Delay discounting in e-cigarette users,current and former smokers

Background/Objective: Despite the fact that electronic cigarettes, or e-cigarettes, are being increasingly used as an alternative to smoking tobacco cigarettes, few studies have explored psychological factors associated with e-cigarette use. Prior studies aimed at exploring correlates of e-cigarette use have focused on sociodemographic and smoking-related characteristics. However, no previous work has examined psychological features such as impulsivity among e-cigarettes users. The main objective of this study was to compare impulsivity rates across four groups of participants: current e-cigarette users who were former smokers; current smokers; former smokers; and controls. Method: A sample of 136 participants completed a computerized delay discounting task for hypothetical monetary values. Results: Delay discounting was greater among e-cigarette users than former smokers. E-cigarette users also showed an intermediate discounting that did not differ from smokers and controls. Moreover, delay discounting was significantly greater among current smokers compared to former smokers and controls. Conclusions: Taken together, our results extend previous research on delay discounting by providing evidence on impulsivity levels among current e-cigarette users for the first time.     

A second type of magnitude effect: Reinforcer magnitude differentiates delay discounting between substance users and controls

Basic research on delay discounting, examining preference for smaller–sooner or larger–later reinforcers, has demonstrated a variety of findings of considerable generality. One of these, the magnitude effect, is the observation that individuals tend to exhibit greater preference for the immediate with smaller magnitude reinforcers. Delay discounting has also proved to be a useful marker of addiction, as demonstrated by the highly replicated finding of greater discounting rates in substance users compared to controls. However, some research on delay discounting rates in substance users, particularly research examining discounting of small‐magnitude reinforcers, has not found significant differences compared to controls. Here, we hypothesize that the magnitude effect could produce ceiling effects at small magnitudes, thus obscuring differences in delay discounting between groups. We examined differences in discounting between high‐risk substance users and controls over a broad range of magnitudes of monetary amounts ($0.10, $1.00, $10.00, $100.00, and $1000.00) in 116 Amazon Mechanical Turk workers. We found no significant differences in discounting rates between users and controls at the smallest reinforcer magnitudes ($0.10 and $1.00) and further found that differences became more pronounced as magnitudes increased. These results provide an understanding of a second form of the magnitude effect: That is, differences in discounting between populations can become more evident as a function of reinforcer magnitude.     

Delay discounting in current and never-before cigarette smokers: similarities and differences across commodity,sign, and magnitude

Research has found that nicotine-dependent individuals delay discount monetary gains at a higher rate than matched controls. Delay discount rates, however, have also been found to vary across within-subject variables such as the magnitude of the outcome (e.g., 10 dollars or 1,000 dollars), whether the outcome constitutes a gain or a loss, and the commodity being evaluated (e.g., money or health). The present study comprehensively investigated the differences in delay discounting between current and never-before cigarette smokers and across these within-subject variables. Both groups exhibited a magnitude, sign, and commodity effect. Current smokers' delay discount rates for monetary outcomes, however, were higher than never-before smokers across all magnitudes and both signs. This trend was also found for delayed health outcomes, but failed to reach significance.     

Outcome expectations and use of smokeless tobacco (snus): A cross‐sectional study among young Norwegian snus users

Wiium, N. & Aarø, L.E. (2011). Outcome expectations and use of smokeless tobacco (snus): A cross‐sectional study among young Norwegian snus users. Scandinavian Journal of Psychology 52, 64–70. In this study, measures of outcome expectancies related to use of snus (wet snuff) were used to predict reported frequency of snus use. Data stem from a nation‐wide survey in Norway among 16‐ to 20‐year‐olds. Only users of snus were included in the statistical analyses (n = 589). The main outcome measure, frequency of snus use, was measured as a categorical variable – occasional, weekly and daily use. Four dimensions of outcome expectancies (mood regulation, smoking control, weight control and negative health outcomes) were measured and confirmed in a confirmatory factor analysis. Informants tended to believe that snus use is harmful to health, but still they supported the idea of snus as a way to control own cigarette smoking. In a SEM model, two of the four dimensions of outcome expectancies turned out to be particularly significant predictors of frequency of snus use – mood regulation and smoking control. No significant interactions with gender were found. Males scored higher than females on “mood regulation”, and “smoking control”, while females scored higher than males on “negative health outcomes”. If more smokers were convinced that snus use is a less harmful alternative, more of them might start using snus, not only because there is some association between health outcome expectancies and snus use, but also because snus use by many is perceived as a remedy to stop smoking and as a way to gain some of the mood regulation benefits which are usually associated with smoking.     

