Cited by 160Neurotransmitter Receptor Influence on BehaviorSubstance Abuse Treatment and OutcomesSchizophrenia research and treatment

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Selective Sensitization to the Psychosis-Inducing Effects of Cocaine: A Possible Marker for Addiction Relapse Vulnerability?

Bartlett, E·1997·Neuropsychopharmacology

DOI 10.1016/s0893-133x(96)00164-9

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Abstract

Patients in inpatient rehabilitation for uncomplicated cocaine dependence were asked whether, compared with the time of their first regular use, they could now identify changes in the effects of similar doses of cocaine. We asked about a spectrum of cocaine effects "then" and "now" and whether the same amount of drug caused effects to occur to about the same degree, less intensely (tolerance), or more intensely (sensitization). Nearly half our sample developed predominantly paranoid psychoses in the context of cocaine use. Sensitization was consistently linked only to psychosis-related cocaine effects. It has been proposed that mesolimbic dopaminergic sensitization might contribute to addiction severity. A preliminary followup of patients who were sensitized or nonsensitized to psychosis development suggests that rehospitalization for treatment of addiction may be more frequent in the sensitized group.

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Authors: Bartlett, E.
Affiliations: Veterans Health Administration (US)
Corresponding author: Bartlett, E
Venue: Neuropsychopharmacology
Publisher: Springer Science and Business Media LLC
Published: 1997-01
Volume: 16
Issue: 1
Pages: 77-82
ISSN: 0893-133X (ISSN-L)
DOI: 10.1016/s0893-133x(96)00164-9
OpenAlex: W2042464546
Cited by: 160
References: 7
Citations by year: 2024: 1 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 45 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 3 · 2014: 6 · 2013: 2 · 2012: 6
FWCI: 2.36
Type: journal article
Language: en
Open access: closed
Locations: Neuropsychopharmacology (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords: cocaine, drug sensitization, tolerance (pharmacology and immunology), paranoia, psychosis, cocaine dependence, addiction relapse, hospital readmission, mesolimbic dopamine system, inpatient rehabilitation, subjective drug effects
MeSH terms: Adult, Cocaine, Female, Humans, Male, Opioid-Related Disorders, Narcotics, Paranoid Disorders, Psychoses, Substance-Induced, Recurrence, Biomarkers, Crack Cocaine

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Selective Sensitization to the Psychosis-Inducing Effects of Cocaine: A Possible Marker for Addiction Relapse Vulnerability?

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