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Age differences in using source-relevant cues.

Subjects heard words originating from 2 speakers and later decided which of the 2 speakers said the words. Older adults had difficulty with source monitoring when perceptual cues from 2 sources were similar (2 female speakers), but this difficulty was overcome when perceptual cues were distinctive (a male and a female speaker) and were the only salient cues to source. Older adults also benefited from distinctive spatial cues when these were the only salient cues to source. Older adults, however, experienced difficulties in using multiple cues (both perceptual and spatial) to source effectively, whereas younger adults were able to use multiple cues to enhance their source-monitoring performance. It is suggested that age differences in source monitoring result from differential cue utilization.

Adult↗

Smoking cues decrease prepulse inhibition of the startle response and increase subjective craving in humans.

The present study investigated whether exposure to smoking cues would attenuate prepulse inhibition (PPI) of the startle reflex and increase craving among smokers across 2 experimental sessions. It was hypothesized that exposure to smoking cues would result in a decrease in PPI. Twenty-six smokers were exposed to smoking cues and control cues in 2 experimental sessions 1 week apart. Results indicate that smoking cues reliably attenuated PPI in both the 1st and 2nd sessions as compared with control cues. Findings also suggest that smoking cues reliably increased craving, increased negative affect, and reduced positive affect relative to baseline measures in both sessions. Results are consistent with the premise that exposure to smoking cues precipitates increases in dopamine activation or changes in information processing that cause a disruption of PPI.

Adolescent↗

Cue-provoked craving and nicotine replacement therapy in smoking cessation.

Cue exposure paradigms have been used to examine reactivity to smoking cues. However, it is not known whether cue-provoked craving is associated with smoking cessation outcomes or whether cue reactivity can be attenuated by nicotine replacement therapy (NRT) in clinical samples. Cue-provoked craving ratings and reaction time responses were measured on the 1st day of abstinence among 158 smokers who had been randomized to high-dose nicotine (35 mg) or placebo patch. The nicotine patch reduced overall levels of craving but did not attenuate cue-provoked craving increases or reaction time responses. Cue-provoked craving predicted relapse among participants on the nicotine patch but not among those on placebo. In summary, NRT users could benefit from treatment that attenuates cue-provoked craving.

Administration, Cutaneous↗

Integration of multiple speech segmentation cues: a hierarchical framework.

A central question in psycholinguistic research is how listeners isolate words from connected speech despite the paucity of clear word-boundary cues in the signal. A large body of empirical evidence indicates that word segmentation is promoted by both lexical (knowledge-derived) and sublexical (signal-derived) cues. However, an account of how these cues operate in combination or in conflict is lacking. The present study fills this gap by assessing speech segmentation when cues are systematically pitted against each other. The results demonstrate that listeners do not assign the same power to all segmentation cues; rather, cues are hierarchically integrated, with descending weights allocated to lexical, segmental, and prosodic cues. Lower level cues drive segmentation when the interpretive conditions are altered by a lack of contextual and lexical information or by white noise. Taken together, the results call for an integrated, hierarchical, and signal-contingent approach to speech segmentation.

Cues↗

Increased fear response to contextual cues in mice lacking the 5-HT1A receptor.

Serotonin 1A receptor knockout (5-HT1AR KO) mice exhibit increased behavioral inhibition in conflict tests. To gain further insight into their anxiety-related phenotype, we subjected these mice to additional behavioral tests. First, we considered whether behavioral inhibition in these knockout mice is a consequence of reduced exploratory motivation. The knockout mice engage in normal exploration during a light-dark test and normal exploration of a novel object in a familiar environment, suggesting that the anxiety-related phenotype is not due to reduced exploratory drive. Second, we tested whether these mice exhibit increased behavioral inhibition in response to any aversive cues, or whether this response depends on cue modality. Knockout mice respond normally to discrete aversive cues in the Vogel lick-suppression test, arguing that their phenotype is restricted to conflict tests based on complex or spatial aversive cues. Third, to probe the processing of spatial aversive cues, we assessed fear conditioning to contextual cues. After contextual fear conditioning, knockout and wild-type (WT) mice express freezing responses when exposed to the training environment. However, when placed in an ambiguous environment containing both conditioned and novel cues, the freezing response of knockout mice does not significantly decrease as it does in WT mice, suggesting that the knockout fear response is biased toward threatening cues. We hypothesize that this inappropriate generalization of fearful behavior to a context containing both fearful and neutral stimuli, a phenomenon that occurs in a subset of human anxiety disorders such as panic disorder and post-traumatic stress disorder, underlies the anxiety phenotype of 5-HT1AR KO mice.

