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Schröder, Benedikt ; Kroczek, Agnes ; Kroczek, Leon O. H. ; Ehlis, Ann-Christine ; Batra, Anil ; Mühlberger, Andreas

Cigarette craving in virtual reality cue exposure in abstainers and relapsed smokers

Schröder, Benedikt, Kroczek, Agnes, Kroczek, Leon O. H. , Ehlis, Ann-Christine, Batra, Anil and Mühlberger, Andreas (2024) Cigarette craving in virtual reality cue exposure in abstainers and relapsed smokers. Scientific Reports 14 (1).

Date of publication of this fulltext: 04 Apr 2024 05:34
Article
DOI to cite this document: 10.5283/epub.58040


Abstract

Cue exposure therapy (CET) in substance-use disorders aims to reduce craving and ultimately relapse rates. Applying CET in virtual reality (VR) was proposed to increase its efficacy, as VR enables the presentation of social and environmental cues along with substance-related stimuli. However, limited success has been reported so far when applying VR-CET for smoking cessation. Understanding if ...

Cue exposure therapy (CET) in substance-use disorders aims to reduce craving and ultimately relapse rates. Applying CET in virtual reality (VR) was proposed to increase its efficacy, as VR enables the presentation of social and environmental cues along with substance-related stimuli. However, limited success has been reported so far when applying VR-CET for smoking cessation. Understanding if effects of VR-CET differ between future abstainers and relapsing smokers may help to improve VR-CET. Data from 102 participants allocated to the intervention arm (VR-CET) of a recent RCT comparing VR-CET to relaxation in the context of smoking cessation was analyzed with respect to tolerability, presence, and craving during VR-CET. Cue exposure was conducted in four VR contexts (Loneliness/Rumination, Party, Stress, Café), each presented twice. Relapsed smokers compared to abstainers experienced higher craving during VR-CET and stronger craving responses especially during the Stress scenario. Furthermore, lower mean craving during VR-CET positively predicted abstinence at 6-month follow-up. Attempts to improve smoking cessation outcomes of VR-CET should aim to identify smokers who are more at risk of relapse based on high craving levels during VR-CET. Specifically measuring craving responses during social stress seems to be well suited to mark relapse. We propose to investigate individualized treatment approaches accordingly.



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Details

Item typeArticle
Journal or Publication TitleScientific Reports
Publisher:Springer
Volume:14
Number of Issue or Book Chapter:1
Date30 March 2024
InstitutionsHuman Sciences > Institut für Psychologie > Lehrstuhl für Klinische Psychologie und Psychotherapie - Lehrstuhl für Psychologie VIII - Prof. Dr. Andreas Mühlberger
Identification Number
ValueType
10.1038/s41598-024-58168-7DOI
Dewey Decimal Classification100 Philosophy & psychology > 150 Psychology
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-580407
Item ID58040

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