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Experimental manipulation of attentional biases in heavy drinkers: do the effects generalise?

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Abstract

Rationale

In heavy drinkers, training attention towards alcohol cues increases alcohol craving, but it is not clear if effects of ‘attentional training’ generalise to novel stimuli and measurement procedures.

Objectives

We investigated possible generalisation of attentional training to novel alcohol cues and other methods of measuring cognitive bias.

Materials and methods

A modified visual probe task was used to train participants to direct their attention either towards (‘attend alcohol’ group) or away from (‘avoid alcohol’ group) alcohol cues; attentional bias was not manipulated in a control group (total N = 60). After attentional training, we measured cognitive bias (using visual probe, modified Stroop, flicker-induced change blindness and stimulus–response compatibility tasks), alcohol craving and alcohol consumption.

Results

Attentional bias for alcohol cues increased in the ‘attend alcohol’ group, and this effect generalised to novel stimuli, but not to other cognitive bias tasks. In the ‘avoid alcohol’ group, attentional bias was reduced for the stimuli that were used during attentional training, but these effects did not generalise to different stimuli or cognitive bias tasks. Alcohol craving increased among participants in the ‘attend alcohol’ group, but only among participants who were aware of the experimental contingencies during attentional training. There were no group differences in alcohol consumption.

Conclusions

The effects of attentional training show limited generalisation to different alcohol cues and methods of measuring cognitive bias. Experimentally increased attentional bias seems to increase subjective craving, but only among participants who are aware of the experimental contingencies that were in place during attentional training.

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References

  • Anton RF, Moak DH, Latham P (1995) The obsessive-compulsive drinking scale: a self-rated instrument for the quantification of thoughts about alcohol and drinking behaviour. Alcohol Clin Exp Res 19:92–99

    Article  PubMed  CAS  Google Scholar 

  • Babor TF, Higgins-Biddle JC (2001) Brief intervention for hazardous and harmful drinking: a manual for use in primary care. World Health Organisation

  • Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG (2001) The alcohol use disorders identification test: guidelines for use in primary care, 2nd edn. World Health Organisation

  • Bardo MT, Bevins RA (2000) Conditioned place preference: what does it add to our preclinical understanding of drug reward? Psychopharmacology 153:31–43

    Article  PubMed  CAS  Google Scholar 

  • Conklin CA, Tiffany ST (2002) Applying extinction research and theory to cue exposure addiction treatments. Addiction 97:157–167

    Google Scholar 

  • Cox WM, Yeates GN, Reagan CM (1999) Effects of alcohol cues on cognitive processing in heavy and light drinkers. Drug Alcohol Depend 55:85–89

    Article  PubMed  CAS  Google Scholar 

  • Cox WM, Hogan LM, Kristian MR, Race JH (2002) Alcohol attentional bias as a predictor of alcohol abusers’ treatment outcome. Drug Alcohol Depend 68:237–243

    Article  PubMed  Google Scholar 

  • Cox WM, Fadardi JS, Pothos EM (2006) The addiction-Stroop test: theoretical considerations and procedural recommendations. Psychol Bull 132:443–446

    Article  PubMed  Google Scholar 

  • Duka T, Townshend JM (2004) The priming effect of alcohol pre-load on attentional bias to alcohol-related stimuli. Psychopharmacology 176:353–361

    Article  PubMed  CAS  Google Scholar 

  • Edwards G (1996) Sensible drinking. Br Med J 312:1

    CAS  Google Scholar 

  • Field M (2006) Attentional biases in drug abuse and addiction: cognitive mechanisms, causes, consequences, and implications. In: Munafo MR, Albery IP (eds) Cognition and addiction. Oxford University Press, Oxford, UK

    Google Scholar 

  • Field M, Duka T (2001) Smoking expectancy mediates the conditioned responses to arbitrary smoking cues. Behav Pharmacol 12:183–194

    PubMed  CAS  Google Scholar 

  • Field M, Duka T (2002) Cues paired with a low dose of alcohol acquire conditioned incentive properties in social drinkers. Psychopharmacology 159:325–334

