Affordable Access

Access to the full text

Implicit attitudes towards smoking predict long-term relapse in abstinent smokers

Authors
  • Spruyt, Adriaan1, 2
  • Lemaigre, Valentine3
  • Salhi, Bihiyga4
  • Van Gucht, Dinska2
  • Tibboel, Helen1
  • Van Bockstaele, Bram5
  • De Houwer, Jan1
  • Van Meerbeeck, Jan1, 6
  • Nackaerts, Kristiaan2, 3
  • 1 Ghent University, Department of Experimental-Clinical and Health Psychology, Henri Dunantlaan 2, Ghent, 9000, Belgium , Ghent (Belgium)
  • 2 Catholic University of Leuven, Leuven, Belgium , Leuven (Belgium)
  • 3 Gasthuisberg University Hospital, Leuven, Belgium , Leuven (Belgium)
  • 4 Ghent University Hospital, Ghent, Belgium , Ghent (Belgium)
  • 5 University of Amsterdam, Amsterdam, The Netherlands , Amsterdam (Netherlands)
  • 6 Antwerp University Hospital, Antwerp, Belgium , Antwerp (Belgium)
Type
Published Article
Journal
Psychopharmacology
Publication Date
Mar 13, 2015
Volume
232
Issue
14
Pages
2551–2561
Identifiers
DOI: 10.1007/s00213-015-3893-2
Source
Springer Nature
Keywords
License
Yellow

Abstract

RationaleIt has previously been argued that implicit attitudes toward substance-related cues drive addictive behavior. Nevertheless, it remains an open question whether behavioral markers of implicit attitude activation can be used to predict long-term relapse.ObjectivesThe main objective of this study was to examine the relationship between implicit attitudes toward smoking-related cues and long-term relapse in abstaining smokers.MethodsImplicit attitudes toward smoking-related cues were assessed by means of the Implicit Association Test (IAT) and the evaluative priming task (EPT). Both measures were completed by a group of smokers who volunteered to quit smoking (patient group) and a group of nonsmokers (control group). Participants in the patient group completed these measures twice: once prior to smoking cessation and once after smoking cessation. Relapse was assessed by means of short telephone survey, 6 months after completion of the second test session.ResultsEPT scores obtained prior to smoking cessation were related to long-term relapse and correlated with self-reported nicotine dependence as well as daily cigarette consumption. In contrast, none of the behavioral outcome measures were found to correlate with the IAT scores.ConclusionsThese findings corroborate the idea that implicit attitudes toward substance-related cues are critically involved in long-term relapse. A potential explanation for the divergent findings obtained with the IAT and EPT is provided.

Report this publication

Statistics

Seen <100 times