“…Smokers frequently report intense craving even without nicotine deprivation (Hughes, 1992), and many endorse more severe urges than during abstinence (Cox et al, 2001;Piper et al, 2011). In this regard, clonidine has shown to reduce craving following smoking cessation and it seems less effective in attenuating smoking-induced craving (Knott et al, 2005). The observation that only "positive" tobacco urges were significantly elevated among intreatment smokers is consistent with laboratory findings that smoking does not extinguish craving but may generate expectations of more reward through more smoking (Dols, van den Hout, Kindt, & Willems, 2002), as confirmed by higher number of cigarettes smoked at early follow-up in our sample.…”