Relevance of Cue Reactivity to Understanding Alcohol and Smoking Relapse

Raymond S. Niaura, Damaris J. Rohsenow, Jody A. Binkoff, Peter M. Monti, Magda Pedraza, David Brian Abrams

Research output: Contribution to journalArticle

Abstract

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 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.

Original languageEnglish (US)
Pages (from-to)133-152
Number of pages20
JournalJournal of Abnormal Psychology
Volume97
Issue number2
StatePublished - May 1988
Externally publishedYes

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Cues
Smoking
Alcohols
Recurrence
Pharmaceutical Preparations
Alcoholism
Tobacco
Theoretical Models
Eating
Learning

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychology(all)
  • Experimental and Cognitive Psychology

Cite this

Niaura, R. S., Rohsenow, D. J., Binkoff, J. A., Monti, P. M., Pedraza, M., & Abrams, D. B. (1988). Relevance of Cue Reactivity to Understanding Alcohol and Smoking Relapse. Journal of Abnormal Psychology, 97(2), 133-152.

Relevance of Cue Reactivity to Understanding Alcohol and Smoking Relapse. / Niaura, Raymond S.; Rohsenow, Damaris J.; Binkoff, Jody A.; Monti, Peter M.; Pedraza, Magda; Abrams, David Brian.

In: Journal of Abnormal Psychology, Vol. 97, No. 2, 05.1988, p. 133-152.

Research output: Contribution to journalArticle

Niaura, RS, Rohsenow, DJ, Binkoff, JA, Monti, PM, Pedraza, M & Abrams, DB 1988, 'Relevance of Cue Reactivity to Understanding Alcohol and Smoking Relapse', Journal of Abnormal Psychology, vol. 97, no. 2, pp. 133-152.
Niaura RS, Rohsenow DJ, Binkoff JA, Monti PM, Pedraza M, Abrams DB. Relevance of Cue Reactivity to Understanding Alcohol and Smoking Relapse. Journal of Abnormal Psychology. 1988 May;97(2):133-152.
Niaura, Raymond S. ; Rohsenow, Damaris J. ; Binkoff, Jody A. ; Monti, Peter M. ; Pedraza, Magda ; Abrams, David Brian. / Relevance of Cue Reactivity to Understanding Alcohol and Smoking Relapse. In: Journal of Abnormal Psychology. 1988 ; Vol. 97, No. 2. pp. 133-152.
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