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The relevance and treatment of cue-induced cravings in tobacco dependence
Citation
Ferguson, SG and Shiffman, S, The relevance and treatment of cue-induced cravings in tobacco dependence, Journal of Substance Abuse Treatment, 36, (3) pp. 235-243. ISSN 0740-5472 (2009) [Refereed Article]
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DOI: doi:10.1016/j.jsat.2008.06.005
Abstract
Craving to smoke is often conceptualized and measured as a tonic, slowly changing state induced by abstinence. In this article, we review the literature on the existence, causes, and treatment of cue-induced cravings: intense, episodic cravings typically provoked by situational cues associated with drug use. In laboratory research, smokers exposed to smoking-related cues demonstrate increased craving as well as distinct patterns of brain activation. Observational field studies indicate that such cue-induced cravings are substantially responsible for relapse to smoking but that smoking can often be averted by coping responses. The effects of pharmacological interventions are mixed. Steady-state medications (bupropion, varenicline, nicotine patch) do not appear to protect smokers from cue-induced cravings. However, acutely administered nicotine medications (such as nicotine gum and lozenge), used after cue exposure as "rescue medications," can help a smoker's recovery from cue-induced cravings. Cue-induced craving plays an important role in smoking and relapse and likely in other addictions as well. Treatments to mitigate the effect of cue-induced craving are both important and needed.
Item Details
Item Type: | Refereed Article |
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Keywords: | cigarettes, cravings, treatments, nicotene patch,cognitive and behavioural therapy, bupropion,varenicline |
Research Division: | Health Sciences |
Research Group: | Public health |
Research Field: | Preventative health care |
Objective Division: | Health |
Objective Group: | Public health (excl. specific population health) |
Objective Field: | Preventive medicine |
UTAS Author: | Ferguson, SG (Professor Stuart Ferguson) |
ID Code: | 58986 |
Year Published: | 2009 |
Web of Science® Times Cited: | 216 |
Deposited By: | Pharmacy |
Deposited On: | 2009-11-11 |
Last Modified: | 2015-02-06 |
Downloads: | 0 |
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