Temporal discounting and preference reversals in choice between delayed outcomes

Subjects chose between pairs of hypothetical amounts of money available after different delays. When smaller, more immediate amounts were selected over larger, more delayed amounts, the addition of a constant delay to both outcomes resulted in reversals of preference, contrary to the standard discounted utility model of economics. The delays at which preference reversed were determined for three pairs of amounts ($20 vs. $50, $100 vs. $250, and $500 vs. $1,250). The relation between the delay to the larger amount and the delay to the smaller amount at preference reversal was well fit by both linear and quadratic functions. Intercepts increased with amount, strongly suggesting that rate of discounting decreases with amount. The presence of significant negative curvature in the data from the majority of individual subjects poses problems for exponential and hyperbolic models of temporal discounting in self-control, both of which predict a linear relation between the delays to the larger and smaller amounts.     

Associations Between Delay Discounting and Risk‐Related Behaviors,Traits, Attitudes,and Outcomes

Delay discounting—preference for immediate, smaller rewards over distal, larger rewards—has been argued to be part of the “generality of deviance”, which describes the co‐occurrence of various forms of impulsive and risky behaviors among individuals. Some studies have linked laboratory‐measured delay discounting to behaviors, traits, attitudes, and outcomes associated with risk, but these associations have been inconsistent. Furthermore, many of these studies have been conducted with exclusively undergraduate samples, or in samples offering low statistical power. In a large community sample (n = 328) diverse in age and socioeconomic status, we examined associations between two measures of behavioral delay discounting (single‐shot and canonical k‐parameter estimation) and behavioral risk‐taking, personality traits associated with risk, domain‐specific risk attitudes, gambling and problem gambling, antisocial behavior, and criminal outcomes. In addition, we explored whether a novel response time latency measure of delay discounting explained variance in these risk‐related outcomes. Results indicated that behavioral delay discounting was consistently associated with all variables related to impulse control: high trait impulsivity, low trait self‐control, risk‐averse attitudes toward financial investment, risk‐prone attitudes toward gambling and health/safety risks, gambling and problem gambling, antisocial conduct, and criminal outcomes. Latency‐measured delay discounting was inconsistently associated with behavioral delay discounting and risk‐related measures. Together, results suggest that delay discounting is associated with poor impulse control consistent with a generality of deviance account. Copyright © 2016 John Wiley & Sons, Ltd.     

Comparing Delay Discounting Rates When Using the Fill-in-the-Blank and Multiple-Choice Methods

Several methods have been devised to measure delay discounting. The present study recruited university students to complete a delay-discounting task involving five different outcomes (finding a dating partner, free cigarettes, winning $100,000, being owed $100,000, and obtaining one's ideal body image) that was administered using either the fill-in-the blank (FITB) or multiple-choice (MC) method. Results showed that the different administration methods sometimes produced significantly different rates of discounting, the direction of which differed by outcome. Hyperbolic discounting and the area under the discounting curve were nearly always significantly correlated when the FITB method was used but were never significantly correlated when the MC method was used. Discounting across the five outcomes produced a two-factor solution when the FITB data were factor analyzed. The MC data were described by a one-factor solution. The present results illustrate that procedural variables have a potentially profound impact on delay-discounting data, and generalizing from studies on delay discounting should be done with caution until those variables are fully understood.     

Delay discounting of different outcomes: Review and theory

Steep delay discounting is characterized by a preference for small immediate outcomes relative to larger delayed outcomes and is predictive of drug abuse, risky sexual behaviors, and other maladaptive behaviors. Nancy M. Petry was a pioneer in delay discounting research who demonstrated that people discount delayed monetary gains less steeply than they discount substances with abuse liability. Subsequent research found steep discounting for not only drugs, but other nonmonetary outcomes such as food, sex, and health. In this systematic review, we evaluate the hypotheses proposed to explain differences in discounting as a function of the type of outcome and explore the trait- and state-like nature of delay discounting. We found overwhelming evidence for the state-like quality of delay discounting: Consistent with Petry and others' work, nonmonetary outcomes are discounted more steeply than monetary outcomes. We propose two hypotheses that together may account for this effect: Decreasing Future Preference and Decreasing Future Worth. We also found clear evidence that delay discounting has trait-like qualities: People who steeply discount monetary outcomes steeply discount nonmonetary outcomes as well. The implication is that changing delay discounting for one outcome could change discounting for other outcomes.     

