Stress- and cue-elicited craving and reactivity in marijuana-dependent individuals

Rationale Cue-elicited craving and stress responses have been identified as predictors of relapse in drug dependence, but little research exists on the contribution of these factors to marijuana use specifically. Objectives The aims of the present study were to evaluate (1) responses to a psychologi...

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Veröffentlicht in:Psychopharmacology 2011-11, Vol.218 (1), p.49-58
Hauptverfasser: McRae-Clark, Aimee L., Carter, Rickey E., Price, Kimber L., Baker, Nathaniel L., Thomas, Suzanne, Saladin, Michael E., Giarla, Kathleen, Nicholas, Katherine, Brady, Kathleen T.
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container_issue 1
container_start_page 49
container_title Psychopharmacology
container_volume 218
creator McRae-Clark, Aimee L.
Carter, Rickey E.
Price, Kimber L.
Baker, Nathaniel L.
Thomas, Suzanne
Saladin, Michael E.
Giarla, Kathleen
Nicholas, Katherine
Brady, Kathleen T.
description Rationale Cue-elicited craving and stress responses have been identified as predictors of relapse in drug dependence, but little research exists on the contribution of these factors to marijuana use specifically. Objectives The aims of the present study were to evaluate (1) responses to a psychological stressor, (2) responses to marijuana-related cues, and (3) if an exposure to a psychological stressor augmented craving subsequently elicited by marijuana-related cue exposure in marijuana-dependent individuals. Methods Subjective (craving, stress), neuroendocrine (adrenocorticotropic hormone (ACTH), cortisol), and physiologic responses to the presentation of neutral and marijuana cues were assessed after randomization to a stress (Trier Social Stress Task (TSST)) or non-stress control condition in marijuana-dependent individuals. Outcome measures were assessed at baseline, post-stressor/pre-neutral cue, post-neutral cue, and post-marijuana cue. Results Eighty-seven participants completed procedures (stress group, n  = 45; non-stress group, n  = 42). The stress group had a significant increase over the non-stress group in stress rating ( p  
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Objectives The aims of the present study were to evaluate (1) responses to a psychological stressor, (2) responses to marijuana-related cues, and (3) if an exposure to a psychological stressor augmented craving subsequently elicited by marijuana-related cue exposure in marijuana-dependent individuals. Methods Subjective (craving, stress), neuroendocrine (adrenocorticotropic hormone (ACTH), cortisol), and physiologic responses to the presentation of neutral and marijuana cues were assessed after randomization to a stress (Trier Social Stress Task (TSST)) or non-stress control condition in marijuana-dependent individuals. Outcome measures were assessed at baseline, post-stressor/pre-neutral cue, post-neutral cue, and post-marijuana cue. Results Eighty-seven participants completed procedures (stress group, n  = 45; non-stress group, n  = 42). The stress group had a significant increase over the non-stress group in stress rating ( p  &lt; 0.001), craving ( p  = 0.028), cortisol ( p  &lt; 0.001), and ACTH ( p  &lt; 0.001) after the completion of the TSST. An increased craving response for all participants was seen following the presentation of the marijuana cues ( p  = 0.005). Following the TSST or non-stress condition, the non-stress group had an increase in craving to marijuana cues as compared to neutral cues ( p  = 0.002); an increase in craving was not observed in the stress group ( p  = 0.404). Conclusions Marijuana cue exposure and a social stressor increased craving in marijuana-dependent individuals. Completion of the TSST did not increase craving response to subsequent marijuana cue exposure.</description><identifier>ISSN: 0033-3158</identifier><identifier>EISSN: 1432-2072</identifier><identifier>DOI: 10.1007/s00213-011-2376-3</identifier><identifier>PMID: 21710170</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>ACTH ; Adolescent ; Adrenocorticotropic hormone ; Adrenocorticotropic Hormone - blood ; Adult ; Biomedical and Life Sciences ; Biomedicine ; Cannabis ; Corticosteroids ; Cues ; Drug dependence ; Female ; Humans ; Hydrocortisone ; Hydrocortisone - blood ; Male ; Marijuana ; Marijuana Abuse - psychology ; Neurosciences ; Original Investigation ; Pharmacology/Toxicology ; Psychiatry ; Psychological Tests ; Psychopharmacology ; Social interactions ; Stress ; Stress, Psychological - psychology ; Young Adult</subject><ispartof>Psychopharmacology, 2011-11, Vol.218 (1), p.49-58</ispartof><rights>Springer-Verlag 2011</rights><rights>COPYRIGHT 2011 Springer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c567t-becf1d8f95b13d696b14ba295dafc0c23422b53cb9d3252862c7b50c5a5c50593</citedby><cites>FETCH-LOGICAL-c567t-becf1d8f95b13d696b14ba295dafc0c23422b53cb9d3252862c7b50c5a5c50593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00213-011-2376-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00213-011-2376-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21710170$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McRae-Clark, Aimee L.</creatorcontrib><creatorcontrib>Carter, Rickey E.</creatorcontrib><creatorcontrib>Price, Kimber L.</creatorcontrib><creatorcontrib>Baker, Nathaniel L.</creatorcontrib><creatorcontrib>Thomas, Suzanne</creatorcontrib><creatorcontrib>Saladin, Michael E.