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This project tests two hypotheses concerning the low smoking cessation rates in smokers with schizophrenia. The first hypothesis is that smokers with schizophrenia experience stronger and more sustained effects of smoking abstinence on negative mood and smoking urge than control smokers without psychiatric illness. The second hypothesis is that smokers with schizophrenia experience stronger reinforcing effects of a smoking lapse (i.e., more rewarding effects of smoking after a period of abstinence) than control smokers without psychiatric illness.
In this study, smokers with schizophrenia and smokers without psychiatric illness participate in a nicotine preference task before and after a 3-day period of continuous smoking abstinence. The investigators will experimentally control abstinence by providing participants with high-value cash incentives contingent upon smoking abstinence verified with breath carbon monoxide levels. The investigators will measure nicotine withdrawal and smoking urge during the abstinence period. In the nicotine preference task, participants will make choices between nicotine-containing and denicotinized cigarette puffs to provide a measure of nicotine reinforcement, and the investigators will also measure the effects of smoking on mood. After the second nicotine preference task, participants will receive a small-value reinforcer if they continue to abstain for another day, and the investigators will measure time to the second lapse.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| schizophrenia | Experimental | Smokers with schizophrenia or schizoaffective disorder |
|
| non-psychiatric | Other | smokers without psychiatric illness |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| smoking abstinence | Behavioral | 3 days of biologically-confirmed smoking abstinence |
|
| Measure | Description | Time Frame |
|---|---|---|
| Withdrawal symptoms | negative mood related to nicotine withdrawal | 3 days |
| urge to smoke | craving for smoking | 3 days |
| nicotine preference | choice for nicotine puffs versus denicotinized cigarette puffs | before and after 3 days of abstinence |
| positive and negative mood | positive and negative mood scale | before and after 3 days of abstinence |
| Measure | Description | Time Frame |
|---|---|---|
| time to lapse | time between smoking behavior in the laboratory and first cigarette outside of the laboratory | 192 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jennifer Tidey, Ph.D. | Brown University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brown University, 121 South Main Street | Providence | Rhode Island | 02912 | United States |
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| ID | Term |
|---|---|
| D014029 | Tobacco Use Disorder |
| D012559 | Schizophrenia |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
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| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |