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Time-course of action of ethanol upon a stimulant-depressant continuum.

Rats were trained to discriminate between the interoceptive cues produced by 6.0 mg/kg pentobarbital and 0.8 mg/kg d-amphetamine, both administered intraperitoneally, using a two-lever drug discrimination task. Once trained, intraperitoneal administration of 200 mg/kg ethanol produced pentobarbital-like lever selection at 5 and 15 min post-injection with a return to random levels at 30, 45 and 60 min post-administration. In contrast, administration of 100 mg/kg ethanol produced a significantly greater number of amphetamine-appropriate lever selections at 15 min post-injection. Time-course experiments using 6.0 mg/kg pentobarbital indicated the production of predominantly pentobarbital lever selection for 60 min with a return to random responding (50% on each of the two levers) at 90 min post-administration. These results indicate that a low dose of ethanol can produce more amphetamine-like subjective cues than a higher dose and this effect is time-dependent. Neurochemical evidence is cited to illustrate the biphasic effect of ethanol as it is seen in animals and man.

Animals↗

The participation of pharyngo-oesophageal thermoreception in the formation of water-reinforced instrumental conditioned reflex.

In 79 rats with chronically implanted gastric tubes or thermodes the participation of pharyngo-oesophageal thermoreception was investigated in the process of development of a water-reinforced conditioned instrumental reflex. It was found that only cooling of the pharynx and oesophagus was an effective stimulus reinforcing instrumental conditioning. The conditioned reflex could not be developed when the reinforcing stimulus was the sensation of warmth in the throat and oesophagus, and gastrointestinal interoception. It is suggested in the discussion that cold thermoreception in the area of the throat and oesophagus has acquired its reinforcing character through conditioning.

Animals↗

Sensory control of the hypothalamus and the neuroendocrine system.

A study was made of the control of the hypothalamus and neuroendocrine complex by the specialized receptors: the eye, the ear and the olfactory complex. The ancient and modern evidence that light, acting on the optic system, can influence hypothalamic, hypophyseal, endocrine reactions was reviewed and the recently acquired evidence that an optic-hypothalamic-autonomic-pineal-hypothalamic circuit exists which controls liberation of "releasing hormones". Evidence was presented to show that the ear and eye, extero-and interoceptive influences affect lactation and oxytocin secretion by action through the hypothalamus. It was also shown that electrochemical stimulation of the olfactory bulbs can affect both sexual behavior and gonadotropin secretion. Finally, it was shown that the olfactory system exerts some control over water intake, sodium appetite and antidiuretic hormone secretion. Progress in a long term cooperative study of the role of exteroceptor control of neuroendocrine functions was reported.

Animals↗

[Correlation between electroencephalogram rhythms and periodic gastric motility in fasting dogs].

The correlation between the frequency EEG spectrum and cycle phases of the gastric periodic motility was studied in the day and evening time in chronic experiments on 2 fasting dogs with chronic stomach fistulas and 8 pairs of silver bipolar electrodes implanted into the cranial bones. Consistent changes were observed in the correlation of rapid and slow EEG components according to each type of the periodic motility, the wave portion with a frequency of 2--8 Hz in the total electrical brain activity being minimum and that with a frequency of 20--30 Hz being maximum in the contraction phases. In the phases of the stomach rest, the correlations were reverse. The total portion of the waves with frequencies of 8--12 and 12--20 Hz changed insignificantly during each cycle. The time course of changes in the frequency EEG spectrum was also studied within each cycle phase. Preliminary verification of a possible role of the interoceptive signals from the contracted stomach in the mechanism of the correlation observed provided negative results.

Animals↗

[The reflex and direct actions of novocaine on the rhythm of the heart beats in rats in early postnatal ontogeny].

In experiments on newborn rats it was shown that heart beating frequency depended on the intensity of interoceptive afferentation. Partial shutdown of the afferentation by means of intraperitoneal injection of novocaine in the dose of 25 mg/kg of body weight caused the increase of heart beating and the more complete one at higher doses (100 mg/kg of body weight) led to its decrease. The injection of 2% novocaine (150-200 mg/kg of body weight) into the peritoneum of rat puppies on the first week of life caused the transition of bradycardia into temporary or permanent stop of heart beating. The same effect was observed for isolated atrium of rat puppies on the first week of life after the addition of 0.1% novocaine to feeding solution. This effect disappeared in older animals. It was concluded that resorptive effect of novocaine on heart structures causing the disturbance of heart automatism in newborn rats occurred along with the reflex one.