</creatorcontrib><creatorcontrib>Giarla, Kathleen</creatorcontrib><creatorcontrib>Nicholas, Katherine</creatorcontrib><creatorcontrib>Brady, Kathleen T.</creatorcontrib><title>Stress- and cue-elicited craving and reactivity in marijuana-dependent individuals</title><title>Psychopharmacology</title><addtitle>Psychopharmacology</addtitle><addtitle>Psychopharmacology (Berl)</addtitle><description>Rationale Cue-elicited craving and stress responses have been identified as predictors of relapse in drug dependence, but little research exists on the contribution of these factors to marijuana use specifically. Objectives The aims of the present study were to evaluate (1) responses to a psychological stressor, (2) responses to marijuana-related cues, and (3) if an exposure to a psychological stressor augmented craving subsequently elicited by marijuana-related cue exposure in marijuana-dependent individuals. Methods Subjective (craving, stress), neuroendocrine (adrenocorticotropic hormone (ACTH), cortisol), and physiologic responses to the presentation of neutral and marijuana cues were assessed after randomization to a stress (Trier Social Stress Task (TSST)) or non-stress control condition in marijuana-dependent individuals. Outcome measures were assessed at baseline, post-stressor/pre-neutral cue, post-neutral cue, and post-marijuana cue. Results Eighty-seven participants completed procedures (stress group, n  = 45; non-stress group, n  = 42). The stress group had a significant increase over the non-stress group in stress rating ( p  &lt; 0.001), craving ( p  = 0.028), cortisol ( p  &lt; 0.001), and ACTH ( p  &lt; 0.001) after the completion of the TSST. An increased craving response for all participants was seen following the presentation of the marijuana cues ( p  = 0.005). Following the TSST or non-stress condition, the non-stress group had an increase in craving to marijuana cues as compared to neutral cues ( p  = 0.002); an increase in craving was not observed in the stress group ( p  = 0.404). Conclusions Marijuana cue exposure and a social stressor increased craving in marijuana-dependent individuals. 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psychopharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McRae-Clark, Aimee L.</au><au>Carter, Rickey E.</au><au>Price, Kimber L.</au><au>Baker, Nathaniel L.</au><au>Thomas, Suzanne</au><au>Saladin, Michael E.</au><au>Giarla, Kathleen</au><au>Nicholas, Katherine</au><au>Brady, Kathleen T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stress- and cue-elicited craving and reactivity in marijuana-dependent individuals</atitle><jtitle>Psychopharmacology</jtitle><stitle>Psychopharmacology</stitle><addtitle>Psychopharmacology (Berl)</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>218</volume><issue>1</issue><spage>49</spage><epage>58</epage><pages>49-58</pages><issn>0033-3158</issn><eissn>1432-2072</eissn><abstract>Rationale Cue-elicited craving and stress responses have been identified as predictors of relapse in drug dependence, but little research exists on the contribution of these factors to marijuana use specifically. Objectives The aims of the present study were to evaluate (1) responses to a psychological stressor, (2) responses to marijuana-related cues, and (3) if an exposure to a psychological stressor augmented craving subsequently elicited by marijuana-related cue exposure in marijuana-dependent individuals. Methods Subjective (craving, stress), neuroendocrine (adrenocorticotropic hormone (ACTH), cortisol), and physiologic responses to the presentation of neutral and marijuana cues were assessed after randomization to a stress (Trier Social Stress Task (TSST)) or non-stress control condition in marijuana-dependent individuals. Outcome measures were assessed at baseline, post-stressor/pre-neutral cue, post-neutral cue, and post-marijuana cue. Results Eighty-seven participants completed procedures (stress group, n  = 45; non-stress group, n  = 42). The stress group had a significant increase over the non-stress group in stress rating ( p  &lt; 0.001), craving ( p  = 0.028), cortisol ( p  &lt; 0.001), and ACTH ( p  &lt; 0.001) after the completion of the TSST. An increased craving response for all participants was seen following the presentation of the marijuana cues ( p  = 0.005). Following the TSST or non-stress condition, the non-stress group had an increase in craving to marijuana cues as compared to neutral cues ( p  = 0.002); an increase in craving was not observed in the stress group ( p  = 0.404). Conclusions Marijuana cue exposure and a social stressor increased craving in marijuana-dependent individuals. Completion of the TSST did not increase craving response to subsequent marijuana cue exposure.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21710170</pmid><doi>10.1007/s00213-011-2376-3</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0033-3158
ispartof Psychopharmacology, 2011-11, Vol.218 (1), p.49-58
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subjects ACTH
Adolescent
Adrenocorticotropic hormone
Adrenocorticotropic Hormone - blood
Adult
Biomedical and Life Sciences
Biomedicine
Cannabis
Corticosteroids
Cues
Drug dependence
Female
Humans
Hydrocortisone
Hydrocortisone - blood
Male
Marijuana
Marijuana Abuse - psychology
Neurosciences
Original Investigation
Pharmacology/Toxicology
Psychiatry
Psychological Tests
Psychopharmacology
Social interactions
Stress
Stress, Psychological - psychology
Young Adult
title Stress- and cue-elicited craving and reactivity in marijuana-dependent individuals
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