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Larsen JK, Hollands GJ, Moritz S, Wiers RW, Veling H. How can imaginal retraining for modifying food craving be improved? Appetite 2024; 202:107639. [PMID: 39163917 DOI: 10.1016/j.appet.2024.107639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Revised: 06/24/2024] [Accepted: 08/17/2024] [Indexed: 08/22/2024]
Abstract
Imaginal retraining (IR) is an emerging intervention technique in which people imagine avoidance behaviors towards imagined foods or other substances, such as throwing them away. Although IR shows promise in reducing initial craving for a range of substances, including alcohol and tobacco, effects appear less robust for craving for energy-dense foods. This raises the question of how IR for food craving can be improved. Here, we address this question informed by emerging findings from IR dismantling studies and the field of regular cognitive bias modification training paradigms. Based on current insights, we suggest the most optimal 'craving-reduction' effects for energy-dense food can likely be expected for IR that includes an overt motor movement. While it is not yet clear what movement works best for food, we suggest a tailored movement or Go/No-Go-based stop movement has the potential to be most effective. The most likely mechanism in reducing craving is cue-devaluation of trained vivid craving images regarding specific energy-dense food products. Future work is needed that investigates and assess the underlying mechanisms (e.g., updating beliefs; cue-devaluation), task characteristics (e.g., IR instructions; specific motor movements) and individual characteristics (e.g., perceived craving; vividness of food imagination) that determine IR effects.
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Affiliation(s)
- Junilla K Larsen
- Behavioural Science Institute, Radboud University, PO Box 9104, 6500 HE Nijmegen, the Netherlands.
| | - Gareth J Hollands
- EPPI Centre, UCL Social Research Institute, University College London, United Kingdom
| | - Steffen Moritz
- Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Reinout W Wiers
- Addiction Development and Psychopathology (ADAPT)-lab, Department of Psychology, University of Amsterdam and Centre for Urban Mental Health, University of Amsterdam, Amsterdam, the Netherlands
| | - Harm Veling
- Behavioural Science Institute, Radboud University, PO Box 9104, 6500 HE Nijmegen, the Netherlands; Consumption and Healthy Lifestyles, Wageningen University and Research, Wageningen, the Netherlands
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Xia H, Wu Q, Shields GS, Nie H, Hu X, Liu S, Zhou Z, Chen H, Yang Y. Neural activity and connectivity are related to food preference changes induced by food go/no-go training. Neuropsychologia 2024; 201:108919. [PMID: 38825226 DOI: 10.1016/j.neuropsychologia.2024.108919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Revised: 05/26/2024] [Accepted: 05/30/2024] [Indexed: 06/04/2024]
Abstract
Simply withholding a response while viewing an appetizing food, over the course of many presentations (i.e., during food go/no-go training) can modify individuals' food preferences-which could, in turn, promote healthier eating behaviors. However, the neural mechanisms underlying this food go/no-go training-induced change in food preferences are still relatively unclear. We addressed this issue in the present functional magnetic resonance imaging (fMRI) study. To this end, we administered a novel passive viewing task before and after food go/no-go training to 91 participants in the scanner. Participants' food preferences were measured with a binary food choice task. At the behavioral level, we found the expected training effect on food preferences: Participants preferred go over no-go foods following training. At the neural level, we found that changes in food preferences were associated with training-related go vs. no-go differences in activity and functional connectivity, such as less activity in the anterior cingulate cortex and superior frontal gyrus but greater functional connectivity between the superior frontal gyrus and middle occipital gyrus. Critically, Dynamic causal modeling showed that this preference change effect was largely driven by top-down influence from the superior frontal gyrus to the middle occipital gyrus. Together, these findings suggest a neural mechanism of the food go/no-go training effect-namely, that the food-viewing-related interplay between prefrontal regions and visual regions might be related to the food preference change following food go/no-go training.