    Article  PubMed  CAS  Google Scholar 

  • Field M, Eastwood B (2005) Experimental manipulation of attentional bias increases the motivation to drink alcohol. Psychopharmacology 183:350–357

    Article  PubMed  CAS  Google Scholar 

  • Field M, Mogg K, Zetteler J, Bradley BP (2004) Attentional biases for alcohol cues in heavy and light social drinkers: the roles of initial orienting and maintained attention. Psychopharmacology 176:88–93

    Article  PubMed  CAS  Google Scholar 

  • Field M, Mogg K, Bradley BP (2005) Craving and cognitive biases for alcohol cues in social drinkers. Alcohol Alcohol 40:504–510

    PubMed  Google Scholar 

  • Field M, Eastwood B, Bradley BP, Mogg K (2006a) Selective processing of cannabis cues in regular cannabis users. Drug Alcohol Depend 85:75–82

    Article  PubMed  Google Scholar 

  • Field M, Mogg K, Bradley, BP (2006b) Attention to drug-related cues in drug abuse and addiction: component processes. In Wiers R, Stacy A (eds) Handbook of implicit cognition and addiction. Sage, Thousand Oaks, CA

    Google Scholar 

  • Field M, Christiansen P, Cole J, Goudie A (2007) Delay discounting and the alcohol Stroop in hazardous drinking adolescents. Addiction 102:579–586

    Article  PubMed  Google Scholar 

  • Franken IHA (2003) Drug craving and addiction: integrating psychological and neuropsychopharmacological approaches. Prog Neuropsychopharmacol Biol Psychiatry 27:563–579

    Article  PubMed  Google Scholar 

  • Hogarth LC, Duka T (2006) Human nicotine conditioning requires explicit contingency knowledge: is addictive behaviour cognitively mediated? Psychopharmacology 184:553–566

    Article  PubMed  CAS  Google Scholar 

  • Hogarth LC, Dickinson A, Duka (2005) Explicit knowledge of stimulus-outcome contingencies and stimulus control of selective attention and instrumental action in human smoking behaviour. Psychopharmacology 177:428–437

    Article  PubMed  CAS  Google Scholar 

  • Jones BC, Jones BT, Blundell L, Bruce G (2002) Social users of alcohol and cannabis who detect substance-related changes in a change-blindness paradigm report higher levels of use than those reporting neutral changes. Psychopharmacology 165:93–96

    Article  PubMed  CAS  Google Scholar 

  • Kavanagh DJ, Andrade J, May J (2005) Imaginary relish and exquisite torture: the elaborated intrusion theory of desire. Psychol Rev 112:446–467

    Article  PubMed  Google Scholar 

  • LaBerge D (1995) Attentional processing. Harvard, Cambridge, MA

    Google Scholar 

  • Love A, James D, Willner P (1998) A comparison of two alcohol craving questionnaires. Addiction 93:1091–1102

    Article  PubMed  CAS  Google Scholar 

  • MacLeod C, Rutherford E, Campbell L, Ebsworthy G, Holker L (2002) Selective attention and emotional vulnerability: assessing the causal basis of their association through the experimental manipulation of attentional bias. J Abnorm Psychol 111:107–123

    Article  PubMed  Google Scholar 

  • Marissen MAE, Franken IHA, Waters AJ, Blanken P, van den Brink W, Hendriks VM (2006) Attentional bias predicts heroin relapse following treatment. Addiction 101:1306–1312

    Article  PubMed  Google Scholar 

  • Mogg K, Bradley BP (2002) Selective processing of smoking-related cues in smokers: manipulation of deprivation level and comparison of three measures of processing bias. J Psychopharmacol 16:385–392

    Article  PubMed  Google Scholar 

  • Mogg K, Bradley BP, Field M, De Houwer J (2003) Eye movements to smoking-related pictures in smokers: relationship between attentional biases and implicit and explicit measures of stimulus valence. Addiction 98:825–836

