and view all the answers

What is the primary role of opiates in brain areas related to feeding and reward, as suggested by the text?

<p>To augment the consumption of high-fat, high-sugar foods. (A)</p> Signup and view all the answers

How does the text describe the relationship between brain circuitry for feeding and addiction?

<p>There is a considerable overlap, with addiction usurping some of the feeding circuitry. (C)</p> Signup and view all the answers

What does the text say about the role of dopamine in addiction?

<p>Dysregulation in the dopamine system is thought to lead to adaptations causing drug seeking. (D)</p> Signup and view all the answers

What is a proposed cause for the increasing desire for a drug as addiction progresses?

<p>Neurobiological adaptations in regions and neurotransmitter systems modulated by dopamine. (D)</p> Signup and view all the answers

How does the text explain the effect of chronic and intermittent exposure to drugs on the dopamine system?

<p>It triggers supra-physiological perturbations in the dopamine system that cause changes in other related areas. (C)</p> Signup and view all the answers

What area is responsible for the rewarding effects associated with opioid injections?

<p>The mesolimbic dopamine system and the nucleus accumbens. (C)</p> Signup and view all the answers

Which factor does not directly influence the reinforcing strength of a drug?

<p>The specific chemical composition of the drug. (C)</p> Signup and view all the answers

What is the primary role of corticotropin-releasing factor (CRF) in the context of stress response, as mentioned in the text?

<p>To act as a neuropeptide cotransmitter in neurons orchestrating the central effects of stress in addition to controlling the pituitary-adrenal axis. (C)</p> Signup and view all the answers

How might early-life dietary exposure influence an adult's food preferences?

<p>Exposure during fetal life and the immediate postnatal period can shape future food preferences. (A)</p> Signup and view all the answers

What is the relationship between increased availability of certain substances and addiction?

<p>The recent increase in addiction to cocaine and heroin has been accompanied by increased availability and lower costs of the drugs. (A)</p> Signup and view all the answers

Which factor is directly linked with an increased risk of both obesity and substance abuse?

<p>Early exposure to stress. (A)</p> Signup and view all the answers

What aspect of a drug's reinforcing effect is dependent on the administration method?

<p>The speed at which a drug reaches the brain is directly affected by its administration route and greatly influences its perceived reinforcement. (C)</p> Signup and view all the answers

According to the provided content, what is the relationship between childhood obesity rates and developmental/environmental factors?

<p>The increase in childhood and youth obesity emphasizes the need to investigate the interactions between developmental/environmental variables and this disorder. (C)</p> Signup and view all the answers

What role is played by the neuropeptide CRF in the context of addiction?

<p>CRF contributes to addiction by working as a cotransmitter in neurons orchestrating the central effects of stress. (D)</p> Signup and view all the answers

What is a commonality between obesity and addiction regarding pharmacological interventions?

<p>They both may be improved by interventions that affect the reinforcing value of the substance. (A)</p> Signup and view all the answers

What does the provided text suggest about the nature of motivational mechanisms in the context of obesity and addiction?

<p>They partially overlap, despite their different behavioral outcomes. (C)</p> Signup and view all the answers

What may occur after excessive intake in both obesity and addiction?

<p>Neuroadaptations leading to more compulsive ingestive behavior. (B)</p> Signup and view all the answers

What implication does the presence of 'periods of developmental vulnerability' have in both obesity and addiction?

<p>It highlights a need to focus on prevention during these critical developmental stages. (B)</p> Signup and view all the answers

What do 'conditioned responses' refer to, in the context of obesity and addiction?

<p>The learned associations that contribute to the motivation to ingest substances. (B)</p> Signup and view all the answers

What does the term 'stress-induced relapse' imply in the context of interventions for obesity and addiction?

<p>That stress can reverse the positive effects of treatment for these conditions. (D)</p> Signup and view all the answers

What is the role of neuroadaptations in the development of compulsive ingestive behavior?

<p>Neuroadaptations contribute to the development of compulsive ingestive behaviors. (B)</p> Signup and view all the answers

What does the provided text suggest is the goal of pharmacological interventions in both obesity and addiction?

<p>To interfere with the processes that drive the reinforcing value of the substance, conditioned responses and stress. (B)</p> Signup and view all the answers

What is a key difference in treating addiction versus obesity, according to the text?

<p>Addiction treatment requires complete abstinence, whereas obesity treatment cannot practically involve complete abstinence from eating. (A)</p> Signup and view all the answers

What is mentioned regarding the corticotropin-releasing factor (CRF) family of peptides?

<p>The text implies that CRF family of peptides have a role in regulating energy balance. (D)</p> Signup and view all the answers

Which of the following is NOT mentioned in the context of addiction treatment interventions?

<p>Pharmacological interventions (D)</p> Signup and view all the answers

What is implied about the use of secondary plant substances?

<p>They were originally developed to repel insects and influence their choices. (D)</p> Signup and view all the answers

What does the text suggest regarding the complexity of treatment for obesity?

<p>It is complicated by the difficulty of completely refraining from eating. (C)</p> Signup and view all the answers

Based on the text, what is suggested to be understood about drug dependence development?

