Heart rate variability as an index of cue reactivity in alcoholics

Rajan, Indrani; Murthy, Pratima; Ramakrishnan, A. G.; Gangadhar, Bangalore N.; Janakiramaiah, N.

doi:10.1016/s0006-3223(97)00399-5

Cited by 40 publications

(38 citation statements)

References 7 publications

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“…Kaplan et al, 1983;McCusker and Brown, 1991;Kaplan et al, 1985;Cooney et al, 1997;Glautier and Drummond, 1994;McCaul et al, 1989aMcCaul et al, , 1989bStormark et al, 1995], although their experimental designs, including cues, induction methods, and features of participants differ from one another. Rajan et al [1998] even deemed it as a reliable indicator of cue reactivity. Nevertheless, the studies of Pomerleau et al [1983], Eriksen and Goetestam [1984], and Greeley et al [1993] implicate either no elevation or reduction.…”

Section: Discussionmentioning

confidence: 99%

Effects of Irritability on Craving before and after Cue Exposure in Abstinent Alcoholic Inpatients: Experimental Data on Subjective Response and Heart Rate

Chiang¹,

Schuetz²,

Soyka³

2002

Neuropsychobiology

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Objective: Irritability is often linked with problem drinking. The aim of this study is to examine the possible influence of irritability on craving induced by a cue-exposure paradigm. Methods: 30 male abstinent alcoholic inpatients of the Psychiatric Hospital of Munich University, Germany gave answers to a series of personality questionnaires. Results of this study concerning the impact of aggressivity on craving for alcohol has recently been published. In this study, the subjects were subdivided into a low- and a high-irritable group based on their scores on the irritability subscale of the Buss-Durkee Hostility Inventory and were exposed to alcohol cues. Craving was measured by means of the Alcohol Craving Questionnaire (ACQ) and Visual Analogue Scales (VAS). The heart rate was also assessed throughout the whole process. ANCOVA for repeated measurement was employed to evaluate the data – irritability disposition as the between-subject factor and the experimental manipulation (absence vs. presence of alcohol cues) as the within-subject factor. Results: Major findings are: (1) main effects of irritability on ‘emotionality’, ‘purposefulness’, and ‘expectancy’ of the ACQ as well as on ‘craving for alcohol’ of the VAS were significant; (2) cue exposure also exerted a significant main effect on ‘craving for alcohol’ of the VAS and on the heart rate after the presentation of alcohol cues; (3) on ‘compulsivity’ of the ACQ and ‘intention to alcohol intake’ of the VAS; there was a significant interaction between irritability and cue exposure. The high-irritable alcoholics, compared with their statements in the baseline, tended to report a higher control over alcohol intake and a lower intention to alcohol use after cue exposure. However, after confrontation with alcohol stimuli, their low-irritable counterparts reported a much lower control and a slightly higher intention than they did in the baseline. Conclusions: The results of this study indicate that induced craving in hospitalized alcohol addicts probably varies with the magnitude of their irritability; it might make patients more aware of their vulnerability to alcohol, help them develop more differential coping strategies and improve medical therapy against alcohol craving.

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Section: Discussionmentioning

confidence: 99%

Effects of Irritability on Craving before and after Cue Exposure in Abstinent Alcoholic Inpatients: Experimental Data on Subjective Response and Heart Rate

Chiang¹,

Schuetz²,

Soyka³

2002

Neuropsychobiology

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“…11,25,26,36,59]; their experimental designs, including features of subjects, cues, induction methods, differ from one another though. Therefore, heart rate is frequently deemed as a reliable indicator of cue reactivity in alcoholics [50]. Greeley et al [20], Eriksen and Gotestam [14] and Pomerleau et al [46] had yet converse implications.…”

Section: Discussionmentioning

confidence: 99%

Role of Aggressivity on Reactivity and Craving before and after Cue Exposure in Recently Detoxified Alcoholics: Results from an Experimental Study

Chiang

Schuetz²,

Soyka³

2001

Eur Addict Res

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The role of aggressivity and cue exposure in induction of craving were investigated in a clinical setting. Thirty abstinent alcoholic patients were divided into a low and a high aggressive group based on scores on the physical aggression subscale of the Buss-Durkee Hostility Inventory and exposed to alcohol cues. Craving was measured by means of the Alcohol Craving Questionnaire (ACQ) and Visual Analogue Scales (VAS). Important findings are: (1) main effects of aggressivity on ‘emotionality’, ‘purposefulness’ and ‘expectancy’ of ACQ were very significant; (2) on ‘drinking intention’ and ‘craving for alcohol’ of VAS, aggressivity and cue exposure showed a significant interaction; (3) the main effect of cue exposure on heart rate also reached a significance level of 0.007. The results were discussed in the context of the Classical, Operant Conditioning Theory, the Cognitive Craving Theory of Tiffany, Gilbert’s STAR Model, and the Self-Medication Hypothesis

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“…Basically, certain diseases such as hypertension Novak et al 1994), diabetes Bernardi et al 1992), or coronary heart disease (Krittayaphong et al 1997;Stein et al 2000) would cause HRV to decrease. Moreover, as to lifestyle, some studies reported that smoking (Barutcu et al 2005), drinking habits (Rajan et al 1998), or exercise habits (Myslivecek et al 2002) affect HRV. In the present study, confirmed by the annual health examination, participants did not have a history of the above diseases in the present or past.…”

Section: Potential Confounders Of Hrv Changesmentioning

confidence: 99%

Heart rate variability assessment in Japanese workers recovered from depressive disorders resulting from job stress: measurements in the workplace

Takada

Ebara

Kamijima

2009

Int Arch Occup Environ Health

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Heart rate variability as an index of cue reactivity in alcoholics

Abstract: HRV paradigm appears more sensitive than MHR to measure cue reactivity.

Cited by 40 publications

References 7 publications

Effects of Irritability on Craving before and after Cue Exposure in Abstinent Alcoholic Inpatients: Experimental Data on Subjective Response and Heart Rate

Effects of Irritability on Craving before and after Cue Exposure in Abstinent Alcoholic Inpatients: Experimental Data on Subjective Response and Heart Rate

Role of Aggressivity on Reactivity and Craving before and after Cue Exposure in Recently Detoxified Alcoholics: Results from an Experimental Study

Heart rate variability assessment in Japanese workers recovered from depressive disorders resulting from job stress: measurements in the workplace

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