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01-03-2013 | Uitgave 1/2013

Journal of Psychopathology and Behavioral Assessment 1/2013

Women Inmate Substance Abusers’ Reactivity to Visual Alcohol, Cigarette, Marijuana, and Crack-Cocaine Cues: Approach and Avoidance as Separate Dimensions of Reactivity

Journal of Psychopathology and Behavioral Assessment > Uitgave 1/2013
Robert C. Schlauch, Mary J. Breiner, Paul R. Stasiewicz, Rita L. Christensen, Alan R. Lang
Belangrijke opmerkingen
This research was supported in part by the National Institute on Alcohol Abuse and Alcoholism, grant T32-AA007583. We would also like to thank Dr. David Drobes for providing the crack-cocaine images used in the study.


Despite the growing recognition for multidimensional assessments of cue-elicited craving, few studies have attempted to measure multiple response domains associated with craving. The present study evaluated the Ambivalence Model of Craving (Breiner et al. Alcohol Research and Health 23:197–206, 1999; Stritzke et al. 2007) using a unique cue reactivity methodology designed to capture both the desire to use (approach inclination) and desire to not consume (avoidance inclination) in a clinical sample of incarcerated female substance abusers. Participants were 155 incarcerated women who were participating in or waiting to begin participation in a nine-month drug treatment program. Results indicated that all four substance cue-types (alcohol, cigarette, marijuana, and crack cocaine) had good reliability and showed high specificity. Also, the validity of measuring approach and avoidance as separate dimensions was supported, as demonstrated by meaningful clinical distinctions between groups evincing different reactivity patterns and incremental prediction of avoidance inclinations on measures of stages of change readiness. Taken together, results continue to highlight the importance of measuring both approach and avoidance inclinations in the study of cue-elicited craving.

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