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Event-related brain potentials as indicator of smoking cue-reactivity

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Abstract

Reactivity to smoking cues, shown previously by autonomic and self-report variables, was investigated in smokers and nonsmokers using event-related brain potentials (ERPs). Average ERPs to 20 color pictures of people smoking and 20 neutral pictures depicting nonsmoking themes, randomly mixed with 4 repetitions/stimulus, were measured from 20 light-moderate smokers and 18 nonsmokers, following a stressor. Smoker status and stimulus type effects on ERPs and principal components factor scores (FS) were tested by repeated-measures ANOVAs. Smokers' N268 showed significant medial and midline smoking cue-reactivity (ERP to smoking-related minus neutral stimuli); while a P300-like, P412, showed significant smoking cue-reactivity over medial and left hemisphere scalp. FS analyses confirmed most of the foregoing. P412 smoking cue-reactivity was correlated with unpleasantness-pleasantness cue-reactivity but not with urge-to-smoke cue-reactivity. Nonsmokers' N268 stimulus differences were not significant, but significant P412 stimulus effects (unconfirmed by FS analyses) were found in central-to-posterior and in left parietal-temporal areas. Smokers' N268 is identified with a process detecting stimuli incongruent with tobacco-addicted states; and P412 smoking cue-reactivity is discussed in terms of an automatic, perceptual-categorization system, consistent with Tiffany's drug-use and Johnson's P300 models. Implications of ERP smoking cue-reactivity for study of tobacco and other addictions are discussed.

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... The P3 event-related potential (ERP) represents one promising index of the motivational salience of smoking cues (Warren & McDonough, 1999). ERPs are voltage fluctuations in the scalp-recorded electroencephalogram (EEG) that emerge when EEG data are time-locked to the presentation of critical stimuli and averaged across many trials. ...
... Several studies have tested the influence of smoking-related cues on P3 (or the related Late Positive Potential; LPP) using various picture viewing paradigms. These investigations have consistently demonstrated that current smokers show more pronounced P3/LPP responses to smoking cues than to neutral stimuli (Bloom, Potts, Evans, & Drobes, 2013; J. D. Robinson et al., 2015;Littel & Franken, 2007, 2011, 2011McDonough & Warren, 2001;Versace et al., 2011;Warren & McDonough, 1999). ...
... Robinson & Berridge, 1993), and (c) ERPs and other indices of attentional bias to drug cues have been shown to correlate with cravings in users of alcohol and illicit drugs (Field, Munafò, & Franken, 2009). However, available evidence in smokers is mixed, with studies finding no association (Warren & McDonough, 1999), a positive correlation (Littel & Franken, 2007), and a negative correlation between smoking cue-elicited P3 amplitude and assessments of craving reactivity. ...
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The current study tested whether the amplitude of the P3 event-related potential (ERP) elicited by smoking cues is (a) associated with the degree of self-reported craving reactivity, and (b) moderated by degree of tobacco dependence. Because alcohol and cigarettes are frequently used together, and given recent evidence indicating that individual differences in alcohol sensitivity influence reactivity to alcohol cues, we also investigated whether alcohol sensitivity moderated neural responses to smoking cues. ERPs were recorded from young adult smokers (N = 90) while they participated in an evaluative categorization oddball task involving 3 types of targets: neutral images, smoking-related images, and images of drinking straws. Participants showing larger P3 amplitudes to smoking cues and to straw cues (relative to neutral targets) reported greater increases in craving after cue exposure. Neither smoking status (daily vs. occasional use) nor psychometric measures of tobacco dependence consistently or specifically moderated P3 reactivity to smoking cues. Lower alcohol sensitivity was associated with larger P3 to smoking cues but not comparison straw cues (relative to neutral targets). This effect was further moderated by tobacco dependence, with the combination of lower sensitivity and higher dependence associated with especially pronounced P3 reactivity to smoking cues. The findings suggest the smoking-cue elicited P3 ERP component indexes an approach-oriented incentive motivational state accompanied by a subjective sense of cigarette craving. Self-reported low sensitivity to the pharmacologic effects of alcohol may represent a marker of drug cue reactivity and therefore deserves attention as a potential moderator in smoking cue exposure studies. (PsycINFO Database Record
... Note of course that in this case the smoker has to be addicted at least instead of just being a "recreational" smoker. Evidence for this line of reasoning comes from research using EEG (for instance : Warren & McDonough ,1999;McDonough & Warren, 2001) or research using attentional tasks (Waters & Feyerabend (2000); Franken, Kroon & Hendriks (2000); Waters, Shiffman, Bradley & Mogg (2003) ;Ehrman, Robbins, Bromwell et al. (2002). ...
... Next to attentional tasks, physiological measures can be used as well to determine whether someone has heightened attention for certain stimuli. Warren & McDonough (1999) outline several of these: tonic heart rate, systolic and diastolic blood pressure and vasoconstriction. ERPs can be used as well. ...
... The results of the passive task in the current study replicated results other studies (Warren & McDonough, 1999;McDonough & Warren, 2001) have found in that smokers show enhanced cue-reactivity towards smoking-related stimuli, reflected mostly by an enhanced P3 component. ...
... It is associated with activity in the inferior and medial temporal gyrus and the uncus, regions associated with the processing of biologically relevant stimuli (Petit et al., 2015). A large body of research has indicated that P3 ERP amplitudes are larger to smoking-related than non-smoking related cues in smokers at central and parietal cortex locations (Bloom et al., 2013;Littel & Franken, 2007Luijten et al., 2016;McDonough & Warren, 2001;Oliver et al., 2016;Robinson et al., 2015;Warren & McDonough, 1999). Other research has found that smoking-related cues also yield larger P3 amplitudes than neutral cues in frontal or fronto-central brain regions (e.g., Littel & Franken, 2011;see Littel et al., 2012, for a meta-analysis). ...
... This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. EFFECT OF PARENTAL SMOKING 7 Warren & McDonough, 1999). Although some research has revealed P3 differences in frontal or fronto-central brain regions (e.g., Littel & Franken, 2011), effects of drug-related cues at frontal electrodes are less commonly reported . ...
Article
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Objective: The goal of the present study was to investigate neural responses to smoking cues in preadolescent children of smokers and nonsmokers. Method: To accomplish this, we recruited 111 8–12-year-old children (Mage = 122.13 months; SD = 17.41; 50 female) and their parents. Participants were presented with 60 pictures of smoking-related and control cues that were matched in color, intensity, and size in random order on a computer screen. Pictures depicted people interacting with the relevant objects or the relevant objects were presented alone. Neural activity in the form of electroencephalogram was recorded during the presentation of the pictures, and event-related potentials elicited by these stimuli were examined. Parents answered questions about how often they smoked cigarettes and about their motives for smoking. Results: Results demonstrated that P3 amplitude was larger to smoking-related cues compared to non-smoking-related cues for children of smokers in the central, parietal, and occipital regions. This effect was only seen for pictures depicting people interacting with the stimuli (e.g., a person holding a cigarette). In contrast, responses did not differ across conditions in children of nonsmokers. Moreover, P3 amplitudes were larger for children of parents who reported that smoking provided greater positive and negative reinforcement. Conclusions: These findings provide important insights about the mechanisms involved in the relationship between parental and child smoking.
... Evidence from the P1 ERP measurements indicate that cigarette cues are differentiated from neutral or emotional cues early in the visual perception-attention process [15]. Cigarette smokers also tend to demonstrate larger P3 ERP amplitudes to smoking cues compared to neutral, negative, or positive cues than non-smokers, reflecting a higher motivational salience of the cues [14][15][16][17][18] and suggesting a specific attention bias towards smoking cues [17,18]. The P3 ERP amplitude is strongly associated with post-cue level of craving, suggesting that the P3 ERP amplitude reflects the potential for craving activation and subsequent tobacco use [19]. ...
... Evidence from the P1 ERP measurements indicate that cigarette cues are differentiated from neutral or emotional cues early in the visual perception-attention process [15]. Cigarette smokers also tend to demonstrate larger P3 ERP amplitudes to smoking cues compared to neutral, negative, or positive cues than non-smokers, reflecting a higher motivational salience of the cues [14][15][16][17][18] and suggesting a specific attention bias towards smoking cues [17,18]. The P3 ERP amplitude is strongly associated with post-cue level of craving, suggesting that the P3 ERP amplitude reflects the potential for craving activation and subsequent tobacco use [19]. ...
Article
Black cigarette smokers experience higher craving, lower cessation rates, and increased health complications from tobacco use than Whites. We examined psychophysiological and behavioral differences in attentional bias to smoking cues between Black and White smokers. Thirty-one participants (Blacks, n = 20; MAge = 45 and Whites, n = 11, MAge = 47.64) discriminated line orientations while ignoring temporally flanking lines and smoking-related, positive-, negative-, and neutral-images as behavioral responses and event-related potentials (ERPs) were recorded. Results revealed a three-way interaction in reaction time among Group (White, Black), Congruity (congruent vs. incongruent flankers) and Cue (smoking-related, positive, negative) factors, F(2,58) = 3.63, p = .03, MSe = .001, η2 = .002. Smoking-related cues yielded the largest congruity effects in Whites, but the smallest congruity effects in Blacks. Random presentation of smoking-related cues (re: baseline) weakened P1 ERP amplitude (125 ms after stimulus onset) in Whites, but not Blacks (Cue x Group x Task, F(3,87) = 3.44, p < .05, MSe = 65.96, η2 = .01), suggesting an early sensory effect of smoking cues in Whites. The difference between Whites and Blacks in P2 amplitude (226 ms; amplitude weaker in Whites) was greatest to the smoking-related cues (Cue x Group, F(3,87) = 2.81, p < .05, MSe = 60.68, η2 = .01), indicating a stronger draw in attention from smoking cues in Whites. Findings suggest White and Black smokers respond differently to smoking-related cues during early sensory processing. Findings need to be replicated.
... P3 during neutral, exercise, and cannabis cue presentation were recorded and found that enhancement of P3 amplitude to cannabis related cues becomes intensified with continued use of cannabis (number of days used) showing a linear relation between use and reactivity. Whereas, neither of previous studies found a relation between P3 cannabis cue reactivity and craving that may be due to small sample size (<15) and craving range [40][41][42]. ...
... In conclusion, the larger P3 amplitude to cannabisrelated cues relative to neutral cues in new studies is in line with findings of pioneer cannabis studies [40][41][42] reflecting deployment of more attentional resources to cannabis-related cues between cannabis users. In this regard, early and late latency ERPs are required to be more studied among cannabis users. ...
Article
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Purpose: Event-Related Potentials (ERPs) have been used in addiction studies to evaluate cognitive performance and craving in individuals with Substance Use Dependence (SUD). This paper reviews studies that used ERPs to investigate cue reactivity, inhibitory control and error processing in SUDs to integrate new findings. Materials and Methods: Five abused substances are included in the investigation, i.e. alcohol, nicotine, cannabis, cocaine, and methamphetamine. For each substance, the main recent findings related to the ERPs are specifically discussed, according to the latency of ERPs. Results: Individuals with SUD allocate more attention resources to the cognitive processing of substance related cues, indexed by increased amplitude of middle and late latency ERPs. Laboratory observations also show amplitude enlargement for early latency ERPs. Individuals with SUD reveal a deficiency in the inhibitory control and conscious error processing, indexed by attenuated N2 and Pe amplitude. Conclusion: This study expands the findings of previous related reviews implying that substance abusers allocate more attention resources to drug cues indexed by enlarged P3 and LPP amplitude. Regarding P3 elicited in inhibitory control tasks, there is not still convergent results, while N2 and Pe become attenuated as reported in previous reviews. The cognitive and motor inhibitory component (P3) changes show a controversial result.
... Many neurophysiological studies of substance-related addictions have targeted the visual P300 event-related brain potential (ERP) component. The visual P300 is related to motivated attention (Warren and McDonough, 1999;Nieuwenhuis et al., 2005;Lubman et al., 2008;Weinberg et al., 2012), emotional significance (Wölfling et al., 2008;Sarlo et al., 2013), and arousal (Schupp et al., 2000;Zheng et al., 2015). It has been suggested that there is a role for the frontal, temporal, and parietal lobes in generating the P300 (Singh and Basu, 2009;Sabeti et al., 2016), although the precise neural generators are still under debate (Dreo et al., 2017). ...
... Another generally consistent finding in P300 addiction literature is that when addicted participants are presented with cues related to their addiction, they exhibit larger P300 amplitudes than when they are presented with non-addiction cues (Warren and McDonough, 1999;Lubman et al., 2008;Campanella et al., 2014). This is usually observed in cue-reactivity paradigms, in which participants passively view both addiction related and non-addiction related cues. ...
Article
Objective: Gambling disorder is the first behavioral addiction recognized in the DSM-5. This marks the growing realization that both behavioral and substance-related addictions are manifestations of an 'addicted brain', displaying similar altered neurophysiological mechanisms. A decreased electrophysiological visual P300 is considered a hallmark effect of substance-related addictions, but has not yet been shown in behavioral addictions. Methods: Magnetoencephalographic recordings of 15 gamblers and 17 controls were taken as they performed a cue-reactivity paradigm in which they passively viewed addiction- and non-addiction-related cues. Results: The main finding of the study is a reduction in the magnetic counterpart of P300 (M300) for gamblers beyond cue condition over frontal regions. Additionally, we found a significant group by cue-type interaction. Gamblers exhibited heightened sensitivity to addiction-related cues in regions corresponding to the frontoparietal attentional network, whereas controls exhibited an opposite effect localized to the right insula. Conclusions: The results suggest that a reduced P300 characterizes addictions in general, not just substance-related addictions, thus providing important neurophysiological support for the inclusion of behavioral addictions in the DSM-5 and in the incentive-sensitization theory. Significance: The study offers important insights into neural mechanisms underlying behavioral addictions, and may assist in developing better prevention and intervention strategies.
