scholarly journals The efficacy of cue exposure with response prevention in extinguishing drug and alcohol cue reactivity

2007 ◽  
Vol 22 (2) ◽  
pp. 121-135 ◽  
Author(s):  
Remco C. Havermans ◽  
Sandra Mulkens ◽  
Chantal Nederkoorn ◽  
Anita Jansen
2009 ◽  
Vol 23 (1) ◽  
pp. 131-139 ◽  
Author(s):  
Jennifer S. Coelho ◽  
Anita Jansen ◽  
Anne Roefs ◽  
Chantal Nederkoorn

Author(s):  
Carolyn Black Becker ◽  
Nicholas R. Farrell ◽  
Glenn Waller

Many patients who have experienced difficulties with binge eating continue to do so even after nutritional stabilization. This can happen because they experience learned cues that trigger strong food cravings. Cue exposure can be useful to address such binge eating. This technique involves confronting the cues that typically elicit heightened food cue reactivity (i.e., cravings), while preventing the subsequent response of bingeing. In this process, patients learn that their binge cues are no longer predictive of an actual episode of binge eating. That learning has the effect of substantially weakening cravings that occur in association with exposure to binge eating cues.


2011 ◽  
Vol 69 (11) ◽  
pp. 1060-1066 ◽  
Author(s):  
Sabine Vollstädt-Klein ◽  
Sabine Loeber ◽  
Martina Kirsch ◽  
Patrick Bach ◽  
Anne Richter ◽  
...  

2008 ◽  
Vol 100 (6) ◽  
pp. 1325-1332 ◽  
Author(s):  
Danielle Ferriday ◽  
Jeffrey M. Brunstrom

Exposure to the sight and smell of food influences our momentary desire to consume it. This study explored the process by which cue exposure promotes greater consumption of food. Three hypotheses were explored, cue exposure: (i) increases the planned consumption of food; (ii) increases tolerance of larger portion sizes; (iii) arrests the development of satiety. Female participants (n50) were each tested in two conditions. In a ‘cue condition’ they were exposed to the sight and smell of pizza for 60 s. Before and after this period they provided information about prospective and maximum tolerated portion sizes and their desire to eat pizza and other non-cued foods. Participants then consumed a fixed portion of pizza, rated their hunger and were finally offeredad libitumaccess to pizza. In the ‘no-cue condition’, cue exposure was replaced with a cognitive task. Cueing had little effect on tolerance of larger portion sizes or on hunger after consuming the fixed portion. Instead, it increased prospective pizza portion size and subsequent intake of pizza. Together, these results suggest that cueing increases the amount of food that people actively plan to eat. This plan is then executed, leading to greater intake. Pizza cueing also increased prospective portion size of other foods. Thus, contrary to previous reports, effects of exposure may generalise to other foods. Finally, we found evidence that restrained eaters are less ‘cue reactive’ than unrestrained eaters. In future, our approach might be adapted to consider whether heightened ‘cue reactivity’ represents a risk factor for obesity.


NeuroImage ◽  
2009 ◽  
Vol 47 ◽  
pp. S54
Author(s):  
S Vollstädt-Klein ◽  
S Loeber ◽  
C von der Goltz ◽  
M Kirsch ◽  
A Richter ◽  
...  
Keyword(s):  

2019 ◽  
Vol 22 (8) ◽  
pp. 1267-1276
Author(s):  
Joshua L Karelitz

Abstract Background Cue-elicited craving may vary due to duration of smoking history, increasing as more years of smoking strengthen associations between nicotine intake and cues. However, research on this relationship is virtually absent. This project assessed the relationship between cue reactivity and years of smoking. Methods Data from 53 studies (68 effect sizes) were analyzed. Eligible studies were those measuring self-reported craving following cue exposure in nontreatment seeking smokers and reporting mean years smoking. Preliminary subgroup analyses identified methodological factors influencing cue-reactivity effect sizes; primary meta-regression analysis assessed differences across years smoking; exploratory analyses assessed potential for ceiling effects. Results Effect sizes varied due to abstinence requirement and cue presentation modality, but not dependence severity. Unexpectedly, meta-regression analysis revealed a decline in effect sizes across years smoking. Exploratory analyses suggested declines may have been due to a ceiling effect in craving measurement for those with longer smoking histories—more experienced smokers reported higher levels of craving at baseline or following neutral cue exposure, but all reported similar levels of craving after smoking cue exposure. Conclusions Methodological factors and duration of smoking history influenced measurement of cue reactivity. Highlighted were important relationships between years smoking and magnitude of cue reactivity, depending on use of baseline or neutral cue comparisons. Further research is needed to assess differences in cue reactivity due to duration of smoking history using participant-level data, directly testing for ceiling effects. In addition, cue-reactivity studies are needed across young adults to assess onset of associations between nicotine intake and cues. Implications This meta-analysis project contributes to the cue-reactivity literature by reporting on the previously ignored relationship between duration of smoking history and magnitude of cue-elicited craving. Results suggest that declines in cue-reactivity effect sizes across years of smoking may have been due to study-level methodological factors, but not due to differences in sample-level dependence severity. Cue-reactivity effect sizes were stable across years of smoking in studies using a neutral cue comparison but declined sharply in studies when baseline assessment (typically coupled with an abstinence requirement) was used.


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