Abstract
Rationale
Cue-elicited craving is a well-researched phenomenon in alcohol literature. However, not all alcohol-dependent people display the same reactivity to alcohol cues. Personality factors such as multiple impulsivity traits may be responsible for individual differences in cue reactivity by modulating its intensity. Nevertheless, there has been a scarcity of empirical studies testing this assumption in alcohol literature.
Objectives
The aim of the present study was to investigate the effects of response inhibition and trait impulsiveness on cue-elicited craving for alcohol in alcohol-dependent drinkers.
Methods
Participants (n = 41) were inpatients of the private clinic U-Center, Netherlands. Alcohol exposure took place in a real bar–restaurant close to the premises of the clinic, and participants were exposed to real alcohol cues. Response inhibition was assessed with the stop-signal task and trait impulsiveness with the Barratt impulsivity scale version 11.
Results
The cue exposure was successful as alcohol-dependent patients experienced higher craving for alcohol when exposed to alcohol rather than to neutral cues. Additionally, both response inhibition and trait impulsiveness predicted cue-elicited craving for alcohol. Trait impulsiveness predicted both the absolute craving in the bar–restaurant and the increase in cue-elicited craving during the whole alcohol cue exposure, while response inhibition predicted only the former.
Conclusions
The results clearly implicate both trait impulsiveness and response inhibition in the modulation of cue-elicited craving in alcohol dependence. Theoretical and methodological issues in the findings and their clinical implications in alcohol treatment and relapse are discussed.
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References
Anton RF (1999) What is craving? Models and implications for treatment. Alcohol Research and Health 23:165–173
Carter BL, Tiffany ST (1999) Meta-analysis of cue-reactivity in addiction research. Addiction 94:327–340
Christiansen P, Cole JC, Goudie AJ, Field M (2012) Components of behavioral impulsivity and automatic cue approach predict unique variance in hazardous drinking. Psychopharmacology 219:501–510
Coffey SF, Schumacher J, Stasiewicz PR, Henslee AM, Baillie LE, Landy N (2010) Craving and physiological reactivity to trauma and alcohol cues in posttraumatic stress disorder and alcohol dependence. Exp Clin Psychopharmacol 18:340–349
Dawe S, Gullo MJ, Loxton NL (2004) Reward drive and rash impulsiveness as dimensions of impulsivity: Implications for substance misuse. Addict Behav 29:1389–1405
Dawe S, Loxton NJ (2004) The role of impulsivity in the development of substance use and eating disorders. Neurosci Biobehav Rev 28:343–351
De Wit H (2008) Impulsivity as a determinant and consequence of drug use: a review of underlying processes. Addict Biol 14:22–31
Dick DM, Smith G, Olausson O, Mitchell SH, Leeman RF, O'Malley SS, Sher K (2010) Understanding the construct of impulsivity and its relationship to alcohol use disorders. Addict Biol 15:217–226
Dom G, Hulstijn W, Sabbe B (2006) Differences in impulsivity and sensation seeking between early- and late-onset alcoholics. Addict Behav 31:298–308
Doran N, McChargue D, Spring B (2008) Effect of impulsivity on cardiovascular and subjective reactivity to smoking cues. Addict Behav 33:167–172
Doran N, Spring B, McChargue D (2007) Effects of impulsivity on craving and behavioral reactivity to smoking cues. Psychopharmacology 194:279–288
Drummond DC (2000) Human models in craving research: What does cue-reactivity have to offer clinical research? Addiction 95:S129–S144
Drummond DC, Litten RX, Lowman C, Hunt WA (2000) Craving research: future directions. Addiction 95:S247–S255
Eagle DM, Bari A, Robbins TW (2008) The neuropsychopharmacology of action inhibition: cross-species translation of the stop-signal and go/no-go tasks. Psychopharmacology 199:439–456
Enticott PG, Ogloff GRP, Bradshaw JL (2006) Associations between laboratory measures of executive control and self-reported impulsivity. Personal Individ Differ 41:285–294
Havermans RC, Mulkens S, Nederkoorn C, Jansen A (2007) The efficacy of cue exposure with response prevention in extinguishing drug and alcohol cue reactivity. Behav Interv 22:121–135
Henges AL, Marczinski CA (2012) Impulsivity and alcohol consumption in young social drinkers. Addict Behav 37:217–220