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Affiliation(s)
- Haishuo Xia
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Qian Wu
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Grant S Shields
- Department of Psychological Science, University of Arkansas, Fayetteville, AR, USA
| | - Haoyu Nie
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Xin Hu
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Shiyu Liu
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Zhehan Zhou
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Hong Chen
- Faculty of Psychology, Southwest University, Chongqing, 400715, China; Key Laboratory of Cognition and Personality, Ministry of Education, Southwest University, China; Research Center of Psychology and Social Development, Faculty of Psychology, Southwest University, China.
| | - Yingkai Yang
- Faculty of Psychology, Southwest University, Chongqing, 400715, China; Key Laboratory of Cognition and Personality, Ministry of Education, Southwest University, China.
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Chen Z, Van Dessel P. Action Interpretation Determines the Effects of Go/No-Go and Approach/Avoidance Actions on Stimulus Evaluation. Open Mind (Camb) 2024; 8:898-923. [PMID: 39077108 PMCID: PMC11285421 DOI: 10.1162/opmi_a_00151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Accepted: 05/24/2024] [Indexed: 07/31/2024] Open
Abstract
Executing go/no-go or approach/avoidance responses toward a stimulus can change its evaluation. To explain these effects, some theoretical accounts propose that executing these responses inherently triggers affective reactions (i.e., action execution), while others posit that the evaluative influences originate from interpreting these responses as valenced actions (i.e., action interpretation). To test the role of action execution and action interpretation in these evaluative effects, we developed a novel training task that combined both go/no-go and approach/avoidance actions orthogonally. Participants either responded or did not respond (i.e., go/no-go) to control a shopping cart on screen, and as a result, either collected or did not collect (i.e., approach/avoidance) certain food items. When the task instructions referred to the go/no-go actions (Experiment 1, N = 148), we observed an effect of these actions. Participants evaluated no-go items less positively than both go and untrained items. No effect of approach/avoidance actions was observed. Contrarily, when the task instructions referred to the approach/avoidance actions (Experiment 2, N = 158), we observed an approach/avoidance effect. Participants evaluated approached items more positively and avoided items less positively than untrained items. No effect of go/no-go actions was observed. This suggests that action interpretation determined whether go/no-go or approach/avoidance actions influenced stimulus evaluation, when the same motor responses were made. Further examination of the role of action interpretation can inform theories of how actions influence stimulus evaluation, and facilitate the use of these interventions in applied settings.
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Affiliation(s)
- Zhang Chen
- Department of Experimental Psychology, Ghent University, Ghent, Belgium
| | - Pieter Van Dessel
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
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Moore H, White MJ, Finlayson G, King N. Response inhibition training as an intervention to modify liking and wanting for foods based on energy density: a proof of concept study. J Behav Med 2024; 47:271-281. [PMID: 37814036 PMCID: PMC10944450 DOI: 10.1007/s10865-023-00453-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 09/24/2023] [Indexed: 10/11/2023]
Abstract
The ubiquity of energy-dense, processed foods has been implicated as a salient feature of the modern 'obesogenic' environment. Cognitive strategies, such as response inhibition training, have been demonstrated to reduce the hedonic value of such foods in previous studies. However, this effect has generally been inconsistent or heterogenous, depending on the outcome measure, characteristics of the sample, and the specificity of food stimuli. Characterising the extent of generalised effects may help define the application of this type of intervention in natural settings. A repeated-measures, proof-of-concept study, using mobile app-based response inhibition training (RIT) versus a control app-based activity (N = 25), was undertaken to establish the valid application of a food reward measure to assess intervention efficacy. Liking (i.e., affect) and wanting (i.e., motivation) for food stimuli categorised by energy density were taken concurrently pre- and post-training. A statistically significant reduction in explicit liking, but not implicit wanting, for foods irrespective of their energy density was observed during the RIT app-based training session relative to the control (p = .041, ηp2 = .16). However, effect sizes associated with devaluation of energy-dense relative to low calorie food stimuli, although non-significant, were higher when measured as implicitly wanting (p = .098, ηp2 = .11) than explicit liking (p = .756, ηp2 = .00). Trends in explicit stimulus evaluations were empirically discordant from implicit evaluations for low calorie foods in particular. Additional research is needed to investigate whether these trends are reproducible with larger samples, trained and novel food stimuli in outcome measures, and more comprehensive training protocols.
