Depression and substance use comorbidity: What we have learned from animal studies

ABSTRACT

Depression and substance use disorders are often comorbid, but the reasons for this are unclear. In human studies, it is difficult to determine how one disorder may affect predisposition to the other and what the underlying mechanisms might be. Instead, animal studies allow experimental induction of behaviors relevant to depression and drug-taking, and permit direct interrogation of changes to neural circuits and molecular pathways. While this field is still new, here we review animal studies that investigate whether depression-like states increase vulnerability to drug-taking behaviors. Since chronic psychosocial stress can precipitate or predispose to depression in humans, we review studies that use psychosocial stressors to produce depression-like phenotypes in animals. Specifically, we describe how postweaning isolation stress, repeated social defeat stress, and chronic mild (or unpredictable) stress affect behaviors relevant to substance abuse, especially operant self-administration. Potential brain changes mediating these effects are also discussed where available, with an emphasis on mesocorticolimbic dopamine circuits. Postweaning isolation stress and repeated social defeat generally increase acquisition or maintenance of drug self-administration, and alter dopamine sensitivity in various brain regions. However, the effects of chronic mild stress on drug-taking have been much less studied. Future studies should consider standardizing stress-induction protocols, including female subjects, and using multi-hit models (e.g. genetic vulnerabilities and environmental stress).

KEYWORDS:

• Depression
• substance use
• comorbidity
• dual diagnosis
• animal model
• isolation stress
• social defeat stress
• chronic mild stress

Funding

Enoch Ng was supported by a MD/PhD studentship from the Canadian Institutes of Health Research and the McLaughlin Centre. Caleb J. Browne was supported by a Doctoral award from the Natural Sciences and Engineering Research Council. Albert H. C. Wong was partly supported by a Mid-Career Fellowship from the Ontario Mental Health Foundation.

Declaration of interest

The authors report no conflicts of interest.