... This finding implicated that the more cigarettes per day were associated with the enhanced cognitive processing biases of smoking-related cues. With regard to the correlation between P300/SPW amplitude and self-reported craving levels, previous findings were not very consistent due to the experiment design and cue selection [9,12,24,45]. The significant correlation between craving and ERP components in cocaine and heroin addiction was observed [9,12]. ...
... The significant correlation between craving and ERP components in cocaine and heroin addiction was observed [9,12]. Meanwhile, this phenomenon was not observed in nicotine addiction [45,24]. In the current study, the association between P300/SPW amplitude and self-reported craving levels was not detected. ...
Article
Cigarette smoking during young adult may result in serious health issues in later life. Hence, it is extremely necessary to study the smoking neurophysiological mechanisms in this critical transitional period. However, few studies revealed the electrophysiological mechanisms of cognitive processing biases in young adult smokers. In present study, nineteen young smokers with 12 hours abstinent and 19 matched nonsmokers were recruited. By employing event-related potentials (ERP) measurements during a smoking cue induced craving task, electrophysiological brain responses were compared between the young adult smokers and nonsmokers. The Slow Positive Wave (SPW) amplitude of smoking-related cues was enhanced in young adult smokers compared with nonsmokers. In addition, increased P300/SPW component of smoking-related cues relative to neutral cues were found in young adult smokers. Meanwhile, a positive correlation between Cigarette Per Day (CPD) and the amplitude of ERPs wave (P300/SPW) at anterior (Fz), central (Cz) were observed in young adult smokers. Our findings provided direct electrophysiological evidence for the cognitive processing bias of smoking cue and may shed new insights into the smoking behavior in young adult smokers.
... Moreover, the LP was elicited by attractive or emotional faces [16,17], and emotional pictures [18]. Similar LP responses were also elicited by smoking cues in smokers [19,20], and drug cues in heroin dependent participants [21]. These addictive-drug related cues are able to elicit reward and emotion processes [22]. ...
... Lastly, the LP response which reflected the opposite-sex effect in this study is similar with many previous studies that found the LPlike response elicited by reward cues [4,[16][17][18][19][20][21]. This suggests that the LP response may reflect a common neural basis across different reward cues including gender, aesthetics, smoking, druguse, etc. . ...
Article
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Human voice is a gender discriminating cue and is important to mate selection. This study employed electrophysiological recordings to examine whether there is specific cerebral activity when presented with opposite-sex voices as compared to same-sex voices. Male voices and female voices were pseudo-randomly presented to male and female participants. In Experiment 1, participants were instructed to determine the gender of each voice. A late positivity (LP) response around 750 ms after voice onset was elicited by opposite-sex voices, as reflected by a positive deflection of the ERP to opposite-sex voices than that to same-sex voices. This LP response was prominent around parieto-occipital recording sites, and it suggests an opposite-sex specific process, which may reflect emotion- and/or reward-related cerebral activity. In Experiment 2, participants were instructed to press a key when hearing a non-voice pure tone and not give any response when they heard voice stimuli. In this task, no difference were found between the ERP to same-sex voices and that to opposite-sex voices, suggesting that the cerebral activity to opposite-sex voices may disappear without gender-related attention. These results provide significant implications on cognitive mechanisms with regard to opposite-sex specific voice processing.
... One potential mechanism of their action could be reducing the incentive salience and attentional bias diverted toward smoking and conditioned cues, thus attenuating the motivational appeal of smoking (Wilson, Sayette & Fiez 2004;Robinson & Berridge 2008;Engelmann et al. 2012;Littel et al. 2012;Tang et al. 2012;Feltenstein & See 2013). The P300 component of eventrelated potentials (ERPs) has been extensively used to study attentional bias in smokers (Warren & McDonough 1999;McDonough & Warren 2001;Littel & Franken 2007Versace et al. 2011;Engelmann et al. 2012) because the amplitude of P300 elicited by smoking cues is modulated by motivated attention and activation of brain arousal systems (Cuthbert et al. 2000). Increased P300 in response to smoking cues is thought to reflect the heightened incentive value of such cues in addicted smokers (Littel et al. 2012). ...
... Regardless of preceding events, the P300 amplitude in response to smoking cues was larger than that of non-smoking cues. This observation confirms the validity of our procedure as it is in line with previous reports of enhanced P300 response to smoking cues in smokers (Warren & McDonough 1999;McDonough &Warren 2001;Littel & Franken 2007). Similar enhancement in P300 amplitude has been reported in addiction to other substances, including alcohol, cocaine, marijuana and heroin (Herrmann et al. 2000;Namkoong et al. 2004;Lubman et al. 2007Lubman et al. , 2008Franken et al. 2008;Goldstein et al. 2008;Wolfling, Flor & Grusser 2008;Dunning et al. 2011). ...
Article
There is an ongoing public debate about the new graphic warning labels (GWLs) that the Food and Drug Administration (FDA) proposes to place on cigarette packs. Tobacco companies argued that the strongly emotional images FDA proposed to include in the GWLs encroached on their constitutional rights. The court ruled that FDA did not provide sufficient scientific evidence of compelling public interest in such encroachment. This study's objectives were to examine the effect of the GWLs on smokers' electrophysiological and behavioral correlates of smoking addiction and to determine whether labels rated higher on the emotional reaction (ER) scale are associated with greater effects. We studied 25 non-treatment-seeking smokers. Event-related potentials (ERPs) were recorded while participants viewed a random sequence of paired images, in which visual smoking (Cues) or non-smoking (non-Cues) images were preceded by GWLs or neutral images. Participants reported their cigarette craving after viewing each pair. Dependent variables were magnitude of P300 ERPs and self-reported cigarette craving in response to Cues. We found that subjective craving response to Cues was significantly reduced by preceding GWLs, whereas the P300 amplitude response to Cues was reduced only by preceding GWLs rated high on the ER scale. In conclusion, our study provides experimental neuroscience evidence that weighs in on the ongoing public and legal debate about how to balance the constitutional and public health aspects of the FDA-proposed GWLs. The high toll of smoking-related illness and death adds urgency to the debate and prompts consideration of our findings while longitudinal studies of GWLs are underway.
... For example, P300 activity in response to game-related cues was greater before the course than after it. This may imply that game-addicted subjects have a processing bias that is similar to that observed in smokers (Littel & Franken, 2007;McDonough & Warren, 2001;Warren & McDonough, 1999) and other addicts (Franken et al., 2003Herrmann, Weijers, Wiesbeck, Boning, & Fallgatter, 2001;Ko, Hwang, & Yoon, 2008;Lubman, Allen, Peters, & Deakin, 2007;Namkoong, Lee, Lee, Lee, & An, 2004;van de Laar, Licht, Franken, & Hendriks, 2004;Wolfling, Flor, & Grusser, 2008). Additionally, previous studies have shown that ERP waves (i.e., enhanced P300 and slow positive wave amplitudes) are significantly correlated with subjective drug cravings (Franken, Hulstijn, Stam, Hendriks, & van den Brink, 2004;Namkoong et al., 2004). ...
... Additionally, previous studies have shown that ERP waves (i.e., enhanced P300 and slow positive wave amplitudes) are significantly correlated with subjective drug cravings (Franken, Hulstijn, Stam, Hendriks, & van den Brink, 2004;Namkoong et al., 2004). In the present study, the higher P300 activity observed before the course may have been induced by gamers' allocation of attention to information related to their gaming addiction; that is, they may have entered an incentive-motivational state (Warren & McDonough, 1999). Nevertheless, we should not draw any premature conclusions about the potential therapeutic effects of this game-based course on the cue-induced cortical reactivity measured by P300 because we measured ERP activity in only two normal subjects (i.e., subjects without gaming addiction), which precluded a group comparison. ...
Article
Addiction to Massive Multiple Online Role-Playing Games (MMORPGs) among juveniles has become a serious problem in Korea and has led to legislation prohibiting juveniles from playing games after midnight. One key factor in gaming addiction is the so-called narrative, or story, gamers create for themselves while playing. This study investigated how a course in writing and speaking using narrative characteristics and content borrowed from the MMORPG “Dungeon & Fighter (DF)” influenced language expression and gaming addiction. A total of 59 male high school students who were addicted to online gaming voluntarily participated in an experiment involving an educational course aimed at improving their writing and speaking. Participants were randomly divided into two groups, an experimental group of 27 students and a control group of 32 students (the control group participated in a general course addressing topics and various social issues unrelated to gaming). The experiment consisted of a total of 21 sessions lasting 2 h per day over a period of 2 months. The results of a follow-up examination revealed that participants in the experimental group improved their writing and speaking ability far more than those in the control group. In addition, a pilot ERP study suggested that the educational course in the experiment may reflect how gaming activity is processed in the brain, especially in the fronto-central areas, and thereby influence the course of addiction.
... Introduction evaluation of salient information is increased in alcoholics, smokers, methadone-dependent individuals, and cocaine addicts (Iacono et al., 2002;Polich, 2007;Warren and McDonough, 1999). This signal is enhanced in response to drug-related cues but is reduced when nondrug-related cues are presented (Baskin-Sommers and Foti, 2015). ...
Thesis
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Reinforcement learning (RL) is the process by which an animal utilises its previous experience to improve outcomes of future choices by maximising reward and minimising punishment. This thesis investigates how RL processes are altered in psychiatric disorders such as major depressive disorder (MDD) and substance use disorder (SUD). The neural basis underlying RL is investigated using brain neuroimaging techniques and translational approaches in both rats and humans. Given the importance of RL and implicated cognitive impairments in psychiatric disorders such as cognitive inflexibility, this PhD thesis sets out to integrate relevant computational and neurobiological substrates, an objective that hitherto has not been widely researched. Chapter 3 presents the findings of a longitudinal study to investigate the behavioural and neural consequences of early-life maternal separation in rats as a way of simulating early life stress (ELS) in humans. The question addressed was whether early stress is necessary and sufficient for the development of stress-related behaviours relevant to depression. Animals underwent behavioural testing, including probabilistic reversal learning (PRL) to assess behavioural flexibility, and sequential fMRI to evaluate resting-state functional connectivity. Computational analyses revealed differences in reward and punishment learning rates in males arising from maternal separation (MS) and adulthood stress. In contrast, MS female rats showed differences in the 'stickiness' parameter, a latent variable aligned with a loss of flexibility and habit-like behaviour. Finally, MS females and MS males have opposite directional changes in connectivity, as females show lower functional connectivity from the amygdala to the anterior cingulate cortex, infralimbic cortex and insular cortex compared to males. The subsequent chapter uses a computational approach to investigate latent vulnerability variables in cocaine addiction. A longitudinal dataset acquired in rats was analysed, which involved behavioural phenotyping for several addiction vulnerability traits, including behavioural inflexibility, together with high-resolution MRI brain scans. It was found that future drug-related compulsivity was predicted by higher values of the stickiness parameter, reflecting an increase in perseverative responding commonly found in stimulant-dependent individuals. Structurally, a positive correlation between the volume of the anterior insular cortex and a parameter relating to how subjects explore versus exploit reward options was found. The remaining results chapters involve the analysis of three datasets collected from human participants. Chapter 5 includes data from a study involving PRL run concurrently with fMRI scanning. The participants in this study included healthy controls (HCs), as well as individuals with cocaine use disorder (CUD) and gambling disorder (GD). Contrary to previously published findings, no significant differences in alpha, beta or kappa were observed between controls and the CUD group. However, in pathological gamblers, a significant increase in side stickiness was found, showing that gamblers tend to repeat responding in the same spatial location regardless of the outcome on previous trials. Neurally, there is an altered balance in the tracking of reward and punishment expected value (EV) in GD, as well as a shifted balance in processing positive and negative punishment prediction errors (PPE) in CUD. Reward EV tracking in GD involved greater activity in the middle temporal gyrus, cingulate gyrus, precuneus cortex and amygdala, whereas during punishment EV tracking there was lower activity in the postcentral gyrus, superior parietal lobule and precuneus cortex compared to HCs. In response to positive PPEs, the frontal pole, superior frontal gyrus and cingulate gyrus showed lower activity in patients with CUD than controls, but the same group showed greater activity following negative PPEs in the superior and middle frontal gyrus. Chapter 6 includes behavioural and clinical data from samples of patients with SUD and/or MDD as well as healthy individuals. The main findings of this chapter were that patients with SUD have reduced reinforcement sensitivity and increased stimulus stickiness, as do patients diagnosed with both disorders. No evidence for an association between computationally derived variables and clinical measures (e.g., the Inventory of Depressive Symptomatology – IDS) was found. The final results chapter presents a novel behavioural task that measures a different subtype of proactive cognitive flexibility, specifically, how healthy participants make decisions in the face of uncertainty and whether they shift their response when they are given the opportunity to repeat their choice following presentation of unreliable feedback. Participants changed their response more frequently following negative than positive feedback. Significant fMRI activations in the frontal pole, anterior cingulate cortex, frontal orbital cortex, and superior frontal gyrus were found when the response was changed rather than repeated. Furthermore, stronger connectivity between the anterior insula and parts of the occipital cortex was found during repeat trials. Finally, it was shown using a multivariate pattern fMRI analysis that behavioural responses on the next trial could be successfully predicted. The results in this thesis demonstrate the importance of RL in preclinical and clinical psychiatric cohorts. The parameter kappa is identified as a key behavioural marker across species. This parameter is altered as a result of ELS in rodents and can help predict rats that show high-compulsive behaviours on cocaine self-administration paradigms. In humans, kappa is affected in individuals with GD as well as SUD. Brain regions underlying RL parameters, including kappa, in both rodents and humans are identified, particularly highlighting the involvement of the cingulate gyrus in reinforcement learning across species. The results from the reversal learning task studies are then compared with findings from the behavioural and fMRI analyses of a new flexibility task, which extend our knowledge of cognitive flexibility beyond our current understanding of this construct.