Aging↗

[Measuring the development of eating disorders in a group of patients with the Eating Disorders Inventory (EDI)].

The Eating Disorders Inventory (EDI I) has been applied to four groups of patients with Eating Disorders (ED): Anorexic Bulimic Subtype (AB N = 22), Anorexic Restrictive Subtype (AR N = 36); Bulimic (B N = 51) and Other Eating Disorders (OED N = 15), according to the DSM III-R criteria. We have also applied the Eating Attitude Test (EAT-40), the Beck Depression Inventory (13 items), the Hamilton Anxiety Rating Scale and the Hamilton Depression Rating Scale. During their hospital care, the patients have been treated by cognitive-behavioural therapy. The order or decreasing total scores in EDI at the admission is the B subtype, then the AR subtype, then the OED group. In total score, the B and AB improved more than the order groups, between their admission and a second assessment three months later. Body dissatisfaction, Drive for thinness and Interpersonnal distrust are the only subscales for which no group showed a statistical improvement after three months. The B group decreased more in the subscale, than the other groups, particularly in Interoceptive awareness, Ineffectiveness and bulimia.

Adult↗

Family therapy versus individual therapy for adolescent females with anorexia nervosa.

Behavioral family systems therapy (BFST) was compared with ego-oriented individual therapy (EOIT) in a controlled, random-assignment investigation involving 22 young adolescents with anorexia nervosa. Each adolescent and her parents received approximately 16 months of outpatient therapy along with a common medical and dietary regimen. BFST emphasized parental control over eating and weight gain, coupled with cognitive restructuring and problem-solving communication training. EOIT emphasized building ego strength, adolescent autonomy, and insight into the emotional blocks to eating. BFST produced greater change on body-mass index than did EOIT, but both treatments produced comparable improvements on eating attitudes, body shape dissatisfaction, interoceptive awareness, depression/internalizing psychopathology, and eating-related family conflict. The implications of these results for the clinician who treats adolescents with anorexia nervosa are discussed.

Adolescent↗

[Assessment of current cardiovascular stress in healthy, young people].

Forty-three young healthy subjects' estimates of their own heart rate, systolic blood pressure, and myocardial oxygen consumption at various intensities of physical work load were investigated. Their estimates were assessed using an ipsative scale, while the physiological parameters were measured continuously and simultaneously. Subjects tended to underestimate their heart rate at every intensity level, men misinterpreting less than women. Blood pressure was underestimated only at moderate physical work loads; with increasing work load blood pressure was overestimated. Estimates of myocardial oxygen consumption were the least biased. This result indicates that parameters other than the heart rate influence cardiac interoception. It seems that estimation of cardiovascular parameters influences the self regulation of physical activities.

Adult↗

[Response of neurons of the anterior and posterior regions of the hypothalamus to stimulation of the vagus and sciatic nerves and photic stimulation].

Evoked activity of single units in anterior and posterior hypothalamus to vagal, sciatic nerves, and photic stimulation was studied in anesthetized and immobilized cats. The responsiveness of neurons of the posterior hypothalamus was 66, 77 and 37% to vagal, sciatic nerves and photic stimulation, respectively, and of the anterior hypothalamus -- 47, 62 and 48%. Vagal stimulation was found to be the more effective for units of the posterior hypothalamus. Responses of units to a flash prevailed in the anterior hypothalamus. 78% of convergence of viscero-somatic afferentation on neurons of the posterior hypothalamus and 62% -- on anterior hypothalamic neurons, were revealed. The responses to all kinds of afferent stimuli were phasic and of excitatory character. Possible role and mechanisms of vagal interoceptive activation of hypothalamic units are discussed.

Animals↗

Deficits in the regulation of ethanol intake by alcoholics.

In an appropriate experimental paradigm, loss-of-control drinking can be demonstrated when an individual consumes sufficient ethanol over time to cause his blood alcohol level (BAL) to rise progressively above a previously established, designated range. For this study, 10 alcoholics were exposed to a training session and provided accurate feedback of their blood alcohol level at ten 15-minute intervals. On following days, they were then exposed to three exposed to three experimental sessions during which they were instructed to maintain their BAL within the established training session range by relying primarily on interoceptive cues. The experimental sessions were characterized by distorted or no feedback concerning blood alcohol levels as the basis for drinking-decision behavior. The results indicated that 60% of alcoholics displayed loss-of-control (LOC) (by our criterion) in a least one session, the greatest percentage in the "No Feedback" session. The results were interpreted to support our theory of a neurophysiologic feedback dysfunction associated with LOC drinking.