    Article  PubMed  Google Scholar 

  • Mogg K, Field M, Bradley BP (2005) Attentional and evaluative biases for smoking cues in smokers: an investigation of competing theoretical views of addiction. Psychopharmacology 180:333–341

    Article  PubMed  CAS  Google Scholar 

  • Noel X, Colmant M, Van Der Linden M, Bechara A, Bullens Q, Hanak C, Verbanck P (2006) Time course of attention for alcohol cues in abstinent alcoholic patients: the role of initial orienting. Alcohol Clin Exp Res 30:1871–1877

    Article  PubMed  Google Scholar 

  • Posner MI, Snyder CR, Davidson BJ (1980) Attention and the detection of signals. J Exp Psychol 109:160–174

    PubMed  CAS  Google Scholar 

  • Robinson TE, Berridge KC (1993) The neural basis of drug craving: an incentive-sensitization theory of addiction. Brain Res Brain Res Rev 18:247–291

    Article  PubMed  CAS  Google Scholar 

  • Ryan F (2002) Detected, selected, and sometimes neglected: Cognitive processing of cues in addiction. Exp Clin Psychopharmacol 10:67–76

    Article  PubMed  Google Scholar 

  • Schoenmakers T, Wiers RW, Jones BT, Bruce G, Jansen AM (2007) Attentional retraining decreases attentional bias in heavy drinkers without generalisation. Addiction 102:399–405

    Article  PubMed  Google Scholar 

  • Stormark KM, Laberg JC, Nordby H, Hugdahl K (2000) Alcoholics’ selective attention to alcohol stimuli: automated processing? J Stud Alcohol 61:18–23

    PubMed  CAS  Google Scholar 

  • Sharma D, Albery IP, Cook C (2001) Selective attentional bias to alcohol related stimuli in problem drinkers and non-problem drinkers. Addiction 96:285–295

    Article  PubMed  CAS  Google Scholar 

  • Thalheimer W, Cook S (2002) How to calculate effect sizes from published research articles: a simplified methodology. Retrieved February 15, 2007 from http://work-learning.com/effect_size_download.htm

  • Tiffany ST (1990) A cognitive model of drug urges and drug-use behaviour: role of automatic and nonautomatic processes. Psychol Rev 97:147–168

    Article  PubMed  CAS  Google Scholar 

  • Tomie A (1996) Locating reward cue at response manipulandum (CAM) induces symptoms of drug abuse. Neurosci Biobehav Rev 20:505–535

    Article  PubMed  CAS  Google Scholar 

  • Townshend JM, Duka T (2001) Attentional bias associated with alcohol cues: differences between heavy and occasional social drinkers. Psychopharmacology 157:64–67

    Google Scholar 

  • Waters AJ, Shiffman S, Sayette MA, Paty JA, Gwaltney CJ, Balabanis MH (2003) Attentional bias predicts outcome in smoking cessation. Health Psychol 22:378–387

    Article  PubMed  Google Scholar 

  • Wiers RW, de Jong PJ, Havermans R, Jelicic M (2004) How to change implicit drug use-related cognitions in prevention: a transdisciplinary integration of findings from experimental psychopathology, social cognition, memory, and experimental learning psychology. Subst Use Misuse 39:1625–1684

    Article  PubMed  Google Scholar 

  • Wiers RW, Cox WM, Field M, Fadardi JS, Palfai TP, Schoenmakers T, Stacy AW (2006) The search for new ways to change implicit alcohol-related cognitions in heavy drinkers. Alcohol Clin Exp Res 30:320–331

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This research was funded by a research grant from the Economic and Social Research Council (ESRC), reference RES-000-22-1860, awarded to Matt Field and Theodora Duka.

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Correspondence to Matt Field.

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Field, M., Duka, T., Eastwood, B. et al. Experimental manipulation of attentional biases in heavy drinkers: do the effects generalise?. Psychopharmacology 192, 593–608 (2007). https://doi.org/10.1007/s00213-007-0760-9

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  • DOI: https://doi.org/10.1007/s00213-007-0760-9

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