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An Investigation Into the Nature of Cravings That Occur Following Alcohol Cessation.

Peoples, Michelle. (2004) An Investigation Into the Nature of Cravings That Occur Following Alcohol Cessation. Doctoral thesis, University of Surrey (United Kingdom)..

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Craving is an important feature of models of addiction. However a lack of empirical support for a relationship between craving and relapse has triggered much controversy and debate within the field of addiction about the function and utility of craving. Aim and objectives: The present study aimed to test two competing models of craving: craving as an unconditional response to alcohol cessation (i.e. withdrawal craving) and craving as a conditioned response to alcohol cues (i.e. cue-elicited craving). The main objectives were to explore how each type of craving varied over time and to evaluate the relationship between craving and a behavioural indicator of intention to drink. Design: The study used a within-subjects repeated-measures design to obtain serial measures of withdrawal and cue-elicited craving. Repeated measures of craving in the absence of cues were obtained to represent withdrawal craving. Craving was also manipulated in a cue exposure experiment in which all participants were exposed to the sight and smell of an alcohol cue and a neutral cue to obtain repeated measures of cue-elicited craving. Setting: The research was based at the National Inpatient Alcohol Addiction Unit at Springfield Hospital in South London. Participants: 34 patients undergoing detoxification treatment for alcohol dependency volunteered to participate in the study. Measurements: Withdrawal craving was measured on Day 3, Day 4 and Day 12 of participant’s hospital admission. Cue-elicited craving, skin conductance and a behavioural measure of intention to drink were monitored during cue exposure trials conducted on Day 4 and Day 12. Findings: Withdrawal craving attenuated with the passage of time, whereas time by itself, did not impact on cue-elicited craving. Only cue-elicited craving was significantly related to a behavioural measure of intention to drink. Conclusions: Viewing craving as occurring under two conditions may provide a useful distinction between craving that has no predictive value particularly once the withdrawal phase has ended and cue-elicited craving with predictive value in relapse.

Item Type: Thesis (Doctoral)
Divisions : Theses
Authors : Peoples, Michelle.
Date : 2004
Additional Information : Thesis (Psych.D.)--University of Surrey (United Kingdom), 2004.
Depositing User : EPrints Services
Date Deposited : 06 May 2020 14:23
Last Modified : 06 May 2020 14:31

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