Assessment of Substance Cue Reactivity: Advances in Reliability, Specificity, and Validity.

An arousal-control and cross-over design was used to evaluate the reliability, specificity, and validity of the Normative Appetitive Picture System (NAPS), a cue exposure protocol with sets of visual alcohol, cigarette, and control cues. The authors also examined the utility of conceptualizing cue reactivity as a multidimensional phenomenon involving independent approach and avoidance dimensions. University student participants (n=369) rated multiple cue images in terms of arousing properties and capacity to elicit separate approach and avoidance inclinations. They also completed a battery of substance-related individual-difference measures. Results indicated that NAPS protocol reactivity profiles had good reliability and high specificity across cue types and individuals with different substance use histories. Avoidance reactivity independently predicted self-reports of substance-related behaviors, after controlling for approach reactivity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of d-amphetamine and smoking abstinence on cue-induced cigarette craving.

In this study, the authors investigated the effects of the indirect dopamine agonist d-amphetamine (AMPH) on cue-induced cigarette craving in smokers. Abstinent or nonabstinent cigarette smokers (N=21) rated their cravings for cigarettes and for food (control) after pretreatment with AMPH (15 mg) or placebo and before and after viewing blocks of smoking-related, food-related, and neutral pictures. Before the cues were presented, AMPH increased cigarette craving and decreased food craving. Smoking and food cues increased craving for cigarettes and for food, respectively. AMPH also further increased cigarette craving (and decreased food craving) after cue presentation, but it did so regardless of cue type (food or smoking). Smoking abstinence markedly increased craving regardless of cue presentation or drug condition. These results suggest that both AMPH and smoking abstinence can increase cigarette craving, but they do not appear to specifically affect responses to conditioned smoking-related cues. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The self-control costs of fighting the temptation to drink.

Being exposed to the sight and smell of an alcoholic beverage and not drinking it should require self-control. On the basis of the self-control strength model (M. Muraven & R. F. Baumeister, 2000), exerting self-control should lead to poorer performance on subsequent self-control tasks. Using a cue exposure paradigm, the authors had 160 social drinkers alternately sniff water and alcohol. After each trial, the drinkers engaged in 2 self-control tasks: squeezing a handgrip and a self-stopping task. Performance on these tasks was worse after sniffing alcohol than after sniffing water. Mood and arousal did not mediate the effects; urge to drink was negatively related to outcomes. The effects were stronger for individuals high in trait temptation to drink. Resisting the temptation of drinking appears to undermine self-control capacity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stereoscopic discrimination of interval and ordinal depth relations on smooth surfaces and in empty space

In the present article, a learning model of binge eating is presented. It has been hypothesized that, parallel to drug intake, the craving and excessive food intake of binge eaters is cue controlled. Research in support of the model is reviewed and a series of predictions about clinical and non-clinical issues is derived from the model. Amongst other things, the model predicts that binge eating might be successfully treated with cue exposure and response prevention. Practical issues are discussed and preliminary pilot studies on cue exposure for bingers are reviewed.     

Cue-interaction effects in contingency judgments using the streamed-trial procedure.

The authors previously described a procedure that permits rapid, multiple within-participant assessments of the contingency between a cue and an outcome (the “streamed-trial” procedure, Crump, Hannah, Allan, & Hord, 2007). In the present experiments, the authors modified this procedure to investigate cue-interaction effects, replicating conventional findings in both the one- and two-phase blocking paradigms. The authors show that the streamed-trial procedure is not restricted to the geometric forms used as cues and outcomes by Crump et al., and that it can incorporate the conventional allergy stimuli, where food is the cue and an allergic reaction is the outcome. The authors discuss the value of the streamed-trial procedure as a method for advancing our theoretical understanding of cue-interaction effects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Facial reactions to smoking cues relate to ambivalence about smoking.

