Effectiveness of Therapeutic Intervention of Retraining of Executive Functions on Cigarette Dependency

Authors
Mohammad Sadegh Montazeri 1
Shahrokh Makvand Hosseini 1
Imanollah Bigdeli 2
Parviz Sabahi 1
1 Semnan University
2 Ferdowsi University of Mashhad
Abstract
Aim: The being of impairments in executive functions could lead to weakness individual control on health behaviors and cigarette consumption. The aim of present research was to investigate effectiveness of comprehensive intervention in order to retraining executive functions in smokers. Method: A randomized controlled trial design with pre-posttest and two monthly follow up was applied. The study population included all smoker men in the summer 2016 in Gorgan city. A number of 60 eligible adult smokers were chosen according to specific inclusion and exclusion criteria of the research and were randomly divided into experimental and control groups. The Fagerstrom questionnaire for assessment of cigarette dependence was administered to two groups people. The experiment group then received 10 sessions (twice weekly) retraining of executive functions (Working Memory and Inhibitory Control), whereas in the control (placebo) group a placebo intervention like the original tasks were performed. The Fagerstrom questionnaire was again performed at post-test and in one month and two month follow up stages in both groups. Results: A repeated measure GLM: Multivariate Analysis of Variance showed significant differences between two groups in Fagerstrom in posttest and two follow up stages. Conclusion: Overall, the retraining executive functions intervention was effective on cigarette dependency and could use from this intervention in cigarette treatment programs.
Keywords
Smoking cessation
retraining of Executive Functions
working memory
Inhibition Control
Allom, Vanessa, Mullan, Barbara, & Hagger, Martin. (2016). Does inhibitory control training improve health behaviour? A meta-analysis. Health Psychology Review, 10(2), 168-186. doi: 10.1080/17437199.2015.1051078
Anokhin, A. P., & Golosheykin, S. . (2014). No-Go P3, a heritable neural marker of inhibitory control, prospectively predicts regular smoking in adolescents. International Journal of Psychophysiology, 94(2), 181. doi: http://dx.doi.org/10.1016/j.ijpsycho.2014.08.766
Ashare, R. L., Falcone, M., & Lerman, C. (2014). Cognitive function during nicotine withdrawal: Implications for nicotine dependence treatment. Neuropharmacology, 76 Pt B, 581-591. doi: 10.1016/j.neuropharm.2013.04.034
Ashare, R. L., & Hawk, L. W., Jr. (2012). Effects of smoking abstinence on impulsive behavior among smokers high and low in ADHD-like symptoms. Psychopharmacology (Berl), 219(2), 537-547. doi: 10.1007/s00213-011-2324-2
Ashare, R., Strasser, A. A., Wileyto, E. P., Cuevas, J., & Audrain-McGovern, J. (2014). Cognitive deficits specific to depression-prone smokers during abstinence. Exp Clin Psychopharmacol, 22(4), 323-331. doi: 10.1037/a0037072
Day, Anne M., Kahler, Christopher W., Metrik, Jane, Spillane, Nichea S., Tidey, Jennifer W., & Rohsenow, Damaris J. (2015). Working Memory Moderates the Association Between Smoking Urge and Smoking Lapse Behavior After Alcohol Administration in a Laboratory Analogue Task. Nicotine & Tobacco Research, 17(9), 1173-1177. doi: 10.1093/ntr/ntu259
Gorjian, Fatemeh, & Abdollahi, Mohammad Hossein. (2016). Comparison of Executive functions and the Cognitive estimation and Interpretation bias in patients with Social Anxiety disorder and normal individuals. Journal of Cognitive Psychology, 4(3), 41-50. [Persian].
Grenard, J. L., Ames, S. L., Wiers, R. W., Thush, C., Sussman, S., & Stacy, A. W. (2008). Working memory capacity moderates the predictive effects of drug-related associations on substance use. Psychol Addict Behav, 22(3), 426-432. doi: 10.1037/0893-164x.22.3.426
Gunn, Rachel L., & Finn, Peter R. (2015). Applying a dual process model of self-regulation: The association between executive working memory capacity, negative urgency, and negative mood induction on pre-potent response inhibition. Personality and Individual Differences, 75, 210-215. doi: http://dx.doi.org/10.1016/j.paid.2014.11.033
Harrison, E. L., Coppola, S., & McKee, S. A. (2009). Nicotine deprivation and trait impulsivity affect smokers' performance on cognitive tasks of inhibition and attention. Exp Clin Psychopharmacol, 17(2), 91-98. doi: 10.1037/a0015657
Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addict, 86(9), 1119-1127.
Heydari GhR. Good Time for Starting Smoking Cessation Programs. Pajoohandeh Journal. 2009;14(2):53-7. [Persian].
Hofmann, Wilhelm, Friese, Malte, & Wiers, Reinout W. (2008). Impulsive versus reflective influences on health behavior: a theoretical framework and empirical review. Health Psychology Review, 2(2), 111-137. doi: 10.1080/17437190802617668
hoseini, farhad, habibi, mojtaba, & radfar, farhad. (2015). Comparison of attachment style, perceived loneliness and mental health in smoker and nonsmoker Students. Scientific Journal Management System, 4(14), 45-61. [Persian].
