2020
DOI: 10.1007/s40429-020-00333-9
|View full text |Cite
|
Sign up to set email alerts
|

Instrumental and Pavlovian Mechanisms in Alcohol Use Disorder

Abstract: Purpose of Review Current theories of alcohol use disorders (AUD) highlight the importance of Pavlovian and instrumental learning processes mainly based on preclinical animal studies. Here, we summarize available evidence for alterations of those processes in human participants with AUD with a focus on habitual versus goal-directed instrumental learning, Pavlovian conditioning, and Pavlovian-to-instrumental transfer (PIT) paradigms. Recent Findings The balance between habitual and goal-directed control in AU… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
2

Citation Types

0
8
0

Year Published

2021
2021
2023
2023

Publication Types

Select...
6
2

Relationship

2
6

Authors

Journals

citations
Cited by 11 publications
(8 citation statements)
references
References 314 publications
(457 reference statements)
0
8
0
Order By: Relevance
“…Such habitual response tendencies have been argued to underlie ongoing alcohol intake despite negative outcomes in AUDP ( 51 , 52 ). However, in humans, evidence for this assumption is mixed ( 34 , 53 , 54 ). In the reversal learning paradigm, increases in perseverative responding after reversals or decreases in punishment learning rates potentially reflect habitual response tendencies.…”
Section: Discussionmentioning
confidence: 99%
“…Such habitual response tendencies have been argued to underlie ongoing alcohol intake despite negative outcomes in AUDP ( 51 , 52 ). However, in humans, evidence for this assumption is mixed ( 34 , 53 , 54 ). In the reversal learning paradigm, increases in perseverative responding after reversals or decreases in punishment learning rates potentially reflect habitual response tendencies.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, studying each effect in isolation can inform clinical practice by helping to understand which mechanism is at play in the maladaptive behavior and should, thus, be tackled. In line with this, several studies suggest that an alteration of general transfer contributes to relapse in maladaptive behaviors (for a review, see Doñamayor et al, 2021) like drug addiction and alcohol use disorder (Sommer et al, 2017(Sommer et al, , 2020. The selective involvement of general transfer in maladaptive cue-guided choice suggests that treatments should focus on modifying the motivational aspects of the outcomes involved in the maladaptive conduct.…”
Section: Discussionmentioning
confidence: 89%
“…It is not known, however, if the relative contribution of model-free and model-based mechanisms that are recruited in an individual during Pavlovian autoshaping procedures are predictive of their relative contribution during instrumental procedures, such as in the MSDM task (Sebold et al, 2016). If true, this could suggest that the computational mechanisms underlying learning are not unique to Pavlovian or instrumental mechanisms but may represent a common reinforcement-learning framework within the brain that could be useful for restoring the learning mechanisms that are abnormal in disease states (Doñamayor et al, 2021; Groman et al, 2021).…”
Section: Introductionmentioning
confidence: 99%