The approach-avoidance task as an online intervention in cigarette smoking: a pilot study
Charlotte E Wittekind1, Ansgar Feist1, Brooke C Schneider1
1University Medical Center Hamburg-Eppendorf, Department of Psychiatry and Psychotherapy, Martinistraße 52, 20246 Hamburg, Germany.
Journal of Behavior Therapy and Experimental Psychiatry
|October 13, 2014
Summary
The standard Approach-Avoidance Task (AAT) effectively reduced smoking, dependence, and cravings in an online intervention. This cognitive retraining shows promise for tobacco cessation.
Area of Science:
- Behavioral Psychology
- Addiction Science
- Cognitive Neuroscience
Background:
- Addictive behaviors are linked to strong automatic processes.
- Implicit measures can assess these automatic processes.
- Cognitive bias modification aims to retrain automatic tendencies.
Purpose of the Study:
- To investigate the Approach-Avoidance Task (AAT) for retraining automatic behavioral tendencies in smokers.
- To assess the efficacy of an online AAT intervention for smoking cessation.
Main Methods:
- 257 smokers participated in an online intervention.
- Random allocation to either a standard AAT, AAT with feedback, or waitlist control.
- Participants used mouse actions (push/pull) to interact with smoking-related and neutral images.
- Intervention lasted four weeks with online re-assessment.
Main Results:
- The standard AAT significantly reduced cigarette consumption, dependence, and compulsive urges.
- No significant effects were observed in the control group.
- The AAT with feedback did not yield significant results compared to the standard AAT.
Conclusions:
- The standard Approach-Avoidance Task (AAT) shows potential as an online intervention for reducing tobacco dependence.
- Limitations include the absence of an active control group.
- Future research should explore combining AAT with existing behavior therapies.
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