Abstract
Rationale
Drug addiction may be characterised by a hypersensitivity to drug rewards and a hyposensitivity to non-drug rewards. This imbalance may become further polarised during acute abstinence.
Objectives
(i) Examine the differences between dependent and occasional smokers in choices for, motivation for and self-reported wanting and liking of cigarette and non-drug rewards. (ii) Examine the effects of 12-h nicotine abstinence on these metrics.
Methods
Dependent (n = 20) and occasional, non-dependent smokers (n = 20) were tested after ad libitum smoking and ≥12-h of nicotine abstinence. A novel task was developed (Drug, Reward and Motivation–Choice (DReaM-Choice)) in which different rewards (cigarettes, music and chocolate) could be won. In each trial, participants chose between two rewards and then could earn the chosen reward via repeated button-pressing. Participants subsequently ‘consumed’ and rated subjective liking of the rewards they had won.
Results
Compared with occasional smokers, dependent smokers made more choices for (p < 0.001), pressed more for (p = 0.046) and reported more wanting (p = 0.007) and liking (p < 0.001) of cigarettes, and also made fewer choices for chocolate (p = 0.005). There were no differences between the groups on button-pressing for chocolate or music. However, the balance between drug and non-drug reward processing was different between the groups across all metrics. Twelve-hour nicotine abstinence led to more cigarette choices (p < 0.001) and fewer music choices (p = 0.042) in both groups.
Conclusions
Nicotine dependence was associated with a hypersensitivity to cigarette rewards, but we found little evidence indicating a hyposensitivity to non-drug rewards. Our findings question the moderating influence of dependence on how acute nicotine abstinence affects reward processing.
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Notes
It should be noted that the term ‘reward’ will refer to the options in the task (e.g. ‘large chocolate’, ‘small cigarette’), and the term ‘delivered reward’ will refer to the actual things participants get afterwards (e.g. 1.25 cigarettes, 3.5 min of music).
If one of the rewards was never selected, e.g. ‘paper small’, the BP for that outcome was set to 0.
Two participants did not complete the experiment due to having too high a CO reading on the abstinent session.
Data for how many days per week participants listen to music and eat chocolate and liking ratings of these activities were missing for one participant in the dependent group
Nineteen out of 140 data points were missing due to some participants not consuming all of their rewards.
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Acknowledgments
This study was funded by a BBSRC studentship to W Lawn.
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Lawn, W., Freeman, T.P., Hindocha, C. et al. The effects of nicotine dependence and acute abstinence on the processing of drug and non-drug rewards. Psychopharmacology 232, 2503–2517 (2015). https://doi.org/10.1007/s00213-015-3883-4
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DOI: https://doi.org/10.1007/s00213-015-3883-4