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Affiliation(s)
- Halim Moore
- School of Exercise and Nutrition Sciences, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove, 4059, Australia.
| | - Melanie J White
- School of Psychology and Counselling, Queensland University of Technology, Kelvin Grove, 4059, Australia
| | | | - Neil King
- School of Exercise and Nutrition Sciences, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove, 4059, Australia
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Moore H, White MJ, Finlayson G, King N. Can smartphone-based response inhibition training elicit sustained changes in appetite, preference, and cravings for energy-dense foods? A free-living randomized controlled trial. Br J Health Psychol 2024; 29:165-184. [PMID: 37704590 DOI: 10.1111/bjhp.12693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 09/04/2023] [Indexed: 09/15/2023]
Abstract
BACKGROUND Food-specific response inhibition training has been implemented as a strategy to modify food choices and reward-related eating behaviours, but short-term studies have produced equivocal findings. OBJECTIVE To longitudinally assess the effect of a smartphone-based response inhibition intervention on food reward, hedonic eating drive, and cravings in a free-living setting. METHODS 84 adults (Mage = 30.49, SDage = 13.01, 52 female) with high responsivity to food cues or overweight/obesity were randomly assigned to a response inhibition training intervention (n = 45) or a control game (n = 39) at home during a training week, followed by a week with no training. Primary analyses compared groups on measures of explicit liking and implicit wanting for food of different energy densities, food cravings, and reward-related eating throughout this two-week period. RESULTS A reduction was observed in explicit liking and implicit wanting for energy-dense foods from baseline to post-training independent of condition (ps < .001). These changes from baseline were sustained after a 1-week latency period, also independent of condition (ps < .001). These effects coincided with similar observations of hedonic eating drive, tonic cravings, and control over cravings during the observation period (ps < .01). CONCLUSIONS Although significant reductions in reward-related appetite were observed, free-living response inhibition training did not offer additional benefit over a control activity. Future intervention studies with observable food intake are needed to investigate which appetitive mechanisms most reliably predict eating behaviour over time. TRIAL REGISTRATION Retrospectively registered with ANZCTR [ACTRN12622001502729].
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Affiliation(s)
- Halim Moore
- Queensland University of Technology, School of Exercise and Nutrition Sciences, Brisbane, Queensland, Australia
| | - Melanie J White
- Queensland University of Technology, School of Psychology and Counselling, Brisbane, Queensland, Australia
| | | | - Neil King
- Queensland University of Technology, School of Exercise and Nutrition Sciences, Brisbane, Queensland, Australia
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Matsuda I, Nittono H. Repeated response execution and inhibition alter subjective preferences but do not affect automatic approach and avoidance tendencies toward an object. PeerJ 2023; 11:e16275. [PMID: 37842069 PMCID: PMC10573286 DOI: 10.7717/peerj.16275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 09/20/2023] [Indexed: 10/17/2023] Open
Abstract
Background Repeated action or inaction toward objects changes preferences for those objects. However, it remains unclear whether such training activates approach-avoidance motivation toward the objects, which leads to actual behavior. We conducted a pre-registered online experiment to examine whether approach and avoidance tendencies were affected by the experience of having executed or withheld a button-press response to a stimulus. Methods Participants (N = 236) performed a Go/NoGo task in which they were asked to repeatedly execute a response to a picture of a mug (i.e., Go-primed stimulus) and suppress a response to another picture of a mug (i.e., NoGo-primed stimulus). They then received one of two manikin tasks, which were implicit association tests designed to assess approach-avoidance tendencies. One manikin task measured the reaction times of moving a manikin toward or away from the Go-primed stimulus and the other picture of a mug (i.e., unprimed stimulus). The other manikin task measured the reaction times of moving a manikin toward or away from the NoGo-primed stimulus and the unprimed stimulus. The participants then rated their preference for the Go-primed, NoGo-primed, and unprimed items. Results The Go-primed item was evaluated as more highly preferable than the unprimed item in the Go condition, while the NoGo-primed item was evaluated as less preferable than the unprimed item in the NoGo condition. In contrast, the mean approach/avoidance reaction times in the manikin task showed no difference between the Go-primed and unprimed stimuli or between the NoGo-primed and unprimed stimuli. Conclusion When participants repeatedly responded or inhibited their responses to an object, their explicit preference for the object increased or decreased, respectively. However, the effect did not occur in approach-avoidance behaviors toward the object.