Animals↗

Abstinence-induced changes in self-report craving correlate with event-related FMRI responses to smoking cues.

Drug cues have been shown to activate brain regions involved in attention, motivation, and reward in addicted users. However, as studies have typically measured responses in only one state (ie drug abstinence), it is unclear whether observed activations represent amplification by abstinence or stable responses. Thus, the present study was designed to evaluate the stability of event-related responses to visual drug cues in dependent smokers (n=13) using event-related functional magnetic resonance imaging measures. Imaging was conducted following smoking as usual and following overnight abstinence, and self-reported craving measures were obtained before, during, and after scanning. Analysis of hemodynamic response (HDR) amplitudes in each of 13 regions of interest revealed larger responses to smoking compared to control cues in ventral anterior cingulate gyrus (vACG) and superior frontal gyrus. Responses to smoking cues in these and all other regions revealed no effects of abstinence/satiety, thus supporting the notion that cue-elicited brain responses are relatively stable. However, while the abstinence manipulation did not alter group-level responses to smoking cues, at the individual level, abstinence-induced changes in craving (abstinence minus satiety) were positively correlated with changes in HDR amplitude to smoking cues in frontal regions including left inferior frontal gyrus, left vACG, and bilateral middle frontal gyrus. These results suggest that brain responses to smoking cues, while relatively stable at the group level following short-term abstinence, may be modulated by individual differences in craving in response to abstinence-particularly in regions subserving attention and motivation.

Adult↗

AMPA-receptor GluR1 subunits are involved in the control over behavior by cocaine-paired cues.

The learning processes underlying the formation of drug-cue associations involve changes in synaptic transmission mediated by AMPA receptors. Here, we examine the consequences of targeted deletion of the gene encoding GluR1 subunits of AMPA receptors (gria1 knockouts (KO)) on cocaine self-administration and on the ability of cocaine-paired cues to affect cocaine-seeking in mice. Cocaine self-administration was unaffected by gria1 deletion, as was the ability of a cocaine-paired cue to reinstate responding following extinction, following either a 3 or a 66 day delay. However, gria1 KOs over-responded during extinction. The KOs were unable initially to learn a new response to access a cue previously conditioned to cocaine (conditioned reinforcement (CR)), although a second test 2 months later revealed that this was a transient deficit. These studies indicate that GluR1-containing AMPA-receptors are not involved in cocaine self-administration, cue-induced reinstatement of cocaine seeking, or incubation of the cocaine seeking response. In order to understand the specificity of the deficits in CR responding, a parallel study was performed with food reward. As with cocaine, there were no effects of gria1 deletion on food self-administration or cue-induced reinstatement, and KOs over-responded during extinction. However, even immediately after instrumental training for food, KO mice demonstrated responding for CR, suggesting that the CR deficit observed with a cocaine cue is specific to drug reward. These data indicate that GluR1-containing AMPA receptors are important in stimulus reward learning, though the method of cue-reward association formation, the reward class, and the behavioral end point are critical variables in determining their involvement.

Animals↗

Using cue reactivity to evaluate medications for treatment of cocaine dependence: a critical review.

