Publications by authors named "A R Lingford-Hughes"

There is an increasing awareness of the link between chronic alcohol consumption and the development of cognitive, behavioural and functional deficits. Currently, preventative strategies are limited and require engagement in dedicated long-term rehabilitation and sobriety services, the availability of which is low. The acute alcohol withdrawal syndrome is an episode of neurochemical imbalance leading to autonomic dysregulation, increased seizure risk and cognitive disorientation.

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Article Synopsis
  • The research highlights a gap in addiction studies, which mostly focus on reward and impulsivity, while the withdrawal or negative affect stage—crucial for understanding relapse—has been less explored.
  • Different substances show varying patterns of brain activity related to negative emotional processing, with regions like the amygdala, insula, anterior cingulate, and medial prefrontal cortex being implicated in substance dependence.
  • Alcohol dependence tends to show blunted reactions to negative stimuli, cocaine dependence exhibits heightened responses, and opioid and cannabis dependence show distinct involvement of specific brain areas, indicating that emotional dysregulation in addiction is substance-specific.
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Article Synopsis
  • The editorial explores what makes academic psychiatry unique and what qualities define psychiatrists as academics.
  • It highlights the importance of academic psychiatry in enhancing clinical services and patient care.
  • The piece emphasizes the need to inspire and encourage the upcoming generation to pursue careers in academic psychiatry.
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Twenty percent of young people report a lifetime presence of self-harm (SH) behaviour, associated with negative health and functional outcomes. Understanding the underlying cognitive mechanisms is needed to develop targeted early interventions. Reward processing biases may underlie SH, aligning with accounts of the behaviour acquiring "addictive" characteristics.

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Alcohol dependence (AD) and gambling disorder (GD) are common addiction disorders with significant physical and mental health consequences. AD and GD are associated with dysregulated responses to reward which could be due to a common mechanism of dysregulated endogenous opioid signalling. We explored associations between reward anticipation responses, using the Monetary Incentive Delay (MID) functional magnetic resonance imaging (fMRI) task, and mu-opioid receptor (MOR) availability and endogenous opioid release capacity using [C]carfentanil positron emission tomography (PET), in 13 AD, 15 GD and 14 heathy control (HC) participants.

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