... Compared with neutral cues, emotional cues elicit increased levels of LPP, which typically peaks between 400 and 800 ms after stimulus onset over the central and parietal sites on the scalp Keil et al., 2002;Schupp et al., 2000). In terms of drug cues, several studies have consistently shown that the LPP ERP component is enhanced to cigarette-related cues (McDonough & Warren, 2001;Versace et al., 2010;Warren & McDonough, 1999), even when compared with the LPPs of former smokers (Littel & Franken, 2007;Robinson et al., 2015), suggesting that smoking-related cues are motivationally salient to smokers. Similar effects have been observed for LPP to alcohol-related cues among those with AUD (Namkoong et al., 2004;Petit et al., 2015). ...
Article
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Background There is preliminary evidence that the anticonvulsant topiramate increases the likelihood of both smoking and alcohol abstinence among smokers with alcohol use disorder (AUD), but its therapeutic mechanism has not been determined. We used event‐related potentials (ERPs) to evaluate topiramate's effect on the salience of drug‐related, emotional, and neutral pictorial cues to identify whether one of its potential therapeutic mechanisms involves reduction of the salience of motivationally relevant cues. Methods Participants enrolled in a multisite clinical trial treating smokers with AUD were randomly assigned to receive placebo, low‐dose topiramate (up to 125 mg/day), or high‐dose topiramate (up to 250 mg/day), along with brief behavioral compliance enhancement treatment. A subsample (n = 101) completed ERP assessments at baseline (1 week pre‐medication) and week 5 (5 weeks on medication; 1 week pre‐quit). We assessed the salience of pleasant, unpleasant, cigarette‐related, alcohol‐related, and neutral pictorial cues using the late positive potential (LPP) ERP component and measured self‐reported substance use, reinforcement, craving, and withdrawal. Results Five weeks of high‐dose topiramate treatment decreased LPP amplitudes in response to both emotional (pleasant and unpleasant) and drug‐related cues (alcohol and cigarette), but not to neutral cues. However, results showed that the LPPs were not significant mediators of the relationship between topiramate dose and post‐quit measures of substance use, reinforcement, craving, or withdrawal. Conclusions These findings suggest that high‐dose topiramate (up to 250 mg/day) decreases the motivational salience of both drug‐related and emotional cues among smokers with AUD. However, the nonsignificant mediation analyses preclude any firm conclusions about whether this effect represents one of topiramate's therapeutic mechanisms of action.
... 食物 (Sun et al., 2014)。探讨辣食消耗对公众健康具有重要的实践意义,考虑到本土化的"嗜辣"现象, 作为一种"食物渴求"的现象,有必要了解中国文化背景下辣食渴求背后的机制。 事件相关电位(event-related potential, ERPs)有助于揭示个体对食物线索反应的神经机制。本研究采用 线索反应范式(cue-reactivity paradigm),该范式广泛的运用与成瘾和食物渴求领域 (Franken et al., 2008;Littel, Franken, Littel, & Franken, 2007)。有研究发现吸烟者比非吸烟者在额中区有着更大的波幅 (Littel et al., 2007),相比较于中性线索和非香烟相关线索,香烟相关线索激活了吸烟者更大的 P3 波幅 (Warren & Mcdonough, 1999)。 越来越多的证据表明, 物质渴求与食物的渴求之间存在共通之处 (Pelchat, 2002;Pelchat, Johnson, Chan, Valdez, & Ragland, 2004 ...
... In particular, the capability of EEG techniques to detect different cerebral patterns between smokers and nonsmokers has been already provided by event-related potential (ERP) studies, in which the amplitude of the P300 resulted lower in smokers than in nonsmokers [28,29]. Importantly, this difference can be affected by the stimulus category, as evidenced by an ERP study in which it has been shown a significant smoking cue reactivity of the neural component P412, a P300-like wave correlated with unpleasantness-pleasantness in reaction to the cue [30]. In addition, the autonomic reaction to the vision of aversive and high-arousing videos has been already investigated, highlighting a decrease of the heart rate in correspondence of stimuli characterized by negative content [31,32]. ...
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Over the past few decades, antismoking public service announcements (PSAs) have been used by governments to promote healthy behaviours in citizens, for instance, against drinking before the drive and against smoke. Effectiveness of such PSAs has been suggested especially for young persons. By now, PSAs efficacy is still mainly assessed through traditional methods (questionnaires and metrics) and could be performed only after the PSAs broadcasting, leading to waste of economic resources and time in the case of Ineffective PSAs. One possible countermeasure to such ineffective use of PSAs could be promoted by the evaluation of the cerebral reaction to the PSA of particular segments of population (e.g., old, young, and heavy smokers). In addition, it is crucial to gather such cerebral activity in front of PSAs that have been assessed to be effective against smoke (Effective PSAs), comparing results to the cerebral reactions to PSAs that have been certified to be not effective (Ineffective PSAs). The eventual differences between the cerebral responses toward the two PSA groups will provide crucial information about the possible outcome of new PSAs before to its broadcasting. This study focused on adult population, by investigating the cerebral reaction to the vision of different PSA images, which have already been shown to be Effective and Ineffective for the promotion of an antismoking behaviour. Results showed how variables as gender and smoking habits can influence the perception of PSA images, and how different communication styles of the antismoking campaigns could facilitate the comprehension of PSA’s message and then enhance the related impact.
... The capability of EEG techniques to detect different patterns between smokers and non-smokers have been already provided from event related potentials (ERP) studies, in which the amplitude of the P300 resulted lower in smokers than in non-smokers (Anokhin et al., 2000;Jang et al., 2007;Guney et al., 2009). Importantly, this difference can be affected by the stimulus category, as evidenced by an ERP study in which it has been shown a signicant smoking cue-reactivity of the P412, a P300-like wave correlation with unpleasantness-pleasantness in reaction to the cue (Warren and McDonough, 1999). In the present study, two EEG indices have been employed for the evaluation of the response to the antismoking PSAs vision: the frontal alpha asymmetry and the frontal theta activity. ...
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Tobacco constitutes a global emergency with totally preventable millions of deaths per year and smoking-related illnesses. Public service announcements (PSAs) are the main tool against smoking and by now their efficacy is still assessed through questionnaires and metrics, only months after their circulation. The present study focused on the young population, because at higher risk of developing tobacco addiction, investigating the reaction to the vision of Effective, Ineffective and Awarded antismoking PSAs through: electroencephalography (EEG), autonomic activity variation (Galvanic skin response—GSR- and Heart Rate—HR-) and Eye-Tracking (ET). The employed indices were: the EEG frontal alpha band asymmetry and the frontal theta; the Emotional Index (EI), deriving from the GSR and HR signals matching; the ET Visual Attention (VA) index, based on the ratio between the total time spent fixating an area of interest (AOI) and its area. Smokers expressed higher frontal alpha asymmetry values in comparison to non-smokers. Concerning frontal theta, Awarded PSAs reported the highest values in comparison to both Effective and Ineffective PSAs. EI results highlighted that lowest values were expressed by Heavy Smokers (HS), and Effective PSAs obtained the highest EI values. Finally, concerning the Effective PSAs, regression analysis highlighted a correlation between the number of cigarettes smoked by participants (independent variable) and frontal alpha asymmetry, frontal theta and EI values. ET results suggested that for the Ineffective PSAs the main focus were texts, while for the Effective and Awarded PSAs were the visual elements. Results support the use of methods aimed at assessing the physiological reaction for the evaluation of PSAs images, in particular when considering the smoking habits of target populations.
... Сходные данные были получены в другом исследовании, где сравнивались наркологически здоровые люди и потребители кокаина (употребившие за сутки до эксперимента наркотик) во время состояния отдыха [37,62]. При никотиновой зависимости в ответ на стимульные раздражители, связанные с сигаретами, наблюдалось усиление тета-и бетаритмов [38,41,104]. Приведенные выше результаты различных исследований подтверждают теории, которые описывают зависимость как изменение систем мотивации и вознаграждения головного мозга [29,70,101] и напрямую связаны с явлениями крейвинга [22,57,105]. ...
... EEG data for the smoking cue reactivity paradigm was segmented in epochs of 2000 ms (200 ms before and 1800 ms after picture presentation). Based on visual inspection and in line with previous studies, the P300 and LPP were, respectively, defined as the mean amplitude within the 300-500-and 500-1000-ms time interval after picture presentation and studied at the midline electrodes Fz, Cz, and Pz (Littel et al. 2012;McDonough and Warren 2001;Warren and McDonough 1999). The mean number of analyzable segments for neutral and smoking-related pictures was 57.03 (range 25-65) and 57.23 (range 27-64), respectively. ...
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RationaleGiven that most attempts to quit smoking fail, it is critical to increase knowledge about the mechanisms involved in smoking relapse and resumption (i.e., the increase in smoking over time after a quit attempt). Neurocognitive measures, such as event-related potentials (ERPs), may provide novel insights into smoking relapse and resumption. Objectives The objective of the present study is to investigate the association between smoking relapse and resumption and ERPs reflecting smoking cue reactivity (i.e., P300, LPP), inhibitory control (i.e., N2, P3), and error processing (i.e., error-related negativity (ERN), Pe). Methods Seventy-two smokers viewed smoking and neutral pictures and performed a Go-NoGo and an Eriksen Flanker task, while ERPs were measured using electroencephalography. All smokers started a quit attempt in the week following the laboratory visit. Smoking behavior after the quit attempt was measured at 4, 8, and 12 weeks. Both relapse (i.e., 7-day point prevalence at 12 weeks) and smoking resumption (i.e., the number of cigarettes a day at 4, 8, and 12 weeks) were used as outcome measures. ResultsLogistic regression analyses showed that smaller P3 amplitudes, reflecting brain activation associated with inhibitory control, are related to an increased relapse risk. Latent growth curve analyses showed that reduced post-error slowing, the main behavioral measure reflecting error processing, is associated with stronger smoking resumption. ERPs reflecting smoking cue reactivity were unrelated to smoking relapse or resumption. Conclusions The finding that smaller inhibitory control-related P3 amplitudes are associated with increased relapse risks suggests that strategies to increase inhibitory control in smokers are worth further investigation in the search for more effective smoking cessation interventions.
... In the U.S., smoking is more likely to occur during social occasions and around bars and restaurants [5] or during breaks between formal activities; [6] by contrast, tobacco use is significantly less likely to happen when people are engaged in structured, workrelated activities [5]. Others' smoking can stimulate craving for tobacco use [7,8] or actual tobacco use, [5] mainly by providing visual and olfactory sensory cues [9,10]. Additionally, perceived social norms around use tobacco products can encourage smoking [11,12]. ...
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Background Tobacco use in India is a major health concern; however, little is known about the influence of tobacco-related social and environmental cues on tobacco use. This study uses ecological momentary assessment (EMA) to examine real-time tobacco use and exposure to social and environmental cues. Methods In Hyderabad and Kolkata, participants were recruited, and an EMA application was installed on their mobile phones. Momentary prompts (MP) were randomly used to collect real-time information and end-of-day (EOD) prompts gathered retrospective information on daily basis. Besides personal tobacco use, the surveys asked about exposure to social (e.g., presence of others using tobacco) and environmental cues (e.g., visual and olfactory stimuli). Using the data aggregation approach, bivariate and multivariate analyses were performed to examine the association of tobacco use and cue exposure. Moderating roles of participants’ socio-demographic characteristics were also tested to gain an in-depth understanding of the relationship. Results Among the 205 participants, around a third (MP, 33.7 %; EOD, 37.6 %) used tobacco at least once during the study period. Tobacco-related social and environmental cues related were commonly reported. In the bivariate models, tobacco use was associated with gender, age, and all the examined social and environmental cues except for seeing restrictions on tobacco use. In the multivariate models, tobacco use was associated with age, gender, seeing others using tobacco, and seeing restrictions on tobacco use. Seeing others in one’s immediate group using tobacco was the strongest predictor of tobacco use in both MP and EOD assessments. Gender and age did not moderate the relationship between cue exposure and tobacco use, although males reported higher tobacco use and cue exposure in general. Conclusions This research provides data on the ubiquity of social and environmental tobacco cues in India. The EMA approach was feasible and informative. Future cessation interventions and advocacy efforts should address the high prevalence of tobacco use and exposure to pro-tobacco use cues especially among Indian males. Health education campaigns for promoting tobacco use restrictions in private places as well as changing the norms of tobacco use in social settings are recommended.
