Alcohol related mental imagery: The effects of a priming dose in at risk drinkers

Michael Yates, Sunjeev K Kamboj, Michael Yates, Sunjeev K Kamboj

Abstract

Objectives: Drug related mental imagery is proposed to play a central role in addictive behaviour. However, little is known about such cognition or how it is pharmacologically modulated. Here, we test theoretical predictions of the 'elaborated intrusion' theory by comparing neutral with alcohol related mental imagery, and examine the effects of low dose alcohol on phenomenological aspects of this imagery.

Methods: Alcohol related and neutral imagery was assessed after at risk drinkers (n = 40) consumed alcohol (0.3 g/kg) or placebo, in a crossover design. Sensory and visuospatial qualities of imagery, along with associated craving, positive affect and 'mind wandering' were assessed.

Results: Alcohol related mental imagery was rated as more vivid and sensorially rich, effects that were larger following the priming dose of alcohol. In addition, mind wandering was substantially lower during alcohol versus neutral imagery, especially after alcohol consumption. First person perspective was more prevalent for alcohol imagery after alcohol, although the Drink × Imagery type interaction did not reach statistical significance. However, first person imagery was associated with higher levels of craving during alcohol related imagery.

Conclusions: Alcohol related mental imagery differs phenomenologically from neutral imagery on a number of dimensions. Priming with alcohol may enable cognitive elaboration by biasing the output of controlled cognitive processing towards enhanced sensory elaboration and increased attention to alcohol related cognition. These feedforward effects may be involved in focusing cognitive and behavioural resources on alcohol acquisition/consumption through the elaboration and rehearsal of relevant goals and plans.

Keywords: Alcohol; Alcohol priming; Craving; Elaborated intrusion theory; Mental imagery; Mind wandering.

Figures

Fig. 1
Fig. 1
Mean (± SEM) scores for mind wandering retrospectively rated immediately after neutral and alcohol related mental imagery after placebo (dashed line) and alcohol (solid black line).

References

    1. Connor J.P., Kavanagh D.J., Andrade J., May J., Feeney G.F., Gullo M.J.…Previte J. Alcohol consumption in young adults: The role of multisensory imagery. Addictive Behaviors. 2014;39:721–724.
    1. Cooper M.L. Motivations for alcohol use among adolescents: Development and validation of a four-factor model. Psychological Assessment. 1994;6:117–128.
    1. Dry M.J., Burns N.R., Nettelbeck T., Farquharson A.L., White J.M. Dose-related effects of alcohol on cognitive functioning. PloS One. 2012;7
    1. Finnigan F., Schulze D., Smallwood J. Alcohol and the wandering mind: A new direction in the study of alcohol on attentional lapses. International Journal on Disability and Human Development. 2007;6:189–200.
    1. Kavanagh D.J., Andrade J., May J. Imaginary relish and exquisite torture: The elaborated intrusion theory of desire. Psychological Review. 2005;112:446–467.
    1. Kavanagh D.J., May J., Andrade J. Tests of the elaborated intrusion theory of craving and desire: Features of alcohol craving during treatment for an alcohol disorder. British Journal of Clinical Psychology. 2009;48:241–254.
    1. Kavanagh D., May J., Andrade J. Sensory imagery in craving: From cognitive psychology to new treatments for addiction. Journal of Experimental Psychopathology. 2012;3:127–145.
    1. King A.C., Byars J.A. Alcohol-induced performance impairment in heavy episodic and light social drinkers. Journal of Studies on Alcohol. 2004;65:27–36.
    1. May J., Andrade J., Kavanagh D.J. An imagery based road map to tackle maladaptive motivation in clinical disorders. Frontiers in Psychiatry. 2015;6:14.
    1. May J., Andrade J., Panabokke N., Kavanagh D. Images of desire: Cognitive models of craving. Memory. 2004;12:447–461.
    1. Paulus M.P., Stewart J.L. Interoception and drug addiction. Neuropharmacology. 2014;76:342–350.
    1. Reisberg D., Pearson D.G., Kosslyn S.M. Intuitions and introspections about imagery: The role of imagery experience in shaping an investigator's theoretical views. Applied Cognitive Psychology. 2003;17:147–160.
    1. Saunders J.B., Aasland O.G., Babor T.F., De la Fuente J.R., Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction. 1993;88:791–804.
    1. Sayette M.A., Reichle E.D., Schooler J.W. Lost in the sauce: The effects of alcohol on mind wandering. Psychological Science. 2009;20:747–752.
    1. Sayette M.A., Schooler J.W., Reichle E.D. Out for a smoke the impact of cigarette craving on zoning out during reading. Psychological Science. 2010;21:26–30.
    1. Singleton E., Henningfield J., Tiffany S. NIDA Addiction Research Centre; Baltimore: 1994. Alcohol craving questionnaire: ACQ-Now: Background and administration manual.
    1. Statham D.J., Connor J.P., Kavanagh D.J., Feeney G.F., Young R.M.D., May J., Andrade J. Measuring alcohol craving: Development of the alcohol craving experience questionnaire. Addiction. 2011;106:1230–1238.
    1. Steele C.M., Josephs R.A. Alcohol myopia: Its prized and dangerous effects. American Psychologist. 1990;45:921–933.
    1. Tiggemann M., Kemps E. The phenomenology of food cravings: The role of mental imagery. Appetite. 2005;45:305–313.
    1. Wallace-Hadrill S.M., Kamboj S.K. The impact of perspective change as a cognitive reappraisal strategy on affect: A systematic review. Frontiers in Psychology. 2016;7:1715.
    1. Watson D., Clark L.A. The PANAS-X: Manual for the positive and negative affect schedule-expanded form. 1999. (retrieved on 1/2/17)
    1. West R., Hajek P. Evaluation of the mood and physical symptoms scale (MPSS) to assess cigarette withdrawal. Psychopharmacology. 2004;177:195–199.
    1. Winfield H., Kamboj S.K. Schizotypy and mental time travel. Consciousness and Cognition. 2010;19:321–327.

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