First-pass extracted concept

hyperkatifeia

Candidate: concept label1 source documents5 linked claims
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Aliases

negative emotional/motivational state during withdrawal

Extracted Explainers

What the tool is doing

Hyperkatifeia is used here as a framework for understanding intensified negative emotional and motivational withdrawal states in addiction. The review positions it as a driver of compulsive drug seeking through negative reinforcement.

Source 1DOIPubMed

What problem it solves

It helps explain why withdrawal-associated distress can motivate continued drug use and identifies stress and antistress systems as medication targets.

Source 1DOIPubMed

What it does not solve

The abstract does not define a standardized assay or intervention that directly measures or reverses hyperkatifeia on its own.

Source 1DOIPubMed

Alternatives

Nearby conceptual alternatives in the abstract include the broader three-stage addiction cycle and the allostatic hedonic-state framework.

Source 1DOIPubMed

Evidence Snippets

This review focuses on neurochemical/neurocircuitry dysregulations that contribute to hyperkatifeia, defined as a greater intensity of negative emotional/motivational signs and symptoms during withdrawal from drugs of abuse in the withdrawal/negative affect stage of the addiction cycle.
Evidence 1Source 1DOIPubMedprovenance

Supporting Sources

Linked Claims

Claim 1conceptual frameworksupports2020Source 1DOIPubMed

Addiction can be organized into three stages with corresponding dysfunction domains and brain-region associations.

Quoted textsource-backed
Compulsive drug seeking that is associated with addiction is hypothesized to follow a heuristic framework that involves three stages (binge/intoxication, withdrawal/negative affect, and preoccupation/anticipation) and three domains of dysfunction (incentive salience/pathologic habits, negative emotional states, and executive function, respectively) via changes in the basal ganglia, extended amygdala/habenula, and frontal cortex, respectively.
Claim 2disease modelsupports2020Source 1DOIPubMed

Neurochemical and neurocircuit dysregulations in addiction are hypothesized to shift hedonic state from homeostasis to an allostatic negative set point.

Quoted textsource-backed
Such neurochemical/neurocircuitry dysregulations are hypothesized to mediate a negative hedonic set point that gradually gains allostatic load and shifts from a homeostatic hedonic state to an allostatic hedonic state.
Claim 3mechanistic hypothesissupports2020Source 1DOIPubMed

Hyperkatifeia is a withdrawal-associated negative emotional and motivational state that contributes to compulsive drug seeking through negative reinforcement.

Quoted textsource-backed
This review focuses on neurochemical/neurocircuitry dysregulations that contribute to hyperkatifeia, defined as a greater intensity of negative emotional/motivational signs and symptoms during withdrawal from drugs of abuse in the withdrawal/negative affect stage of the addiction cycle. Hyperkatifeia provides an additional source of motivation for compulsive drug seeking via negative reinforcement.
Claim 4mechanistic hypothesissupports2020Source 1DOIPubMed

Neurobiological targets for hyperkatifeia include extended-amygdala circuitry with within-system and between-system neuroadaptations across stress and antistress transmitter systems.

Quoted textsource-backed
Neurobiological targets for hyperkatifeia in addiction involve neurocircuitry of the extended amygdala and its connections via within-system neuroadaptations in dopamine, enkephalin/endorphin opioid peptide, and γ-aminobutyric acid/glutamate systems and between-system neuroadaptations in prostress corticotropin-releasing factor, norepinephrine, glucocorticoid, dynorphin, hypocretin, and neuroimmune systems and antistress neuropeptide Y, nociceptin, endocannabinoid, and oxytocin systems.
Claim 5therapeutic directionsupports2020Source 1DOIPubMed

Medications and behavioral therapies that reset brain stress, antistress, and emotional pain systems toward homeostasis are proposed as promising targets for addiction treatment development.

Quoted textsource-backed
Based on preclinical studies and translational studies to date, medications and behavioral therapies that reset brain stress, antistress, and emotional pain systems and return them to homeostasis would be promising new targets for medication development.