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Affiliation(s)
- Izumi Matsuda
- Department of Psychology, Aoyama Gakuin University, Shibuya, Tokyo, Japan
| | - Hiroshi Nittono
- Graduate School of Human Sciences, Osaka University, Suita, Osaka, Japan
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Larsen JK, Hollands GJ, Garland EL, Evers AWM, Wiers RW. Be more mindful: Targeting addictive responses by integrating mindfulness with cognitive bias modification or cue exposure interventions. Neurosci Biobehav Rev 2023; 153:105408. [PMID: 37758008 DOI: 10.1016/j.neubiorev.2023.105408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 09/01/2023] [Accepted: 09/22/2023] [Indexed: 09/29/2023]
Abstract
This review provides an overview of the most prominent neurocognitive effects of cognitive bias modification (CBM), cue-exposure therapy and mindfulness interventions for targeting addictive responses. It highlights the key insights that have stemmed from cognitive neuroscience and brain imaging research and combines these with insights from behavioural science in building a conceptual model integrating mindfulness with response-focused CBM or cue-exposure interventions. This furthers our understanding of whether and how mindfulness strategies may i) facilitate or add to the induced response-focused effects decreasing cue-induced craving, and ii) further weaken the link between craving and addictive responses. Specifically, awareness/monitoring may facilitate, and decentering may add to, response-focused effects. Combined awareness acceptance strategies may also diminish the craving-addiction link. The conceptual model presented in this review provides a specific theoretical framework to deepen our understanding of how mindfulness strategies and CBM or cue-exposure interventions can be combined to greatest effect. This is important in both suggesting a roadmap for future research, and for the further development of clinical interventions.
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Affiliation(s)
- Junilla K Larsen
- Behavioural Science Institute, Radboud University, PO Box 9104, 6500 HE Nijmegen, the Netherlands.
| | - Gareth J Hollands
- EPPI Centre, UCL Social Research Institute, University College London, UK
| | - Eric L Garland
- Center on Mindfulness and Integrative Health Intervention Development, College of Social Work, University of Utah, Salt Lake City, USA
| | - Andrea W M Evers
- Health, Medical and Neuropsychology Unit, Leiden University, NL, and Medical Delta, Leiden University, TU Delft and Erasmus University, UK
| | - Reinout W Wiers
- Addiction Development and Psychopathology (ADAPT)-lab, Department of Psychology, University of Amsterdam and Centre for Urban Mental Health, University of Amsterdam, the Netherlands
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Wu Q, Xia H, Shields GS, Nie H, Li J, Chen H, Yang Y. Neural correlates underlying preference changes induced by food Go/No-Go training. Appetite 2023; 186:106578. [PMID: 37150052 DOI: 10.1016/j.appet.2023.106578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 04/09/2023] [Accepted: 04/26/2023] [Indexed: 05/09/2023]
Abstract
Consistently not responding to appetitive foods during food go/no-go training could change individuals' food choices and sometimes even body weight, however, fewer studies have explored the neural pathways underlying the effects of food go/no-go training. In this study, we scanned eighty-six female participants using functional magnetic resonance imaging and investigated the neural bases of preference changes in a binary food choice task following action (e.g., go) or inaction (e.g., no-go) toward distinct foods within a food go/no-go training paradigm. In line with prior behavioral work, we found that participants' food preferences changed as a function of food go/no-go training, with participants choosing more "go" over "no-go" foods for consumption following training. At a neural level, preference changes were inversely associated with frontoparietal and salience network activity when choosing go (vs. no-go) foods. Additionally, task-related functional connectivities from the inferior parietal lobule to the pre-supplementary motor cortex, dorsolateral prefrontal cortex, and dorsal anterior cingulate cortex were related to these preference changes. Together, current work supports that food go/no-go training reliably changes people's preferences. More importantly, our findings suggest that a neural pathway centered on areas traditionally associated with selective attention may interface with prefrontal regions to guide preference changes induced by food go/no-go training, though future studies using other tasks (e.g., passive viewing tasks) are still needed to test this potential neural mechanism.