... The LPP typically peaks within 400-700 ms of the onset of a visual stimulus and has been found to increase with the motivational salience of the stimulus during passive picture viewing (Keil et al., 2002;Schupp et al., 2000). We (Minnix et al., 2013;Robinson et al., 2015) and others (Littel and Franken, 2007;Warren and McDonough, 1999) have found that smokers produce larger LPPs to smoking pictures than non-smokers. However, there is no consistent evidence that LPPs to drug stimuli, or any other ERP component, are sensitive to drug deprivation or satiation. ...
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We investigated the effects of acute nicotine dose and expected dose on attentional bias (AB) to smoking and affective cues in overnight nicotine-deprived smokers (n=51; 24 women) using a balanced placebo design, which counterbalanced given nicotine dose (Given-NIC vs. Given-DENIC) with instructed nicotine dose expectancy (Told-NIC vs. Told-DENIC). Before and after smoking a study cigarette, smokers completed a vigilance task where they pressed buttons to every third consecutive even or odd digit, while ignoring intermittent smoking, pleasant, unpleasant, and neutral picture distracters. We examined the early posterior negativity (EPN) and late positive potential (LPP) components of the event-related potentials (ERPs) to the distracters, reaction time (RT) to the target digits, and ratings of the study cigarettes. The EPN was sensitive to both given and instructed nicotine dose, while the instructed dose moderated the impact of given dose for the LPP. The RT metrics were sensitive to given but not to instructed dose. The effects of given dose on ratings following cigarette smoking (e.g. enjoyment) were moderated by the instructed dose. The ERP findings suggest that the anticipated effects of nicotine improve attention much like receiving actual nicotine.
... Polich (2007) suggests that the P3a is produced by early frontal processes which lead to the generation of the context dependent P3b at parietal sites. & McDonough (1999) found a P412, a P3-like potential, which they suggest may be an addiction specific measure of cue-reactivity (in smokers) and act as part of an automatic, perceptual categorization system. ...
Article
To improve the efficacy of addiction treatments it is important to understand the learning and behavioural processes involved. The experimental work presented here aims to further our understanding of the behaviour and related brain activity of smokers, using a range of experimental paradigms and Electroencephalographic (EEG) techniques. A range of behavioural tasks adapted from the animal literature for use with humans, were utilised to explore the choices made by smokers and the effect of smoking-related cues on drug-seeking behaviour. Tasks included concurrent choice and variations of the Pavlovian to Instrumental Transfer (PIT) task. EEG data was recorded during these experiments, and analysed using Event Related Potential (ERP) and frequency measures, to identify a neural component related to these effects. Resting EEG data was also collected and analysed to investigate the relationship between EEG frequency measures and individual difference measures. Behavioural results broadly replicated those found in both animal and human research; smoking related cues enhanced responding for smoking- related outcomes showing Pavlovian control of Instrumental behaviour. Extinction of the Pavlovian cues did not reduce instrumental responses in the transfer stage of a PIT task. However no ERP or frequency components were found that consistently correlated with these behavioural effects. The resting EEG data showed higher beta levels (less desynchronisation) in those with longer histories of smoking (four years and over) suggestive of either sensitisation or the loss of inhibitory neural control in long term smokers. In summary, the behavioural data adds support to a growing body of literature regarding the effects of cues on the behaviour of addicted individuals. More work and perhaps other techniques need to be utilised in order to explore the neural correlates of these behavioural effects and the resting data suggests a promising route for further research.
... The extent to which an individual exhibits cognitive sensitization or attentional biases to alcohol-related stimuli has been studied using behavioral measures, eye-tracking paradigms, and event-related potentials. Results have shown that attentional biases are related to quantity/frequency of alcohol use, the development and maintenance of addiction, and relapse after periods of abstinence [23][24][25][26][27][28]. ...
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Abstract: Research suggests that young women, particularly Latinas, may be at risk for problem drinking during the home-to-college transition. In this study, we used ERP cue-reactivity to explore physiological correlates of alcohol use and expectancies across the freshman year in Hispanic (H) and Non-Hispanic White (N-H) women. In the fall (t1) and spring (t2) semesters of their freshman year of college, 40 women (16 H) reported alcohol use and expectancies. At each session, N200 and P300 ERPs were elicited by two oddball tasks (counterbalanced within session): 1) to detect alcohol targets while ignoring control items (household object distracters) and frequently presented nonsense shapes and 2) to detect object targets while ignoring alcohol distracters and nonsense shapes. P300 amplitude was larger for targets (versus non-targets) and for alcohol images (versus control images), but did not change over time or differ by ethnicity. P300 latency results included time x target and ethnicity x target interactions. Latency differences for target images were attenuated at t2, and N-Hs were more reactive to stimuli classed as targets regardless of whether these depicted alcohol or control images. N200s had higher amplitude and longer latency at t2, suggesting a change with acclimation to the college setting, but did not differ by target status, image type or ethnic group. P300 latency was positively correlated with the personalismo subscale of acculturation indicating that individuals with more social, people-oriented personalities were more distracted by alcohol images when they appeared as non-targets. N200 amplitude was correlated with positive alcohol expectancies, and this pattern changed over time (t1 versus t2), suggesting subtle, expectancy-related changes in alcohol processing as students acclimated to the college setting. Taken together, these results suggest that the cue-reactivity paradigm described here may be a useful tool for examining subtle physiological correlates of college drinking.
... A more recent study using IAPS pictures, demonstrated that the emotional stimuli elicit a more positive wave in the P300 area than neutral stimuli. Further evidence is provided by studies that showed enhanced P300 responses to alcohol and smoking-related cues in alcoholics and smokers respectively [57,58]. On the other hand, timefrequency analysis of task-related and rare stimuli yielded a later delta coefficient with a parietal predominance [59]. ...
... Also of interest is association between urge to smoke and the presence of other smokers. Shiffman and Balabanis (1995), McDermut and Haaga (1998) and Warren and McDonough (1999) observed that the sight of other smokers tends Statistica Sinica: Newly accepted Paper (accepted version subject to English editing) to provoke a craving to smoke. By employing our joint modeling technique, we can study how this association changes over time. ...
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Motivated by an empirical analysis of ecological momentary assessment data (EMA) collected in a smoking cessation study, we propose a joint model-ing technique for estimating the time-varying association between two intensively measured longitudinal responses: a continuous one and a binary one. A major challenge in joint modeling these responses is the lack of a multivariate distribution. We suggest introducing a normal latent variable underlying the binary response and factorizing the model into two components: a marginal model for the continuous response, and a conditional model for the binary response given the continuous response. We develop a two-stage estimation procedure and establish the asymptotic normality of the resulting estimators. We also derived the standard error formulas for estimated coefficients. We conduct a Monte Carlo simulation study to assess the finite sample performance of our procedure. The proposed method is illustrated by an empirical analysis of smoking cessation data, in which the important question of interest is to investigate the association between urge to smoke, continuous response , and the status of alcohol use, the binary response, and how this association varies over time.
... Another long-latency ERP component, the P3b, would more directly reflect the intensity by which cognitive resources in the brain are engaged to attend to certain stimuli (16). Importantly, enhanced P3b amplitudes have been reported to task-relevant (17) or motivationally significant events such as 130 emotionally arousing pictures (18) or addiction relevant cues among addicted individuals (e.g., (19)). To date, only a few studies investigated P3b amplitudes for food (vs. ...
Article
Background: Acute exercise has been found to favor a transient anorexigenic effect in obese adolescents. Although the role of some gastro-peptides has been suggested as an explanation for this observed reduced energy intake after exercise, it is unknown whether neural pathways involved in the regulation of food intake are modulated in youth. Methods: Body composition (DXA) and aerobic capacities were assessed in 19 obese adolescent boys. Participants were randomized to remain at rest in a sitting position (CON condition) or to exercise 45 min at 65% of their maximal capacities (EX condition) by the end of the morning. An attentional computer task with electroencephalography recording was completed immediately after the exercise or sitting period to measure an event-related component (P3b) reflecting the level of cognitive engagement in the processing of food cues. A lunch test-meal was offered ad libitum and appetite feelings assessed at regular intervals using visual analogue scales. Results: The 45-minute cycling exercise set at 65% VO2max induced a mean energy expenditure of 399±75 kcal. Both absolute (P<0.05) and relative (P<0.001) subsequent energy intake were significantly reduced after EX (1037±260 kcal and 639±256 kcal respectively) compared with CON (1116±243 kcal and 1011±239 kcal respectively). The energy ingested derived from each macronutrient and self-reported appetite remained unchanged. While the amplitudes of the P3b component evoked by food and non-food visual stimuli were not significantly different during CON, the response to food cues was significantly reduced compared with non-food stimuli after exercise (P<0.01). Discussion: An acute exercise favors decreased neural response to food cues compared with non-food ones in obese adolescents which may contribute to their subsequently reduced energy intake.International Journal of Obesity accepted article preview online, 09 October 2015. doi:10.1038/ijo.2015.215.
... Others' smoking may provide visual, olfactory or social cues encouraging a smoker to light up (Shiffman et al. 2002). Laboratory studies have shown that the sight or smell of cigarettes (Sayette and Hufford 1994) and the sight of someone smoking can elicit craving for cigarettes (Warren and McDonough 1999). Conversely, the presence of others who are not smoking may suppress smoking, out of concern for others' preferences. ...
Article
Cigarette smoking is a prototypical example of a recurrent event. The pattern of recurrent smoking events may depend on time-varying covariates including mood and environmental variables. Fixed effects and frailty models for recurrent events data assume that smokers have a common association with time-varying covariates. We develop a mixed effects version of a recurrent events model that may be used to describe variation among smokers in how they respond to those covariates, potentially leading to the development of individual-based smoking cessation therapies. Our method extends the modified EM algorithm of Steele (1996) for generalized mixed models to recurrent events data with partially observed time-varying covariates. It is offered as an alternative to the method of Rizopoulos, Verbeke, and Lesaffre (2009) who extended Steele's (1996) algorithm to a joint-model for the recurrent events data and time-varying covariates. Our approach does not require a model for the time-varying covariates, but instead assumes that the time-varying covariates are sampled according to a Poisson point process with known intensity. Our methods are well suited to data collected using Ecological Momentary Assessment (EMA), a method of data collection widely used in the behavioral sciences to collect data on emotional state and recurrent events in the every-day environments of study subjects using electronic devices such as Personal Digital Assistants (PDA) or smart phones.
... With relation to SUD, an enhanced P3 to alcohol cues has been found between alcoholics and non-alcoholics, between non-alcoholic relatives of alcoholics and relatives of controls, as well as between non-alcoholic offspring of alcoholic fathers and offspring of controls (Iacono et al., 2008). Similar increases in P3 amplitude have also been reported in smokers while viewing smoking cues (Warren & McDonough, 1999), in methadone-maintained participants when viewing opiate-related pictures (Lubman et al., 2007), and in cocaine users when viewing drug cues (Dunning et al., 2011) (see Ceballos et al., 2009 for review). However, a number of studies have reported reduced P3 amplitude and longer P3 latency in individuals with SUDs when completing cognitive challenge tasks that do not involve substancerelated cues compared to individuals with no history of SUD (Bauer, 2001;Iwanami et al. 1994Iwanami et al. , 1998; see Sokhadze et al., 2008, for review). ...
... In substance dependent individuals, electrophysiological research, using cue exposure paradigms, has yielded robust findings concerning the processing of drug-related information. When confronted with drug-related pictures, long-latency waves, such as the P3 and Late Positive Potential (LPP), in the event-related potential (ERP) pattern of addicted individuals were found to be significantly increased in centro-parietal regions as compared to non-addicted control subjects, suggesting an enhanced cortical processing of these stimuli (Herrmann et al., 2000; Herrmann, Weijers, Wiesbeck, Boning, & Fallgatter, 2001; Littel & Franken, 2007; Lubman, Allen, Peters, & Deakin, 2007; Warren & McDonough, 1999). Long-latency ERPs are thought to reflect the allocation of attention and cognitive effort (Kok, 1997). ...
Article
In western societies the abundant availability of rewarding food is believed to contribute considerably to the current obesity epidemic. Obese individuals are assumed to be particularly sensitive and reactive to environmental food cues. Food cue reactivity suggests enhanced processing of food stimuli in the brain. Electrophysiological indices of information processing are event-related potentials (ERP). As is demonstrated in addiction and psychopathology research, amplitudes of long-latency ERPs (P3 and Late Positive Potentials [LPP]) are modulated by the motivational significance of processed information: in cue-exposure paradigms motivationally salient stimuli elicit larger ERP amplitudes than non-relevant stimuli. The present study investigated ERPs (P3, LPP, and an early ERP component between 150 and 300 ms) elicited by pictures of palatable foods and non-food control pictures in an obese (N=20, 4 males, BMI: 36.69±6.47 kg/m2, age: 28.65±6.59 yr) and normal-weight sample (N=20, 4 males; BMI: 22.68±1.53 kg/m2; age: 28.65±6.08 yr). Overall, significantly enlarged ERP amplitudes were observed for food cues as compared to non-food cues at lateral parietal–occipital and lateral central–temporal electrode sites. Particularly parietal–occipital ERP amplitudes correlated positively with self-reported increase of food craving and physiological hunger during the exposure session. However, no differences between obese and normal-weight participants were observed. These findings demonstrate that food information is processed differently in the human brain as compared to non-food information, in a way that reflects the natural reinforcing value of food.
