Behavioural tasks sensitive to acute abstinence and predictive of smoking cessation success

a systematic review and meta-analysis

Meryem Grabski, H Valerie Curran, David J Nutt, Stephen M Husbands, Tom P Freeman, Meg Fluharty, Marcus R Munafò

Research output: Contribution to journalReview article

Abstract

BACKGROUND AND AIMS: Performance on cognitive tasks may be sensitive to acute smoking abstinence and may also predict whether quit attempts fail. Our aim was to conduct a systematic review and meta-analysis to identify cognitive tasks sensitive to acute abstinence and predictive of smoking cessation success.

METHODS: Embase, Medline, PsycInfo and Web of Science were searched up to March 2016. Studies were included if they enrolled adults and assessed smoking using a quantitative measure. Studies were combined in a random effects meta-analysis.

RESULTS: We included 42 acute abstinence studies and 13 cessation studies. There was evidence for an effect of abstinence on delay discounting [d = 0.26, 95% confidence interval (CI) = 0.07-0.45, P = 0.005], response inhibition (d = 0.48, 95% CI = 0.26-0.70, P < 0.001), mental arithmetic (d = 0.38, 95% CI = 0.06-0.70, P = 0.018), and recognition memory (d = 0.46, 95% CI = 0.23-0.70, P < 0.001). In contrast, performance on the Stroop (d = 0 .17, 95% CI = -0.17-0.51, P = 0.333) and smoking Stroop (d = 0.03, 95% CI = -0.11-0.17, P = 0.675) task was not influenced by abstinence. We found only weak evidence for an effect of acute abstinence on dot probe task performance (d = 0.15, 95% CI = -0.01-0.32, P = 0.072). The design of the cessation studies was too heterogeneous to permit meta-analysis.

CONCLUSIONS: Compared with satiated smokers, acutely abstinent smokers display higher delay discounting, lower response inhibition, impaired arithmetic and recognition memory performance. However, reaction-time measures of cognitive bias appear to be unaffected by acute tobacco abstinence. Conclusions about cognitive tasks that predict smoking cessation success were limited by methodological inconsistencies.

Original languageEnglish
Pages (from-to)2134-2144
Number of pages11
JournalAddiction
Volume111
Issue number12
Early online date24 Jun 2016
DOIs
Publication statusPublished - Dec 2016

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Smoking Cessation
Meta-Analysis
Confidence Intervals
Smoking
Task Performance and Analysis
Reaction Time
Tobacco

Keywords

  • Adult
  • Cognitive Therapy/methods
  • Female
  • Humans
  • Male
  • Psychomotor Performance/physiology
  • Recurrence
  • Sample Size
  • Smoking Cessation/methods
  • Treatment Outcome

Cite this

Behavioural tasks sensitive to acute abstinence and predictive of smoking cessation success : a systematic review and meta-analysis. / Grabski, Meryem; Curran, H Valerie; Nutt, David J; Husbands, Stephen M; Freeman, Tom P; Fluharty, Meg; Munafò, Marcus R.

In: Addiction, Vol. 111, No. 12, 12.2016, p. 2134-2144.

Research output: Contribution to journalReview article

Grabski, Meryem ; Curran, H Valerie ; Nutt, David J ; Husbands, Stephen M ; Freeman, Tom P ; Fluharty, Meg ; Munafò, Marcus R. / Behavioural tasks sensitive to acute abstinence and predictive of smoking cessation success : a systematic review and meta-analysis. In: Addiction. 2016 ; Vol. 111, No. 12. pp. 2134-2144.
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abstract = "BACKGROUND AND AIMS: Performance on cognitive tasks may be sensitive to acute smoking abstinence and may also predict whether quit attempts fail. Our aim was to conduct a systematic review and meta-analysis to identify cognitive tasks sensitive to acute abstinence and predictive of smoking cessation success.METHODS: Embase, Medline, PsycInfo and Web of Science were searched up to March 2016. Studies were included if they enrolled adults and assessed smoking using a quantitative measure. Studies were combined in a random effects meta-analysis.RESULTS: We included 42 acute abstinence studies and 13 cessation studies. There was evidence for an effect of abstinence on delay discounting [d = 0.26, 95{\%} confidence interval (CI) = 0.07-0.45, P = 0.005], response inhibition (d = 0.48, 95{\%} CI = 0.26-0.70, P < 0.001), mental arithmetic (d = 0.38, 95{\%} CI = 0.06-0.70, P = 0.018), and recognition memory (d = 0.46, 95{\%} CI = 0.23-0.70, P < 0.001). In contrast, performance on the Stroop (d = 0 .17, 95{\%} CI = -0.17-0.51, P = 0.333) and smoking Stroop (d = 0.03, 95{\%} CI = -0.11-0.17, P = 0.675) task was not influenced by abstinence. We found only weak evidence for an effect of acute abstinence on dot probe task performance (d = 0.15, 95{\%} CI = -0.01-0.32, P = 0.072). The design of the cessation studies was too heterogeneous to permit meta-analysis.CONCLUSIONS: Compared with satiated smokers, acutely abstinent smokers display higher delay discounting, lower response inhibition, impaired arithmetic and recognition memory performance. However, reaction-time measures of cognitive bias appear to be unaffected by acute tobacco abstinence. Conclusions about cognitive tasks that predict smoking cessation success were limited by methodological inconsistencies.",
keywords = "Adult, Cognitive Therapy/methods, Female, Humans, Male, Psychomotor Performance/physiology, Recurrence, Sample Size, Smoking Cessation/methods, Treatment Outcome",
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T1 - Behavioural tasks sensitive to acute abstinence and predictive of smoking cessation success