AIMS: The aim of this article is to examine the validity of a cue-reactivity paradigm for evaluating medications to treat cocaine dependence and to critically review cocaine pharmacotherapy studies that use this method. METHODS: A Medline computerized search was performed to identify randomized, controlled medication studies for cocaine dependence that employed a cue-reactivity paradigm. Relevant bibliographies of these articles were also reviewed. Eleven placebo-controlled studies were identified in the English language literature. Four of these studies used agents that block dopaminergic neurotransmission, two studies used agents that modify the serotonergic system, and two studies used nicotinergic agents. The other three studies employed a mood stabilizer, an opioid antagonist or a psychostimulant. RESULTS: There has been little research examining the theoretical basis of the cue-reactivity model, as applied to the screening of medications to treat cocaine dependence. From a methodological viewpoint, most studies have shown that exposure to cocaine-related stimuli increases subjective and physiological reactivity in cocaine-dependent patients, but methods used to present the cues and to measure cue reactivity have not been consistent across studies. Similarly, the observed increase in subjective and physiological reactivity to cocaine cues has varied within and across studies. CONCLUSIONS: If a cocaine cue-reactivity paradigm is to be used to evaluate medications for treatment of cocaine dependence, the validity of the model must first be demonstrated and a consistent methodology for cue presentation and measurement of responses must be developed.

Cholinergic Agents↗

Critical care cardiovascular nurse expert and novice diagnostic cue utilization.

AIM: Critical care cardiovascular (CCCV) nursing diagnostic expertise was the focus of this research. The purpose of the study was to compare diagnostic cue utilization between expert and novice CCCV nurses. BACKGROUND: Knowledge related to objective measures of clinical nursing diagnostic expertise would enhance effective and efficient recognition, utilization, and reward of clinical expertise. METHODS: Five CCCV written simulations served as instruments in the study. Diagnostic content areas included left ventricular dysfunction, cardiac tamponade, sepsis, right ventricular failure, and hypovolemia related to internal abdominal haemorrhage. The sample was composed of 23 expert and 23 novice nurses. After reading each simulation, subjects were asked to verbally recall the simulation, give an impression of the predominant problem or diagnosis, and give a diagnostic explanation. Verbal recalls were audio-taped for protocol analysis. Diagnostic accuracy and cue utilization were determined through comparisons of subjects' recalled diagnoses and cues with results from an expert panel review consensus. The major variable was the mean recalled proportion of highly relevant cues to total cues (HRC/TC) on accurately diagnosed simulations. Chi-square analysis revealed that diagnostic accuracy was greater with experts than with novices. Differences between and among simulations, expertise, accuracy and the mean proportion of highly relevant cues to total cues were examined with a 4 x 2 x 2 factorial analysis of variance. RESULTS: When considering all accurately diagnosed simulations, experts had a higher HRC/TC than novices. The major limitations were the use of low fidelity written simulations and virgin verbal protocol methods. CONCLUSION: The findings generally support the idea that the development of diagnostic expertise is associated with the ability to focus on highly relevant cues.

Adult↗

Influence of cue-conditioning on acquisition, maintenance and relapse of cocaine intravenous self-administration.

Conditioning theories propose that, through a Pavlovian associative process, discrete stimuli acquire the ability to elicit neural states involved in the maintenance and relapse of a drug-taking behaviour. Experimental evidence indicates that drug-related cues play a role in relapse, however, their influence on the development and maintenance of drug self-administration has been poorly investigated. In this report, we analysed the effects of a drug-associated cue light on acquisition, maintenance and reinstatement of intravenous cocaine self-administration. The results show that a cocaine-associated cue light can act as an incentive in absence of the drug, but does not directly modify drug-reinforcing effects. Contingent and non-contingent presentations of a cocaine-associated cue light reinstated an extinguished self-administration behaviour. However, regardless of whether or not a cue light was associated with cocaine infusions, rats acquire cocaine intravenous self-administration reaching the same levels of intake. Furthermore, after self-administration has been acquired in presence of the cue light, the omission of the cue light or its non-contingent presentation did not modify rat behaviour. In conclusion, our work shows that cocaine-associated explicit cues do not directly interfere with the reinforcing effects of the drug.

Animals↗

Interactions between orientation and contrast modulations suggest limited cross-cue linkage.

Recent studies of texture segmentation and second-order vision have proposed very similar models for the detection of orientation modulation and contrast modulation (OM and CM). From the similarity of the models it is tempting to assume that the two cues might be processed by a single generalised texture mechanism; however, recent results (Kingdom et al, 2003 Visual Neuroscience 2 65-76) have suggested that these cues are detected independently, or at least in a mechanism that is able to maintain an apparent independence between the cues. We tested new combinations of OM and CM and found that CM at 0.4 cycle deg(-1) facilitates the detection of OM at 0.2 cycle deg(-1) when the peaks of contrast align with the extremes of orientation. There is also some evidence of weak facilitation of CM by OM under the same conditions. Further, this facilitation can be predicted by filter--rectify--filter channels optimised for the detection of each cue, adding weight to the argument that texture cues are processed in a single generalised mechanism that nonetheless achieves cue independence or near-independence in many circumstances. We also found that the amount of suprathreshold masking produced by an orientation cue depends on the overall percept formed by that cue.