In this study, the authors used the Facial Action Coding System (FACS; P. Ekman & W. V. Friesen, 1978) to examine the immediate facial responses of abstinent smokers exposed to smoking cues. The aim was to investigate whether facial expressions thought to be linked to ambivalence would relate to more traditional measures of ambivalence about smoking. The authors adapted N. A. Heather's (1998) definition of ambivalence about smoking, which emphasizes difficulty in refraining from smoking despite intentions to do so. Ambivalence expressed during smoking cue exposure was operationalized as the simultaneous occurrence of positive and negative affect-related facial expressions. Thirty-four nicotine-deprived dependent smokers were presented with in vivo smoking cues, and their facial expressions were coded using FACS. Participants also completed self-report measures related to ambivalence about smoking. Smokers who displayed ambivalent facial expressions during smoking cue exposure reported significantly higher scores on measures of smoking ambivalence than did those who did not display ambivalent facial expressions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reactivity to Alcohol Cues: Isolating the Role of Perceived Availability.

Perceived availability of a substance has been proposed to play a role in cue reactivity by both traditional classical conditioning models and S. T. Tiffany's (1990) cognitive processing model (CPM) of substance use. This study investigated the role of availability information on alcohol cue reactivity. Subjects were 134 heavy drinkers in a 2 × 2 between-subjects design, crossing cues (alcohol vs. neutral) and availability information (availability vs. unavailability). The results indicated significant main effects for cue type, with alcohol cues eliciting greater reactivity on multiple measures, and an interaction effect on the Alcohol Urge Questionnaire (M. J. Bohn, D. D. Krahn, & B. B. Staehler, 1995), such that exposure to alcohol cues in conjunction with unavailability information elicited a greater urge. This was largely a result of changes in self-reported craving and was interpreted as consistent with the CPM. Alternative methodologies and limitations are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reinforcer devaluation abolishes conditioned cue preference: Evidence for stimulus-stimulus associations.

In the conditioned cue preference (CCP) task, the subject is presented with a cue paired with food reward, resulting in a preference for the paired cue when allowed to choose later. To clarify the learning involved, the authors devalued the reinforcer after training by inducing a taste aversion to the food. In five 30-min sessions, rats were confined in 1 arm of a radial arm maze and presented with food. These reinforced sessions alternated with 5 unreinforced sessions in a nonadjacent arm. Devaluation was then accomplished in 1 group by inducing taste aversion; controls received either saline or unpaired lithium chloride treatment. When tested later, both the saline group and the unpaired group preferred the previously reinforced arm, but the devalued group showed aversion to it. Thus, CCP is mediated by the stimulus-reinforcer association; when the reinforcer is devalued, the preference is also abolished. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of a context shift and multiple context extinction on reactivity to alcohol cues.

Cue exposure treatment (CET) attempts to reduce the influence of conditioned substance cues on addictive behavior via extinction, but has received only modest empirical support in clinical trials. This may be because extinction learning appears to be context dependent and a change in context may result in a return of conditioned responding (i.e., renewal), although this has received only limited empirical examination. The current study used a 4-session laboratory analogue of CET to examine whether a change in context following 3 sessions of alcohol cue exposure with response prevention would result in renewal of conditioned responding. In addition, this study examined whether conducting extinction in multiple contexts would attenuate renewal of conditioned responding. In one-way between-subjects design, 73 heavy drinkers (71% men) were randomized to 3 conditions: (a) single context extinction (extinction to alcohol cues in the same context for 3 sessions followed by a context shift at the fourth session), (b) multiple context extinction (extinction to alcohol cues in different contexts each day for all 4 sessions), and (c) pseudoextinction control condition (exposure to neutral cues in the same context for 3 sessions followed by exposure to alcohol cues at the fourth session). The results revealed the predicted cue reactivity and extinction effects, but the hypotheses that a context shift would generate renewed cue reactivity and that multiple contexts would enhance extinction were not supported. Methodological aspects of the study and the need for parametric data on the context dependency of extinction to alcohol cues are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Olanzapine reduces urge to smoke and nicotine withdrawal symptoms in community smokers.

Olanzapine (OLAN), an atypical antipsychotic medication with mixed 5-HT2/DA antagonist properties, was predicted to dose-dependently decrease urge to smoke, withdrawal, and cigarette reinforcement in smokers without psychosis. A double-blind placebo-controlled within-subjects cross-over trial investigated the acute effects of OLAN (0, 2.5, and 5.0 mg; counterbalanced order) in 24 community smokers who underwent 10-hr smoking deprivation. Urge to smoke, tobacco withdrawal, and cigarette reinforcement were assessed with cue reactivity and behavioral choice procedures. OLAN (2.5 mg) reduced withdrawal symptoms before and during cue exposure and decreased urge associated with anticipated positive affect from smoking before and during cue exposure; 5.0 mg OLAN decreased withdrawal only when cues were included. OLAN did not affect preference for cigarette puffs versus money, smoke intake, or urge to smoke associated with negative affect relief. The results indicate a potentially beneficial effect of 2.5 mg OLAN on tobacco withdrawal and urge to smoke. Combined 5HT/DA antagonists should be considered for future development of pharmacotherapies for smoking cessation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Food reinforcement, the dopamine D? receptor genotype, and energy intake in obese and nonobese humans.