Examining interrelationships between the Cigarette Purchase Task and delay discounting among pregnant women

Two common behavioral economic simulation tasks used to study cigarette smoking are the Cigarette Purchase Task, a measure of cigarette demand, and delay discounting, a measure of the subjective value of rewards as a function of delays to delivery. Few studies have evaluated whether combining these tasks enhances understanding of smoking beyond either alone. The current study represents an initial evaluation of the intersection between cigarette demand indices and delay discounting among pregnant smokers by examining associations between these measures and whether a woman makes antepartum quit attempts before entering prenatal care (a reliable predictor of eventual quitting). Participants were 159 pregnant women enrolled in a smoking‐cessation trial. Low O _max and shallow discounting were each associated with antepartum quit attempts. Participants were next categorized into four subgroups (low O _max, shallow discounting; low O _max, steep discounting; high O _max, shallow discounting; high O _max, steep discounting) using median splits. Those with shallow discounting and low O _max were more likely to have made quit attempts than each of the other three subgroups. That is, steep discounting appears to undermine the association of low O _max and efforts to quit smoking during pregnancy while high O _max overshadows any protective influence associated with shallow discounting.     

Characteristics of Air Force personnel who choose pharmacological aids for smoking cessation following an involuntary tobacco ban and tobacco control program.

OBJECTIVE: The objective of this study was to compare characteristics of smokers who did and did not report use of cessation aids as part of a tobacco control program in a military setting (n = 8994). DESIGN: The study is a longitudinal epidemiological study where the relationship between smoking status at follow-up and use of pharmacologic aids to quit smoking were assessed. MAIN OUTCOME MEASURES: Smoking cessation, post baseline use of cessation aids to quit smoking. RESULTS AND CONCLUSIONS: Individuals remaining abstinent were 70% less likely to have used NRT/pharmacological aids compared to those that relapsed. NRT/pharmacological aid users were more likely to report plans to smoke after military training, to have friends who smoke, and to accept a cigarette from a friend. NRT/pharmacological aid users were more likely to believe that using NRT was safer than smoking and to have engaged in harm reduction strategies. Our findings suggest that selection bias related to such characteristics may explain some of the discrepancies between effect sizes reported in efficacy compared to effectiveness studies of NRT and smoking outcomes currently reported in the literature.     

Delay discounting in the pigeon: In search of a magnitude effect

The magnitude effect, where larger outcomes are discounted proportionally less than smaller outcomes, is a well‐established phenomenon in delay discounting by human participants. To this point in the literature magnitude effects have not been reliably evidenced in nonhuman animals. , however, used a concurrent‐chains arrangement with pigeon and found evidence for a magnitude effect. Grace et al. suggested that in many delay discounting experimental arrangements with nonhuman animals (e.g., adjusting amount, adjusting delay) the organism is not given the opportunity to directly compare outcomes of different sizes. They suggest that because of the lack of direct comparison it is difficult for the organism to determine the relative size of each outcome, which in turn mutes the effect of the amount differences between outcomes. As a test of this “comparison hypothesis,” the present experiment was conducted to assess whether the magnitude effect would be evidenced in pigeon when using an adjusting amount procedure where outcomes of different amounts were presented proximally. In the present arrangement, pigeons were presented two choice panels in an operant chamber where each panel was associated with an independent adjusting amount delay discounting task, but with differing outcome amounts (i.e., a 32‐food pellet panel and an 8‐food pellet panel). In this arrangement the choice panels alternated in their availability within a session from trial block to trial block. The present findings indicate no reliable effect of amount, even when the outcomes were proximal and thus readily comparable. This result suggests that the lack of magnitude effect is not driven by the organism's ability to compare the difference in amount between choice alternatives.     

