2016
DOI: 10.1038/nrn.2016.67
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Time to connect: bringing social context into addiction neuroscience

Abstract: Research on the neural substrates of drug reward, withdrawal and relapse has yet to be translated into significant advances in the treatment of addiction. One potential reason is that this research has not captured a common feature of human addiction: progressive social exclusion and marginalization. We propose that research aimed at understanding the neural mechanisms that link these processes to drug seeking and drug taking would help to make addiction neuroscience research more clinically relevant.

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Cited by 248 publications
(199 citation statements)
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References 128 publications
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“…In contrast, abstinence in humans is often voluntary due to either the negative consequences of chronic drug use or the availability of competing alternative non-drug rewards (Epstein et al, 2006;Katz and Higgins, 2003); in the latter case, relapse vulnerability is high after loss of the alternative rewards (Heilig et al, 2016).…”
Section: Introductionmentioning
confidence: 99%
“…In contrast, abstinence in humans is often voluntary due to either the negative consequences of chronic drug use or the availability of competing alternative non-drug rewards (Epstein et al, 2006;Katz and Higgins, 2003); in the latter case, relapse vulnerability is high after loss of the alternative rewards (Heilig et al, 2016).…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, examining the effects of opioids on social processing will inform more effective treatment options for those seeking treatment from addiction. Indeed, relapse is most commonly triggered by social stressors (Heilig et al, 2016) and social support for abstinence has a significant influence on treatment success (Havassy et al, 1991). If treatment-seeking individuals are already socially vulnerable, treatment options will need to address ways to maintain feelings of social connection that are altered from the medications themselves.…”
Section: Translational Implicationsmentioning
confidence: 99%
“…Therefore, results from social pharmacology studies such as those reviewed here have implications for a range of clinical outcomes marked by social withdrawal, feelings of social disconnection, and other social deficits (e.g., depression; Panksepp, Wright, Dobrossy, Schlaepfer, & Coenen, 2014). Social factors are also emerging as key contributors to the entire trajectory of disease, from identifying those at risk (e.g., Slavich & Irwin, 2014), to estimating the progression of disease (e.g., Lutgendorf & Sood, 2011), to predicting recovery (e.g., Heilig et al, 2016). Opioids should be considered among other healthrelated pathways in the body (e.g., inflammation; Eisenberger, Moieni, Inagaki, Muscatell, & Irwin, 2017) to better understand how social interactions affect health outcomes.…”
Section: Translational Implicationsmentioning
confidence: 99%
“…by housing them individually) also consumed more alcohol compared with animals housed in groups (Wolffgramm and Heyne, 1991;Helms et al, 2012). However, our understanding of the underlying mechanisms is still very limited, and it was recently suggested that in order to improve clinical relevance of addiction science, future studies should focus more specifically on the role of social context including factors such as social exclusion (Heilig et al, 2016). Yet, despite extensive literature in the field of alcohol research, the vast majority of publications focus on the effects of social mediators on drinking behavior, whereas the opposite, i.e.…”
Section: Introductionmentioning
confidence: 99%