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Zorjan S, Schienle A. Temporal dynamics of mental imagery, craving and consumption of craved foods: an experience sampling study. Psychol Health 2023; 38:1443-1459. [PMID: 35103507 DOI: 10.1080/08870446.2022.2033239] [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: 05/25/2021] [Revised: 10/29/2021] [Accepted: 01/19/2022] [Indexed: 10/19/2022]
Abstract
Objective: According to the elaborated intrusion theory of desire, an initial thought about a wanted substance is elaborated with mental imagery, which increases craving and the probability of consuming the substance. We used an app-assisted experience sampling approach to test this theory in the context of food craving and eating.Design: Overall, 221 females (mean age = 21 years; mean body mass index = 22) reported craving, mental imagery, and food consumption six times per day (2 h intervals) for seven consecutive days. Additionally, two traits (general food craving and imagery ability) were assessed.Main outcome measures: craving intensity, food consumption.Results: The probability of eating a craved food increased if the vividness of the mental food image and craving intensity increased two hours before - independent of trait food craving and trait imagery ability. We also found evidence of controlled eating behavior, with participants consuming the food they craved in only 38% of the cases.Conclusion: Mental imagery vividness and craving intensity predict consumption of craved food. The association between craving and eating might be stronger in individuals who struggle with controlling their eating behavior. Therefore, future studies should examine these relationships in overweight/obese samples or patients with eating disorders.
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Affiliation(s)
- Saša Zorjan
- Clinical Psychology, University of Graz, Graz, Austria
- Faculty of Arts, Department of Psychology, University of Maribor, Maribor, Slovenia
| | - Anne Schienle
- Clinical Psychology, University of Graz, Graz, Austria
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Kiyak C, Deluca P, Norton S, Simonetti ME, Preti E. The Impact of Cue-Elicited Multisensory Imagery on Alcohol Craving: A Randomised Controlled Trial. Eur Addict Res 2023; 29:353-362. [PMID: 37643589 DOI: 10.1159/000531844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Accepted: 06/16/2023] [Indexed: 08/31/2023]
Abstract
INTRODUCTION Elaborated intrusion theory suggests that imagery is central to craving; however, the possibility that cue-elicited multisensory imagery produces such urges has not been studied enough in the literature. Thus, we investigated the role of cue-elicited multisensory imagery on alcohol craving in individuals who are hazardous and social drinkers compared to mental and neutral imagery conditions. METHODS In an online experiment, hazardous and social drinkers (N = 348) between 18 and 45 years old were randomised to multisensory, mental, and neutral imagery exposure. The level of craving intensity was measured before and after imagery exposure. Also, participants rated vividness and sensory features scales after the exposure. RESULTS The level of craving was significantly higher in multisensory imagery condition compared to neutral condition (b = 1.94, p < 0.001, SE = 0.30, t(344) = 6.52, standardised mean difference [SMD] = 0.89) and in mental imagery condition compared to neutral condition (b = 1.82, SE = 0.30, t(344) = 6.52, p < 0.001, SMD = 0.83). The difference between the level of craving intensity between the multisensory and mental was not significant (b = 0.12, SE = 0.22, t(344) = 0.53, p = 0.594, SMD = 0.06). Moreover, craving intensity in response to multisensory versus neutral imagery was significantly stronger among hazardous drinkers (b = -2.90, SE = 0.83, t(341) = -3.50, p < 0.001). The level of vividness was not significantly different between any conditions. The difference between levels of sensory features was higher in multisensory imagery condition compared to neutral (b = 0.95, SE = 0.30, t(345) = 3.17, p = 0.002, SMD = 0.49) and mental imagery condition (b = 0.67, SE = 0.23, t(345) = 2.36, p = 0.004, SMD = 0.35). CONCLUSION Results suggest that cue-elicited multisensory imagery may be a useful tool for eliciting alcohol craving responses and provide an additional means for better understanding the multi-layered mechanism of craving.
