Unstuck in time: episodic future thinking reduces delay discounting and cigarette smoking

Psychopharmacology (Berl). 2016 Oct;233(21-22):3771-3778. doi: 10.1007/s00213-016-4410-y. Epub 2016 Aug 23.

Abstract

Rationale: Delay discounting, or the devaluation of delayed outcomes, appears to play an etiological role in tobacco and other substance-use disorders.

Objectives: No human studies to our knowledge have been designed to examine whether experimental reductions in delay discounting produce concomitant reduction in drug use.

Methods: Using methods from prior studies on delay discounting and obesity, we examined the effects of episodic future thinking (EFT; a form of mental prospection) on delay discounting and cigarette self-administration in smokers.

Results: Consistent with prior data, EFT significantly reduced both delay discounting (Cohen's d effect size = 0.65) and the number of cigarette puffs earned in a cigarette self-administration task (d = 0.58).

Conclusions: The effects of EFT on delay discounting generalize to smokers; EFT also reduces laboratory-based cigarette self-administration. Potential mechanisms of EFT's effects are discussed as well as implications of EFT for clinical treatment of substance-use disorders.

Keywords: Cigarettes; Delay discounting; Episodic future thinking; Prospection; Smoking.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Choice Behavior
  • Delay Discounting*
  • Female
  • Forecasting*
  • Humans
  • Male
  • Middle Aged
  • Self Administration
  • Smoking / psychology*
  • Surveys and Questionnaires
  • Thinking*
  • Time Factors