Neural responses to smoking stimuli are influenced by smokers' attitudes towards their own smoking behaviour.

An important feature of addiction is the high drug craving that may promote the continuation of consumption. Environmental stimuli classically conditioned to drug-intake have a strong motivational power for addicts and can elicit craving. However, addicts differ in the attitudes towards their own co...

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Autores principales: Bastian Stippekohl, Markus H Winkler, Bertram Walter, Sabine Kagerer, Ronald F Mucha, Paul Pauli, Dieter Vaitl, Rudolf Stark
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:01295062fc5c42549a695f56add0e9e72021-11-18T08:08:57ZNeural responses to smoking stimuli are influenced by smokers' attitudes towards their own smoking behaviour.1932-620310.1371/journal.pone.0046782https://doaj.org/article/01295062fc5c42549a695f56add0e9e72012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23155368/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203An important feature of addiction is the high drug craving that may promote the continuation of consumption. Environmental stimuli classically conditioned to drug-intake have a strong motivational power for addicts and can elicit craving. However, addicts differ in the attitudes towards their own consumption behavior: some are content with drug taking (consonant users) whereas others are discontent (dissonant users). Such differences may be important for clinical practice because the experience of dissonance might enhance the likelihood to consider treatment. This fMRI study investigated in smokers whether these different attitudes influence subjective and neural responses to smoking stimuli. Based on self-characterization, smokers were divided into consonant and dissonant smokers. These two groups were presented smoking stimuli and neutral stimuli. Former studies have suggested differences in the impact of smoking stimuli depending on the temporal stage of the smoking ritual they are associated with. Therefore, we used stimuli associated with the beginning (BEGIN-smoking-stimuli) and stimuli associated with the terminal stage (END-smoking-stimuli) of the smoking ritual as distinct stimulus categories. Stimulus ratings did not differ between both groups. Brain data showed that BEGIN-smoking-stimuli led to enhanced mesolimbic responses (amygdala, hippocampus, insula) in dissonant compared to consonant smokers. In response to END-smoking-stimuli, dissonant smokers showed reduced mesocortical responses (orbitofrontal cortex, subcallosal cortex) compared to consonant smokers. These results suggest that smoking stimuli with a high incentive value (BEGIN-smoking-stimuli) are more appetitive for dissonant than consonant smokers at least on the neural level. To the contrary, smoking stimuli with low incentive value (END-smoking-stimuli) seem to be less appetitive for dissonant smokers than consonant smokers. These differences might be one reason why dissonant smokers experience difficulties in translating their attitudes into an actual behavior change.Bastian StippekohlMarkus H WinklerBertram WalterSabine KagererRonald F MuchaPaul PauliDieter VaitlRudolf StarkPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 11, p e46782 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Bastian Stippekohl
Markus H Winkler
Bertram Walter
Sabine Kagerer
Ronald F Mucha
Paul Pauli
Dieter Vaitl
Rudolf Stark
Neural responses to smoking stimuli are influenced by smokers' attitudes towards their own smoking behaviour.
description An important feature of addiction is the high drug craving that may promote the continuation of consumption. Environmental stimuli classically conditioned to drug-intake have a strong motivational power for addicts and can elicit craving. However, addicts differ in the attitudes towards their own consumption behavior: some are content with drug taking (consonant users) whereas others are discontent (dissonant users). Such differences may be important for clinical practice because the experience of dissonance might enhance the likelihood to consider treatment. This fMRI study investigated in smokers whether these different attitudes influence subjective and neural responses to smoking stimuli. Based on self-characterization, smokers were divided into consonant and dissonant smokers. These two groups were presented smoking stimuli and neutral stimuli. Former studies have suggested differences in the impact of smoking stimuli depending on the temporal stage of the smoking ritual they are associated with. Therefore, we used stimuli associated with the beginning (BEGIN-smoking-stimuli) and stimuli associated with the terminal stage (END-smoking-stimuli) of the smoking ritual as distinct stimulus categories. Stimulus ratings did not differ between both groups. Brain data showed that BEGIN-smoking-stimuli led to enhanced mesolimbic responses (amygdala, hippocampus, insula) in dissonant compared to consonant smokers. In response to END-smoking-stimuli, dissonant smokers showed reduced mesocortical responses (orbitofrontal cortex, subcallosal cortex) compared to consonant smokers. These results suggest that smoking stimuli with a high incentive value (BEGIN-smoking-stimuli) are more appetitive for dissonant than consonant smokers at least on the neural level. To the contrary, smoking stimuli with low incentive value (END-smoking-stimuli) seem to be less appetitive for dissonant smokers than consonant smokers. These differences might be one reason why dissonant smokers experience difficulties in translating their attitudes into an actual behavior change.
format article
author Bastian Stippekohl
Markus H Winkler
Bertram Walter
Sabine Kagerer
Ronald F Mucha
Paul Pauli
Dieter Vaitl
Rudolf Stark
author_facet Bastian Stippekohl
Markus H Winkler
Bertram Walter
Sabine Kagerer
Ronald F Mucha
Paul Pauli
Dieter Vaitl
Rudolf Stark
author_sort Bastian Stippekohl
title Neural responses to smoking stimuli are influenced by smokers' attitudes towards their own smoking behaviour.
title_short Neural responses to smoking stimuli are influenced by smokers' attitudes towards their own smoking behaviour.
title_full Neural responses to smoking stimuli are influenced by smokers' attitudes towards their own smoking behaviour.
title_fullStr Neural responses to smoking stimuli are influenced by smokers' attitudes towards their own smoking behaviour.
title_full_unstemmed Neural responses to smoking stimuli are influenced by smokers' attitudes towards their own smoking behaviour.
title_sort neural responses to smoking stimuli are influenced by smokers' attitudes towards their own smoking behaviour.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/01295062fc5c42549a695f56add0e9e7
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