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Cited by 71Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesBehavioral Health and Interventions

Influence of affective manipulations on cigarette craving: a meta-analysis: Affect manipulations and craving

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Heckman, Bryan W., Kovacs, Michelle A., Marquinez, Nicole S., Meltzer, Lauren R., Tsambarlis, Maria E., Drobes, David J., Brandon, Thomas H.·2013·Addiction
DOI 10.1111/add.12284PMC PMC3830730
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Abstract

BACKGROUND AND AIMS: Retrospective self-report and observational studies have yielded inconsistent findings regarding the capacity of negative affect (NA) to increase smoking motivation among dependent samples. Controlled laboratory studies offer an alternative paradigm for testing the role of affective state upon smoking motivation. The aim of the current study was to quantify cue-provoked cravings produced by affective manipulations in the published literature, and to identify theoretical and methodological moderators. METHODS: We conducted a systematic literature search to identify experimental studies that manipulated NA or positive affect (PA), and assessed post-manipulation craving. Separate random-effects meta-analyses examined NA and PA cues as predictors of self-reported craving. Self-reported affect (NA and PA), nicotine deprivation, gender, nicotine dependence, order of cue presentation, single versus multi-item craving assessment and affect induction method were tested as moderators of affective cue-induced craving. RESULTS: NA manipulations produced a medium effect [g = 0.47; confidence interval (CI) = 0.31-0.63] on craving, but no main effects were found for PA manipulations (g = 0.05; CI = -0.09 to 0.20) on craving. Self-reported NA moderated the extent to which NA and PA manipulations elicited craving (P < 0.02 for each). That is, more effective NA manipulations produced greater cravings, and PA manipulations reduced cravings when they reduced NA. CONCLUSIONS: Laboratory studies indicate that negative, but not positive, affect is a situational determinant of cravings to smoke among dependent smokers. Adverse emotional states increase craving to smoke among dependent smokers, but positive emotional states do not consistently reduce craving to smoke.

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  • Negative affect is highly predictive of cigarette craving in both the laboratory and natural environment.

    “For example, in both the laboratory and natural environment, NA is highly predictive of cigarette craving (Dunbar, Scharf, Kirchner, & Shiffman, 2010; Heckman et al., 2013; Shiyko, Naab, Shiffman, & Li, 2014).”

    From Modeling naturalistic craving, withdrawal, and affect during early nicotine abstinence: A pilot ecological momentary assessment study. (2015) · cites this paper as Heckman et al., 2013

    The Discussion (‘Affective Cues and Craving’; page unavailable) reports strong evidence that laboratory inductions of negative affect evoke cigarette craving. It does not establish that negative affect is highly predictive of craving in natural environments; the Background and Aims instead describes observational findings as inconsistent. (LLM, conf=0.88)

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  • A recent meta-analysis indicated that in the laboratory, only manipulations of negative affect, but not positive affect, were directly related to cigarette craving.

    “A recent meta-analysis indicated that in the laboratory, only manipulations of NA, but not PA, were directly related to cigarette craving (Heckman et al., 2013).”

    From Modeling naturalistic craving, withdrawal, and affect during early nicotine abstinence: A pilot ecological momentary assessment study. (2015) · cites this paper as Heckman et al., 2013

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Authors
Heckman, B. W., Kovacs, M. A., Marquinez, N. S., Meltzer, L. R., Tsambarlis, M. E., Drobes, D. J., & Brandon, T. H.
Affiliations
  • University of South Florida (US)
  • Moffitt Cancer Center (US)
Corresponding author
Brandon, Thomas H.
ORCID
Venue
Addiction
Publisher
Wiley
Published
2013-08-14
Volume
108
Issue
12
Pages
2068-2078
ISSN
0965-2140 (ISSN-L)
DOI
10.1111/add.12284
PMC
PMC3830730
OpenAlex
W1923557769
Cited by
71
References
106
Citations by year
2026: 1 · 2025: 5 · 2024: 2 · 2023: 6 · 2022: 6 · 2021: 4 · 2020: 8 · 2019: 7 · 2018: 5 · 2017: 6 · 2016: 4 · 2015: 11 · 2014: 4 · 2013: 2
FWCI
0.77
Type
journal article
Language
en
Open access
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 748 d)
Locations
  • Addiction (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
Funders
  • National Institute on Drug Abuse (F31DA033058)
  • National Cancer Institute (R01CA134347, R01CA137357)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
cigarette craving, negative affect, positive affect, emotional manipulation, smoking motivation, nicotine dependence, nicotine deprivation, self-reported affect, smoking cessation
MeSH terms
Adult, Affect, Cues, Female, Humans, Male, Motivation, Smoking, Behavior, Addictive, Self Report

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