Adult↗

[The neuronal organization of the amygdala-visceral reflex arch].

The paper summarizes the histomorphic, histochemical, autoradiographic, immune-histochemical and electrophysiological data on the structural-functional organization of the amygdalar complexes. While discussing the problem of neuron organization of the afferent and efferent groups in the amygdala-visceral arch the authors present their data of microelectrophysiological studies of the specific amygdala neuron reactions in response to stimulation of the vagus, ventric, and sciatic nerves, and of the second somatic sensor cortex zone. It was observed that interoceptive impulsation reaching the polysensor neurons of the central, corticomedial, and basolateral groups of the amygdala complex nuclei have no significant qualitative differences. A series of experiments demonstrated that the polysensor convergent amygdala neurons are also polyeffectoral. Comparative studies of the sympathetic discharges in the white connecting branches produced by stimulation of the above nuclear amygdala groups, confirmed absence of a clear topographic localization of the sympatho-activating structures within an amygdala. Comparative exploration of the parasympathetic discharges in the pelvis nerve discovered a discharge of complex configuration in response to simulation of the pelvis nerve nuclei. There was no notable topographic localization of the amygdala parasympathoactivating structures. The system's arterial pressure was studied in response to stimulation of various amygdala structures. Low-frequency stimulation (5 Hertz) of all amygdala structures produces depressor reactions, high-frequency stimulation (100 Hertz) produces pressor reactions. Microelectrophysiological data are provided on the specific reactions of the inspiration and expiration neurons of the bulbar respiratory centre under frequency stimulation of various amygdala structures. The authors have concluded that the bulbar-spinal mechanisms regulating the vegetative functions are implemented by polysensoral-polyeffectoral integrative amygdala neurons of the convergent-divergent type. Consequently, there are no separate populations of the sympatho-activating and parasympathoactivation neurons and of the selective structures regulating the respiratory and the cardiovascular functions.

Amygdala↗

Inhibition of reinforcing effects of morphine and motivational aspects of naloxone-precipitated opioid withdrawal by N-methyl-D-aspartate receptor antagonist, memantine.

The present study focused on the effects of 1-amino-3,5-dimethyladamantane (memantine), a clinically used, low-affinity N-methyl-D-aspartate channel blocker, on the motivational impact of morphine and morphine withdrawal syndrome. Memantine (7.5 mg/kg) inhibited the acquisition as well as the expression of morphine-induced conditioned place preference. However, memantine did not affect significantly the acquisition or expression of conditioned place preference induced by food presentation. In addition, at the dose that blocked morphine-induced conditioned place preference, memantine by itself produced neither conditioned place preference nor conditioned place aversion. Memantine attenuated the negative motivational aspects of morphine withdrawal as assessed by conditioned place aversion produced by a low dose (0.1 mg/kg) of naloxone in morphine-dependent rats. Drug discrimination studies revealed that the inhibitory effects of memantine on morphine-induced conditioned place preference could not be attributed to the attenuation by memantine of the interoceptive cue produced by morphine. In addition, the inhibitory effects of memantine on the expression of morphine-induced conditioned place preference seemed not to be related to effects on memory retrieval, as revealed in the Morris water maze spatial task. These data suggest that memantine at a low, pharmacologically relevant dose of 7.5 mg/kg blocks the reinforcing effects of morphine and aversive effects of morphine withdrawal in rats, which suggests a new potential clinical indication for this agent in the treatment of opioid abuse.

Animals↗

5-HT3 receptors and central effects of ethanol.

This review discusses recent experimental findings in serotonin-3 (5-HT3) receptors and ethanol (EtOH) research. The role of these receptors in central effects of EtOH including the effects of 5-HT3 agonists and antagonists on EtOH intake, rewarding and aversive properties of EtOH and EtOH interoceptive cue is reviewed. It is now recognized that 5-HT3 receptors while involved in EtOH intake, EtOH tolerance and withdrawal and rewarding mechanisms do not play an important role in aversive effects of EtOH and EtOH discriminative stimulus. 5-HT3 receptors involved in EtOH consumption are supposedly located on dopaminergic neurons in the nucleus accumbens.

