Smoking Cessation: A Look at Cue Reactivity and Transdermal Nicotine Patches

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determined to be most commonly associated with smoking as well as neutral locations where smoking was least likely to occur. The most common places identified with smoking were a bar, outdoor coffee shop, gas station, park bench, in the car, in a living room, at a bus stop, and at a ballpark. The places where smoking was least likely to occur were determined to be in the shower, at the gym, at church, at a museum, in a classroom, at the grocery story, at the post office, in a bookstore, and in an office. Pictures were taken of these environments from four different angles. Careful consideration was taken to ensure that no proximal clues like matches, cigarettes, or ash trays were present in the photographs. After exposure to photographs of a location, subjects were asked questions regarding their current craving for a cigarette. After all subjects were questioned, the data was reviewed and the team was able to determine that, although some environments listed as common with ...

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distal pictorial cues as in the previous two studies. Results showed that cues involving personalized environments lead to a higher level of craving (M=7432) than did the standard cues (M64.9).
This last study helps to show why cue-exposure therapy may not be as helpful as initially hoped. Because cue-exposure revolves around standard cues and not personalized cues, when a subject returns to their own natural environment, the risk of higher levels of craving return and a relapse is more likely to occur. The team hypothesized that by creating cues unique to the subject’s personal environment, they would now be able to explore extinction training in multiple contexts including ...

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