Effects of a context shift and multiple context extinction on reactivity to alcohol cues.

Experimental and Clinical Psychopharmacology
James MacKillop, Stephen A Lisman

Abstract

Cue exposure treatment (CET) attempts to reduce the influence of conditioned substance cues on addictive behavior via extinction, but has received only modest empirical support in clinical trials. This may be because extinction learning appears to be context dependent and a change in context may result in a return of conditioned responding (i.e., renewal), although this has received only limited empirical examination. The current study used a 4-session laboratory analogue of CET to examine whether a change in context following 3 sessions of alcohol cue exposure with response prevention would result in renewal of conditioned responding. In addition, this study examined whether conducting extinction in multiple contexts would attenuate renewal of conditioned responding. In one-way between-subjects design, 73 heavy drinkers (71% men) were randomized to 3 conditions: (a) single context extinction (extinction to alcohol cues in the same context for 3 sessions followed by a context shift at the fourth session), (b) multiple context extinction (extinction to alcohol cues in different contexts each day for all 4 sessions), and (c) pseudoextinction control condition (exposure to neutral cues in the same context for 3 sessions followed b...Continue Reading

Citations

Aug 9, 2015·Annual Review of Psychology·Barry J Everitt, Trevor W Robbins
Oct 25, 2011·Alcoholism, Clinical and Experimental Research·Michael T AmlungJames MacKillop
Jan 29, 2011·Annals of the New York Academy of Sciences·K M Kantak, B Á Nic Dhonnchadha
Jan 17, 2014·Alcoholism, Clinical and Experimental Research·Cara M Murphy, James MacKillop
Jan 1, 2014·Brain Research Bulletin·Paul J FitzgeraldStephen Maren
Feb 25, 2015·Journal of Behavior Therapy and Experimental Psychiatry·Karolien van den AkkerAnita Jansen
Aug 20, 2011·The American Journal of Drug and Alcohol Abuse·Stefan G HofmannKathleen M Kantak
Apr 27, 2016·Psychopharmacology·Joel S CavalloHarriet de Wit
Aug 23, 2016·PloS One·Joel S CavalloHarriet de Wit
Jan 30, 2010·Neuroscience and Biobehavioral Reviews·Karyn M Myers, William A Carlezon
May 3, 2013·Nature Reviews. Neuroscience·Stephen MarenIsrael Liberzon
Nov 8, 2011·Journal of Psychopathology and Behavioral Assessment·Cara M Murphy, James Mackillop
Nov 2, 2019·Neuroscience and Biobehavioral Reviews·Roberto U CofresíThomas M Piasecki

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