Abstract

Research suggests that mindfulness-practices may aid smoking cessation. Yet, the neural mechanisms underlying the effects of mindfulness-practices on smoking are unclear. Response inhibition is a main deficit in addiction, is associated with relapse, and could therefore be a candidate target for mindfulness-based practices. The current study hence investigated the effects of a brief mindfulness-practice on response inhibition in smokers using behavioral and electroencephalography (EEG) measures. Fifty participants (33 females, mean age 20 years old) underwent a protocol of cigarette exposure to induce craving (cue-exposure) and were then randomly assigned to a group receiving mindfulness-instructions or control-instructions (for 15 minutes approximately). Immediately after this, they performed a smoking Go/NoGo task, while their brain activity was recorded. At the behavioral level, no group differences were observed. However, EEG analyses revealed a decrease in P3 amplitude during NoGo vs. Go trials in the mindfulness versus control group. The lower P3 amplitude might indicate less-effortful response inhibition after the mindfulness-practice, and suggest that enhanced response inhibition underlies observed positive effects of mindfulness on smoking behavior.

Highlights

  • Cigarette smoking is the largest preventable cause of death in the world and the costs associated with it correspond to more than $300 billion a year in the United States [1, 2]

  • The present study aimed to investigate the neural mechanisms underlying the effect of a brief mindfulness-based practice on response inhibition in cigarette smokers

  • To test the effects of a mindfulness-based practice on response inhibition in an addiction context, using EEG, we investigated the effects of a previously developed brief mindfulness intervention [10] on behavioral and neural responses on a Go/NoGo task in cigarette smokers [40]

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Summary

Introduction

Cigarette smoking is the largest preventable cause of death in the world and the costs associated with it correspond to more than $300 billion a year in the United States [1, 2]. Smokers realize that smoking carries health risks, quitting smoking is notoriously hard and may require several attempts [3]. Some recent studies suggest that mindfulness-based practices are as or more effective in treatment for smoking cessation than conventional behavioral treatments such as Freedom from Smoking treatment, cognitive-behavioral approaches or 12-step programs [4,5,6,7,8,9,10,11]. Mindfulness practices involve attending to present-moment experiences, with non-judgmental and non-reactive awareness to internal and external stimuli [12].

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