Intense pleasure triggers short-term dysphoria via neurochemical downregulation
Intense reward activation and subsequent neurochemical downregulation in reward and stress pathways can trigger short-term dysphoria and negative affective states.
The retrieved papers consistently demonstrate that intense activation of reward pathways (such as through drugs of abuse or highly palatable stimuli) leads to opponent neuroadaptations, including the downregulation of reward function and the recruitment of stress systems, which collectively produce dysphoria and negative emotional states.
Koob GF. Addiction is a Reward Deficit and Stress Surfeit Disorder.. 2013. https://doi.org/10.3389/fpsyt.2013.00072
Paper 0 discusses how excessive reward activation and subsequent allostatic changes lead to decreases in reward function and engagement of brain stress systems, generating dysphoric-like states.
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Koob GF. Drug Addiction: Hyperkatifeia/Negative Reinforcement as a Framework for Medications Development.. 2021. https://doi.org/10.1124/pharmrev.120.000083
Paper 1 outlines how intense stimuli and subsequent withdrawal involve neurochemical dysregulations in reward and stress circuits that produce negative emotional states and hyperkatifeia.
Koob GF. Theoretical frameworks and mechanistic aspects of alcohol addiction: alcohol addiction as a reward deficit disorder.. 2013. https://doi.org/10.1007/7854_2011_129
Paper 2 links initial positive reinforcement and excessive intake to the emergence of negative emotional states driven by reward downregulation and stress system recruitment.
George O, Koob GF. Individual differences in the neuropsychopathology of addiction.. 2017. https://doi.org/10.31887/dcns.2017.19.3/gkoob
Paper 4 states that the progression from recreational to compulsive reward-seeking is associated with downregulation of brain reward systems and upregulation of stress systems.
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