<p>There are specific developmental periods of risk from first use to dependence. (B)</p> Signup and view all the answers

What does 'Mapping cortical change across the human life span' refer to?

<p>It refers to studying how the brain changes over a person's lifetime. (B)</p> Signup and view all the answers

Which of the following is NOT stated in the provided text regarding addiction and obesity?

<p>Both conditions can be fully treated using complete abstinence. (A)</p> Signup and view all the answers

Which strategy is MOST likely to help at-risk individuals avoid priming effects that might trigger compulsive eating?

<p>Avoiding foods that are high in carbohydrates, fats, or a combination of both. (B)</p> Signup and view all the answers

What did the study by Reale, Festa-Bianchet, and Jorgenson (1999) focus on concerning body mass?

<p>The heritability of body mass in wild bighorn sheep across different ages and seasons. (B)</p> Signup and view all the answers

What is the primary finding regarding the relationship between naloxone, pimo-zide, and feeding?

<p>Naloxone and pimo-zide affect the initiation and maintenance of feeding differently. (A)</p> Signup and view all the answers

What was the focus of the research by Josefsson and Johansson on Amoeba proteus?

<p>The naloxone-reversible effect of opioids on pinocytosis in <em>Amoeba proteus</em>. (C)</p> Signup and view all the answers

What topic was the focus of the Consensus Development Conference sponsored by the American Diabetes Association, as mentioned in the text?

<p>The implications of antipsychotic drugs on obesity and diabetes. (D)</p> Signup and view all the answers

Which group of researchers investigated the role of the growth hormone secretagogue receptor (ghrelin receptor) gene in human obesity?

<p>Baessler, A. et al. (A)</p> Signup and view all the answers

What did Shalev, Yap, and Shaham conclude regarding leptin?

<p>Leptin attenuates motivation for palatable food (A)</p> Signup and view all the answers

Based on the text, what can be inferred about the feasibility of total abstinence?

<p>Long periods of total abstinence are not practical. (B)</p> Signup and view all the answers

Flashcards

Nicotine Exposure and Adolescence

Nicotine exposure during adolescence, but not adulthood, can lead to significant changes in nicotine receptors and an increased likelihood of nicotine dependence later in life.

Fetal Drug Exposure

Exposure to drugs during fetal development can make an individual more susceptible to drug use later in life.

Smoking and Pregnancy

Smoking during pregnancy increases the risk of nicotine dependence in the offspring.

Nicotine Receptors

Nicotine receptors are affected by adolescent nicotine exposure, increasing the likelihood of dependence later in life.

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Nicotine Reinforcement

The reinforcement value of nicotine refers to its ability to increase the likelihood of seeking it out and using it again.

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Dopamine and Nicotine

Dopamine is a neurotransmitter associated with pleasure and reward. It plays a role in the reinforcing effects of drugs like nicotine.

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Nucleus Accumbens

The nucleus accumbens is a brain region involved in pleasure and reward. It is affected by dopamine levels.

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Drug Potency

Potency of a drug refers to its strength in producing an effect. Nicotine's reinforcing effect is measured by its ability to increase dopamine in the nucleus accumbens.

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Drug Administration and Reinforcement

The strength of a drug's effect depends on how it's administered, impacting how quickly it reaches the brain and its reinforcing power.

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Drug Availability and Addiction

Easy access and lower prices of drugs like cocaine and heroin contribute to increased addiction rates.

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Reinforcer in Addiction

The quality of something that makes you want it again and again, like a delicious food or a satisfying drug.

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CRF and Addiction

The stress hormone CRF plays a key role in addiction and how our bodies respond to stress.

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Early Diet and Food Preferences

Early exposure to certain diets, especially in fetal development, can influence food preferences later in life.

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Prenatal Development and Health

Experiences during fetal development, especially with food and stress, can have lasting effects on our health and behavior.

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Childhood Obesity and Environment

The dramatic increase in childhood obesity highlights the need to study how early life experiences interact with the environment to influence health.

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Early Exposure to Diets

Exposure to certain diets during fetal development and the early postnatal period can influence an individual's food preferences later in life.

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Where are µ opioid receptors located in the nucleus accumbens?

µ opioid receptors are located in the nucleus accumbens on GABAergic neurons, which receive signals from the mesolimbic dopamine system.

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What is the mesolimbic dopamine system?

The mesolimbic dopamine system is a key pathway in the brain responsible for reward and motivation.

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What effect do µ opioids have on the brain?

Injections of µ opioids into the nucleus accumbens and other areas are rewarding on their own and also enhance feeding behavior.

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What happens to the brain's dopamine system with chronic drug use?

Chronic and intermittent exposure to drugs can lead to long-term changes in the brain's dopamine system.

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How do neurobiological adaptations contribute to addiction?

Neurobiological adaptations in the brain's dopamine system due to drug use contribute to the increasing desire for the drug in addiction.

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What similarities exist between brain circuitry for feeding and addiction?

There are similarities between the brain circuitry involved in regulating body weight and the circuitry hijacked by drugs of abuse.

