Reactivity to alcohol-relevant beverage and imaginal cues in alcoholics

Payne, Thomas J.; Rychtarik, Robert G.; Rappaport, Neil B.; Smith, Patrick O.; Etscheidt, Mark; Brown, Timothy A.; Johnson, Cheryl A.

doi:10.1016/0306-4603(92)90026-r

Cited by 47 publications

(32 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is well-known that alcohol cue exposure increases alcohol craving (Cooney et al, 1987;Laberg and Ellertsen, 1987;Monti et al, 1987;Payne et al, 1992;Rohsenow et al, 1992) with a greater craving response in alcoholics compared to social drinkers (SDs) (Pomerleau et al, 1983;Grusser et al, 2006). However, the hedonic state associated with such increases in alcohol cue-induced craving has not been previously assessed.…”

Section: Introductionmentioning

confidence: 94%

Enhanced Negative Emotion and Alcohol Craving, and Altered Physiological Responses Following Stress and Cue Exposure in Alcohol Dependent Individuals

Sinha

Fox

Hong

et al. 2008

Neuropsychopharmacol

402

383

View full text Add to dashboard Cite

Chronic alcohol abuse is associated with changes in stress and reward pathways that could alter vulnerability to emotional stress and alcohol craving. This study examines whether chronic alcohol abuse is associated with altered stress and alcohol craving responses. Treatment-engaged, 28-day abstinent alcohol-dependent individuals (ADs; 6F/22M), and social drinkers (SDs; 10F/18M) were exposed to a brief guided imagery of a personalized stressful, alcohol-related and neutral-relaxing situation, one imagery condition per session, presented in random order across 3 days. Alcohol craving, anxiety and emotion ratings, behavioral distress responses, heart rate, blood pressure, and salivary cortisol measures were assessed. Alcohol patients showed significantly elevated basal heart rate and salivary cortisol levels. Stress and alcohol cue exposure each produced a significantly enhanced and persistent craving state in alcohol patients that was marked by increased anxiety, negative emotion, systolic blood pressure responses, and, in the case of alcohol cue, behavioral distress responses, as compared to SDs. Blunted stress-induced cortisol responses were observed in the AD compared to the SD group. These data are the first to document that stress and cue exposure induce a persistent negative emotion-related alcohol craving state in abstinent alcoholics accompanied by dysregulated HPA and physiological arousal responses. As laboratory models of stress and negative mood-induced alcohol craving are predictive of relapse outcomes, one implication of the current data is that treatments targeting decreases in stress and alcohol cue-induced craving and regulation of stress responses could be of benefit in improving alcohol relapse outcomes.

show abstract

Section: Introductionmentioning

confidence: 94%

Enhanced Negative Emotion and Alcohol Craving, and Altered Physiological Responses Following Stress and Cue Exposure in Alcohol Dependent Individuals

Sinha

Fox

Hong

et al. 2008

Neuropsychopharmacol

402

383

View full text Add to dashboard Cite

show abstract

“…Kaplan et al, 1985;Monti et al, 1987;Payne et al, 1992;Staiger & White, 1991) or with binge eating (Carter & Bulik, 1994). A learning theory formulation of cue reactivity has been proposed both in the substance abuse area (for a review, see Drummond et al, 1995) and in the binge eating area (Jansen, 1994).…”

Section: Introductionmentioning

confidence: 98%

Responsivity to food cues in bulimic women and controls

2000

View full text Add to dashboard Cite

Section: Conditioned Cuesmentioning

confidence: 99%

“…They may include concurrent behaviors such as smoking while drinking alcohol (Burton & Tiffany, 1997). A richer set of cues, or a set that is more strongly associated with consumption is more likely to elicit craving than sets with weaker associations (Payne et al, 1992).Cue reactivity is usually interpreted in terms of classical conditioning, either to withdrawal sensations or to previous consumption (Stewart, de Wit & Eikelboom, 1984). A history of classical conditioning has sometimes been assumed rather than demonstrated (Greeley & Ryan, 1995), but there is evidence that conditioning can prompt craving.…”

mentioning

confidence: 99%

Imaginary Relish and Exquisite Torture: The Elaborated Intrusion Theory of Desire.

Kavanagh

Andrade

May

2005

Psychological Review

778

686

View full text Add to dashboard Cite

The elaborated intrusion theory of desire 2 Imaginary relish and exquisite torture: The Elaborated Intrusion Theory of desire AbstractWe argue that human desire involves conscious cognition that has strong affective connotation and is potentially involved in the determination of appetitive behavior rather than being epiphenomenal to it. Intrusive thoughts about appetitive targets are triggered automatically by external or physiological cues and by cognitive associates. . When intrusions elicit significant pleasure or relief, cognitive elaboration usually ensues. Elaboration competes with concurrent cognitive tasks through retrieval of target-related information and its retention in working memory. Sensory images are especially important products of intrusion and elaboration, since they simulate the sensory and emotional qualities of target acquisition. Desire images are momentarily rewarding, but amplify awareness of somatic and emotional deficits. Effects of desires on behavior are moderated by competing incentives, target availability and skills. The theory provides a coherent account of existing data and suggests new directions for research and treatment.A cognitive-emotional model of desire 3 The imaginary relish is so sweetThat it enchants my sense. (Shakespeare, Troilus & Cressida, Act 3, Scene 2).Here you are, innocently reading a psychology journal, and a paper suddenly mentions someone drinking a cup of excellent coffee at a sidewalk café on a sunny Sunday morning. Chances are that you immediately imagine how good it would be to have a cup yourself. Maybe you imagine the smell of the freshly ground coffee beans, the smell and taste of the coffee, perhaps even the sound of the grinder and the bubble and steam of the espresso machine. If you do not especially enjoy coffee, or have just finished a cup, this image may have little appeal. But if you would really enjoy a cup of coffee right now, the image has a pleasurable piquancy -a tantalizing enchantment that, like a tickle to your foot, moves easily to a sense of torture if the desire cannot be fulfilled. From its inception, the thought captures your attention. It has strong emotive power, and there is a sense that it triggers action. You may even feel unable to continue to read this paper until you get a cup.What are the essential elements of this subjective experience? Our impression is that they include the intrusive and often unexpected nature of the initial thought, the imagery of the coffee and of drinking it, and the pleasure and torture that image brings. Once begun, it is difficult to stop thinking about it-in fact, it is difficult to think about anything else. If the affective impact of the desire is particularly strong, its fulfilment may seem imperative, although of course it is not inevitable.In this paper, we describe an Elaborated Intrusion (EI) Theory of desires, which embodies these key aspects of the subjective phenomena as well as encompassing the wide range of related empirical evidence. As its name suggests, the theory distinguishes ...

show abstract

Reactivity to alcohol-relevant beverage and imaginal cues in alcoholics

Cited by 47 publications

References 8 publications

Enhanced Negative Emotion and Alcohol Craving, and Altered Physiological Responses Following Stress and Cue Exposure in Alcohol Dependent Individuals

Enhanced Negative Emotion and Alcohol Craving, and Altered Physiological Responses Following Stress and Cue Exposure in Alcohol Dependent Individuals

Responsivity to food cues in bulimic women and controls

Imaginary Relish and Exquisite Torture: The Elaborated Intrusion Theory of Desire.

Contact Info

Product

Resources

About