Associations Between Smoking Abstinence, Inhibitory Control, and Smoking Behavior: An fMRI Study

Spencer Bell; Brett Froeliger

doi:10.3389/fpsyt.2021.592443

Associations Between Smoking Abstinence, Inhibitory Control, and Smoking Behavior: An fMRI Study

Front Psychiatry. 2021 Apr 1:12:592443. doi: 10.3389/fpsyt.2021.592443. eCollection 2021.

Authors

Spencer Bell^{1

2}, Brett Froeliger^{1

3

4}

Affiliations

¹ Department of Neuroscience, Medical University of South Carolina, Charleston, SC, United States.
² Psychology Department, Dixie State University, St. George, UT, United States.
³ Department of Psychiatry, University of Missouri, Columbia, MI, United States.
⁴ Department of Psychological Sciences, University of Missouri, Columbia, MI, United States.

Abstract

Nicotine addiction is associated with dysregulated inhibitory control (IC), mediated by corticothalamic circuitry including the right inferior frontal gyrus (rIFG). Among sated smokers, worse IC task performance and greater IC-related rIFG activity have been shown to be associated with greater relapse vulnerability. The present study investigated the effects of smoking abstinence on associations between IC task performance, rIFG activation, and smoking behavior. Smokers (N = 26, 15 female) completed an IC task (Go/Go/No-go) during fMRI scanning followed by a laboratory-based smoking relapse analog task (SRT) on two visits: once when sated and once following 24 h of smoking abstinence. During the SRT, smokers were provided with monetary rewards for incrementally delaying smoking. A significant main effect of No-go accuracy on latency to smoke during the SRT was observed when collapsing across smoking states (abstinent vs. sated). Similarly, a significant main effect of IC-related activation in rIFG on SRT performance was observed across states. The main effect of state, however, was non-significant in both of these models. Furthermore, the interaction between smoking state and No-go accuracy on SRT performance was non-significant, indicating a similar relationship between IC and lapse vulnerability under both sated and abstinent conditions. The state X rIFG activation interaction on SRT performance was likewise non-significant. Post-hoc whole brain analyses indicated that abstinence resulted in greater IC-related activity in the right middle frontal gyrus (MFG) and insula. Activation during IC in these regions was significantly associated with decreased No-go accuracy. Moreover, greater abstinence induced activity in right MFG during IC was associated with smoking sooner on the SRT. These findings are bolstered by the extant literature on the effects of nicotine on executive function and also contribute novel insights on how individual differences in behavioral and neuroimaging measures of IC may influence relapse propensity independent of smoking state.

Keywords: fMRI; inhibitory control; relapse; smoking; withdrawal.