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Affiliation(s)
- Qian Wu
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Haishuo Xia
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Grant S Shields
- Department of Psychological Science, University of Arkansas, Fayetteville, AR, USA
| | - Haoyu Nie
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Jiwen Li
- Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Hong Chen
- Faculty of Psychology, Southwest University, Chongqing, 400715, China; Key Laboratory of Cognition and Personality (Ministry of Education), Southwest University, Chongqing, 400715, China; Research Center of Psychology and Social Development, Faculty of Psychology, Southwest University, 400715, China.
| | - Yingkai Yang
- Faculty of Psychology, Southwest University, Chongqing, 400715, China.
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Houben K. How does Go/No-Go training lead to food devaluation? Separating the effects of motor inhibition and response valence. Cogn Emot 2023; 37:763-776. [PMID: 37144522 DOI: 10.1080/02699931.2023.2208339] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 03/01/2023] [Accepted: 04/20/2023] [Indexed: 05/06/2023]
Abstract
Palatable, unhealthy food stimuli can be devalued via Go/No-Go (GNG) training that consistently pairs such stimuli with motor inhibition. However, it remains unclear whether this devaluation is caused via learned associations with motor inhibition or via inferential learning based on the valence of emitted motor responses. The present research disentangles the effects of motor assignment and response valence in GNG training through task instructions. In two studies, chocolate stimuli were consistently paired with motor inhibition ("no-go") or with motor excitation ("go"). Task instructions indicated that no-go responses were negatively valenced ("do not take") and that go responses were positively valenced ("take"), or identified no-go responses as positively valenced ("keep") and go as negatively valenced ("throw away"). The results show an effect of response valence on chocolate evaluations, but no effect of motor assignment: Chocolate stimuli were consistently devalued following pairings with a negatively valenced response, regardless of whether this response entailed motor inhibition or excitation. These findings align best with an inferential account of GNG training, suggesting that devaluation effects critically depend on inferential processes regarding motor response valence. GNG training procedures may, therefore, be optimised by disambiguating the valence of go and no-go motor responses prior to training.
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Affiliation(s)
- Katrijn Houben
- Clinical Psychological Science, Maastricht University, Maastricht, The Netherlands
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Aulbach MB, van Alebeek H, Kahveci S, Blechert J. Testing the effectiveness of a mobile approach avoidance intervention and measuring approach biases in an ecological momentary assessment context: study protocol for a randomised-controlled trial. BMJ Open 2023; 13:e070443. [PMID: 37185192 PMCID: PMC10151942 DOI: 10.1136/bmjopen-2022-070443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 03/30/2023] [Indexed: 05/17/2023] Open
Abstract
INTRODUCTION Unhealthy eating behaviour is a major contributor to obesity and related diseases and is associated with a behavioural bias to approach rather than avoid desired foods, as measured with reaction time tasks. Approach-avoidance interventions (AAIs) have been proposed as a way to modify food evaluations and help people to eat in accordance with their dietary goals. Mobile implementations of AAI might be easily accessible, low threshold interventions, but their effectiveness has not been established yet. METHODS AND ANALYSIS Participants who aim to change their eating behaviour are randomised to intervention or control groups. They complete six sessions of a smartphone-based AAI, in which they push (ie, avoid) or pull (ie, approach) personalised food images. Intervention group participants always avoid foods that they personally want to eat less often and approach foods that they personally want to eat more often. In the control group, images are paired equally often with both response directions. To evaluate contextual and dynamic intervention effects, ecological momentary assessment (EMA) is measured throughout, with questions about food intake, hunger, stress, emotions, eating intentions, food craving and impulsivity twice a day. Additional EMA preintervention and postintervention measures are administered before and after the intervention phase (4 days each) with a 1-day follow-up EMA 4 weeks after the intervention. Multilevel models will examine the temporal covariance between approach bias and self-reported variables as well as short-term and long-term intervention effects on approach bias, food intake and craving. ETHICS AND DISSEMINATION The study was approved by the Ethics Committee of the University of Salzburg. Results will be published in peer-reviewed scientific journals and presented at scientific conferences. TRIAL REGISTRATION NUMBER German Clinical Trials Register DRKS, registration number DRKS00030780.
