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A Pilot Study of E-Cigarette Naïve Cigarette Smokers and the Effects on Craving After Acute Exposure to E-Cigarettes in the Laboratory.
Am J Addict. 2019 09; 28(5):361-366.AJ

Abstract

BACKGROUND AND OBJECTIVES

Recent surveys confirm continued increases in the use of electronic-cigarettes (e-cigarettes) in adolescents and adults. Users often state that e-cigarettes reduce tobacco craving and withdrawal symptoms in addition to their smoking. Data from laboratory studies and clinical trials have confirmed these statements, though there are inconsistencies in the outcomes. In this pilot study, we set out to evaluate the effects of e-cigarettes, as compared to the participants' own cigarettes, on baseline craving and smoking severity.

METHODS

Using a within-subjects, placebo-controlled study design, 15 tobacco-dependent, e-cigarette naïve participants sustained abstinence overnight. They completed distinct phases of this protocol during four separate study sessions. Participants were randomized to an e-cigarette device containing one of three doses of nicotine (0, 18, or 36 mg/ml) or their own cigarette. Each study visit was ~3 hours long and separated by at least 7 days. Visits included assessments of craving and smoking severity.

RESULTS

The data showed that after 10 puffs in both the Own cigarette and e-cigarette conditions, breath carbon monoxide levels increased significantly in the former but not the latter. Questionnaire of Smoking Urges and Choices to Smoke scores were not statistically different across groups after two distinct bouts of 10 puffs each. Additionally, E-cigarette Perceptions Questionnaire responses were not significantly different according to dose.

CONCLUSION AND SCIENTIFIC SIGNIFICANCE

This experiment provides data demonstrating that e-cigarettes did not reduce craving or smoking severity in e-cigarette naïve users. However, since this was a pilot study, the conclusions that can be drawn are limited. (Am J Addict 2019;28:361-366).

Authors+Show Affiliations

Menninger Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.Menninger Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.Menninger Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.Menninger Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.Menninger Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.Menninger Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

31066987

Citation

De La Garza, Richard, et al. "A Pilot Study of E-Cigarette Naïve Cigarette Smokers and the Effects On Craving After Acute Exposure to E-Cigarettes in the Laboratory." The American Journal On Addictions, vol. 28, no. 5, 2019, pp. 361-366.
De La Garza R, Shuman SL, Yammine L, et al. A Pilot Study of E-Cigarette Naïve Cigarette Smokers and the Effects on Craving After Acute Exposure to E-Cigarettes in the Laboratory. Am J Addict. 2019;28(5):361-366.
De La Garza, R., Shuman, S. L., Yammine, L., Yoon, J. H., Salas, R., & Holst, M. (2019). A Pilot Study of E-Cigarette Naïve Cigarette Smokers and the Effects on Craving After Acute Exposure to E-Cigarettes in the Laboratory. The American Journal On Addictions, 28(5), 361-366. https://doi.org/10.1111/ajad.12895
De La Garza R, et al. A Pilot Study of E-Cigarette Naïve Cigarette Smokers and the Effects On Craving After Acute Exposure to E-Cigarettes in the Laboratory. Am J Addict. 2019;28(5):361-366. PubMed PMID: 31066987.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Pilot Study of E-Cigarette Naïve Cigarette Smokers and the Effects on Craving After Acute Exposure to E-Cigarettes in the Laboratory. AU - De La Garza,Richard,2nd AU - Shuman,Samuel L, AU - Yammine,Luba, AU - Yoon,Jin Ho, AU - Salas,Ramiro, AU - Holst,Manuela, Y1 - 2019/05/08/ PY - 2018/12/13/received PY - 2019/03/27/revised PY - 2019/04/14/accepted PY - 2019/5/9/pubmed PY - 2020/5/6/medline PY - 2019/5/9/entrez SP - 361 EP - 366 JF - The American journal on addictions JO - Am J Addict VL - 28 IS - 5 N2 - BACKGROUND AND OBJECTIVES: Recent surveys confirm continued increases in the use of electronic-cigarettes (e-cigarettes) in adolescents and adults. Users often state that e-cigarettes reduce tobacco craving and withdrawal symptoms in addition to their smoking. Data from laboratory studies and clinical trials have confirmed these statements, though there are inconsistencies in the outcomes. In this pilot study, we set out to evaluate the effects of e-cigarettes, as compared to the participants' own cigarettes, on baseline craving and smoking severity. METHODS: Using a within-subjects, placebo-controlled study design, 15 tobacco-dependent, e-cigarette naïve participants sustained abstinence overnight. They completed distinct phases of this protocol during four separate study sessions. Participants were randomized to an e-cigarette device containing one of three doses of nicotine (0, 18, or 36 mg/ml) or their own cigarette. Each study visit was ~3 hours long and separated by at least 7 days. Visits included assessments of craving and smoking severity. RESULTS: The data showed that after 10 puffs in both the Own cigarette and e-cigarette conditions, breath carbon monoxide levels increased significantly in the former but not the latter. Questionnaire of Smoking Urges and Choices to Smoke scores were not statistically different across groups after two distinct bouts of 10 puffs each. Additionally, E-cigarette Perceptions Questionnaire responses were not significantly different according to dose. CONCLUSION AND SCIENTIFIC SIGNIFICANCE: This experiment provides data demonstrating that e-cigarettes did not reduce craving or smoking severity in e-cigarette naïve users. However, since this was a pilot study, the conclusions that can be drawn are limited. (Am J Addict 2019;28:361-366). SN - 1521-0391 UR - https://www.unboundmedicine.com/medline/citation/31066987/A_Pilot_Study_of_E_Cigarette_Naïve_Cigarette_Smokers_and_the_Effects_on_Craving_After_Acute_Exposure_to_E_Cigarettes_in_the_Laboratory_ DB - PRIME DP - Unbound Medicine ER -