Computational Biology↗

Functions of external cues in prospective memory.

A simulation of an air traffic control task was the setting for an investigation of the functions of external cues in prospective memory. External cues can support the triggering of an action or memory for the content of the action. We focused on memory for the content, and manipulated the temporal characteristics of the external cue to disentangle two possible functions the cue can support: (1) an external cue visible during a retention interval could support rehearsal of the to-be-performed action; (2) an external cue visible at the end of a retention interval could support retrieval of the to-be-performed action. Two experiments were conducted that converge on the same conclusion: the primary function of an external cue is to support retrieval. Implications for the design of a computer interface to present prospective cues are discussed.

Analysis of Variance↗

A review of learning with normal and altered sound-localization cues in human adults.

Humans use several cues to determine the position of sound sources in space. Here we provide a review of the literature on how practice influences sound-localization performance in human adults. We divided this literature into two categories: adaptation to alterations in sound-localization cues and learning with normal, unaltered cues. For altered cues, partial adaptation has been reported with a variety of cue transformations, except in the extreme case in which the cues were reversed between the two ears. For normal cues, improvement has been observed in some but not all experiments, though the most recent data generally show learning. Thus, the reviewed data indicated that human adults can recalibrate, as well as refine the use of, sound-localization cues, and that training regimens can be developed to enhance sound-localization performance in individuals with normal and impaired localization abilities.

Adult↗

Does post-withdrawal cue exposure improve outcome in opiate addiction? A controlled trial.

A controlled trial studied whether cue exposure prevented relapse in opiate addiction. Subjects were randomly allocated to one of two inpatient treatment settings: a drug dependence unit with a special 10 week program and 4 weeks in a behavioural/general treatment unit without such a program. In each setting, following drug-withdrawal, subjects had either cue exposure for at least six sessions over 3 weeks, or a control condition. Subjects were followed up twice, at about 6 weeks and 6 months post-treatment. 186 subjects were randomly allocated; 69 were assessed post-detoxification, and of these 43 completed cue exposure or control treatments. Cue exposure and control subjects did not differ in cue reactivity. This was evaluated post-treatment for cue exposure subjects and at a comparable time point for controls. All groups showed a significant decrement in cue-elicited craving, withdrawal responses and negative mood. Cue exposure and control subjects did not differ at either of the two follow up interviews.

Adult↗

Context-dependency of cue-elicited urge to smoke.

AIMS: Earlier studies have suggested that the cue-induced urge to smoke depends on the expectation of the availability of smoking. The present study investigated whether a 'room context' change could undo the learned discrimination between two stimuli, respectively, predicting smoking availability or smoking unavailability. DESIGN: A 2 (smoking cue) x 2 (availability context cue) x 6 (trial) x 2 (room context change) within-subjects design was used. Participants were repeatedly presented with a context cue predicting smoking availability (blue serving tray) and a context cue predicting unavailability (yellow serving tray) in one room and tested for an effect of context change in a different room. SETTING: Two distinct rooms located in different department buildings of Maastricht University. PARTICIPANTS: Seventeen daily smokers who had smoked at least five cigarettes a day for at least 2 years. MEASUREMENTS: Self-reported urge to smoke using a visual analogue scale (VAS). FINDINGS AND CONCLUSIONS: Results replicated the finding that a context cue that predicted smoking elicited greater urges to smoke than a context cue that predicted no smoking, irrespective of the presence of smoking cues. In addition, this study showed that this differential effect on the urge to smoke was generalized to a context other than the context in which learning took place. These findings are discussed in relation to the significance of a context change regarding the predictive value of smoking availability.

Adult↗

Comparative efficacy of rapid-release nicotine gum versus nicotine polacrilex gum in relieving smoking cue-provoked craving.