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Affiliation(s)
- Matthias Burkard Aulbach
- Department of Psychology, Paris Lodron Universitat Salzburg, Salzburg, Austria
- Department of Psychology, Centre for Cognitive Neuroscience, Salzburg, Austria
| | - Hannah van Alebeek
- Department of Psychology, Paris Lodron Universitat Salzburg, Salzburg, Austria
- Department of Psychology, Centre for Cognitive Neuroscience, Salzburg, Austria
| | - Sercan Kahveci
- Department of Psychology, Paris Lodron Universitat Salzburg, Salzburg, Austria
- Department of Psychology, Centre for Cognitive Neuroscience, Salzburg, Austria
| | - Jens Blechert
- Department of Psychology, Paris Lodron Universitat Salzburg, Salzburg, Austria
- Department of Psychology, Centre for Cognitive Neuroscience, Salzburg, Austria
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Houben K, Aulbach M. Is there a difference between stopping and avoiding? A review of the mechanisms underlying Go/No-Go and Approach-Avoidance training for food choice. Curr Opin Behav Sci 2023. [DOI: 10.1016/j.cobeha.2022.101245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Kim H, Anderson BA. On the Relationship between Value- and Threat-Driven Attentional Capture and Approach-Avoidance Biases. Brain Sci 2023; 13:brainsci13020158. [PMID: 36831701 PMCID: PMC9954098 DOI: 10.3390/brainsci13020158] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 12/29/2022] [Accepted: 01/13/2023] [Indexed: 01/18/2023] Open
Abstract
Reward learning and aversive conditioning have consequences for attentional selection, such that stimuli that come to signal reward and threat bias attention regardless of their valence. Appetitive and aversive stimuli have distinctive influences on response selection, such that they activate an approach and an avoidance response, respectively. However, whether the involuntary influence of reward- and threat-history-laden stimuli extends to the manner in which a response is directed remains unclear. Using a feedback-joystick task and a manikin task, which are common paradigms for examining valence-action bias, we demonstrate that reward- and threat-signalling stimuli do not modulate response selection. Stimuli that came to signal reward and threat via training biased attention and invigorated action in general, but they did not facilitate an approach and avoidance response, respectively. We conclude that attention can be biased towards a stimulus as a function of its prior association with reward or aversive outcomes without necessarily influencing approach vs. avoidance tendencies, such that the mechanisms underlying the involuntary control of attention and behaviour evoked by valent stimuli can be decoupled.