[Correction Notice: An erratum for this article was reported in Vol 122(1) of Behavioral Neuroscience (see record 2008-01943-025). In the original article, the n values (and corresponding percentages) for the number of people with the A1/A1 & A1/A2 and A2/A2 genotypes were reversed in Table 2. The corrected table appears in the erratum, with the revised numbers appearing in bold font.] The authors measured food reinforcement, polymorphisms of the dopamine D? receptor (DRD?) and dopamine transporter (DAT1) genes, and laboratory energy intake in 29 obese and 45 nonobese humans 18-40 years old. Food reinforcement was greater in obese than in nonobese individuals, especially in obese individuals with the TaqI A1 allele. Energy intake was greater for individuals high in food reinforcement and greatest in those high in food reinforcement with the TaqI A1 allele. No effect of the DAT1 genotype was observed. These data show that individual differences in food reinforcement may be important for obesity and that the DRD? genotype may interact with food reinforcement to influence energy intake. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Grouping information for judgments.

Models of cue weighting in judgment have typically focused on how decision-makers weight cues individually. Here, the authors propose that people might recognize and weight groups of cues. They examine how judgments change when decision-makers focus on cues individually or as parts of groups. Several experiments demonstrate that people can spontaneously pack information into cue groups. Moreover, group-level weighting depends on how people assess similarity or how they think of categorical hierarchies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do children profit from looking beyond looks? From similarity-based to cue abstraction processes in multiple-cue judgment.

The authors investigated the ability of 9- to 11-year-olds and of adults to use similarity-based and rule-based processes as a function of task characteristics in a task that can be considered either a categorization task or a multiple-cue judgment task, depending on the nature of the criterion (binary vs. continuous). Both children and adults relied on similarity-based processes in the categorization task. However, adults relied on cue abstraction in the multiple-cue judgment task, whereas the majority of children continued to rely on similarity-based processes. Reliance on cue abstraction resulted in better judgments for adults but not for children in the multiple-cue judgment task. This suggests that 9- to 11-year-olds may have defaulted to similarity-based processes because they were not able to employ a cue abstraction process efficiently. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Modeling Task Switching Without Switching Tasks: A Short-Term Priming Account of Explicitly Cued Performance.

Switch costs in task switching are commonly attributed to an executive control process of task-set reconfiguration, particularly in studies involving the explicit task-cuing procedure. The authors propose an alternative account of explicitly cued performance that is based on 2 mechanisms: priming of cue encoding from residual activation of cues in short-term memory and compound cue retrieval of responses from long-term memory. Their short-term priming account explains the repeated cue encoding benefit, switch cost, reduction in switch cost with preparation time, and other effects. The authors develop a mathematical model of their priming account and fit it to data from 3 experiments, demonstrating that a set of basic psychological processes can produce several effects--including putative switch costs--without switching tasks. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Trauma-focused imaginal exposure for individuals with comorbid posttraumatic stress disorder and alcohol dependence: Revealing mechanisms of alcohol craving in a cue reactivity paradigm.

With a sample (N = 43) of participants meeting current diagnostic criteria for both alcohol dependence and posttraumatic stress disorder (PTSD), the authors tested the hypothesis that alcohol craving elicited by a trauma cue might be attenuated if trauma-elicited negative emotion were reduced following trauma-focused imaginal exposure. In a laboratory-based experiment, participants were randomly assigned to either trauma-focused imaginal exposure or imagery-based relaxation. A cue reactivity paradigm was used to assess alcohol craving prior to, and after completion of, the 6 clinical sessions. Attrition was high but did not differ between experimental conditions. For study completers, PTSD symptoms decreased in the exposure condition but not in the relaxation condition. Alcohol craving and distress elicited by trauma images decreased in the exposure condition but did not change in the relaxation condition. Results support the hypothesis that negative emotion is a mechanism of alcohol craving. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

High-dose transdermal nicotine and naltrexone: Effects on nicotine withdrawal, urges, smoking, and effects of smoking.