Alcoholism↗

[A German version of the Eating Disorder Inventory EDI-2].

The paper presents a German version of the second revised edition of the Eating Disorder Inventory EDI-2 (Garner 1991). The EDI-2 is a self-rating inventory (self-report measure) with 91 items and 11 subscales designed for the assessment of attitudinal and behavioural dimensions relevant to anorexia and bulimia nervosa. It consists of the eight original subscales: drive for thinness, bulimia, body dissatisfaction, ineffectiveness, perfectionism, interpersonal distrust, interoception and maturity fears, and the three new subscales: asceticism, impulse regulation and social insecurity. The German EDI-2 was given to 71 patients with anorexia or bulimia nervosa, 30 patients with binge eating disorder, a control group of 186 women and a further control group of 102 men. In comparison to the female control group, patient groups showed significantly elevated means on all subscales. Item analysis revealed sufficient internal consistencies for all subscales except subscale 9 (asceticism) with Cronbachs alpha ranging from 0.58 to 0.90. Twelve of the 91 items showed poor item total scale correlations below 0.40. Factor analysis supported a six-factor-structure. Hence, the reliability and validity of the three new subscales was confirmed only partially. The use of the EDI-2 in therapy research and clinical practice is critically discussed.

Adult↗

The application of positron emission tomography to the study of normal and pathologic emotions.

This report reviews six studies in which positron emission tomography (PET) was used to investigate the neuroanatomic correlates of emotion, anxiety, and anxiety disorders. PET was used to study brain regions that participate in film- and recall-generated discrete emotions (happiness, sadness, and disgust), picture-generated positive and negative emotions, and normal anticipatory anxiety; participate in the predisposition to, elicitation of, and treatment of panic attacks; participate in social phobic anxiety; and participate in specific phobic anxiety. Results of these investigations suggest that thalamic and medial prefrontal regions may participate in aspects of normal emotion unrelated to its type, valence, or stimulus; that modality-specific sensory association areas and anterior temporal lobe regions appear to participate in the evaluation procedure that invests exteroceptive sensory information with emotional significance; that anterior insular regions appear to participate in the evaluation procedure that invests potentially distressing cognitive and interoceptive sensory information with negative emotional significance; and that anterior cingulate, cerebellar vermis, midbrain, and other brain regions appear to participate in the elaboration of normal and pathologic forms of anxiety. As a complement to other research strategies, PET promises to help determine how multiple brain regions and the mental operations to which they are related work in concert to produce emotions and how they conspire to produce emotional disorders.

Anxiety↗

[Anorectic and bulimic eating disorders--new developments. 2: Spectrum of evaluated therapy measures].

Therapeutic approaches to eating disorders--in particular the restrictive form of anorexia nervosa--should, in the first instance, be directed towards improving the patient's physical state of health. In addition, psychotherapeutic management of the interoceptive and emotional perception disturbances that are also usually present makes good sense (e.g. by cognitive behavioral therapy, video confrontation of the patient with her own appearance). On the other hand, disturbances in emotional expression also need to be addressed, and inadequate social skills improved. On an individual basis, the question must be investigated as to how far chronic stress, and/or major events in the patient's life are involved, or whether conflicts within the family or a partnership may be of significance for the initiation and maintenance of an eating disorder.

Adolescent↗

Conditioned antisickness: indirect evidence from rats and direct evidence from ferrets that conditioning alleviates drug-induced nausea and emesis.

In a direct test of conditioned antisickness (CAS; B. T. Lett, 1983) theory, the authors measured emesis in ferrets and found those with a history of forward pairings of pentobarbital and lithium to have fewer and shorter bouts of emesis on test, whether induced by lithium or, in a subsequent test, by the highly emetogenic anticancer drug cisplatin. In an indirect test of her CAS theory, B. T. Lett (1992) paired interoceptive (drug) or place cues with lithium chloride toxicosis and found that rats with a forward-pairings history ate less food than controls on a forward-pairing test, consistent with conditioned sickness rather than CAS. But rats eat dirt or clay in response to sickness and adaptively eat small amounts of food when clay is not available. We substituted clay (kaolin) for food in a partial procedural replication of B. T. Lett's (1992, Experiment 1) experiment and found that rats with a history of forward pairings of pentobarbital and lithium ate less kaolin, which is consistent with CAS.

Animals↗