Delaying the First Cigarette in Changing Brain Activation in Current Smokers

Inclusion Criteria

• Smoke >= 10 cigarettes per day for the last 6 months
• Smokes first cigarette within 90 minutes after waking
• Their vision should be normal or corrected-to-normal (to ensure that they can accurately see the images on the screen and select the appropriate response)
• Willing to complete all appointments and change smoking behaviors for 2-weeks
• No quit attempts or attempts to cut back in the last month (30 days)

Exclusion Criteria

• Serious medical illness unsuitable for the magnetic resonance (MR) scanner based on best clinical judgment
• Any neurologic or psychiatric disorder except depression, anxiety, or attention-deficit disorder/attention-deficit hyperactivity disorder
• Diabetes
• Known heart disease
• High blood pressure
• Currently taking psychotropic or cardiovascular medication
• History of alcohol or other substance dependence or current abuse
• Risk for hazard due to magnetic fields such as metal in the body surgically or accidentally (e.g., pacemaker, cochlear implants, aneurysm clips, intravascular stents or coils, spinal shunt, injury involving bullets, shrapnel or metal implanted in their body, etc)
• Pregnancy
• No daily internet access