Age‐related differences in delay discounting: Immediate reward,reward magnitude,and social influence

Delay discounting refers to the tendency of individuals to subjectively devalue rewards that are to be received in the future, with high rates of delay discounting being associated with a variety of maladaptive life outcomes (e.g., unhealthy dietary and exercise behaviors). The current study explored the psychological and social processes involved in adult age‐related differences in delay discounting of monetary rewards. Younger adults exhibited higher levels of delay discounting than older adults. This increased level of patience in older adults was found whether smaller‐sooner rewards were to be received immediately or in the future. However, there was an interaction with reward magnitude, whereby younger adults exhibited higher levels of delay discounting for smaller reward magnitudes but not larger reward magnitudes. Social influence on delay discounting was investigated by having participants complete three phases of the delay‐discounting task: an individual precollaboration phase, a collaboration phase in age‐group‐matched dyads, and an individual postcollaboration phase. A convergence effect was observed in that dyad members' postcollaboration choices were significantly more similar compared to their baseline choices during the precollaboration phase. Moreover, levels of convergence were comparable between younger and older adults, suggesting age invariance in social influence on delay discounting. The current results demonstrate a degree of malleability in delay discounting that extends into older adulthood, making interventions targeting the construct a promising avenue for future research.     

The relationship of body image dissatisfaction to cigarette smoking in college students

This study examined the association of cigarette smoking status and body image dissatisfaction as measured by the Multidimensional Body-Self Relations Questionnaire (MBSRQ), in 1575 young adult college students, 18–24 years of age. Respondents were current cigarette smokers (N = 482) or never tobacco users (N = 1093). Smoking status was found to be significantly associated with 5 of the 10 MBSRQ subscales, with current smokers having lower scores on Fitness Orientation, Health Evaluation and Health Orientation (all p < 0.001) and higher scores on Appearance Orientation (p = 0.01) and Overweight Preoccupation (p = 0.03) compared with never tobacco users. Furthermore, among current smokers, a higher number of days smoked in the last 30 days were associated with lower scores on all MBSRQ subscales, except Self-Classified Weight. In terms of clinical implications, interventions for smoking cessation among college students might benefit from inclusion of components for addressing body image dissatisfaction and improving health beliefs.     

Social Discounting and Cigarette Smoking During Pregnancy

In this study, we examined the association between social discounting and smoking status in a cohort of pregnant cigarette smokers (n = 91), quitters (n = 27), or never‐smokers (n = 30). The smokers and quitters were participants in clinical trials on smoking cessation and relapse prevention, whereas the never‐smokers were controls in a study on nicotine withdrawal during pregnancy. Social discounting was assessed using a paper‐and‐pencil task that assesses the amount of hypothetical money a person is willing to forgo in order to share with individuals in their social network ranging from the person who is emotionally closest to them to a mere acquaintance. The amount that women were willing to forgo in order to share decreased hyperbolically as a function of social distance, with smokers exhibiting steeper discounting functions (i.e., less generosity) than quitters or never‐smokers; discounting functions of quitters and never‐smokers did not differ significantly. In multivariate analyses controlling for potential sociodemographic and other confounds, social discounting remained a significant predictor of smoking status among smokers versus quitters. Overall, these results suggest that individual differences in social discounting may be a factor influencing the choices that women make about quitting smoking upon learning of a pregnancy. Copyright © 2011 John Wiley & Sons, Ltd.     

Discounting of food and water in rats shows trait- and state-like characteristics

Delay discounting is the loss in value of an outcome as a function of its delay. The present study focused on examining a trait-like characteristic of delay discounting in a preclinical animal model. Specifically, we were interested in whether there was a positive relation between discounting of 2 different outcomes in rats. That is, would rats that discount delayed food steeply also discount delayed water steeply? In addition, we examined how session-to-session variability in discounting could be attributed to differences between subjects (trait variability) and to differences within subjects (state variability). Finally, we measured discounting from early- to mid-adulthood, allowing us to examine changes in discounting as a function of age. Overall, we found a moderate, positive correlation between discounting of food and discounting of water in rats, providing further evidence that the relative consistency with which individuals discount different outcomes is a trait-like characteristic. In addition, we found a high degree of within-subject variability in discounting, indicating strong state-like differences from session to session. Finally, overall, discounting decreased as a function of age; however, individual-subject data showed variability in how discounting changed across time. Overall, our results show that differences in delay discounting between individuals reflect variability in both trait- and state-like characteristics.     

