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Cue reactivity information


Cue reactivity is a type of learned response which is observed in individuals with an addiction and involves significant physiological and psychological reactions to presentations of drug-related stimuli (i.e., drug cues). [1][2] The central tenet of cue reactivity is that cues previously predicting receipt of drug reward under certain conditions can evoke stimulus associated responses such as urges to use drugs. [3] In other words, learned cues can signal drug reward, in that cues previously associated with drug use can elicit cue-reactivity such as arousal, anticipation, and changes in behavioral motivation. [4][3] Responses to a drug cue can be physiological (e.g., sweating, salivation, brain activity), behavioral (e.g., drug seeking), or symbolic expressive (e.g., craving). [3] The clinical utility of cue reactivity is based on the conceptualization that drug cues elicit craving which is a critical factor in the maintenance and relapse to drug use.[5][6] Additionally, cue reactivity allows for the development of testable hypotheses grounded in established theories of human behavior.[4] Therefore, researchers have leveraged the cue reactivity paradigm to study addiction, antecedents of relapse, craving, translate pre-clinical findings to clinical samples, and contribute to the development of new treatment methods. [4] Testing cue reactivity in human samples involves exposing individuals with a substance use disorder to drug-related cues (e.g., cigarettes, alcohol, drug paraphernalia) and drug neutral cues (e.g., pencils, glasses of water), and then measuring their reactions by assessing changes in self-reported drug craving and physiological responses (e.g., blood pressure, salvation, brain activity). [4][7]

  1. ^ Carter, Brian; Robinson, Jason; Lam, Cho; Wetter, David; Tsan, Jack; Day, Susan; Cinciripini, Paul (2006-06-01). "A psychometric evaluation of cigarette stimuli used in a cue reactivity study". Nicotine & Tobacco Research. 8 (3): 361–369. doi:10.1080/14622200600670215. ISSN 1462-2203. PMID 16801294.
  2. ^ Rose, Abigail K.; Field, Matt; Franken, Ingmar H.A.; Munafò, Marcus (2013), "Cue Reactivity", Principles of Addiction, Elsevier, pp. 413–423, doi:10.1016/b978-0-12-398336-7.00043-7, ISBN 978-0-12-398336-7, retrieved 2023-11-26
  3. ^ a b c Hill-Bowen, Lauren D.; Riedel, Michael C.; Poudel, Ranjita; Salo, Taylor; Flannery, Jessica S.; Camilleri, Julia A.; Eickhoff, Simon B.; Laird, Angela R.; Sutherland, Matthew T. (November 2021). "The cue-reactivity paradigm: An ensemble of networks driving attention and cognition when viewing drug and natural reward-related stimuli". Neuroscience & Biobehavioral Reviews. 130: 201–213. doi:10.1016/j.neubiorev.2021.08.010. PMC 8511211. PMID 34400176.
  4. ^ a b c d Drummond, D. Colin (August 2000). "What does cue-reactivity have to offer clinical research?". Addiction. 95 (8s2): 129–144. doi:10.1046/j.1360-0443.95.8s2.2.x. ISSN 0965-2140.
  5. ^ O’Brien, Charles P. (August 2005). "Anticraving Medications for Relapse Prevention: A Possible New Class of Psychoactive Medications". American Journal of Psychiatry. 162 (8): 1423–1431. doi:10.1176/appi.ajp.162.8.1423. ISSN 0002-953X. PMID 16055763.
  6. ^ Reynolds, Elizabeth K.; Monti, Peter M. (2013-02-15), MacKillop, James; de Wit, Harriet (eds.), "The Cue Reactivity Paradigm in Addiction Research", The Wiley-Blackwell Handbook of Addiction Psychopharmacology (1 ed.), Wiley, pp. 381–410, doi:10.1002/9781118384404.ch14, ISBN 978-1-119-97826-8
  7. ^ Moshfegh, Sara. "Neural Cue-reactivity on Tobacco Use Disorder: Modulating Factors". Doctoral dissertation, Universität Zürich.

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