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What are scientists learning about the brain mechanisms of addiction and feeding?

As scientists understand more about addiction and feeding, they are discovering overlapping mechanisms in the brain.

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How can the brain's response to drug use be compared to food deprivation?

The brain's response to drug use can be compared to the body's response to food deprivation, as both involve changes in reward and motivation pathways.

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CRF (Corticotropin-Releasing Factor)

A family of peptides and receptors involved in regulating energy balance, motivation, and stress response.

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CRF Receptor Agonists

A class of drugs that are believed to be effective in treating both addiction and obesity.

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Cognitive-Behavioral Therapy

A psychological approach that helps people change their thoughts and behaviors related to substance use and unhealthy eating.

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12-Step Programs

Support groups that provide a sense of community and shared experience for individuals struggling with addiction.

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Relapse

The process of returning to drug use after a period of abstinence.

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Reinforcement Value of Drugs

The ability of a drug to reinforce its own use by creating pleasurable effects, leading to cravings and dependence.

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Dopamine

A neurotransmitter associated with pleasure and reward, playing a key role in the addictive properties of substances.

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Neuroadaptations

The process by which the brain changes in response to repeated exposure to a substance or behavior, often leading to addiction or compulsive behaviors.

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Reinforcing Value

The ability of a substance or behavior to induce motivation and drive to seek and consume it again.

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Conditioned Responses

The process by which the body learns to associate specific cues or situations with the rewarding effects of a substance or behavior, triggering cravings and relapse.

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Stress-induced Relapse

The tendency to return to a substance or behavior even after periods of abstinence or successful reduction, often triggered by stress or other environmental factors.

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Developmental Vulnerability

A period in development when an individual is particularly vulnerable to developing addiction or other behavioral disorders.

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Pharmacological Interventions

The use of medications to target specific mechanisms in the brain that contribute to addiction, aiming to reduce cravings, withdrawal symptoms, and relapse.

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Overlapping Motivational Mechanisms

The idea that the same core brain mechanisms are involved in various behavioral addictions, such as substance abuse and overeating.

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Excessive Intake and Compulsivity

The idea that excessive intake of a substance or behavior can lead to neuroadaptations that make the behavior more compulsive and difficult to control.

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Reinforcement Value

The tendency for a substance, like nicotine, to increase the likelihood of seeking it out and using it again.

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Developmental Nicotine Exposure

Exposure to a drug, like nicotine during developmental stages (adolescence) can have long-lasting effects on brain receptors, potentially leading to increased susceptibility to addiction later in life.

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Nicotine Dependence

The brain's adaptation to prolonged nicotine exposure, creating a need to constantly maintain nicotine levels to avoid withdrawal symptoms.

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Nicotine Withdrawal

A state of experiencing unpleasant symptoms when nicotine levels drop, motivating the individual to smoke again.

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Study Notes

Drug Addiction and Obesity

  • Drugs and food activate similar reward pathways in the brain, providing insight into the neural mechanisms of obesity.
  • Many plant metabolites evolved to deter animal consumption, some act as addictive substances.
  • Appetite is driven by body needs, but we learn to prefer certain foods, including those with addictive properties.
  • Drug addiction and obesity stem from persistent foraging and ingestion habits reinforced by the pleasure derived from the substance.
  • Consumption of palatable foods or drugs activates reward pathways via fast (sensory) and slow (post-ingestive) processes.
  • Drug use, or exposure to high-calorie foods, leads to neurobiological changes making behaviors compulsive.

Genetic Factors

  • Genetic polymorphisms may predispose individuals to obesity, but increased availability of addictive substances likely plays a larger role in recent epidemics.
  • Genetic factors contribute to addiction vulnerability (40-60%) and body mass index variability (50-70%).
  • These contributions are not independent; genes and environments interact complexly.
  • Genetic predisposition for addiction or obesity may vary across environments due to differing availability of highly palatable foods or drugs.

Environmental Factors

  • Availability of "comfort foods" and drugs plays a major role; high-calorie foods are more readily available now than in the past.
  • Sweet taste was historically crucial for energy, but highly processed foods exacerbate the risk of obesity.
  • Environments with readily available, high-calorie foods increase obesity risk, paralleling epidemics of addiction to readily available drugs.
  • Stress, both acute and chronic, impacts both food intake and addiction.
  • Childhood stress is correlated with increased risk for weight problems in adolescence and early adulthood, and substance abuse.
  • Stress is mediated by CRF and related peptides, influencing energy balance and reward pathways (feeding and drug use).

Neurobiological Mechanisms

  • Dopamine systems are involved in both feeding and addiction; naloxone (an opiate antagonist) reduces feeding across species.
  • Dopamine release in the nucleus accumbens is triggered by foods (palatable) and drugs.
  • Neuroadaptations during drug use and consistent food intake modify feeding behaviours and motivate repeat intake.
  • Differences exist in drug addiction vulnerability and compulsive eating behaviours; food intake is influenced by multiple internal and external factors.
  • Chronic excess food consumption produces neuroadaptations that modify motivation and energy efficiency.

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