Craving and substance use among patients with alcohol, tobacco, cannabis or heroin addiction: A comparison of substance- and person-specific cues

Melina Fatseas, Fuschia Serre, Jean-Marc Alexandre, Romain Debrabant, Marc Auriacombe, Joel Swendsen
Addiction. 2015-04-21; 110(6): 1035-1042
DOI: 10.1111/add.12882

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1. Addiction. 2015 Jun;110(6):1035-42. doi: 10.1111/add.12882. Epub 2015 Apr 21.

Craving and substance use among patients with alcohol, tobacco, cannabis or
heroin addiction: a comparison of substance- and person-specific cues.

Fatseas M(1)(2)(3)(4), Serre F(1)(2)(4), Alexandre JM(1)(2)(4), Debrabant
R(1)(2)(4), Auriacombe M(1)(2)(4)(5), Swendsen J(1)(3)(6).

Author information:
(1)Université Bordeaux, Bordeaux, France.
(2)Laboratoire de psychiatrie/SANPSY, CNRS USR 3413, Bordeaux, France.
(3)INCIA, CNRS UMR 5287, Bordeaux, France.
(4)Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, Bordeaux, France.
(5)Center for Studies of Addiction, Department of psychiatry, Perelman School of
Medicine, University of Pennsylvania, Phildelphia, PA, USA.
(6)Ecole Pratique des Hautes Etudes, Paris, France.

Comment in
Addiction. 2015 Jun;110(6):1043-4.

BACKGROUND AND AIMS: It is well established that craving increases following
exposure to substance-related ‘cues’, but the role of life-styles or substance
use habits that are unique to each person remains poorly understood. This study
examines the association of substance-specific and personal cues with craving and
substance use in daily life.
DESIGN: Ecological momentary assessment was used during a 2-week period.
SETTING: Data were collected in a French out-patient addiction treatment centre.
PARTICIPANTS: A total of 132 out-patients beginning treatment for alcohol,
tobacco, cannabis or opiate addiction were included.
MEASUREMENTS: Using mobile technologies, participants were questioned four times
per day relative to craving, substance use and exposure to either
substance-specific cues (e.g. seeing a syringe) or personal cues unique to that
individual (e.g. seeing the specific person with whom the substance is used).
FINDINGS: Craving intensity was associated with the number of concurrently
assessed substance-specific cues (t = 4.418, P 

Auteurs Bordeaux Neurocampus