... The LPP findings have important theoretical implications, as they suggest that the increased motivational salience of drug cues that develops through repetitive drug use and that helps maintain drug dependence weakens and eventually " normalizes " among former users. Replicating previous work that compared cigarette smokers (Littel & Franken, 2007; Minnix et al., 2013; Warren & McDonough, 1999), alcoholics (Namkoong, Lee, Lee, Lee, & An, 2004), cocaine users (van de Laar, Licht, Franken, & Hendriks, 2004), and heroin users (Franken, Stam, Hendriks, & van den Brink, 2003; Lubman et al., 2009) with nonusers, we found that current smokers produced enhanced LPP ERP responses to passively viewed drug-related (i.e., CIG) pictures compared to nonusers. More importantly to the aims of this study, and consistent with a previous study (Littel & Franken, 2007), we found that former smokers produced LPP responses to CIG pictures comparable to never smokers, which suggests that both former and never smokers found cigarette pictures to be less motivationally salient than current smokers. ...
Article
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While smokers are known to find smoking-related stimuli motivationally salient, the extent to which former smokers do so is largely unknown. In this study, we collected event-related potential (ERP) data from former and never smokers and compared them to a sample of current smokers interested in quitting who completed the same ERP paradigm prior to smoking cessation treatment. All participants (n = 180) attended 1 laboratory session where we recorded dense-array ERPs in response to cigarette-related, pleasant, unpleasant, and neutral pictures and where we collected valence and arousal ratings of the pictures. We identified 3 spatial and temporal regions of interest, corresponding to the P1 (120-132 ms), early posterior negativity (EPN; 244-316 ms), and late positive potential (LPP; 384-800 ms) ERP components. We found that all participants produced larger P1 responses to cigarette-related pictures compared to the other picture categories. With the EPN component, we found that, similar to pleasant and unpleasant pictures, cigarette-related pictures attracted early attentional resources, regardless of smoking status. Both former and never smokers produced reduced LPP responses to cigarette-related and pleasant pictures compared to current smokers. Current smokers rated the cigarette-related pictures as being more pleasant and arousing than the former and never smokers. The LPP and picture-rating results suggest that former smokers, like never smokers, do not find cigarette-related stimuli to be as motivationally salient as current smokers. (PsycINFO Database Record (c) 2014 APA, all rights reserved).
... On the other hand, the enhanced amplitude in PG in high-risk relative to low-risk decisions might be related to enhanced intensity processing [45] as high-risk decisions seem to be more attractive than low-risk decisions in PG. Hence, high-risk situations related to physiological arousal and euphoria [46] might track enhanced attention in PG similar to observed effects in smokers during smoking cue processing [47]. Left frontal and left temporal electrode positions (F7 and T7) showed lower mean amplitude in PG compared to OG in the high-risk vs. low-risk difference wave around 400 ms. ...
Article
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Background The temporo-spatial dynamics of risk assessment and reward processing in problem gamblers with a focus on an ecologically valid design has not been examined previously.Methods We investigated risk assessment and reward processing in 12 healthy male occasional gamblers (OG) and in 12 male problem gamblers (PG) with a combined EEG and fMRI approach to identify group-differences in successively activated brain regions during two stages within a quasi-realistic blackjack game.ResultsBoth groups did not differ in reaction times but event-related potentials in PG and OG produced significantly different amplitudes in middle and late time-windows during high-risk vs. low-risk decisions. Applying an fMRI-constrained regional source model during risk assessment resulted in larger source moments in PG in the high-risk vs. low-risk comparison in thalamic, orbitofrontal and superior frontal activations within the 600-800 ms time window. During reward processing, PG showed a trend to enhanced negativity in an early time window (100-150 ms) potentially related to higher rostral anterior cingulate activity and a trend to centro-parietal group-differences in a later time window (390-440 ms) accompanied by increased superior-frontal (i.e., premotor-related) source moments in PG vs. OG.Conclusions We suggest that problem gambling is characterized by stronger cue-related craving during risk assessment. Reward processing is associated with early affective modulation followed by increased action preparation for ongoing gambling in PG.
... The comparison of this current study with previous publications in CSB focusing on diffusion MRI and the P300 is difficult given methodological differences. Studies of the P300, an event related potential used to study attentional bias in substance use disorders, show elevated measures with respect to use of nicotine [54], alcohol [55], and opiates [56], with measures often correlating with craving indices. The P300 is also commonly studied in substance-use disorders using oddball tasks in which low-probability targets are frequently mixed with high-probability non-targets. ...
Article
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Although compulsive sexual behaviour (CSB) has been conceptualized as a "behavioural" addiction and common or overlapping neural circuits may govern the processing of natural and drug rewards, little is known regarding the responses to sexually explicit materials in individuals with and without CSB. Here, the processing of cues of varying sexual content was assessed in individuals with and without CSB, focusing on neural regions identified in prior studies of drug-cue reactivity. 19 CSB subjects and 19 healthy volunteers were assessed using functional MRI comparing sexually explicit videos with non-sexual exciting videos. Ratings of sexual desire and liking were obtained. Relative to healthy volunteers, CSB subjects had greater desire but similar liking scores in response to the sexually explicit videos. Exposure to sexually explicit cues in CSB compared to non-CSB subjects was associated with activation of the dorsal anterior cingulate, ventral striatum and amygdala. Functional connectivity of the dorsal anterior cingulate-ventral striatum-amygdala network was associated with subjective sexual desire (but not liking) to a greater degree in CSB relative to non-CSB subjects. The dissociation between desire or wanting and liking is consistent with theories of incentive motivation underlying CSB as in drug addictions. Neural differences in the processing of sexual-cue reactivity were identified in CSB subjects in regions previously implicated in drug-cue reactivity studies. The greater engagement of corticostriatal limbic circuitry in CSB following exposure to sexual cues suggests neural mechanisms underlying CSB and potential biological targets for interventions.
... 300 ms). For example, late ERP components elicited by drugspecific cues in those who have a drug problem are increased in cocaine (Van de Laar, Licht, Franken, & Hendriks, 2004), heroin (Franken, Stam, Hendriks, & Van den Brink, 2003), and cigarette (Warren & McDonough, 1999) users. Similar to these studies, affective stimuli have been used in comparison to population-specific stimuli (e.g. ...
Article
Modulation of sexual desires is, in some cases, necessary to avoid inappropriate or illegal sexual behavior (downregulation of sexual desire) or to engage with a romantic partner (upregulation of sexual desire). Some have suggested that those who have difficulty downregulating their sexual desires be diagnosed as having a sexual 'addiction'. This diagnosis is thought to be associated with sexual urges that feel out of control, high-frequency sexual behavior, consequences due to those behaviors, and poor ability to reduce those behaviors. However, such symptoms also may be better understood as a non-pathological variation of high sexual desire. Hypersexuals are thought to be relatively sexual reward sensitized, but also to have high exposure to visual sexual stimuli. Thus, the direction of neural responsivity to sexual stimuli expected was unclear. If these individuals exhibit habituation, their P300 amplitude to sexual stimuli should be diminished; if they merely have high sexual desire, their P300 amplitude to sexual stimuli should be increased. Neural responsivity to sexual stimuli in a sample of hypersexuals could differentiate these two competing explanations of symptoms. Fifty-two (13 female) individuals who self-identified as having problems regulating their viewing of visual sexual stimuli viewed emotional (pleasant sexual, pleasant-non-sexual, neutral, and unpleasant) photographs while electroencephalography was collected. Larger P300 amplitude differences to pleasant sexual stimuli, relative to neutral stimuli, was negatively related to measures of sexual desire, but not related to measures of hypersexuality. Implications for understanding hypersexuality as high desire, rather than disordered, are discussed.
... The P3 component has frequently been used to assess cue reactivity among individuals with substance use disorders (SUDs) (for a comprehensive review, see Littel, Euser, Munafo, & Franken, 2012), including nicotine dependence (Jang, Lee, Yang, & Lee, 2007;Littel & Franken, 2007McDonough & Warren, 2001;Versace et al., 2012;Versace et al., 2011;Versace et al., 2010;Warren & McDonough, 1999). A recent metaanalysis indicated that the P3 is of significantly larger amplitude in response to drug-related stimuli vs. neutral stimuli, and that the difference in amplitude between drug-related and neutral stimuli is significantly larger among individuals with SUDs relative to controls without SUDs, indicating preferential attention to drug-related stimuli in SUDs . ...
Article
Drugs-of-abuse may increase the salience of drug cues by sensitizing the dopaminergic (DA) system (Robinson & Berridge, 1993), leading to differential attention to smoking stimuli. Event-related potentials (ERPs) have been used to assess attention to smoking cues but not using an ERP component associated with DA-mediated salience evaluation. In this study the DA-related P2a and the P3, were compared in smokers (N=21) and non-smokers (N=21) during an attention selection cue exposure task including both cigarette and neutral images. We predicted that both the P2a and P3 would be larger to targets than non-targets, but larger to non-target cigarette images than non-target neutral images only in the smokers, reflecting smokers' evaluation of smoking stimuli as relevant even when they were not targets. Results indicated that smokers showed behavioral cue reactivity, with more false alarms to cigarette images (responding to cigarette images when they were not targets) than non-smokers; however, both smokers and non-smokers had a larger P2a and P3 to cigarette images. Thus, while smokers showed behavioral evidence of differential salience evaluation of the cigarette images, this group difference was not reflected in differential brain activity. These findings may reflect characteristics of the ERPs (both ERP components were smaller in the smokers), the smoking sample (they were not more impulsive, i.e. reward sensitive, than the non-smokers, in contrast to prior studies) and the design (all participants were aware that the aim of the study was related to smoking).
... In addition, similar ERP findings have been observed among smokers. Several studies show that smokers, in contrast to non-smokers and ex-smokers, have larger P3 and LPPs when exposed to pictures depicting smoking-related stimuli (Warren & McDonough 1999;McDonough & Warren 2001;Littel & Franken 2007). In addition, in the study of Littel and Franken it was demonstrated that these effects are not dependent on the physical properties of the visual stimuli but on the motivational content of the picture. ...
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Several studies show that substance dependence disorders are characterized by an enhanced processing of substance-related stimuli. The present study was designed to examine the association between craving levels and selective processing of drug cues in cocaine-dependent patients using event-related brain potentials (ERPs). In abstinent cocaine-dependent patients and a healthy control group, we studied the late positive potential (LPP) amplitudes elicited by neutral and cocaine-related stimuli. The results show that cocaine-dependent patients have an enhanced electrophysiological response in the late LPP time window to cocaine-related stimuli as compared to controls, suggesting an enhanced processing of these stimuli. Most importantly, a robust association was observed between cocaine craving and LPP amplitude. High craving levels were associated with larger LPP amplitudes at central electrode sites in the right hemisphere. These findings are in line with theories linking motivational aspects and appetitive stimulus processing. Furthermore, it is demonstrated that ERPs are a useful index to assess motivational properties of stimuli in cocaine-dependent patients. These findings suggest that electrophysiological measures may have clinical relevance in substance use disorders.
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Cannabis use disorder (CUD) is increasing in the United States, yet, specific neural mechanisms of CUD are not well understood. Disordered substance use is characterized by heightened drug cue incentive salience, which can be measured using the late positive potential (LPP), an event‐related potential (ERP) evoked by motivationally significant stimuli. The drug cue LPP is typically quantified by averaging the slow wave's scalp‐recorded amplitude across its entire time course, which may obscure distinct underlying factors with differential predictive validity; however, no study to date has examined this possibility. In a sample of 105 cannabis users, temporo‐spatial Principal Component Analysis was used to decompose cannabis cue modulation of the LPP into its underlying factors. Acute stress was also inducted to allow for identification of specific cannabis LPP factors sensitive to stress. Factor associations with CUD severity were also explored. Eight factors showed significantly increased amplitudes to cannabis images relative to neutral images. These factors spanned early (~372 ms), middle (~824 ms), and late (>1000 ms) windows across frontal, central, and parietal‐occipital sites. CUD phenotype individual differences were primarily associated with frontal, middle/late latency factor amplitudes. Acute stress effects were limited to one early central and one late frontal factor. Taken together, results suggest that the cannabis LPP can be decomposed into distinct, temporal‐spatial factors with differential responsivity to acute stress and CUD phenotype variability. Future individual difference studies examining drug cue modulation of the LPP should consider (1) frontalcentral poolings in addition to conventional central‐parietal sites, and (2) later LPP time windows.
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Although persons addicted to drugs reliably report experiencing cravings or urges during drug cue exposure, less is known about factors that may moderate this effect. This article reviews cue exposure studies with people who smoke, are dependent on alcohol, or are addicted to cocaine or opiates. Perceived drug use opportunity is found to affect urge ratings. Specifically, people who are addicted to substances and who perceive an opportunity to consume their drug of choice report higher urges than do those who do not anticipate being able to use the drug. This factor was proposed to explain why those in treatment for substance dependence report urges that are about half the strength of those in nontreatment settings. The impact of perceived drug use opportunity on urge is considered from a variety of perspectives, including conditioning theories, a cognitive appraisal framework, and motivated reasoning theory. Conceptual and methodological implications of perceived drug use opportunity are addressed.