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Chen Z, Veling H. Toward a better understanding of durable behavior change by food Go/NoGo training. Curr Opin Behav Sci 2022. [DOI: 10.1016/j.cobeha.2022.101212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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How go/no-go training changes behavior: A value-based decision-making perspective. Curr Opin Behav Sci 2022. [DOI: 10.1016/j.cobeha.2022.101206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Itzkovitch A, Bar Or M, Schonberg T. Cue-approach training for food behavior. Curr Opin Behav Sci 2022. [DOI: 10.1016/j.cobeha.2022.101202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Solier-López L, González-González R, Caracuel A, Kakoschke N, Lawrence N, Vilar-López R. A Program for the Comprehensive Cognitive Training of Excess Weight (TRAINEP): The Study Protocol for A Randomized, Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148447. [PMID: 35886296 PMCID: PMC9324504 DOI: 10.3390/ijerph19148447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 07/06/2022] [Accepted: 07/08/2022] [Indexed: 02/06/2023]
Abstract
Background: The available treatments for people with excess weight have shown small effects. Cognitive training has shown promising results, but most of the research focused on normal-weight university students and reported immediate results after a single training session. This parallel group, randomized, controlled trial aims to study the efficacy of a program for the comprehensive cognitive treatment of excess weight. Methods and Analysis: Participants will be 150 people with excess weight recruited through social media, who will be randomized into three groups: cognitive intervention, sham cognitive intervention, and treatment as usual. All assessment and intervention sessions will be online in groups of 5–6 participants. The three groups will attend a motivational interviewing session, and they will receive individualized diet and physical exercise guidelines throughout the program. The cognitive training will consist of four weekly sessions of approximately 60–90 min, each based on approach–avoidance bias training, inhibitory control training, implementation of intentions, and episodic future thinking, respectively. The main outcome measure will be a change in Body Mass Index (kg/m2). Secondary outcomes include changes in cognitive measures, eating and physical exercise behaviors, and anthropometric measures. Assessments will be conducted up to 6 months after the end of the program. In addition, data on the use of the health system will be collected to analyze the cost-effectiveness and the cost-utility of training. Linear mixed models will be used for statistical analysis. Findings of this study will expand the available evidence on cognitive interventions to reduce excess weight.
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Affiliation(s)
- Lucía Solier-López
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18070 Granada, Spain; (L.S.-L.); (R.G.-G.); (R.V.-L.)
| | - Raquel González-González
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18070 Granada, Spain; (L.S.-L.); (R.G.-G.); (R.V.-L.)
| | - Alfonso Caracuel
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18070 Granada, Spain; (L.S.-L.); (R.G.-G.); (R.V.-L.)
- Correspondence:
| | - Naomi Kakoschke
- Nutrition and Health Program (Health & Biosecurity) at CSIRO, Adelaide, SA 5000, Australia;
| | - Natalia Lawrence
- Department of Psychology, University of Exeter, Exeter EX4 4PY, UK;
| | - Raquel Vilar-López
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18070 Granada, Spain; (L.S.-L.); (R.G.-G.); (R.V.-L.)
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17
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‘Don't stop believing’: The role of training beliefs in cognitive bias modification paradigms. Appetite 2022; 174:106041. [DOI: 10.1016/j.appet.2022.106041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 04/04/2022] [Accepted: 04/05/2022] [Indexed: 11/15/2022]
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18
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Yang Y, Qi L, Morys F, Wu Q, Chen H. Food-Specific Inhibition Training for Food Devaluation: A Meta-Analysis. Nutrients 2022; 14:nu14071363. [PMID: 35405975 PMCID: PMC9002952 DOI: 10.3390/nu14071363] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 03/16/2022] [Accepted: 03/23/2022] [Indexed: 01/27/2023] Open
Abstract
Theories have suggested that food-specific inhibition training could lead to food devaluation which, in turn, may help people to regulate their eating behavior. In this review, we have synthesized the current literature on this topic by conducting a meta-analysis of studies investigating the effects of food-specific inhibition training on food evaluation. We identified 24 studies-with 36 independent samples, 77 effect sizes, and 3032 participants-that met our inclusion criteria. Effect sizes were analyzed using the robust variance estimation in random effects meta-regression technique. The results indicate that food-specific inhibition training can lead to statistically significant reductions in food evaluation. More specifically, it was observed that the effects of training on participants' food evaluation differed according to the type of evaluation; food-specific inhibition training significantly decreased participants' explicit food evaluation, but not their implicit food evaluation. However, because most of the included studies focused on trained food items and short-term outcomes in normal-weight samples, more research is needed on the continuance of the training effects, as well as on the extent to which effects can be generalized to untrained food items or different populations (e.g., overweight or obese individuals).
