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In spite of the overwhelming scientific evidence for a link between cigarette smoking and numerous chronic diseases, American continue to smoke.  Over 400,000 Americans die each year from smoking, with 134,235 of those deaths due to coronary heart disease.  Past research has shown that although nicotine administration is a necessary factor, it is not solely responsible for maintaining smoking behavior.  Therefore, the goal of the present study is to investigate key nonpharmacological factors that may perpetuate smoking behavior and hinder individuals' efforts to quit.  Past research has demonstrated that when smokers are confronted with cues previously linked with past cigarette use, they react subjectively, physiologically, and behaviorally in ways that might mediate or motivate smoking behavior.  Indeed, several theories of drug use purport that confrontation with salient drug-related cues should evoke strong reactivity across multiple domains of functioning.  However, while subjective responding to smoking-related cues in the lab is typically quite robust, physiological responding remains relatively weak, suggesting that the cues used in past studies may not be those to which smokers are optimally reactive.  Thus, our ability to obtain clear patterns of reactivity and thereby understand their form and function in the perpetuation of smoking behavior, has been limited by researchers' inabilities to evoke strong physiological responses in the lab.  Likewise, we have been unable to determine links between patterns of reactivity and smoking use, abstinence, and /or relapse.  In an effort to better capture the cues to which smokers will be most responsive, both subjectively and physiologically, the present investigation will have smokers generate their own battery of pictorial cues.  using cameras, smokers will be instructed to capture on film the cues/environments in which they
. smoke throughout the week, as well a those in which they do not smoke.  Using those pictures, smokers will be exposed to personal, as well as standard, smoking and smoking-neutral stimuli within a cue-reactivity paradigm.  Subjective and physiological measures of reactivity will be assessed.  This work will provide a methodologically innovate means of evoking and studying reactivity to smoking cues in the laboratory.  In addition, this work will allow for the determination of key correlations between smokers' current behavior, past quit experiences, and reactivity to cues.
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  12/7/2005  tc

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