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Research Article

Vol. 8 No. 1 (2004)

Level of abstinence mediates heart-rate response to cue-elicited craving in smokers

DOI
https://doi.org/10.26443/mjm.v8i1.512
Submitted
November 5, 2020
Published
2020-12-01

Abstract

The subjective and autonomic components of nicotine craving were examined in abstinent and non-abstinent smokers using a cue reactivity paradigm. A cigarette abstinent condition was used to examine how smoking deprivation mediates the activity of positive and negative reinforcement mechanisms. Levels of craving and physiologic responses were monitored during the presentation of videotaped neutral and smoking stimuli. Relative to the neutral material, smoking stimuli increased several indices of subjective craving in both abstinent and non-abstinent smokers. Autonomic responses to the smoking stimuli however, appeared to be mediated by the level of abstinence. Non-deprived smokers showed an increase in heart rate during the first minute of the smoking stimuli presentation relative to the first minute of the control video, while abstinent smokers showed no change. The autonomic responses of cigarette craving may be dependent on the perceived reinforcing value of cigarettes, which can be modulated by cigarette abstinence. These findings are consistent with the hypothesis that increased heart rate may be a marker for incentive motivation, but also strongly support a multi-dimensional model of nicotine craving. Furthermore, they stress the importance of recognising the condition of the smoker as a critical determinant in craving responses.

References

  1. Willner, P., Hardman, S., & Eaton, G. Subjective and behavioural evaluation of cigarette cravings. Psychopharmacology, 118: 171-177; 1995.
  2. Carter, B.L., & Tiffany, S.T. Meta-analysis of cue-reactivity in addiction research. Addiction, 94(3): 327-340; 1999.
  3. Perkins, K.A., Epstein, L.H., Grobe, J., & Fonte, C. Tobacco abstinence, smoking cues, and the reinforcing value of smoking. Pharamacology Biochemistry and Behaviour, 47: 107-112; 1994.
  4. Siegel, S. Classical conditioning, drug tolerance, and drug dependence. In R.G. Smart, F.B. Glaser, Y. Israel, et al. (Eds.), Research advances in alcohol and drug problems, 7: 207-246. New York: Plenum, 1983.
  5. Wikler, A. Recent progress in research on the neurophysiological basis of morphine addiction. American Journal of Psychiatry, 105: 329-338; 1948.
  6. Stewart, J., De Wit, H., & Eikelboom, R. The role of unconditioned and conditioned drug effects in the self- administration of opiates and stimulants. Psychological Review, 91: 251-268; 1984.
  7. Robinson, T.E., & Berridge, K.C. The neural basis of drug craving: an incentive-sensitization theory of addiction. Brain Research Reviews, 18: 247-291; 1993.
  8. Baker, T.B., Morse, E., & Sherman, J.E. The motivation to use drugs: psychobiological analysis of urges, in: C. Rivers (Ed.). The Nebraska Symposium on Motivation: alcohol use and abuse: 257-323. Lincoln, Nebraska: University of Nebraska Press, 1987.
  9. Piasecki, T.M., Smith, S.S., Baker, T.B. (1999). The tyranny of habit and availability. From: Comments on Carter & Tiffany's "Meta-analysis of cue-reactivity in addiction research". Addiction, 94 (3): 341-351.
  10. Schultz, W. Predictive reward signal of dopamine neurons. Journal of Neurophysiology, 80: 1-27; 1998.
  11. Tiffany, S.T., & Drobes, D.J. (1991). The development and initial validation of a questionnaire on smoking urges. British Journal of Addiction, 86: 1467-1476.
  12. Morgan, M.J., Davies, G.M., & Willner, P. The Questionnaire of Smoking Urges is sensitive to abstinence and exposure to smoking-related cues. Behavioural Pharmacology, 10, No 6/7 619-626: 1999.
  13. Niaura, R.S., Rohsenow, D.J., Binkoff, J.A., Monti, P.M., Pedraza, M., & Abrams, D.B. Relevance of cue reactivity to understanding alcohol and smoking relapse. Journal of Abnormal Psychology, 97, 133-152: 1988.

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