Article
Adolescence is a period during which a number of critical neuromaturation processes occur and the vulnerability for developing nicotine dependence is extremely high. Thus, early-onset (EO; age < 16 years old), relative to late-onset (LO; age ≥ 16 years old), tobacco smoking may be uniquely deleterious for developmentally immature systems that regulate neural signaling reactivity. This study investigated how age of tobacco smoking onset affects neurophysiological measures of smoking cue reactivity and reported craving in adult smokers. EO smokers (EOS; n = 8; 4 females), LO smokers (LOS; n = 10; 5 females), and healthy non-smokers (HNS; n=10; 5 females) participated in an event-related potential (ERP) cue reactivity study with tactile and image stimuli. Participants handled neutral objects during one interval and smoking-related objects during a second interval. After each interval, they viewed smoking-related, neutral, or arousing images using an oddball paradigm. P300 ERPs and craving for tobacco were recorded during each session. P300 amplitudes were significantly higher in central midline (Cz) channel to smoking, but not neutral or arousing, images after handling smoking objects. Specifically, Cz P300 smoking amplitudes were significantly greater in EOS, relative to LOS and HNS, and associated with greater craving at baseline. There were no other group differences in mood or craving. EOS exhibited greater P300 reactivity to smoking-related stimuli, relative to LOS, suggesting a more sensitized neural response. EO smoking during early neuromaturation may alter neurophysiological signaling involved in responding to smoking-related stimuli, which could impact the outcome of smoking cessation interventions.
Chapter
Attentional disturbances occurring among people with four psychiatric conditions will be considered: (1) affective disorders, (2) schizophrenia, (3) attention deficit hyperactivity disorder (ADHD), and (4) anxiety/stress disorders. For each of these disorders, the nature and the underlying pathophysiological mechanisms that account for disturbances of attention will be considered. We will also discuss evidence from the field of behavioral medicine that implicates attention as contributing to particular health risk factors, including pain, obesity, physical activity, and substance dependence, particularly smoking and heavy alcohol and drug use.
Chapter
Substance use disorders (SUD) rank among the most widespread and costly illnesses nationwide. SUD are characterized by marked dysfunction in reward-seeking behavior. A defining feature of SUD is the excessive pursuit and use of a substance that is disproportionate to the hedonic (pleasurable) impact derived from it. Given that reward-related abnormalities are omnipresent in SUD, it is important to understand the impact abnormalities in reward processing have on these clinical phenomena. This chapter summarizes and synthesizes the findings in reward processing and SUD. First, it provides a brief overview of the basic neuroscience literature on reward. Next, the chapter reviews the specific neural abnormalities that have been identified, to date, within SUD. Finally, it integrates the basic neurobiological patterns with important psychological theories, specifically self-medication and distress tolerance.
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Craving for cocaine is one of the hallmarks of cocaine dependence. One of the problems with craving is its measurement. Traditional psychophysiological indices such as skin conductance and heart rate have yielded contradictory results. These measures of craving were found to correlate only moderately with self-reported craving. In the present study, event-related brain potentials (ERPs) and the cue modulated startle response (CMSR) are evaluated as indices for cocaine craving. Twenty-one abstinent cocaine-dependent subjects were divided into high and low cravers group based on the median split of self-reported craving scores. ERPs and CMSR were measured when subjects watched neutral, pleasant, unpleasant and cocaine-related pictures. Overall, it was found that cocaine-dependent subjects showed augmented slow-positive waves (SPWs) of the ERP on the cocaine pictures compared to neutral pictures. Only high cravers showed larger SPWs on the cocaine cues, suggesting an association between cue-elicited SPWs and self-reported cocaine craving. By contrast to the ERP measures, CMSR did not differentiate between cocaine pictures and neutral pictures. In addition, no differences between the low- and high cravers on the CMSR measure were found. The present results show that the evoked-potentials paradigm provides promising results to index cue-elicited craving. The use of startle modulation deserves further investigation.
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Context: Although drug cues reliably activate the brain's reward system, studies rarely examine how the processing of drug stimuli compares with natural reinforcers or relates to clinical outcomes. Objectives: To determine hedonic responses to natural and drug reinforcers in long-term heroin users and to examine the utility of these responses in predicting future heroin use. Design: Prospective design examining experiential, expressive, reflex modulation, and cortical/attentional responses to opiate-related and affective stimuli. The opiate-dependent group was reassessed a median of 6 months after testing to determine their level of heroin use during the intervening period. Setting: Community drug and alcohol services and a clinical research facility. Participants: Thirty-three opiate-dependent individuals (mean age, 31.6 years) with stabilized opiate-substitution pharmacotherapy and 19 sex- and age-matched healthy non-drug users (mean age, 30 years). Main Outcome Measures: Self-ratings, facial electromyography, startle-elicited postauricular reflex, and event-related potentials combined with measures of heroin use at baseline and follow-up. Results: Relative to the control group, the opiate-dependent group rated pleasant pictures as less arousing and showed increased corrugator activity, less postauricular potentiation, and decreased startle-elicited P300 attenuation while viewing pleasant pictures. The opiate-dependent group rated the drug-related pictures as more pleasant and arousing, and demonstrated greater startle-elicited P300 attenuation while viewing them. Although a startle-elicited P300 amplitude response to pleasant (relative to drug-related) pictures significantly predicted regular (at least weekly) heroin use at follow-up, subjective valence ratings of pleasant pictures remained the superior predictor of use after controlling for baseline craving and heroin use. Conclusions: Heroin users demonstrated reduced responsiveness to natural reinforcers across a range of psychophysiological measures. Subjective rating of pleasant pictures robustly predicted future heroin use. Our findings highlight the importance of targeting anhedonic symptoms within clinical treatment settings.
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Attentional interference effect was related to the characteristics of stimuli, and also connected with survivors' traumatic episodic memory. To test this hypothesis through two modified Stroop test at the same time segment. In Study One, 24 subjects were invited, respectively coming from Chengdu ([Chinese Source]) and Chongqing city ([Chinese Source]). The experimental materials consisted of two kinds of stimulus: earthquake-related words (ERWs)( e.g.,[Chinese Source](aftershock),[Chinese Source](save)), earthquake-unrelated words (EUWs)( e.g.,[Chinese Source](kite),[Chinese Source](fishing)). 16 undergraduates participated another experiment (Study Two), who came from the hardest hit areas of the Wenchuan earthquake. The stimulus consisted of disaster-related words (DRWs) (e.g., (aftershock), (collapse)), rescue-related words (RRWs) (e.g.,[Chinese Source](save),[Chinese Source](salvation)), and earthquake-unrelated words (EUWs) (e.g.,[Chinese Source](kite),[Chinese Source](fishing)).The results indicated that the earthquake interference effect originated from the earthquake episodic and autobiographical memory. The first, earthquake-related stimulus elicited enhancing interference effect for individuals close proximity to earthquake epicenter (Study One). The second, both DRWs and RRWs interfered with the selective attention of survivors in the hardest hit areas without pathological symptoms (Study Two). From this view, making the earthquake episodic memory fade may be conducive to help the survivors recover from the traumatic events.
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In the present review, an integrated approach to craving and addiction is discussed, which is based on recent insights from psychology and neuropsychopharmacology. An integrated model explains craving and relapse in humans by the psychological mechanism of "attentional bias" and provides neuropsychopharmacological mechanisms for this bias. According to this model, cognitive processes mediate between drug stimulus and the subject's response to this stimulus and subsequent behavioral response (e.g., drug use, relapse). According to the model, a conditioned drug stimulus produces an increase in dopamine levels in the corticostriatal circuit, in particular the anterior cingulate gyrus, amygdala, and nucleus accumbens, which in turn serves to draw the subject's attention towards a perceived drug stimulus. This process results in motor preparation and a hyperattentive state towards drug-related stimuli that, ultimately, promotes further craving and relapse. Evidence for this attentional bias hypothesis is reviewed from both the psychopharmacological and the neuroanatomical viewpoints. The attentional bias hypothesis raises several suggestions for clinical approaches and further research.
Book
It has been 15 years since the original publication of Neuropsychology of Attention. At the time of its publication, attention was a construct that had long been of theoretical interest in the field of psychology and was receiving increased research by cognitive scientists. Yet, attention was typically viewed as a nuisance variable; a factor that needed to be accounted for when assessing brain function, but of limited importance in its own right. There is a need for a new edition of this book within Neuropsychology to present an updated and integrated review of what is know about attention, the disorders that affect it, and approaches to its clinical assessment and treatment. Such a book will provide perspectives for experimental neuropsychological study of attention and also provide clinicians with insights on how to approach this neuropsychological domain. © Springer Science+Business Media New York 2014. All rights reserved.
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A compromised brain reward system has been postulated as a key feature of drug dependence. We examined whether several polymorphisms of genes found to regulate nicotinic acetylcholine receptor (nAChR) and dopamine expression were related to an intrinsic reward sensitivity (IRS) deficit we previously identified among a subgroup of smokers using event-related potentials (ERPs). We examined genetic polymorphisms within the CHRNA5-A3-B4 gene cluster (CHRNA3 rs578776, CHRNA5 rs16969968, LOC123688 rs8034191, and CHRNA3 rs1051730), the ANKK1 gene (rs1800497), and the D2 dopamine receptor gene (DRD2 rs1079597, DRD2 rs1799732) from 104 smokers of European ancestry in a smoking cessation trial. Prior to treatment, we recorded ERPs evoked by emotional (both pleasant and unpleasant), neutral, and cigarette-related pictures. Smokers were assigned to two groups (IRS+/IRS−) based on the amplitude of the late positive potential (LPP) component to the pictures, a neural marker of motivational salience. Smokers (n = 42) with blunted brain responses to intrinsically rewarding (pleasant) pictures and enhanced responses to cigarette pictures were assigned to the IRS− group, while smokers (n = 62) with the opposite pattern of LPP responding were assigned to the IRS+ group. Carriers of the protective minor T allele (T/T, C/T) of the CHRNA3 rs578776 were less likely to be members of the IRS− group than those homozygous for the at-risk C allele (C/C). The CHRNA3 rs578776 polymorphism did not differ on questionnaires of nicotine dependence, depressed mood, or trait affective disposition and did not predict abstinence at 6 months after the quit date. These results suggest that polymorphisms of genes influencing nAChR expression are related to an endophenotype of reward sensitivity in smokers.
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The goal of the current study was to determine whether activation of the mirror neuron system, as measured by mu rhythm desynchronization, varied as a function of image content in smokers compared with nonsmokers. EEG activity was recorded while participants passively viewed images depicting smoking-related and nonsmoking-related stimuli. In half of the images, cues were depicted alone (inactive), while for the remaining images, cues were depicted with humans interacting with them (active). For the nonsmoking stimuli, smokers and nonsmokers showed greater mu suppression to the active cues compared to the inactive cues. However, for the smoking-related stimuli, smokers showed greater perception-action coupling for the active cues as reflected in their enhanced mu suppression, compared to nonsmokers. The results of the current study support the involvement of the perceptual-motor system in the activation of motivated drug use behaviors.
Chapter
Impulsivity has proven to be an important psychological construct reflected in both normal and pathological human behaviors and traits. However, the definition, measurement, and manifestations of the construct are varied and multifarious. Impulsive behaviors are observed in a wide range of psychiatric/behavioral disorders, including alcohol/substance use and abuse disorders (AUDs/SUDs), conduct disorder (CD), attention-deficit hyperactivity disorder (ADHD), antisocial (ASPD), narcissistic and borderline personality (BPD) disorders, pathological gambling, and eating disorders, and are variously termed as 'impulsive' or 'impulse-control', 'externalizing', or 'disinhibitory' disorders. Studies utilizing sensitive and non-invasive electrophysiological techniques to analyze brain waves in impulsive conditions and disorders have elucidated brain functioning associated with these conditions. These electrophysiological procedures primarily include electroencephalogram (EEG), event-related potentials (ERPs), and event-related oscillations (EROs). Major electrophysiological findings across the majority of the 'impulsivity spectrum disorders' include excessive beta power in the resting EEG, decreased P3 amplitude of the ERP, and decreased ERO delta and theta power. This chapter attempts to summarize, explain and synthesize key findings of studies that have used electrophysiological methods to elucidate and understand impulsivity in its normal and pathological manifestations.
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Across two studies, we examined the association between adiposity, restrictive feeding practices and cortical processing bias to food stimuli in children. We assessed P3b event-related potential (ERP) during visual oddball tasks in which the frequently presented stimulus was non-food and the infrequently presented stimulus was either a food (Study 1) or non-food (Study 2) item. Children responded to the infrequently presented stimulus and accuracy and speed responses were collected. Restrictive feeding practices, children's height and weight were also measured. In Study 1, the difference in P3b amplitude for infrequently presented food stimuli, relative to frequently presented non-food stimuli, was negatively associated with adiposity and positively associated with restrictive feeding practices after controlling for adiposity. There was no association between P3b amplitude difference and adiposity or restriction in Study 2, suggesting that the effects seen in Study 1 were not due to general attentional processes. Taken together, our results suggest that attentional salience, as indexed by the P3b amplitude, may be important for understanding the neural correlates of adiposity and restrictive feeding practices in children.