T2 - a systematic review and meta-analysis

AU - Grabski, Meryem

AU - Curran, H Valerie

AU - Nutt, David J

AU - Husbands, Stephen M

AU - Freeman, Tom P

AU - Fluharty, Meg

AU - Munafò, Marcus R

N1 - © 2016 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.

PY - 2016/12

Y1 - 2016/12

N2 - BACKGROUND AND AIMS: Performance on cognitive tasks may be sensitive to acute smoking abstinence and may also predict whether quit attempts fail. Our aim was to conduct a systematic review and meta-analysis to identify cognitive tasks sensitive to acute abstinence and predictive of smoking cessation success.METHODS: Embase, Medline, PsycInfo and Web of Science were searched up to March 2016. Studies were included if they enrolled adults and assessed smoking using a quantitative measure. Studies were combined in a random effects meta-analysis.RESULTS: We included 42 acute abstinence studies and 13 cessation studies. There was evidence for an effect of abstinence on delay discounting [d = 0.26, 95% confidence interval (CI) = 0.07-0.45, P = 0.005], response inhibition (d = 0.48, 95% CI = 0.26-0.70, P < 0.001), mental arithmetic (d = 0.38, 95% CI = 0.06-0.70, P = 0.018), and recognition memory (d = 0.46, 95% CI = 0.23-0.70, P < 0.001). In contrast, performance on the Stroop (d = 0 .17, 95% CI = -0.17-0.51, P = 0.333) and smoking Stroop (d = 0.03, 95% CI = -0.11-0.17, P = 0.675) task was not influenced by abstinence. We found only weak evidence for an effect of acute abstinence on dot probe task performance (d = 0.15, 95% CI = -0.01-0.32, P = 0.072). The design of the cessation studies was too heterogeneous to permit meta-analysis.CONCLUSIONS: Compared with satiated smokers, acutely abstinent smokers display higher delay discounting, lower response inhibition, impaired arithmetic and recognition memory performance. However, reaction-time measures of cognitive bias appear to be unaffected by acute tobacco abstinence. Conclusions about cognitive tasks that predict smoking cessation success were limited by methodological inconsistencies.

AB - BACKGROUND AND AIMS: Performance on cognitive tasks may be sensitive to acute smoking abstinence and may also predict whether quit attempts fail. Our aim was to conduct a systematic review and meta-analysis to identify cognitive tasks sensitive to acute abstinence and predictive of smoking cessation success.METHODS: Embase, Medline, PsycInfo and Web of Science were searched up to March 2016. Studies were included if they enrolled adults and assessed smoking using a quantitative measure. Studies were combined in a random effects meta-analysis.RESULTS: We included 42 acute abstinence studies and 13 cessation studies. There was evidence for an effect of abstinence on delay discounting [d = 0.26, 95% confidence interval (CI) = 0.07-0.45, P = 0.005], response inhibition (d = 0.48, 95% CI = 0.26-0.70, P < 0.001), mental arithmetic (d = 0.38, 95% CI = 0.06-0.70, P = 0.018), and recognition memory (d = 0.46, 95% CI = 0.23-0.70, P < 0.001). In contrast, performance on the Stroop (d = 0 .17, 95% CI = -0.17-0.51, P = 0.333) and smoking Stroop (d = 0.03, 95% CI = -0.11-0.17, P = 0.675) task was not influenced by abstinence. We found only weak evidence for an effect of acute abstinence on dot probe task performance (d = 0.15, 95% CI = -0.01-0.32, P = 0.072). The design of the cessation studies was too heterogeneous to permit meta-analysis.CONCLUSIONS: Compared with satiated smokers, acutely abstinent smokers display higher delay discounting, lower response inhibition, impaired arithmetic and recognition memory performance. However, reaction-time measures of cognitive bias appear to be unaffected by acute tobacco abstinence. Conclusions about cognitive tasks that predict smoking cessation success were limited by methodological inconsistencies.

KW - Adult

KW - Cognitive Therapy/methods

KW - Female

KW - Humans

KW - Male

KW - Psychomotor Performance/physiology

KW - Recurrence

KW - Sample Size

KW - Smoking Cessation/methods

KW - Treatment Outcome

U2 - 10.1111/add.13507

DO - 10.1111/add.13507

M3 - Review article

VL - 111

SP - 2134

EP - 2144

JO - Addiction

JF - Addiction

SN - 0965-2140

IS - 12

ER -