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Craving and Smoking in response to diverse cues
Citation
Shiffman, S and Dunbar, M and Li, X and Anderson, S and Tindle, H and Scholl, S and Kirchner, T and Ferguson, SG, Craving and Smoking in response to diverse cues, 2011 Annual Meeting of the Society for Research on Nicotine & Tobacco - Abstracts, 13-16 March, 2012, Toronto, Canada, pp. 5. ISSN 1469-994X (2011) [Conference Extract]
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Abstract
relapse. Such cues include proximal cues of smoking (e.g., a lit cigarette) and distal cues
like negative affect and alcohol consumption. Cue reactivity methods assess reaction to
cues (usually proximal cues), and have been criticized for assessing only craving and
not smoking. We present a study of reactivity to a range of cues, assessing smoking
as well as craving responses. We also examine gender differences, as it has been
suggested that women’s smoking is more related to cues. In separate sessions, 207
smokers were exposed to visual images relevant to 6 sets of cues (total 1225 sessions):
smoking, negative affect, positive affect, alcohol, non-smoking (e.g., no-smoking signs),
and neutral cues. Craving (QSU) was assessed pre- and post- exposure. Subjects were
then permitted to smoke, while cue exposure continued, and smoking topography was
assessed. Compared to neutral cues, exposure to smoking cues increased craving,
and positive affect decreased craving. Alcohol cues increased craving only among
drinkers. Negative affect and non-smoking cues had no effect. Post-cue craving was a
strong predictor of smoking, predicting whether a subject smoked, latency to smoking,
number of puffs, puff duration, and carbon monoxide boost. Moreover, the increase in
craving pre- to post-cue exposure significantly predicted subsequent smoking, over and
above pre-cue craving. These effects were strong: e.g., for every 1-point increase on
a 49-point craving scale, the "risk" of smoking over time (survival analysis) increased
12%. However, there were no differences across cues in subsequent smoking behavior,
suggesting that idiosyncratic craving responses, rather than specific cue effects, drove
smoking. The findings confirm the importance of cues in craving, and of craving in
smoking, but suggest that cues may not drive smoking in laboratory settings. There
were no gender differences on any outcome, contradicting the hypothesized role of cues
in women’s smoking.
Item Details
Item Type: | Conference Extract |
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Keywords: | nicotine |
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: | Public health (excl. specific population health) not elsewhere classified |
UTAS Author: | Ferguson, SG (Professor Stuart Ferguson) |
ID Code: | 92379 |
Year Published: | 2011 |
Deposited By: | Pharmacy |
Deposited On: | 2014-06-17 |
Last Modified: | 2017-01-09 |
Downloads: | 0 |
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