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Introduction: The presence of cigarette-related cues has been associated with smoking relapse. These cues are believed to activate brain mechanisms underlying emotion, attention, and memory. Electroencephalography (EEG) alpha desynchronization (i.e., reduction in alpha power) has been suggested to index the engagement of these mechanisms. Analyzing EEG alpha desynchronization in response to affective and smoking cues might improve our understanding of how smokers process these cues, and the potential impact of this processing on relapse. Methods: Before the start of a medication-assisted cessation attempt, we recorded EEG from 179 smokers during the presentation of neutral, pleasant, unpleasant, and cigarette-related pictures. Wavelet analysis was used to extract EEG alpha oscillations (8-12 Hz) in response to these pictures. Alpha oscillations were analyzed as a function of picture valence and arousal dimensions. Results: Emotional and cigarette-related stimuli induced a higher level of alpha desynchronization (i.e., less power in the alpha frequency band) than neutral stimuli. In addition, the level of alpha desynchronization induced by cigarette-related stimuli was similar to that induced by highly arousing stimuli (i.e., erotica and mutilations). Conclusions: These results suggest that, for smokers, cigarette-related cues are motivationally significant stimuli that may engage emotional, attentional, and memory-related neural mechanisms at a level comparable to that seen in response to highly arousing stimuli. This finding suggests that activation of emotional, attentional, and memory-related brain mechanisms may be an important contributor to cue-induced smoking relapse.
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This experiment assessed reactivity to imaginal and in vivo smoking and control cues. One hundred current smokers were assessed during 2 sessions separated by a 6-hr interval, and half of the participants were abstinent from smoking over this interval. Verbal and physiological reactivity measures were selected based on their relevance for several models of urge. Results indicated that imaginal and in vivo smoking cues were equally effective at eliciting high levels of self-reported urges. Smoking deprivation led to a general enhancement in urge report, rather than a specific increase to smoking cues. Physiological responding differed somewhat as a function of urge induction method, although autonomic responses to smoking cues were uniformly consistent with the direct effects of nicotine. There was no relationship between verbal and physiological urge indices. Implications of the findings for several contemporary models of drug urges are discussed.
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A model of P300 amplitude is proposed that reduces the many hypothetical constructs invoked to explain variations in P300 amplitude to three dimensions: 1) Subjective Probahility, 2) Stimulus Meaning, and 3) Information Transmission. Evidence is presented to support the assertion that variables on the subjective prwbability and stimulus meaning dimensions have independent and additive contributions to overall P300 amplitude. The amplitude contributions of both of these dimensions, however, are modulated by a multiplicative relation with the proportion of transmitted stimulus information. Within each dimension, the fundamental experimental variables and their interrelations are specified. An example is presented to show how, by using an additive factors method, the respective amplitude effects of the probability and stimulus meaning dimensions can be separated. Supporting data are presented to show that the proposed model provides a reasonable and testable framework in which to conceptualize P300 results. DESCRIPTORS: Event-related potentials, P300. The prospect of having an electrophysio logical index of cognitive operations has led many re- searchers to explore the nature of the P300 com- ponent of the event-related brain potential (ERP). Since its discovery by Sutton and his colleagues (Sutton, Braren, Zubin, & John, 1965; Sutton, Tuet- ing, Zubin, & John, 1967), studies have demon- strated that P300 amplitude and latency can be used as indices of the nature and timing of a subject's cognitive response to a stimulus.' As a result of
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Tested the 2-process theory of detection, search, and attention presented by the current authors (1977) in a series of experiments. The studies (a) demonstrate the qualitative difference between 2 modes of information processing: automatic detection and controlled search; (b) trace the course of the learning of automatic detection, of categories, and of automatic-attention responses; and (c) show the dependence of automatic detection on attending responses and demonstrate how such responses interrupt controlled processing and interfere with the focusing of attention. The learning of categories is shown to improve controlled search performance. A general framework for human information processing is proposed. The framework emphasizes the roles of automatic and controlled processing. The theory is compared to and contrasted with extant models of search and attention. (31/2 p ref) (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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Notes that to understand the endogenous components of the event-related potential (ERP), data about the components' antecedent conditions to form hypotheses about the information-processing function of the underlying brain activity must be used. These hypotheses generate testable predictions about the consequences of the component. The application of this approach to the analysis of the P300 component is reviewed. Certain factors suggest that P300 is a manifestation of activity occurring whenever one's model of the environment must be revised. Tests of 3 predictions based on this "context updating" model are reviewed. Open peer commentary follows. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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The extent to which sentence imagery elicits effects comparable to those produced by long narratives was investigated. Smokers imagined sentences with varying affective content and that either contained or were devoid of smoking cues. Physiological responses were monitored, and smokers rated their urges and affect. Startle responses were also collected as an index of negative affect processing. Smoking-cue sentences produced augmented urges and startle responding. Smoking material also elevated negative affect during imagery of positive affect sentences. The affect manipulation produced changes in self-reported affect and facial electromyography consistent with the affective valence of the sentences. This procedure is similar to narrative imagery in the manipulation of smoking urges and affect under laboratory conditions. Results support the hypothesis that smoking urges enhance negative affect processing. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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Several learning-based theories have been forwarded to account for the problem of drug relapse, including conditioned withdrawal, conditioned compensatory responding, appetitive motivational models, and social learning models. The various models are compared and evaluated against available evidence from studies with humans pertaining to alcohol and tobacco addiction. Studies that are reviewed focus primarily on the antecedents and consequences of alcohol and smoking relapse, as well as on reactions to cues that have been associated with prior drug ingestion, in an attempt to understand their motivational relevance. Problems in evaluating the various relapse models in humans are discussed. It is concluded that the appetitive model is better supported than the withdrawal model, and the compensatory model is least supported. Reactions to substance use stimuli may play an important role in alcohol and smoking relapse. Concepts drawn from the various theoretical models are linked tentatively in a schematic diagram of a hypothesized sequence of cognitive/affective, physiological, and behavioral events that lead to initial drug use after a period of abstinence (slip) and then to continued use (a relapse). The treatment implications of some of the cue reactivity models are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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The attentional demands of automatic and controlled processing were investigated in a dual task paradigm. Ss performed consistent and varied mapping versions of an S. Sternberg (see record 1966-10810-001) memory search task, both separately and together with a recognition running-memory task. In different conditions, Ss were instructed to maximize their performance on either the Sternberg or running memory tasks or to emphasize the tasks equally. Processing priority and memory load had large effects on performance when the variably mapped version of the Sternberg task was paired with the running memory task. Performance decrements in these conditions were accompanied by trade-offs in the amplitude of the P300 component of the event-related brain potential, presumably reflecting the distribution of attention between the tasks. Performance in the consistently mapped version of the Sternberg task was relatively unaffected by memory load or dual task demands. Large P300s, which were insensitive to manipulations of memory load and priority, were elicited in the consistently mapped conditions. These P300s appear to reflect the obligatory allocation of attention to task-relevant events during automatic processing. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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This study investigated the impact of manipulations of affect and abstinence on urges to smoke produced through an imagery paradigm. One hundred smokers imagined audiotaped scripts describing positive affect and smoking urges, positive affect alone, negative affect and smoking urges, negative affect alone, neutral affect and smoking urges, and neutral affect alone. Each volunteer participated in 2 sessions scheduled 6 or 24 hr apart, and half the volunteers refrained from smoking over their intersession interval. Imagery produced effects in physiological responses, self-reported mood, and verbal reports of smoking urges as a function of the urge and affective content of the scripts. In Session 2, 6 or 24 hr of abstinence produced a generalized increase in urge report but no evidence of any selective increases in urge, mood, or physiological reactivity as a function of explicit urge or mood content of the scripts. The implications of these results for contemporary models of drug urges are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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Two experiments used a dual-task procedure to investigate Tiffany’s (1990) proposal that drug craving should disrupt activities that demand nonautomatic cognitive processing. The primary task required smokers to imagine sentences that incorporated urge or no-urge descriptors. During imagery, the subjects also responded to a secondary reaction time (RT) task. Additional dependent variables collected during the imagery manipulation included craving report, mood report, heart rate (HR), and skin conductance levels (SCL). In study 1, imagery of urge sentences produced slower probe RTs and increases in HR and SCL, greater urge and negative mood reports, and lower positive mood ratings. This same pattern of results was replicated in the second study, which utilized sentence types more closely matched on no-urge content. These results support Tiffany’s (1990) cognitive processing theory and suggest an innovative approach to the investigation of drug craving.
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Event-related potentials (ERPs) and behavioral ratings were collected from 30 female subjects who were exposed to picture slides. The slides belonged to five affective categories whose content was babies, dermatological cases, ordinary people, male models, and female models. Based on the day of testing relative to their menstrual cycle, the subjects were grouped according to their expected levels of androgens, estrogen, or progesterone. The data were examined to determine whether any ERP component or behavioral rating (non-erotic/erotic, unpleasant/pleasant, simple/complex, and low arousal/high arousal) varied as a function of subjects' hormone defined menstrual phase. Only the P3 component was sensitive to menstrual phase. The P3 to babies and male models was largest when progesterone levels were high. High progesterone was also associated with a decrease in the complexity and eroticism of all slide categories. An increase in the pleasantness of all categories was evident when estrogen levels were high. The results are interpreted as support for an "adaptive context updating" theory of the P3 component of ERPs.
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A 32-item questionnaire on smoking urges was administered to 230 daily cigarette smokers assigned to one of three levels of cigarette deprivation (0, 1 or 6 hours). Factor analyses showed that a two-factor solution best described the item structure for each of the three deprivation levels and for the entire sample. Factor scales of 15 and 11 items derived from rotation to simple structure were highly reliable, 0.95 and 0.93, respectively, and moderately correlated (r = 0.71). Average scores on both scales increased significantly with level of deprivation, and the Factor 1 scale was significantly higher than the Factor 2 scale at all levels. Factor 1 scale items reflected primarily intention and desire to smoke, and anticipation of pleasure from smoking. Factor 2 scale items were comprised primarily of anticipation of relief from negative affect and nicotine withdrawal, and urgent and overwhelming desire to smoke.
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Contemporary urge models assume that urges are necessary but not sufficient for the production of drug use in ongoing addicts, are responsible for the initiation of relapse in abstinent addicts, and can be indexed across 3 classes of behavior: verbal report, overt behavior, and somatovisceral response. A review of available data does not provide strong support for these assumptions. An alternative cognitive model of drug use and drug urges is proposed that hypothesizes that drug use in the addict is controlled by automatized action schemata. Urges are conceptualized as responses supported by nonautomatic cognitive processes activated in parallel with drug-use action schemata either in support of the schema or in support of attempts to block the execution of the schema. The implications of this model for the assessment of urge responding and drug-use behavior are presented.
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In this experiment, we combined the measurement of observable facial behavior with simultaneous measures of brain electrical activity to assess patterns of hemispheric activation in different regions during the experience of happiness and disgust. Disgust was found to be associated with right-sided activation in the frontal and anterior temporal regions compared with the happy condition. Happiness was accompanied by left-sided activation in the anterior temporal region compared with disgust. No differences in asymmetry were found between emotions in the central and parietal regions. When data aggregated across positive films were compared to aggregate negative film data, no reliable differences in brain activity were found. These findings illustrate the utility of using facial behavior to verify the presence of emotion, are consistent with the notion of emotion-specific physiological patterning, and underscore the importance of anterior cerebral asymmetries for emotions associated with approach and withdrawal.
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Relapse episodes were examined with a sample of 176 subjects from a smoking cessation program. Each subject successfully quit smoking and subsequently relapsed during a 1-year follow-up period. Descriptive analyses replicated previous retrospective descriptions of relapse situations. Situational descriptions were also cluster analyzed, and contrary to previous work, only a two-cluster solution was stable within the data set. The clusters described social and nonsocial situations. The hypothesis that situational characteristics of relapse are indicative of differences in prior learning was tested by relating relapse cluster to a number of prospective measures. The characteristics of relapse situations were not predictable from characteristics of a preintervention relapse, measures of prior smoking behavior, perceived stress, nicotine addiction, and situation specific self-efficacy. The situational characteristics of isolated incidents of smoking (slips) prior to relapse were significantly related to cluster membership of the relapse episode, suggesting some individual consistency within the maintenance phase of quitting.
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Event-related potentials (ERPs) were recorded to both predictive (consonant-vowel-consonant) and feedback (picture) stimuli as subjects learned associations between these stimuli. The consonantvowel-consonants (CVCs) were selected for lack of emotional content while the pictures (PICs) varied in emotional value (Learning Group; N=20). A second group of subjects was exposed to the same CVC-PIC stimuli but was required only to count the number of different CVCs and PICs (Counting Group; N=20). A principal components analysis with varimax rotation was performed on ERPs to PICs and revealed multiple late positive components (P3 and P4) and a slow positive wave (SPW). In both groups, the P3 and P4 factors varied with the emotional value of the stimuli. The learning group had a larger SPW than the counting group, and disconfirmed predictions elicited larger P4s than confirmed predictions. For CVC stimuli, only P4 increased as subjects learned CVC-PIC relationships. From the similar scalp and temporal distributions of P3 and P4, as well as their functional similarity, it was concluded that these two factors reflect the same neural process which is activated by the emotional value of stimuli. One possible function of this process is suggested.
Chapter
The effects of two kinds of experimental manipulation of semantic meaning were studied in Evoked Potentials (EPs), brain responses recorded from scalp monitors. Both kinds of semantic manipulation were based on Osgood’s rating analyses which described three primary dimensions of connotative meaning: Evaluation, Potency, and Activity (E, P, and A). One kind of experimental variable was the semantic class of the stimulus word (E+, E-, P+, P-, A+, A-). The other kind of experimental variable was the semantic dimension of the rating scale (E, P, A) which the subject used to make semantic judgments about the stimulus words. These variables were experimentally combined in that for each trial the subject used a designated semantic scale to judge a specified stimulus word while brain activity was recorded. Using multivariate procedures, both stimulus word class and scale dimension effects on the EPs were found. Individual subject analyses demonstrated the generality of the results by showing successful discrimination of word classes and scale dimensions for each of the ten subjects analyzed separately.