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Affiliation(s)
- Yingkai Yang
- Faculty of Psychology, Southwest University, No. 2 Tiansheng Street, Beibei District, Chongqing 400715, China
- Correspondence: (Y.Y.); (H.C.)
| | - Le Qi
- School of General Education, Chongqing City Management College, Chongqing 401331, China;
| | - Filip Morys
- Montreal Neurological Institute, McGill University, Montreal, QC H3A 2B4, Canada;
| | - Qian Wu
- The Lab of Mental Health and Social Adaptation, Faculty of Psychology, Research Center of Mental Health Education, Southwest University, Chongqing 400715, China;
| | - Hong Chen
- Faculty of Psychology, Southwest University, No. 2 Tiansheng Street, Beibei District, Chongqing 400715, China
- Key Laboratory of Cognition and Personality (Ministry of Education), Southwest University, Chongqing 400715, China
- Correspondence: (Y.Y.); (H.C.)
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19
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Tzavella L, Lawrence NS, Button KS, Hart EA, Holmes NM, Houghton K, Badkar N, Macey E, Braggins AJ, Murray FC, Chambers CD, Adams RC. Effects of go/no-go training on food-related action tendencies, liking and choice. ROYAL SOCIETY OPEN SCIENCE 2021; 8:210666. [PMID: 34457346 PMCID: PMC8385366 DOI: 10.1098/rsos.210666] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Accepted: 08/03/2021] [Indexed: 05/16/2023]
Abstract
Inhibitory control training effects on behaviour (e.g. 'healthier' food choices) can be driven by changes in affective evaluations of trained stimuli, and theoretical models indicate that changes in action tendencies may be a complementary mechanism. In this preregistered study, we investigated the effects of food-specific go/no-go training on action tendencies, liking and impulsive choices in healthy participants. In the training task, energy-dense foods were assigned to one of three conditions: 100% inhibition (no-go), 0% inhibition (go) or 50% inhibition (control). Automatic action tendencies and liking were measured pre- and post-training for each condition. We found that training did not lead to changes in approach bias towards trained foods (go and no-go relative to control), but we warrant caution in interpreting this finding as there are important limitations to consider for the employed approach-avoidance task. There was only anecdotal evidence for an effect on food liking, but there was evidence for contingency learning during training, and participants were on average less likely to choose a no-go food compared to a control food after training. We discuss these findings from both a methodological and theoretical standpoint and propose that the mechanisms of action behind training effects be investigated further.
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Affiliation(s)
- Loukia Tzavella
- Brain Research Imaging Centre, Cardiff University, Cardiff CF24 4HQ, UK
| | | | | | | | | | | | - Nina Badkar
- School of Psychology, University of Exeter, Exeter EX4 4QG, UK
| | - Ellie Macey
- School of Psychology, University of Exeter, Exeter EX4 4QG, UK
| | | | | | | | - Rachel C. Adams
- Brain Research Imaging Centre, Cardiff University, Cardiff CF24 4HQ, UK
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Targeting executive function for weight loss in adults with overweight or obesity. Physiol Behav 2021; 240:113540. [PMID: 34331958 DOI: 10.1016/j.physbeh.2021.113540] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 07/09/2021] [Accepted: 07/26/2021] [Indexed: 02/07/2023]
Abstract
Obesity is associated with a multitude of negative health sequalae. Behavioral weight loss (BWL) is currently the recommended behavioral treatment for obesity; however, it is not effective for approximately half of the individuals who participate. BWL requires individuals to carry out many tasks requiring executive function (EF; i.e., higher order cognitive functions such as planning and problem solving) in order to be successful. Growing research supports that lower EF may be associated with attenuated weight loss following BWL, and targeting EF in treatment could improve outcomes. This paper aims to describe the rationale for the development of Novel Executive Function Training for Obesity (NEXT), which adapts Compensatory Cognitive Training to be delivered in conjunction with BWL. We summarize evidence relating EF to obesity and reduced weight loss following BWL, as well as the past success of cognitive training on EF. Then we describe the treatment model for NEXT followed by initial data suggesting that NEXT is feasible and acceptable and may impact EF and weight. Obesity treatments incorporating cognitive training, especially those that train compensatory strategies, may improve weight-loss outcomes and provide a more durable treatment than traditional interventions, but larger randomized control trials are necessary.
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