Although treatment with transdermal nicotine replacement (TNR) has improved smoking abstinence rates, higher doses of TNR could improve effects on urge to smoke, nicotine withdrawal, and reinforcement from smoking, and naltrexone might further reduce reinforcement and urges. A laboratory investigation with 134 smokers using a 3 × 2 parallel-group design evaluated the effects of TNR (42-mg, 21-mg, or 0-mg patch) as crossed with a single dose of naltrexone (50 mg) versus placebo on urge to smoke, withdrawal, and responses to an opportunity to smoke (intake, subjective effects) after 10 hr of deprivation. Urge and withdrawal were assessed both prior to and after cigarette cue exposure. Only 42 mg TNR, not 21 mg, prevented urge to smoke, heart rate change, and cue-elicited increase in withdrawal. Both 21 and 42 mg TNR blocked cue-elicited drop in heart rate and arterial pressure. Naltrexone reduced cue-elicited withdrawal symptoms but not urges to smoke or deprivation-induced withdrawal prior to cue exposure. Neither medication significantly affected carbon monoxide intake or subjective effects of smoking except that 42 mg TNR resulted in lower subjective physiological activation. No interaction effects were found, and no results differed by gender. Results suggest that starting smokers with 42 mg TNR may increase comfort during initial abstinence, but limited support is seen for naltrexone during smoking abstinence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Just tell me what to do: Bringing back experimenter control in active contingency tasks with the command-performance procedure and finding cue density effects along the way.

Active contingency tasks, such as those used to explore judgments of control, suffer from variability in the actual values of critical variables. The authors debut a new, easily implemented procedure that restores control over these variables to the experimenter simply by telling participants when to respond, and when to withhold responding. This command-performance procedure not only restores control over critical variables such as actual contingency, it also allows response frequency to be manipulated independently of contingency or outcome frequency. This yields the first demonstration, to our knowledge, of the equivalent of a cue density effect in an active contingency task. Judgments of control are biased by response frequency outcome frequency, just as they are also biased by outcome frequency. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Task-switching performance with 1:1 and 2:1 cue–task mappings: Not so different after all.

When task-switching studies use the task-cuing procedure with a 1:1 cue–task mapping, task switching and cue switching are confounded, which is problematic for interpreting switch costs. The use of a 2:1 cue–task mapping is a potential solution to this problem, but it is possible that introducing more cues may also introduce marked changes in task-switching performance. In 5 experiments involving 160 subjects, the authors compared performance with 1:1 and 2:1 mappings across several methodological changes. Differences in switch costs between mappings were small and, in most analyses, nonsignificant. In all experiments, both mappings yielded significant reductions in switch cost across cue–target interval, and there were significant cue-switching effects with the 2:1 mapping. A model of cue encoding fit the data from both mappings about equally well. Overall, task-switching performance was more similar than it was different between mappings, leading the authors to suggest that the use of a 2:1 mapping is a viable solution to the problem associated with a 1:1 mapping. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Sex differences in cue perception in a visual scene: Investigation of cue type.

Sex differences in spatial navigation indicate that women may focus on positional, landmark cues whereas men favor Euclidean, directional cues. Some studies have investigated sex differences in proximal and distal cue use; however, sex differences in gradient (i.e., graded features) and pinpoint (i.e., single, defined) cue perception remain unexamined. In the current experiments, paired photographs were presented in which the 2nd photograph showed the same scene with cues removed (Experiment 1) or isolated (Experiment 2) from the 1st photograph. In Experiment 1, women showed less disruption of task performance than men showed following cue removal but were slowest after proximal pinpoint cue removal. Male performance was slowed by distal gradient and proximal pinpoint cue removal. In Experiment 2, women were faster than men at identifying isolated proximal and distal pinpoint cues and were more accurate at identifying isolated distal gradient and distal pinpoint cues. Better pinpoint cue perception and memory in women indicates one possible mechanism underlying female preference for landmark-based navigation strategies. Findings also show that whereas men may preferentially rely on distal gradient cues they are not better at perceiving those cues than are women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)