Automatic approach bias towards smoking cues is present in smokers but not in ex-smokers
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Drug-addicted individuals show automatic approach tendencies towards drug-related cues, i.e., an approach bias (ApB). Nevertheless, little is known about ApB in tobacco smokers and about the presence of ApB after smoking abstinence.
We investigated ApB to smoking cues in heavy tobacco smokers versus never-smokers and studied its relation to smoking characteristics and craving. Second, we compared ApBs of heavy smokers with biases of abstinent heavy smokers.
A group of current heavy smokers (n = 24), ex-smokers who were abstinent for at least 5 years (n = 20), and never-smokers (n = 20) took part in the experiment. An indirect smoking approach avoidance task was performed, in which participants were required to respond to pictures of smoking and neutral cues by pulling (approach) or pushing (avoid) on a joystick, according to the content-irrelevant format of the picture (landscape or portrait). Craving scores were examined using the Questionnaire of Smoking Urges.
Heavy smokers showed an ApB for smoking cues compared to ex-smokers and never-smokers, which correlated positively to craving scores. There were no group differences in ApB scores for ex-smokers and never-smokers.
These results suggest that ApBs for smoking cues are present in heavy smokers and decrease after long-term successful smoking cessation.
KeywordsAddiction Smoking Smoking cessation Implicit cognition Approach bias Approach avoidance task
Approach avoidance task
Questionnaire of smoking urges
The study was supported by a grant from the German Federal Ministry of Education and Research: NGFN: 01GS08159 (Gallinat). The authors thank Georgina Torbet, Noah Gabriel Martin, and James Harwood for proofreading.
Conflict of interest
- De Houwer J (2003) A structural analysis of indirect measures of attitudes. In: Musch J, Klauer KC (eds) The psychology of evaluation: Affective processes in cognition and emotion. Lawrence Erlbaum, Mahwah, pp 219–244Google Scholar
- Kamboj SK, Joye A, Das RK, Gibson AJ, Morgan CJ, Curran HV (2012) Cue exposure and response prevention with heavy smokers: a laboratory-based randomised placebo-controlled trial examining the effects of D-cycloserine on cue reactivity and attentional bias. Psychopharmacology 221:273–284PubMedCrossRefGoogle Scholar
- Nestor L, McCabe E, Jones J, Clancy L, Garavan H (2011) Differences in “bottom-up” and “top-down” neural activity in current and former cigarette smokers: evidence for neural substrates which may promote nicotine abstinence through increased cognitive control. Neuroimage 56:2258–2275PubMedCrossRefGoogle Scholar
- Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(Suppl 20):22–33, quiz 34–57PubMedGoogle Scholar
- Velicer WF, DiClemente CC, Prochaska JO, Brandenburg N (1985) Decisional balance measure for assessing and predicting smoking status. J Pers Soc Psychol 48:1279–1289Google Scholar
- Watson P, de Wit S, Cousijn J, Hommel B, Wiers RW (2013) Motivational mechanisms underlying the approach bias to cigarettes. Experimental Psychopathology (in press)Google Scholar