Assessing Top Down and Bottom Up Attention Mechanisms in Smokers Using Nicotine Nasal Spray
| Status: | Completed |
|---|---|
| Conditions: | Smoking Cessation, Psychiatric, Tobacco Consumers |
| Therapuetic Areas: | Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - 55 |
| Updated: | 3/27/2019 |
| Start Date: | January 21, 2010 |
| End Date: | November 13, 2012 |
Background:
- Smoking is the leading cause of preventable death in the United States, and researchers
are interested in gaining a better understanding of the perceived beneficial effects of
nicotine to help improve treatment strategies for nicotine dependence. Understanding the
conditions under which nicotine improves attention and cognitive processing may provide
more useful information for this research.
- The ability to pay attention and filter relevant from irrelevant stimuli is central to
all aspects of information-processing. Top-down and bottom-up attentional processes
illustrate how the brain combines stimuli and goal-directed behaviors. Bottom-up
processing is an unconscious response to sensory input; for instance, when the eyes
automatically focus on a prominent image in a picture. Top-down processing is a
conscious response to drive attention toward specific stimuli; for instance, when a
person is asked to focus on a less immediately noticeable image in a picture.
Researchers are interested in determining whether nicotine improves cognitive
performance by acting on top-down or bottom-up attentional mechanisms.
Objectives:
- To investigate the effect of nicotine on the top-down and bottom-up mechanisms of attention
in cigarette smokers.
Eligibility:
- Current smokers (at least 10 cigarettes per day for at least 1 year) between 18 and 55
years of age.
Design:
- This study will involve one training session and four experimental sessions.
- During the training session, participants will receive a sample dose of the nicotine
nasal spray used in the study to determine if they can tolerate the effects.
- For each experimental session, participants will receive one dose of nicotine nasal
spray (1 mg, 2 mg, or 3 mg) or placebo spray, followed by blood pressure and heart rate
monitoring, performance of an attentional test, and questionnaires to rate participants
perception of nicotine effectiveness. Participants may receive different doses at
different sessions, and will not be told which dose they will receive at any given
point.
- Smoking is the leading cause of preventable death in the United States, and researchers
are interested in gaining a better understanding of the perceived beneficial effects of
nicotine to help improve treatment strategies for nicotine dependence. Understanding the
conditions under which nicotine improves attention and cognitive processing may provide
more useful information for this research.
- The ability to pay attention and filter relevant from irrelevant stimuli is central to
all aspects of information-processing. Top-down and bottom-up attentional processes
illustrate how the brain combines stimuli and goal-directed behaviors. Bottom-up
processing is an unconscious response to sensory input; for instance, when the eyes
automatically focus on a prominent image in a picture. Top-down processing is a
conscious response to drive attention toward specific stimuli; for instance, when a
person is asked to focus on a less immediately noticeable image in a picture.
Researchers are interested in determining whether nicotine improves cognitive
performance by acting on top-down or bottom-up attentional mechanisms.
Objectives:
- To investigate the effect of nicotine on the top-down and bottom-up mechanisms of attention
in cigarette smokers.
Eligibility:
- Current smokers (at least 10 cigarettes per day for at least 1 year) between 18 and 55
years of age.
Design:
- This study will involve one training session and four experimental sessions.
- During the training session, participants will receive a sample dose of the nicotine
nasal spray used in the study to determine if they can tolerate the effects.
- For each experimental session, participants will receive one dose of nicotine nasal
spray (1 mg, 2 mg, or 3 mg) or placebo spray, followed by blood pressure and heart rate
monitoring, performance of an attentional test, and questionnaires to rate participants
perception of nicotine effectiveness. Participants may receive different doses at
different sessions, and will not be told which dose they will receive at any given
point.
Objective:
The objective is to investigate the dose-response effect of nicotine on the top-down and
bottom-up mechanisms of attention in cigarette smokers.
Study population:
Male and nonpregnant-female smokers 18 to 55 years of age.
Design:
This study is a double-blind, placebo controlled trial of nicotine or placebo nasal sprays.
Participants have five visits: a training session and four experimental sessions. Each
participant receives a test dose of the nasal spray immediately following the training
session to ascertain tolerability and become familiarized with the effect of the spray. One
dose (0, 1.0, 2.0 or 3.0 mg) of nicotine nasal spray is administered at the beginning of each
experimental session followed by the test battery.
Outcome Measures:
Outcome measures are vital signs, ratings of mood and drug effect, and performance (accuracy,
response time) on a test of selective attention.
The objective is to investigate the dose-response effect of nicotine on the top-down and
bottom-up mechanisms of attention in cigarette smokers.
Study population:
Male and nonpregnant-female smokers 18 to 55 years of age.
Design:
This study is a double-blind, placebo controlled trial of nicotine or placebo nasal sprays.
Participants have five visits: a training session and four experimental sessions. Each
participant receives a test dose of the nasal spray immediately following the training
session to ascertain tolerability and become familiarized with the effect of the spray. One
dose (0, 1.0, 2.0 or 3.0 mg) of nicotine nasal spray is administered at the beginning of each
experimental session followed by the test battery.
Outcome Measures:
Outcome measures are vital signs, ratings of mood and drug effect, and performance (accuracy,
response time) on a test of selective attention.
- INCLUSION CRITERIA:
1. 18-55 year old male and female cigarette smokers
2. smoke a minimum of 10 cigarettes per day for at least 1 year
--Drug Use Survey
3. estimated IQ score greater than or equal to 85
--Weschsler Abbreviated Scale of Intelligence (WASI; raw vocabulary cutoff 49)
4. urine cotinine concentration greater than or equal 100 ng/ml
- NicAlert reading greater than or equal to 3
EXCLUSION CRITERIA:
1. definite plan to quit smoking in next 30 days
2. consumption of more than 15 alcoholic drinks per week during the past month
3. use of any illicit drugs more than twice per week during the past month
--Drug Use Survey (items 2-4)
4. pregnant or nursing
--Urine pregnancy test
5. HIV positive
--Oral HIV test
6. untreated cardiovascular or pulmonary disease
7. use of nicotine replacement products, bupropion or varenicline, in the past 3 months
if specifically used to stop smoking
8. Past history of schizophrenia or bipolar disorder.
Current Major Depression Disorder, Diagnosis or treatment for Major Depressive
Disorder in past 12 months. (H&P)
Evidence of current ADHD by current diagnosis or medication or score on Adult Symptom
Rating Scale; (> 16 on pt A or B must be evaluated by a counselor)
- SCL-90 > 65 (must be evaluated by a counselor)
- Beck Depression Inventory-II score greater than or equal to 14 (must be evaluated
by a counselor)
9. vital signs (must be outside these parameters on more than two occasions separated by
at least one day):
- systolic blood pressure: minimum 95, maximum 160 mm Hg
- diastolic blood pressure: minimum 40, maximum 95 mm Hg
- pulse: minimum 50, maximum 105 bpm
- respirations: minimum 8, maximum 24 breaths per minute
10. nasal passages: no pathology that would preclude administration of nasal spray
11. under the influence of a drug or alcohol at experimental sessions
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