"A cigarette a day keeps the goodies away": smokers show automatic approach tendencies for smoking--but not for food-related stimuli

Smoking leads to the development of automatic tendencies that promote approach behavior toward smoking-related stimuli which in turn may maintain addictive behavior. The present study examined whether automatic approach tendencies toward smoking-related stimuli can be measured by using an adapted ve...

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Veröffentlicht in:PloS one 2015-02, Vol.10 (2), p.e0116464-e0116464
Hauptverfasser: Machulska, Alla, Zlomuzica, Armin, Adolph, Dirk, Rinck, Mike, Margraf, Jürgen
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Zlomuzica, Armin
Adolph, Dirk
Rinck, Mike
Margraf, Jürgen
description Smoking leads to the development of automatic tendencies that promote approach behavior toward smoking-related stimuli which in turn may maintain addictive behavior. The present study examined whether automatic approach tendencies toward smoking-related stimuli can be measured by using an adapted version of the Approach-Avoidance Task (AAT). Given that progression of addictive behavior has been associated with a decreased reactivity of the brain reward system for stimuli signaling natural rewards, we also used the AAT to measure approach behavior toward natural rewarding stimuli in smokers. During the AAT, 92 smokers and 51 non-smokers viewed smoking-related vs. non-smoking-related pictures and pictures of natural rewards (i.e. highly palatable food) vs. neutral pictures. They were instructed to ignore image content and to respond to picture orientation by either pulling or pushing a joystick. Within-group comparisons revealed that smokers showed an automatic approach bias exclusively for smoking-related pictures. Contrary to our expectations, there was no difference in smokers' and non-smokers' approach bias for nicotine-related stimuli, indicating that non-smokers also showed approach tendencies for this picture category. Yet, in contrast to non-smokers, smokers did not show an approach bias for food-related pictures. Moreover, self-reported smoking attitude could not predict approach-avoidance behavior toward nicotine-related pictures in smokers or non-smokers. Our findings indicate that the AAT is suited for measuring smoking-related approach tendencies in smokers. Furthermore, we provide evidence for a diminished approach tendency toward food-related stimuli in smokers, suggesting a decreased sensitivity to natural rewards in the course of nicotine addiction. Our results indicate that in contrast to similar studies conducted in alcohol, cannabis and heroin users, the AAT might only be partially suited for measuring smoking-related approach tendencies in smokers. Nevertheless, our findings are of special importance for current etiological models and smoking cessation programs aimed at modifying nicotine-related approach tendencies in the context of a nicotine addiction.
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Contrary to our expectations, there was no difference in smokers' and non-smokers' approach bias for nicotine-related stimuli, indicating that non-smokers also showed approach tendencies for this picture category. Yet, in contrast to non-smokers, smokers did not show an approach bias for food-related pictures. Moreover, self-reported smoking attitude could not predict approach-avoidance behavior toward nicotine-related pictures in smokers or non-smokers. Our findings indicate that the AAT is suited for measuring smoking-related approach tendencies in smokers. Furthermore, we provide evidence for a diminished approach tendency toward food-related stimuli in smokers, suggesting a decreased sensitivity to natural rewards in the course of nicotine addiction. Our results indicate that in contrast to similar studies conducted in alcohol, cannabis and heroin users, the AAT might only be partially suited for measuring smoking-related approach tendencies in smokers. Nevertheless, our findings are of special importance for current etiological models and smoking cessation programs aimed at modifying nicotine-related approach tendencies in the context of a nicotine addiction.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25692468</pmid><doi>10.1371/journal.pone.0116464</doi><oa>free_for_read</oa></addata></record>
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subjects Addictions
Addictive behaviors
Adult
Alcohol
Alcohol use
Alcohols
Analysis
Anxiety
Approach behavior
Avoidance
Avoidance behavior
Avoidance Learning
Behavior
Behavior, Addictive - psychology
Bias
Brain
Brain research
Cannabis
Cigarettes
Drug abuse
Drug addiction
Etiology
Female
Food
Heroin
Humans
Male
Medical imaging
Medical research
Mental health
Narcotics
Nicotine
Photic Stimulation
Pictures
Reinforcement
Reward
Self Report
Smokers
Smoking
Smoking - psychology
Smoking cessation
Stimuli
Stress
Substance abuse treatment
Surveys and Questionnaires
Young Adult
title "A cigarette a day keeps the goodies away": smokers show automatic approach tendencies for smoking--but not for food-related stimuli
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