Chapter
In the last decade it has become quite evident that eventrelated brain potentials not only reflect changes in the physical parameters of a stimulus but are also quite sensitive to psychol ogical variables. The relationship between event-related brain potentials and concomitant ongoing cognitive processing has been the subject of numerous investigations which have been thoroughly reviewed (Regan, 1972; Beck, 1975; Callaway, 1975; Thatcher and John, 1977).
Article
The attentional demands of automatic and controlled processing were investigated in a dual task paradigm. Subjects performed consistent and varied mapping versions of a Sternberg memory search task, both separately and together with a recognition running-memory task. In different conditions, subjects were instructed to maximize their performance on either the Sternberg or running memory tasks or to emphasize the tasks equally. Processing priority and memory load had large effects on performance when the variably mapped version of the Sternberg task was paired with the running memory task. Performance decrements in these conditions were accompanied by trade-offs in the amplitude of the P300 component of the event-related brain potential, presumably reflecting the distribution of attention between the tasks. Performance in the consistently mapped version of the Sternberg task was relatively unaffected by memory load or dual task demands. Large P300s, which were insensitive to manipulations of memory load and priority, were elicited in the consistently mapped conditions. These P300s appear to reflect the obligatory allocation of attention to task-relevant events during automatic processing.
Article
Examined the influence of cognitive and affective information processing on the late positive complex of the event-related potential by means of structural or affective processing of adjectives categorized as emotionally negative, neutral, or positive. A replication study with 86 adults tested 2 research hypotheses derived from a pilot study with 14 adults. Results suggest that affect and cognition are separate information processing functions of the brain and are mediated by different brain systems. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Article
Subjects performed a visual tracking task while performing a concurrent task in which tones were covertly counted. The P300 component of the event-related potentials elicited by the tones was examined to determine the extent to which its amplitude was affected by variations in the forcing-function bandwidth, or difficulty, of the tracking task. P300 decreased in magnitude when tones were counted in conjunction with the performance of the tracking task, relative to a single-task counting condition. Increasing tracking difficulty failed to reduce P300 amplitude further. A second experiment obviated the possibility that movement-related potentials caused the P300 attenuation resulting from the introduction of the tracking task. In Experiment 3, subjects performed a reaction time task in conjunction with tracking in order to establish the validity of the tracking difficulty manipulation. The results are interpreted in terms of a theory of functionally-specific processing resources.
Article
To investigate the hypothesis of a right hemispheric superiority in negative emotional processing, event-related potentials (ERPs) were recorded from 17 sites (Fz, Cz, Pz, F3/4, F7/8, C3/4, T7/8, P3/4, P7/8, O1/2) in a visual half-field paradigm. While maintaining fixation, right-handed women viewed pictures of patients with dermatological diseases before (negative) and after (neutral) cosmetic surgery. A principal components analysis with Varimax rotation performed on ERPs revealed factors identified as N1, N2, early P3, late P3, late P3, and slow wave. Repeated measures analyses of variance performed on factor scores revealed a significant effect of emotional content for all factors except for N1. However, asymmetries in emotional processing were restricted to N2 and early P3, with maximal effects over the right parietal region. N2–P3 amplitude was augmented for negative and reduced for neutral stimuli over right hemisphere regions. Visual field presentation interacted with these asymmetries in enhancing amplitudes contralaterally for early but ipsilaterally for late ERP components. Overall, findings for N2 and P3 support theories of an asymmetry in emotional processing.
Article
Previous research has found that properties of automatic processing do not always co-occur, suggesting that the acquisition rates may differ. The present study investigated the acquisition rate of several of these properties by employing additive factors logic, dual task methodology, and event-related brain potentials. Seven subjects participated in a ten session experiment in which they performed two tasks, a visual/memory search task and a pursuit step tracking task, both together and separately. RT and P300 latency measures indicated that parallel processing of the display was achieved early in training in the consistent mapping condition. This processing was unaffected by dual task demands. An analysis of RT/P300 ratios suggests that another form of perceptual efficiency was achieved later in practice in both the varied and consistently mapped search tasks. This effect was larger in the consistent mapping condition. Reductions in the slope of the memory set function occurred significantly earlier for P300 latency than for RT, suggesting that the stimulus evaluation processes became automated more rapidly than the response selection components of memory search. Consistent with an analysis of the processing demands of the two tasks, the introduction of the tracking task and an increase in tracking difficulty produced equivalent interference during consistent and varied mapping conditions. Results are discussed in terms of models of skill, skill acquisition and component task automaticity.
Article
In order to examine the relationship between stimulus intensity control and tobacco smoking motivation, the cortical averaged evoked response (AER) to a number of flash intensities was studied in 10 non-smokers (NS), 10 tobacco deprived smokers (DS), and 10 non-deprived smokers (NDS). AERs to four flash intensities were recorded from the vertex (Cz) of subjects and in addition to latency and amplitude measures, the slope of the regression of amplitude with log flash intensity was obtained. Statistical analysis (employing a .05 rejection region) revealed that DS evidenced faster latencies and larger amplitudes than both NS and NDS groups who exhibited comparable responsiveness. No significant results were obtained with the slope measure. The data indicates that tobacco smoking has a “normalizing” effect on central nervous system (CNS) hyper-sensitivity observed in DS and this notion is discussed in relation to comparable physiological and behavioral work on humans and animals.
Article
The study used topographic brain mapping of visual evoked potentials to investigate emotion-related hemisphere asymmetries. The stimulus material consisted of color photographs of human faces, grouped into two emotion-related categories: normal faces (neutral stimuli) and faces deformed by dermatological diseases (emotional stimuli). The pictures were presented tachistoscopically to 20 adult right-handed subjects. Brain activity was recorded by 30 EEG electrodes with linked ears as reference. The waveforms were averaged separately with respect to each of the two stimulus conditions. Statistical analysis by means of significance probability mapping revealed significant differences between stimulus conditions for two periods of time, indicating right hemisphere superiority in emotion-related processing. The results are discussed in terms of a 2-stage-model of emotional processing in the cerebral hemispheres.
Article
This study examined smokers' reactions to smoking cues and interpersonal interaction. Fifty-six smokers were assigned at random to the six cells of a factorial design which varied the level of interpersonal interaction (role play with a confederate vs. confederate absent) and the level of exposure to smoking cues (no cues vs. visual cues vs. visual plus olfactory cues). Measures of reactivity included changes from resting baseline on blood pressure, heart rate, self-reported smoking urge, and a measure of ad lib smoking behavior obtained after exposure to the experimental procedures. Results showed that blood pressure responses increased significantly from baseline only during the role play situation where the confederate manipulated an unlit cigarette or smoked a cigarette in view of the subjects. Although not significant, heart rate changes paralleled blood pressure changes, but urge ratings showed a different pattern of response to the manipulations. The latency to smoking a cigarette after the experimental manipulations was unaffected by the cues. The results suggest that modelling of smoking by others and exposure to some kinds of smoking cues may increase cardiovascular activation.
Article
Several studies suggest that the abilities to make inferences and interpret events are stronger in the left hemisphere than the right hemisphere (Gazzaniga, M. S., The Social Brain. Basic Books, New York, 1985). Given that inference and interpretation are important aspects of normal memory functioning (Bartlett, F. C., Remembering: A Study in Experimental and Social Psychology, Cambridge University Press, 1932), one would expect this hemispheric difference to extend to mnemonic processing. Two split brain subjects were shown a series of pictures representing a common scene. Their memory for these pictures was later tested with a lateralized Yes-No recognition test where the distractor pictures were either consistent or inconsistent with the scene. The left hemisphere performed below chance on consistent distractor pictures whereas the right hemisphere was above chance on these pictures and performed at the same level of accuracy as the pictures originally presented. These results suggest that recognition performance in the left hemisphere was more strongly influenced by the expectations for actions common to a scene than the right hemisphere and provide evidence that the left hemisphere superiority in interpretation and inference effect memory performance.
Article
Conditions which promote smoking urges, or desire to smoke, are believed to be important in maintaining smoking behaviour, yet little controlled research has examined acute situational factors which increase desire to smoke. In this study, 16 male and 16 female smokers either smoked or sham-smoked with an unlit cigarette after brief abstinence during two sessions, one involving a stressful computer task and the other a non-stress task. Desire to smoke was greater during the stress vs. non-stress task for sham-smokers (p less than 0.01). Furthermore, although smoking desire decreased markedly after smoking in the smoking smokers (p less than 0.001), even this group tended to report greater desire to smoke during stress (p less than 0.10). There were no differences between males and females. These findings indicate that exposure to stressors increases desire to smoke, and suggest that such situations may be influential in maintaining smoking behaviour in smokers not attempting to quit.
Article
Two experiments are reported which investigate hemispheric processing in an object decision task. Experiment 1 used 40 pictures of objects, and 40 pictures of nonobjects, and subjects decided manually whether each lateralized stimulus represented an object. Results indicated an interaction between visual field and response (yes versus no). There was a right visual field advantage for positive responses, but no difference between visual field for negative responses. Positive responses were faster than negative responses, and this effect was more marked for right visual field presentations. These results were replicated in a second experiment. The results are interpreted as reflecting a left hemisphere superiority at accessing stored structural descriptions of known objects. The possibility that left and right hemispheres use different methods of carrying out the task is also discussed.
Article
Infrahuman studies employing behavioral indices of pain reactivity have supported a central antinociceptive action of nicotine which appears to be selective and dependent on the class of pain elicited. Human investigations employing subjectively based ratings and judgments of pain intensity have been less conclusive regarding the painfulness of stimuli following nicotine/smoking administration. As the more objective brain-evoked potential (EP) measure has been shown to reflect pain intensity and to be sensitive to a variety of analgesics, this study attempted to examine, together with subjective responses, the effects of cigarette smoking on EPs to pain stimuli administered under varying warning conditions. Twelve male and twelve female smokers served as experimental subjects. In smoking and nonsmoking sessions, subjective intensity ratings (SR) and vertex EPs were assessed in response to electrical skin stimuli presented at a level 20% above pain threshold. Stimulation was either nonwarned or warned with warning conditions involving single or repeated presentations of electrical current at constant or increasing intensities 12 seconds prior to pain stimulation. SRs and peak-to-peak N1-P2 EP amplitudes were measured for each smoking session and warning condition. A significant condition effect was observed for SRs with increasing prepain warning stimulation resulting in the greatest pain ratings. Although smoking did not directly alter SRs or EPs to pain, smoking exposure, as measured by carbon monoxide, was found to be differentially correlated with EP alterations in male and female smokers depending on the warning condition.
Article
This experiment was intended to explore the effects of the emotional connotation of stimuli on the hemispheric lateralization. Ten right-handed male subjects (Ss) were presented a set of slides of faces expressing a positive emotion, a negative emotion or emotional neutrality. The ERPs elicited by the face stimuli were recorded from 16 leads and topographic maps of P3 amplitude were created. The results show that when Ss had to discriminate between emotional (target) and neutral (non-target) faces, the main differences were seen predominantly over the right centroparietal area. On the contrary, when Ss had to detect a face particularity not related to the emotional content, the differences between target and non-target faces were bilaterally distributed. The present results support the hypothesis that the perception of emotional expressions is processed mainly by the right hemisphere.
Article
This study investigated the impact of the affective content of imagery scripts used in an imagery paradigm designed to elicit smoking urges in a laboratory setting. Sixty cigarette smokers were instructed to vividly imagine 10 imagery scripts that described negative affect and explicit smoking urges, positive affect and explicit smoking urges, negative affect alone, positive affect alone, and neutral affect alone. Subjects' ratings of the vividness of their images across the five script types did not differ but ratings of urges and cravings indicated that scripts containing descriptions of smoking urges elicited strong reports of smoking urges/cravings comparable in magnitude across positive and negative affective content. Among scripts that did not explicitly describe smoking urges, negative affect scripts were more effective in generating smoking urges/craving than positive affect scripts, although positive affect scripts did produce significantly stronger urges/cravings than neutral affect scripts. An analysis of subjects' reports of the distribution of their strongest urges over imagery trials and regression analyses of the variables predictive of urge/craving report provided converging evidence that the content of the imagery scripts exerted considerable control over the generation of smoking urges in the imagery paradigm. The results indicated that the magnitude of urges and cravings produced by the imagery manipulation were clearly influenced by urge and affective content of the imagery scripts.
Article
Several learning theory based models propose that substance users may have conditioned reactions to stimuli (cues) associated with substance use and that these reactions may increase the probability of relapse. The conditioned withdrawal, conditioned compensatory response, and appetitive motivational models were evaluated in light of empirical evidence from cue reactivity studies with alcoholics, smokers, opiate users, and cocaine users. The nature of the stimuli that elicit reactivity and the nature of the responses elicited are most consistent with an appetitive motivational model and do not appear to support the other two models. A few studies have been conducted or are underway that investigate the use of cue exposure with response prevention as a treatment to decrease cue reactivity. Preliminary work with alcoholics, opiate users and cocaine users is promising but insufficient evidence exists to evaluate this approach. The implications for theory and treatment are discussed.