A meta-analytic investigation of the relationship between attentional bias and subjective craving in substance abuse

Theoretical models of addiction suggest that attentional bias for substance-related cues should be associated with self-reported craving. The authors evaluated the strength of the association by performing a meta-analysis on 68 independent data sets from which correlation coefficients between subjec...

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Bibliographic Details
Published in:	Psychological bulletin Vol. 135; no. 4; pp. 589 - 607
Main Authors:	Field, Matt, Munafò, Marcus R, Franken, Ingmar H A
Format:	Journal Article
Language:	English
Published:	United States 01.07.2009
Subjects:	Alcoholism - psychology Alcoholism - rehabilitation Association Attention Cues Emotions Humans Motivation Patient Compliance - psychology Smoking - psychology Smoking Cessation - psychology Substance Withdrawal Syndrome - psychology Substance-Related Disorders - psychology Substance-Related Disorders - rehabilitation
ISSN:	0033-2909
Online Access:	Get more information
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Abstract	Theoretical models of addiction suggest that attentional bias for substance-related cues should be associated with self-reported craving. The authors evaluated the strength of the association by performing a meta-analysis on 68 independent data sets from which correlation coefficients between subjective craving and attentional bias indices were derived. Additional stratified analyses were conducted to identify any variables that might moderate the association between craving and attentional bias. The primary meta-analysis indicated a significant, albeit weak (r=.19), association between attentional bias and craving. Stratified analyses revealed that the association was larger for illicit drug and caffeine craving than for alcohol and tobacco craving, larger for direct measures of attention (eye movement measures and event-related potential measures) than for indirect behavioral measures of attentional bias, and larger when craving strength was high than when it was low (all ps<.05). The size of the correlation did not differ among patients in treatment and individuals who were not seeking treatment. These results suggest that attentional bias and craving are related phenomena, although the relationship is generally modest and appears to be moderated by various factors. Theoretical implications are discussed.
AbstractList	Theoretical models of addiction suggest that attentional bias for substance-related cues should be associated with self-reported craving. The authors evaluated the strength of the association by performing a meta-analysis on 68 independent data sets from which correlation coefficients between subjective craving and attentional bias indices were derived. Additional stratified analyses were conducted to identify any variables that might moderate the association between craving and attentional bias. The primary meta-analysis indicated a significant, albeit weak (r=.19), association between attentional bias and craving. Stratified analyses revealed that the association was larger for illicit drug and caffeine craving than for alcohol and tobacco craving, larger for direct measures of attention (eye movement measures and event-related potential measures) than for indirect behavioral measures of attentional bias, and larger when craving strength was high than when it was low (all ps<.05). The size of the correlation did not differ among patients in treatment and individuals who were not seeking treatment. These results suggest that attentional bias and craving are related phenomena, although the relationship is generally modest and appears to be moderated by various factors. Theoretical implications are discussed.
Author	Field, Matt Munafò, Marcus R Franken, Ingmar H A
Author_xml	– sequence: 1 givenname: Matt surname: Field fullname: Field, Matt email: mfield@liverpool.ac.uk organization: School of Psychology, University of Liverpool, Liverpool, UK. mfield@liverpool.ac.uk – sequence: 2 givenname: Marcus R surname: Munafò fullname: Munafò, Marcus R – sequence: 3 givenname: Ingmar H A surname: Franken fullname: Franken, Ingmar H A
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/19586163$$D View this record in MEDLINE/PubMed
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PublicationTitle	Psychological bulletin
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Snippet	Theoretical models of addiction suggest that attentional bias for substance-related cues should be associated with self-reported craving. The authors evaluated...
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SubjectTerms	Alcoholism - psychology Alcoholism - rehabilitation Association Attention Cues Emotions Humans Motivation Patient Compliance - psychology Smoking - psychology Smoking Cessation - psychology Substance Withdrawal Syndrome - psychology Substance-Related Disorders - psychology Substance-Related Disorders - rehabilitation
Title	A meta-analytic investigation of the relationship between attentional bias and subjective craving in substance abuse
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