Exposure to Olfactory Alcohol Cues During Non-rapid Eye Movement Sleep Did Not Decrease Craving in Patients With Alcohol Dependence

Background and ObjectivesCue exposure therapy (CET) has been used to reduce alcohol use, but the effect of CET during sleep on alcohol dependence (AD) is unclear. The present study examined the effect of repeated exposure to an olfactory stimulus during non-rapid eye movement (NREM) sleep on cue rea...

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Main Authors: Ran Zhu, Zhaojun Ni, Ran Tao, Jun Cheng, Liangjun Pang, Shun Zhang, Yang Zhang, Yanxue Xue, Yundong Ma, Wei Sun, Lin Lu, Jiahui Deng, Hongqiang Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.837573/full
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author Ran Zhu
Zhaojun Ni
Ran Tao
Jun Cheng
Liangjun Pang
Shun Zhang
Yang Zhang
Yanxue Xue
Yundong Ma
Wei Sun
Lin Lu
Lin Lu
Lin Lu
Jiahui Deng
Hongqiang Sun
author_facet Ran Zhu
Zhaojun Ni
Ran Tao
Jun Cheng
Liangjun Pang
Shun Zhang
Yang Zhang
Yanxue Xue
Yundong Ma
Wei Sun
Lin Lu
Lin Lu
Lin Lu
Jiahui Deng
Hongqiang Sun
author_sort Ran Zhu
collection DOAJ
description Background and ObjectivesCue exposure therapy (CET) has been used to reduce alcohol use, but the effect of CET during sleep on alcohol dependence (AD) is unclear. The present study examined the effect of repeated exposure to an olfactory stimulus during non-rapid eye movement (NREM) sleep on cue reactivity and craving in patients with AD.MethodsThirty-five patients with AD were enrolled according to the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). All the subjects were randomly assigned to the experimental or control group. The experimental group was exposed to alcohol odor for 10 min during NREM sleep. The other group (controls) was exposed to water [control stimulus (CtrS)] for 10 min during NREM sleep. Demographic, alcohol-related, and clinical characteristics were collected at baseline. A cue-reactivity test was conducted before and after exposure to evaluate the effect of memory manipulation on acute response to an alcohol stimulus.ResultsThere were no significant time × group interactions according to the visual analog scale (VAS) score of craving intensity, skin conductance response (SCR), systolic blood pressure (SBP), and diastolic blood pressure (DBP; all p > 0.05). Two-way ANOVA showed significant main effects of time on SCR [F(1,33) = 4.453, p = 0.043], SBP [F(1,33) = 14.532, p = 0.001], DBP [F(1,33) = 8.327, p = 0.007], Craving-VAS [F(1,33) = 1.997, p = 0.167] in two groups.ConclusionExposure to olfactory alcohol cues during NREM sleep had no significant effect on alcohol craving in subjects with AD during hospitalization.
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spelling doaj.art-8b8331ba2e1d46569194aca37854c59a2022-12-22T02:41:30ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-04-011310.3389/fpsyt.2022.837573837573Exposure to Olfactory Alcohol Cues During Non-rapid Eye Movement Sleep Did Not Decrease Craving in Patients With Alcohol DependenceRan Zhu0Zhaojun Ni1Ran Tao2Jun Cheng3Liangjun Pang4Shun Zhang5Yang Zhang6Yanxue Xue7Yundong Ma8Wei Sun9Lin Lu10Lin Lu11Lin Lu12Jiahui Deng13Hongqiang Sun14NHC Key Laboratory of Mental Health, Peking University Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing, ChinaNHC Key Laboratory of Mental Health, Peking University Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing, ChinaNHC Key Laboratory of Mental Health, Peking University Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing, ChinaAnhui Mental Health Center, Hefei, ChinaAnhui Mental Health Center, Hefei, ChinaKailuan Mental Health Center, Tangshan, ChinaNHC Key Laboratory of Mental Health, Peking University Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing, ChinaNational Institute on Drug Dependence, Peking University, Beijing, ChinaNHC Key Laboratory of Mental Health, Peking University Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing, ChinaNHC Key Laboratory of Mental Health, Peking University Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing, ChinaNHC Key Laboratory of Mental Health, Peking University Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing, ChinaNational Institute on Drug Dependence, Peking University, Beijing, ChinaPeking-Tsinghua Center for Life Sciences, PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing, ChinaNHC Key Laboratory of Mental Health, Peking University Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing, ChinaNHC Key Laboratory of Mental Health, Peking University Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing, ChinaBackground and ObjectivesCue exposure therapy (CET) has been used to reduce alcohol use, but the effect of CET during sleep on alcohol dependence (AD) is unclear. The present study examined the effect of repeated exposure to an olfactory stimulus during non-rapid eye movement (NREM) sleep on cue reactivity and craving in patients with AD.MethodsThirty-five patients with AD were enrolled according to the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). All the subjects were randomly assigned to the experimental or control group. The experimental group was exposed to alcohol odor for 10 min during NREM sleep. The other group (controls) was exposed to water [control stimulus (CtrS)] for 10 min during NREM sleep. Demographic, alcohol-related, and clinical characteristics were collected at baseline. A cue-reactivity test was conducted before and after exposure to evaluate the effect of memory manipulation on acute response to an alcohol stimulus.ResultsThere were no significant time × group interactions according to the visual analog scale (VAS) score of craving intensity, skin conductance response (SCR), systolic blood pressure (SBP), and diastolic blood pressure (DBP; all p > 0.05). Two-way ANOVA showed significant main effects of time on SCR [F(1,33) = 4.453, p = 0.043], SBP [F(1,33) = 14.532, p = 0.001], DBP [F(1,33) = 8.327, p = 0.007], Craving-VAS [F(1,33) = 1.997, p = 0.167] in two groups.ConclusionExposure to olfactory alcohol cues during NREM sleep had no significant effect on alcohol craving in subjects with AD during hospitalization.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.837573/fullalcohol dependencesleepcue exposure therapycravingalcohol odor
spellingShingle Ran Zhu
Zhaojun Ni
Ran Tao
Jun Cheng
Liangjun Pang
Shun Zhang
Yang Zhang
Yanxue Xue
Yundong Ma
Wei Sun
Lin Lu
Lin Lu
Lin Lu
Jiahui Deng
Hongqiang Sun
Exposure to Olfactory Alcohol Cues During Non-rapid Eye Movement Sleep Did Not Decrease Craving in Patients With Alcohol Dependence
Frontiers in Psychiatry
alcohol dependence
sleep
cue exposure therapy
craving
alcohol odor
title Exposure to Olfactory Alcohol Cues During Non-rapid Eye Movement Sleep Did Not Decrease Craving in Patients With Alcohol Dependence
title_full Exposure to Olfactory Alcohol Cues During Non-rapid Eye Movement Sleep Did Not Decrease Craving in Patients With Alcohol Dependence
title_fullStr Exposure to Olfactory Alcohol Cues During Non-rapid Eye Movement Sleep Did Not Decrease Craving in Patients With Alcohol Dependence
title_full_unstemmed Exposure to Olfactory Alcohol Cues During Non-rapid Eye Movement Sleep Did Not Decrease Craving in Patients With Alcohol Dependence
title_short Exposure to Olfactory Alcohol Cues During Non-rapid Eye Movement Sleep Did Not Decrease Craving in Patients With Alcohol Dependence
title_sort exposure to olfactory alcohol cues during non rapid eye movement sleep did not decrease craving in patients with alcohol dependence
topic alcohol dependence
sleep
cue exposure therapy
craving
alcohol odor
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.837573/full
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