Environmental cues (e.g., the sight of a cigarette) have long been recognized as important triggers for craving in smokers. Available imaging technologies (e.g., fMRI) allow investigation of the neural mechanisms for cue-induced craving, but there stands a need for a cue-delivery system compatible with an MRI environment. We developed a standardized set of 24 high-resolution videos, 12 containing cigarette smoking scenes (e.g., lighting up), and 12 containing neutral scenes (e.g., reading a book), each 30 seconds long, with comparable lighting, visual complexity, and background filmed by a professional cinematographer. Study participants were 20 smokers (mean age=37.7 years, 50% female). Each was exposed to the 24 videos in a random order under laboratory conditions. Dependent measures included heart rate, blood pressure, skin conductance, skin temperature, and self-reported craving (0-100) following each video. Overall findings indicated that smokers had greater reactivity to the smoking videos than to neutral videos (p<.01). Follow-up univariate analyses revealed significant cue effects on self-reported craving, galvanic skin response, and skin temperature. Interestingly, exploratory examination of gender revealed that men had higher blood pressure and skin temperature responses than women, and that women had higher responses when viewing videos of women smoking than when viewing men smoking. Results support this set of videos as an effective tool for investigation of cue-elicited craving, and raise the possibility of unique gender effects in cue reactivity.
KeywordsCue-reactivity; Craving; Nicotine; Smoking; Video Cigarette smoking continues to pose a major worldwide public health threat (American Cancer Society [ACS], 2006). While some gains have been made in reducing the initiation of smoking in various targeted groups, cessation rates have increased little in the past decade in spite of numerous widely available intervention strategies (e.g., nicotine replacement) to smokers (ACS, 2006). Indeed, estimates indicate that across the United States, of those who attempt to quit, only 4.7% remain abstinent at one year post-cessation (ACS, 2006).In considering the factors that make successful cessation so difficult, studies over the past decade have pointed to a preeminent role of environmental cues (e.g., sight or smell of cigarettes) that can trigger strong cravings or urges, long after the acute effects of nicotine withdrawal have subsided (Carter & Tiffany, 1999). These cue-induced craving reactions have been modeled reliably under laboratory conditions with smokers experimentally exposed to Correspondence can be sent to Dr. Erblich at: Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1130, New York, NY 10029, Telephone: 212-659-5516, Facsimile: 212-659-5507, Email: joel.erblich@mssm.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early...