A measure of perceived pain and tobacco smoking interrelations: pilot validation of the pain and smoking inventory

Mounting evidence indicates that pain can motivate cigarette smoking behavior, smokers have reliably endorsed the use of tobacco to cope with pain, and there is reason to suspect that pain may impede smoking cessation. Smoking-related outcome expectancies are among the best predictors of cigarette consumption and relapse, and the goal of this pilot study was to develop a standardized measure of how tobacco smokers perceive their pain and smoking behavior to be interrelated (i.e. pain as a motivator of smoking, expectancies for smoking as a means of coping with pain, and pain as a barrier to quitting). Participants (N = 75) completed an online survey that was designed to assess interrelations between pain and tobacco smoking. The nine-item Pain and Smoking Inventory (PSI) demonstrated excellent internal consistency (α = .95). As expected, PSI scores were higher among smokers with chronic pain (vs. no pain), and were positively associated with established indices of both pain and tobacco smoking dependence. These results corroborate the notion that smokers can effectively communicate perceptions of interrelations between their pain and smoking behavior. Future research is needed to establish reliability and validity of the PSI among larger, more diverse samples of smokers with varying levels of pain. Future work should also examine PSI scores as predictors of smoking cessation outcomes, and whether PSI data may usefully inform the development of tailored interventions for smokers in pain.     

Individual Differences in Delay Discounting: Differences are Quantitative with Gains,but Qualitative with Losses

Research on delay discounting and inter‐temporal choice has yielded significant insights into decision making. Although research has focused on delayed gains, the discounting of losses is potentially important in precisely those areas where the discounting of gains has proved informative (e.g., substance use and abuse). Participants in the current study completed both a questionnaire consisting of choices between immediate and delayed gains and an analogous questionnaire consisting of choices between immediate and delayed losses. For almost all participants, the likelihood of choosing the delayed gain decreased with increases in the wait until it would be received. In contrast, when losses (i.e., payments) were involved, different participants showed quite different patterns of choices. More specifically, although the majority of the participants became increasingly likely to choose to pay later as the delay was increased, some participants appeared to be debt averse, in that they were more likely to choose the immediate payment option when the delay was long than when it was brief. These debt‐averse participants also were more likely to choose to wait for a larger delayed gain than other participants and scored lower on Impulsiveness than those who showed the typical pattern of discounting delayed losses. Taken together, these results suggest that in the case of delayed gains, people differ only quantitatively (i.e., in how steeply they discount), whereas in the case of delayed losses, people differ qualitatively as well as quantitatively, contrary to the common assumption that a single impulsivity trait underlies choices between immediate and delayed outcomes. Copyright © 2016 John Wiley & Sons, Ltd.     

Effects of tobacco smoking on electroencephalographic, auditory evoked and event related potentials

After overnight abstinence, tobacco smokers smoked an average nicotine yield cigarette and nonsmokers sham smoked an unlit placebo cigarette. EEG alpha(1), delta, and theta frequency amplitudes decreased, whereas alpha(2) and beta frequency amplitude increased. Short, middle (EP) and long latency ERP were also studied in nonsmokers and smokers just after smoking, and after overnight abstinence from tobacco. Short latency potentials were unaffected by tobacco smoking or abstinence. Middle and long-latency potentials were reduced during abstinence and enhanced immediately after tobacco smoking. These findings indicate that compared to nonsmokers smokers have a higher arousal level after smoking than when partially abstinent. Evidence for both normalization from tobacco abstinence as well as stimulation was obtained.     

正负参照点下性别和损益情景对大学生延迟折扣的影响

大量研究表明,延迟折扣受到个体特质性和状态性因素的影响。本研究通过两个实验分别探究正参照点(实验1)和负参照点(实验2)下,特质性因素性别和状态性因素损益情景对大学生个体延迟折扣的影响。实验1研究发现,在正性参照点下,无论男女,收益情景的主观远期价值远高于损失情景。实验2研究发现,在负性参照点下,男女在损益情景的主观远期价值不同;与男性相比,女性的主观远期价值在损失情景中更高,而在收益情景中则无显著差异。本研究结果表明,在不同的参照点下,男女在损益情景中表现了不同的延迟折扣倾向;与男性相比,女性在负性参照点面对损失情景跨期选择时,更愿意选择延迟赔偿。