CHRONIC AND ACUTE TOLERANCE TO SUBJECTIVE EFFECTS OF NICOTINE

被引:50
作者
PERKINS, KA
GROBE, JE
EPSTEIN, LH
CAGGIULA, A
STILLER, RL
JACOB, RG
机构
[1] UNIV PITTSBURGH,SCH MED,DEPT ANESTHESIOL,PITTSBURGH,PA 15213
[2] UNIV PITTSBURGH,DEPT PSYCHOL,PITTSBURGH,PA 15260
关键词
NICOTINE; SMOKERS; NONSMOKERS; SUBJECTIVE RESPONSES; TOLERANCE;
D O I
10.1016/0091-3057(93)90254-Q
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Tolerance to subjective effects of nicotine may induce novice smokers to increase the magnitude and frequency of their nicotine self-dosing. In this study, smokers (n = 8) and nonsmokers (n = 7) participated in three sessions involving presentation of 0, 7.5, or 15 mug/kg nicotine 30 min for 2 h via measured-dose nasal spray, with different doses presented on separate days. Subjective responses were assessed using visual analog scales (VASs) of jittery, light-headed, relaxed, dizzy, and head rush, and the Profile of Mood States (POMS) scales of vigor, confusion, fatigue, tension, and the composite scale of arousal. Smaller responses in smokers vs. nonsmokers were viewed as evidence for chronic tolerance. In addition, on each day subjects received a fifth, challenge dose of 30 mug/kg 30 min after the previous dosing. Smaller responses to the challenge dose as a function of increasing prior nicotine dosing during Trials 1-4 were viewed as evidence for acute tolerance. Results showed significant changes in most measures as a function of nicotine dose, and the dose-response curves for most VAS and POMS scales tended to be shifted to the right, or dampened, in smokers relative to nonsmokers, consistent with chronic tolerance. However, smokers and nonsmokers tended to respond to nicotine in opposite directions for POMS scales of vigor and arousal, perhaps reflecting withdrawal relief in smokers. Acute tolerance on a few selected VAS and POMS scales was apparent for both smokers and nonsmokers. These results support the notions that chronic use of nicotine is associated with chronic tolerance to some subjective effects of nicotine and that repeated nicotine exposure during a single day elicits progressively smaller responses on selected measures.
引用
收藏
页码:375 / 381
页数:7
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