Innovations in Biotechnology and Medical Sciences

Neurobiological basis of Substance Abuse Addiction

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Three-Stage Cycle of Addiction

Why in the News?

A groundbreaking study at the University of British Columbia, published in Nature Mental Health, reveals that addiction involves a complex neural circuit regulating cravings, emotions, and decision-making, shifting approaches to treatment and recovery.

Key Findings of the Research:

  • Addiction Alters a Network of Brain Regions:  A multi-center study analyzing 144 neuroimaging studies with 9,000 participants confirmed that addiction does not affect isolated brain areas but rather disrupts a circuit responsible for craving, emotional regulation, and decision-making.
  • Brain’s Reward System is Hijacked: The nucleus accumbens releases dopamine, reinforcing pleasurable behaviors. Addictive substances exploit this mechanism, making substance use compulsive over time.
  • Withdrawal Causes Emotional Distress: The extended amygdala triggers stress, anxiety, and irritability when substance use stops, driving continued consumption to avoid discomfort.
  • Decision-Making is Impaired: The prefrontal cortex weakens, reducing impulse control and rational thinking, making quitting extremely difficult despite awareness of harm.
  • Adolescents are More Vulnerable: Since the prefrontal cortex matures last, early substance exposure increases long-term addiction risk.
  • Neuroadaptations Persist Even After Abstinence: Brain changes caused by addiction do not immediately reverse, leading to relapse vulnerability even after long periods of sobriety.

The Three-Stage Cycle of Addiction

  • Binge/Intoxication Stage (Basal Ganglia – Reward Processing)
    • Substance use triggers dopamine release, reinforcing pleasurable behaviors.
    • Over time, the brain associates substance use with intense rewards, increasing dependence.
    • Users experience cravings, leading to compulsive drug-seeking behavior.
  • Withdrawal/Negative Affect Stage (Extended Amygdala – Emotional Distress)
    • When substance use stops, individuals experience withdrawal symptoms like stress, anxiety, and depression.
    • The brain craves relief, pushing individuals toward continued substance use to avoid discomfort.
    • This stage makes quitting extremely difficult, reinforcing addiction.
  • Preoccupation/Anticipation Stage (Prefrontal Cortex – Impulse Control & Cravings)
    • The prefrontal cortex weakens, impairing decision-making and self-control.
    • Cravings dominate thoughts, leading to obsessive focus on substance use.
    • Despite knowing the negative consequences, individuals struggle to quit due to impaired cognitive function.

This cycle continuously repeats, making addiction a self-reinforcing loop.

PYQ:

[2007] Which one of the following parts of the human brain is the regulating center for swallowing and vomiting?

Options:

(a) Cerebellum (b) Cerebrum (c) Medulla oblongata (d) Pons

 

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