Open AccessAnhedonia in tobacco withdrawal among African-American smokers.
Author(s) -
Madalyn M. Liautaud,
Afton Kechter,
Mariel S. Bello,
Casey R. Guillot,
Jason A. Oliver,
Devin E. Banks,
Lina M D'Orazio,
Adam M. Leventhal
Publication year - 2021
Publication title -
experimental and clinical psychopharmacology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.066
H-Index - 92
eISSN - 1936-2293
pISSN - 1064-1297
DOI - 10.1037/pha0000474
Subject(s) - anhedonia , pleasure , craving , psychology , affect (linguistics) , nicotine withdrawal , nicotine , clinical psychology , developmental psychology , psychiatry , addiction , neuroscience , communication
Anhedonia-diminished interest and pleasure in response to rewards-may be a symptom of tobacco withdrawal that is understudied in priority populations. This experiment investigated the magnitude and correlates of various dimensions of anhedonia during tobacco withdrawal among African-American (AA) smokers-a population subject to health disparities. AA smokers ( N = 607; ≥ 10 cigarettes/day, 37.8% female, M [SD] age = 50.0[10.6] years) completed self-report measures assessing expected pleasure from (i.e., consummatory anhedonia) and desire to engage in (i.e., anticipatory anhedonia) various types of hypothetically experienced rewards at counterbalanced 16-hr tobacco deprived and nondeprived lab visits. Other tobacco withdrawal symptom measures (e.g., craving, negative affect, hunger) were also assessed. Tobacco deprivation most robustly increased scores on a composite measure of consummatory anhedonia directed toward various reward domains (i.e., hobbies, sensory experiences, social activities; d = .32, p < .001). Deprivation modestly increased consummatory and anticipatory anhedonia directed toward sexual rewards ( d s = .09-.12, p s < .02), did not significantly change anhedonia toward food rewards, and decreased anhedonia directed toward psychoactive drug rewards (i.e., increased desire for and pleasure from drugs; d s = -.21 to -.19, p s < .001). Deprivation-induced changes in anhedonia were modestly correlated with other withdrawal symptoms (average | r |s = .04-.23) and were amplified among participants with higher nicotine dependence and lower positive affect-related traits (|β|s = .10-.12, p s < .01). Some dimensions of anhedonia may be genuine expressions of acute tobacco withdrawal in AA smokers. Applying multi-dimensional anhedonia conceptualizations might advance basic knowledge and treatment of tobacco use disorder, improve smoking cessation outcomes, and address tobacco-related health disparities facing AA smokers. (PsycInfo Database Record (c) 2021 APA, all rights reserved).