Kozlowski LT, Pillitteri JL, Sweeney CT, Whitfield KE, Graham JW (1996) Asking questions about urges or craving for cigarettes. Psychol Addict Behav 10:248–260
Lane SD, Cherek DR, Rhoades HM, Pietras CJ, Tcheremissine OV (2003) Relationships among laboratory and psychometric measures of impulsivity: implications in substance abuse and dependence. Addictive Disorders and Their Treatment 2:33–40
Litt MD, Cooney NL, Morse P (2000) Reactivity to alcohol-related stimuli in the laboratory and in the field: predictors of craving in treated alcoholics. Addiction 95:889–900
Logan GD, Schachar RJ, Tannock R (1997) Impulsivity and inhibitory control. Psychol Sci 8:60–64
Nederkoorn C, Baltus M, Guerrieri R, Wiers RW (2009) Heavy drinking is associated with deficient response inhibition in women but not in men. Pharmacol Biochem Behav 93:331–336
Nigg JT, Wong MM, Martel MM, Jester JM, Puttler LI, Glass JM, Adams KM, Fitzgerald HE, Zucker RA (2006) Poor response inhibition as a predictor of problem drinking and illicit drug use in adolescents at risk for alcoholism and other substance use disorders. J Am Acad Child Adolesc Psychiatry 45:468–475
Papachristou H, Nederkoorn C, Corstjens J, Jansen A (2012a) The role of impulsivity and perceived availability on cue-elicited craving for alcohol in social drinkers. Psychopharmacology 224:145–153
Papachristou H, Nederkoorn C, Havermans R, van der Horst M, Jansen A (2012b) Can’t stop the craving: The effect of impulsivity on cue-elicited craving for alcohol in heavy and light social drinkers. Psychopharmacology 219:511–518
Patterson CM, Newman JP (1993) Reflectivity and learning from aversive events: toward a psychological mechanism for the syndromes of disinhibition. Psychol Rev 100:716–736
Patton JH, Stanford MS, Barratt ES (1995) Factor structure of the Barratt impulsiveness scale. J Clin Psychol 51:768–774
Robbins SJ, Ehrman RN (1992) Designing studies of drug conditioning in humans. Psychopharmacology 106:143–153
Rohsenow DJ, Niaura RS (1999) Reflections on the state of cue-reactivity theories and research. Addiction 94:341–351
Rubio G, Jimenez M, Rodrigo-Jimenez R, Martinez I, Avila C, Ferre F et al (2008) The role of behavioral impulsivity in the development of alcohol dependence: a 4-year follow-up study. Alcohol Clin Exp Res 32:1681–1687
Sayette MA, Shiffman S, Tiffany ST, Niaura RS, Martin CS, Shadel WG (2000) Methodological approaches to craving research: the measurement of drug craving. Addiction 95:S189–S210
Tiffany ST, Carter BL, Singleton EG (2000) Challenges in the manipulation, assessment and interpretation of craving relevant variables. Addiction 95:S177–S187
Verdejo-Garcia A, Lawrence AJ, Clark L (2008) Impulsivity as a vulnerability marker for substance-use disorders: review of findings from high-risk research, problem gamblers, and genetic association studies. Neuroscience and Behavioral Reviews 32:777–810
Von Diemen L, Bassani DG, Fuchs SC, Szobot CM, Pechansky F (2008) Impulsivity, age of first alcohol use and substance use disorders among male adolescents: a population based case–control study. Addiction 103:1198–1205
Wertz JM, Sayette MA (2001) A review of the effects of perceived drug use opportunity on self-report urge. Exp Clin Psychopharmacol 9:3–13
Whiteside SP, Lynam DR (2001) The Five Factor Model and impulsivity: using a structural model of personality to understand impulsivity. Personal Individ Differ 30:669–689
Whiteside SP, Lynam DR (2003) Understanding the role of impulsivity and externalizing psychopathology in alcohol abuse: application of the UPPS impulsive behavior scale. Exp Clin Psychopharmacol 11:210–217
Acknowledgment
We are grateful to Ingrid Weijnen, director of U-Center, who enabled us to conduct this study. We would also like to thank the U-Center patients for their cooperation during this study and the therapists and staff of the clinic for their invaluable support in recruiting and diagnosing participants.
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Papachristou, H., Nederkoorn, C., Havermans, R. et al. Higher levels of trait impulsiveness and a less effective response inhibition are linked to more intense cue-elicited craving for alcohol in alcohol-dependent patients. Psychopharmacology 228, 641–649 (2013). https://doi.org/10.1007/s00213-013-3063-3
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DOI: https://doi.org/10.1007/s00213-013-3063-3