AIMS: Most relapse episodes occur when smokers are confronted with craving provoked by situational cues. Current nicotine gum can help relieve cue-provoked cravings, but faster effects may result in more rapid relief. We tested a prototype formulation of a new rapid-release nicotine gum (RRNG) that provides more rapid release and absorption of nicotine, for its ability to provide faster and better craving relief compared to current nicotine polacrilex gum (NPG). DESIGN: Random assignment to RRNG or NPG, used during a smoking cue provocation procedure. Participants and setting A total of 319 smokers were exposed to a smoking cue in the laboratory by being asked to light but not smoke a cigarette of their preferred brand. Subjects then chewed a piece of 2 mg RRNG (n = 159) or 2 mg NPG (n = 160) according to randomized assignment. MEASUREMENTS: Craving assessments were completed at regular intervals before and after cue exposure (baseline, pre-cue, and 3, 6, 9, 12, 15, 18, 21, 25, 30 and 35 minutes after the cue). FINDINGS: Smokers chewing RRNG showed significantly lower craving than NPG subjects starting with the first assessment at 3 minutes (P < 0.025). Repeated-measures ANOVA revealed a significant treatment x time interaction (P < 0.05)-craving scores dropped more rapidly in RRNG subjects compared to NPG subjects. Survival analyses also indicated superiority of RRNG in achieving more rapid self-reported meaningful relief (P < 0.05) and complete relief (P < 0.05) of craving. CONCLUSIONS: Rapid-release nicotine gum reduced cue-provoked craving more rapidly compared to NPG, and thus merits further study in cessation efficacy trials.

Adolescent↗

AD/HD and the capture of attention by briefly exposed delay-related cues: evidence from a conditioning paradigm.

BACKGROUND: The selective attention of children with attention deficit/hyperactivity disorder (AD/HD) to briefly exposed delay-related cues was examined in two experiments using a dot-probe conditioning paradigm. METHOD: Colour cues were paired with negatively (i.e., imposition of delay) and positively valenced cues (i.e., escape from or avoidance of delay) during a conditioning phase. These cues were presented alongside neutral cues in a subsequent dot-probe detection phase. RESULTS: In experiment 1 teacher-identified children with AD/HD (N = 12), but not controls (N = 12), displayed an attentional bias towards both positively and negatively valenced cues. In experiment 2 children with a diagnosis of hyperkinetic disorder (N = 15), but not controls (N = 15), displayed a bias towards delay-related cues. However, this effect was largely carried by the response to positively valenced cues. CONCLUSIONS: These results confirm the dot-probe conditioning paradigm as a useful test of motivational influence on attention. They provide the first evidence of qualitative differences in the attentional style of children with AD/HD and give further support to those theories that highlight the motivational significance of delay in AD/HD.

Attention↗

Spectral and temporal cues to pitch in noise-excited vocoder simulations of continuous-interleaved-sampling cochlear implants.

Four-band and single-band noise-excited vocoders were used in acoustic simulations to investigate spectral and temporal cues to melodic pitch in the output of a cochlear implant speech processor. Noise carriers were modulated by amplitude envelopes extracted by half-wave rectification and low-pass filtering at 32 or 400 Hz. The four-band, but not the single-band processors, may preserve spectral correlates of fundamental frequency (F0). Envelope smoothing at 400 Hz preserves temporal correlates of F0, which are eliminated with 32-Hz smoothing. Inputs to the processors were sawtooth frequency glides, in which spectral variation is completely determined by F0, or synthetic diphthongal vowel glides, whose spectral shape is dominated by varying formant resonances. Normal listeners labeled the direction of pitch movement of the processed stimuli. For processed sawtooth waves, purely temporal cues led to decreasing performance with increasing F0. With purely spectral cues, performance was above chance despite the limited spectral resolution of the processors. For processed diphthongs, performance with purely spectral cues was at chance, showing that spectral envelope changes due to formant movement obscured spectral cues to F0. Performance with temporal cues was poorer for diphthongs than for sawtooths, with very limited discrimination at higher F0. These data suggest that, for speech signals through a typical cochlear implant processor, spectral cues to pitch are likely to have limited utility, while temporal envelope cues may be useful only at low F0.

Adult↗