Houben, K., & Jansen, A. (2015). Chocolate equals stop. Chocolate-specific inhibition training reduces chocolate intake and go associations with chocolate. Appetite, 87, 318-323. doi: 10.1016/j.appet.2015.01.005
Houben, K., Nederkoorn, C., Wiers, R. W., & Jansen, A. (2011). Resisting temptation: decreasing alcohol-related affect and drinking behavior by training response inhibition. Drug Alcohol Depend, 116(1-3), 132-136. doi: 10.1016/j.drugalcdep.2010.12.011
Jones, A., McGrath, E., Houben, K., Nederkoorn, C., Robinson, E., & Field, M. (2014). A comparison of three types of web-based inhibition training for the reduction of alcohol consumption in problem drinkers: study protocol. BMC Public Health, 14, 796. doi: 10.1186/1471-2458-14-796
Larsen, H., Kong, G., Becker, D., Cousijn, J., Boendermaker, W., Cavallo, D., . . . Wiers, R. (2014). Implicit motivational processes underlying smoking in american and dutch adolescents. Front Psychiatry, 5, 51. doi: 10.3389/fpsyt.2014.00051
Lerman, C., Gu, H., Loughead, J., Ruparel, K., Yang, Y., & Stein, E. A. (2014). Large-scale brain network coupling predicts acute nicotine abstinence effects on craving and cognitive function. JAMA Psychiatry, 71(5), 523-530. doi: 10.1001/jamapsychiatry.2013.4091
López-Torrecillas, F., Nieto-Ruiz, A., Velasco-Ortuño, S., Lara-Fernández, M., López-Quirantes, E. M., & Castillo-Fernández, E. (2014). The role of impulsivity in dropout from treatment for cigarette smoking. Comprehensive Psychiatry, 55(7), 1609-1613. doi: http://dx.doi.org/10.1016/j.comppsych.2014.06.004
Loughead, James, Wileyto, E. Paul, Ruparel, Kosha, Falcone, Mary, Hopson, Ryan, Gur, Ruben, & Lerman, Caryn. (2015). Working Memory-Related Neural Activity Predicts Future Smoking Relapse. Neuropsychopharmacology, 40(6), 1311-1320. doi: 10.1038/npp.2014.318
McClernon, F. Joseph, Addicott, Merideth A., & Sweitzer, Maggie M. (2015). Smoking Abstinence and Neurocognition: Implications for Cessation and Relapse. In D. J. K. Balfour & M. R. Munafò (Eds.), The Neurobiology and Genetics of Nicotine and Tobacco (pp. 193-227). Cham: Springer International Publishing.
Moallem, Nathasha R., & Ray, Lara A. (2012). Dimensions of impulsivity among heavy drinkers, smokers, and heavy drinking smokers: Singular and combined effects. Addictive Behaviors, 37(7), 871-874. doi: http://dx.doi.org/10.1016/j.addbeh.2012.03.002
Pettiford, Jasmine, Kozink, Rachel V., Lutz, Avery M., Kollins, Scott H., Rose, Jed E., & McClernon, F. Joseph. (2007). Increases in impulsivity following smoking abstinence are related to baseline nicotine intake and boredom susceptibility. Addictive Behaviors, 32(10), 2351-2357. doi: http://dx.doi.org/10.1016/j.addbeh.2007.02.004
Poorkord, Mahdi., & Abolghasemi, Abbas. (2013). The relationship of impulsivity, and behavioral inhibition and behavioral activation systems with tendency to substance abuse in adolescents. Scientific Journal Management System, 2(6), 5-17. [Persian].
Powell, J., Dawkins, L., West, R., Powell, J., & Pickering, A. (2010). Relapse to smoking during unaided cessation: clinical, cognitive and motivational predictors. Psychopharmacology (Berl), 212(4), 537-549. doi: 10.1007/s00213-010-1975-8
Ramezanzadeh, Fatemeh, Moradi, Alireza, & Mohammadkhani, Shahram. (2014). Effectiveness training emotion regulation skills in executive function and emotion regulation strategies of adolescents at risk. Journal of Cognitive Psychology, 2(2), 37-45. [Persian].
Stacy, A., & Wiers, R. W. (2010). Implicit cognition and addiction: a tool for explaining paradoxical behavior. Annu Rev Clin Psychol, 6. doi: 10.1146/annurev.clinpsy.121208.131444
Stippekohl, B., Winkler, M., Mucha, R. F., Pauli, P., Walter, B., Vaitl, D., & Stark, R. (2010). Neural responses to BEGIN- and END-stimuli of the smoking ritual in nonsmokers, nondeprived smokers, and deprived smokers. Neuropsychopharmacology, 35(5), 1209-1225. doi: 10.1038/npp.2009.227
Strack, F., & Deutsch, R. (2004). Reflective and impulsive determinants of social behavior. Pers Soc Psychol Rev, 8(3), 220-247. doi: 10.1207/s15327957pspr0803_1
Veling, H., van Koningsbruggen, G. M., Aarts, H., & Stroebe, W. (2014). Targeting impulsive processes of eating behavior via the internet. Effects on body weight. Appetite, 78, 102-109. doi: 10.1016/j.appet.2014.03.014
World Health Organization. Tobacco. (2016). Available from: http://www. who.int/mediacentre/factsheets/fs339/en/
World Health Organization. The Smoker’s Body. (2004). Available from: http://www.who.int/tobacco/publications/health_effects/smokers_body/en/