Evidence map›Paper›PMID 26277429›Full record

ArticleDrug and alcohol dependence2015

Does laboratory cue reactivity correlate with real-world craving and smoking responses to cues?

Saul Shiffman, Xiaoxue Li, Michael S Dunbar, Hilary A Tindle, Sarah M Scholl, Stuart G Ferguson

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Do lab-based assessments of pretreatment smoking reinforcement and cue-specific craving predict smoking cessation with varenicline?Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
    Trial
  3. Trial
  4. Attentional Bias During a Novel Alcohol Cue Virtual Reality Paradigm.Alcohol, clinical & experimental research · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. A Person-Centered Analysis of Craving in Smoking-Cue-Exposure Research.Clinical psychological science : a journal of the Association for Psychological Science · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. [Effect of clinical characteristics on relapse of alcohol dependence: a prospective cohort study].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2019
    Article
  16. The Attentional Bias in Current and Former Smokers.Frontiers in behavioral neuroscience · 2019
    Article
  17. Exacerbated Craving in the Presence of Stress and Drug Cues in Drug-Dependent Patients.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Observational
  18. Article
  19. Beyond Cue Reactivity: Non-Drug-Related Motivationally Relevant Stimuli Are Necessary to Understand Reactivity to Drug-Related Cues.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Saul ShiffmanDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA 15213, USA. Electronic address: shiffman@pitt.edu.
Xiaoxue LiDepartment of Biostatistics, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Michael S DunbarDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Hilary A TindleDivision of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Sarah M SchollDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Stuart G FergusonSchool of Medicine, University of Tasmania, Hobart, Australia.

Funding

University of Pittsburgh Clinical and Translational Science InstitutionKL2RR024154 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$22.2M
Connect to Quit: Coordinated Care for Smoking Cessation among Low Income VeteransR01CA141596 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TINDLE, HILARY A. · 2010 to 2014
$3.0M
Understanding Emerging Patterns of Non-Daily Smoking: Field and Lab AssessmentsR01DA020742 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SHIFFMAN, SAUL · 2006 to 2010
$2.8M
EDUCATION PROGRAMS IN CANCER PREVENTIONR25CA057703 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WEISSFELD, JOEL L · 1992 to 2010
$2.1M
NCI NIH HHS R01 CA141596NCI NIH HHS R01-CA141596-02NCI NIH HHS R25 CA057703NCI NIH HHS R25-CA057703-15NCRR NIH HHS KL2 RR024154NCRR NIH HHS KL2-RR024154-03NIDA NIH HHS R01 DA020742NIDA NIH HHS R01-DA020742
6 · The paper itself

Abstract

backgroundLaboratory cue reactivity (CR) assessments are used to assess smokers' responses to cues. Likewise, EMA recording is used to characterize real-world response to cues. Understanding the relationship between CR and EMA responses addresses the ecological validity of CR.

methodsIn 190 daily smokers not currently quitting, craving and smoking responses to cues were assessed in laboratory CR and by real-world EMA recording. Separate CR sessions involved 5 smoking-relevant cues (smoking, alcohol, negative affect, positive affect, smoking prohibitions), and a neutral cue. Subjects used EMA to monitor smoking situations for 3 weeks, completing parallel situational assessments (presence of others smoking, alcohol consumption, negative affect, positive affect, and smoking prohibitions, plus current craving) in smoking and non-smoking occasions (averaging 70 and 60 occasions each). Analyses correlated CR craving and smoking cue responses with EMA craving and smoking correlations with similar cues.

resultsAlthough some cues did not show main effects on average craving or smoking, a wide range of individual differences in response to cues was apparent in both CR and EMA data, providing the necessary context to assess their relationship. Laboratory CR measures of cue response were not correlated with real-world cue responses assessed by EMA. The average correlation was 0.03; none exceeded 0.32. One of 40 correlations examined was significantly greater than 0.

conclusionsLaboratory CR measures do not correlate with EMA-assessed craving or smoking in response to cues, suggesting that CR measures are not accurate predictors of how smokers react to relevant stimuli in the real world.

Indexed as

CravingCuesEnvironmentLaboratoriesAdultFemaleHumansIndividualityMaleMiddle AgedSmokingYoung AdultCravingCue reactivityEcological Momentary AssessmentEcological validitySmoking

Identifiers

PMID26277429
PMCPMC4581999

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.