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Affiliation(s)
- Ceyda Kiyak
- School of Psychology, University of East Anglia, Norwich, UK,
| | - Paolo Deluca
- Institute of Psychology, RWTH Aachen University, Aachen, Germany
| | - Sam Norton
- Institute of Psychology, RWTH Aachen University, Aachen, Germany
| | - Matilde E Simonetti
- Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK
| | - Emanuele Preti
- Department of Psychology, University of Milan-Bicocca, Milan, Italy
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Gao L, Wang X, Caselli G, Li W, Liu Q, Chu X, Chen H. Psychometric validation of the Chinese version of the desire thinking questionnaire in adolescent mobile phone users. Addict Behav 2023; 142:107651. [PMID: 36870257 DOI: 10.1016/j.addbeh.2023.107651] [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: 09/01/2022] [Revised: 01/19/2023] [Accepted: 02/04/2023] [Indexed: 02/11/2023]
Abstract
BACKGROUND Desire thinking is a conscious and voluntary cognitive process that is closely linked to levels of craving and addictive behaviors. The Desire Thinking Questionnaire (DTQ) can be used to measure desire thinking in all age groups as well as in addicts. This measurement has also been translated into several languages. This study aimed to test the psychometric properties of the Chinese version of the DTQ (DTQ-C) among adolescent mobile phone users. METHODS One thousand and ninety-seven adolescents who own a mobile phone and are younger than 18 years old completed the DTQ-C and a battery of questionnaires assessing the big five personality traits, negative affect, brooding, self-control, craving, and problematic mobile phone use (PMPU). The psychometric analyses of the DTQ-C were conducted, including exploratory factor analysis (EFA), confirmatory factor analysis (CFA), reliability, and validity analysis. RESULTS The EFA revealed a 10-item two-factor structure (i.e., verbal perseveration and imaginal prefiguration) that was confirmed by the CFA. The results of CFA showed fit indexes of χ2/df = 4.83, CFI = 0.967, TLI = 0.954, RMSEA = 0.059, SRMR = 0.032. The total scale had internal consistency reliabilities of 0.93, which demonstrated that DTQ-C presented good reliability. The two dimensions were correlated with PMPU (rverbal perseveration = 0.54; rimaginal prefiguration = 0.45), neuroticism (rverbal perseveration = 0.18; rimaginal prefiguration = 0.14), conscientiousness (rverbal perseveration = -0.19; rimaginal prefiguration = -0.18), depression (rverbal perseveration = 0.22; rimaginal prefiguration = 0.16), anxiety (rverbal perseveration = 0.26; rimaginal prefiguration = 0.22), stress (rverbal perseveration = 0.15; rimaginal prefiguration = 0.10) and self-control (rverbal perseveration = -0.29; rimaginal prefiguration = -0.26), which demonstrated that DTQ-C presented good concurrent validity. The two factors of DTQ-C correlated weakly with brooding (ranging from 0.08 to 0.10). The principal component factor analysis of the two dimensions of desire thinking and craving showed that craving and desire thinking belonged to different dimensions. Both of which showed good divergent validity of desire thinking. Additionally, an examination of incremental validity revealed that two factors were both positively associated with PMPU beyond demographic characteristics, big five personality traits, negative affect, and self-control (Bverbal perseveration = 0.49 and Bimaginal prefiguration = 0.13). CONCLUSIONS It has been found that the 10-item DTQ-C is a reliable and valid measure of desire thinking in Chinese adolescent mobile phone users.
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Affiliation(s)
- Lingfeng Gao
- Key Laboratory of Intelligent Education Technology and Application of Zhejiang Province, Zhejiang Normal University, Jinhua, Zhejiang, China; School of Psychology, Zhejiang Normal University, Jinhua, Zhejiang, China
| | - Xiaomin Wang
- Key Laboratory of Intelligent Education Technology and Application of Zhejiang Province, Zhejiang Normal University, Jinhua, Zhejiang, China; School of Psychology, Zhejiang Normal University, Jinhua, Zhejiang, China
| | - Gabriele Caselli
- Division of Psychology, School of Applied Sciences, London South Bank University, London, UK; Sigmund Freud University, Milan, Italy
| | - Weijian Li
- Key Laboratory of Intelligent Education Technology and Application of Zhejiang Province, Zhejiang Normal University, Jinhua, Zhejiang, China; School of Psychology, Zhejiang Normal University, Jinhua, Zhejiang, China
| | - Qingqi Liu
- College of Education for the Future, Beijing Normal University at Zhuhai, Zhuhai Guangzhou, China
| | - Xiaowei Chu
- Key Laboratory of Intelligent Education Technology and Application of Zhejiang Province, Zhejiang Normal University, Jinhua, Zhejiang, China; School of Psychology, Zhejiang Normal University, Jinhua, Zhejiang, China.
| | - Haide Chen
- Key Laboratory of Intelligent Education Technology and Application of Zhejiang Province, Zhejiang Normal University, Jinhua, Zhejiang, China; School of Psychology, Zhejiang Normal University, Jinhua, Zhejiang, China.
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Graff M, Barenholtz E. An Imagination - Procrastination Link? The Role of Efficacy Beliefs, Visual Imagery, and Affect in Academic Procrastination. Psychol Rep 2023:332941231168559. [PMID: 37051662 DOI: 10.1177/00332941231168559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
Abstract
Previous studies have established that there is a relationship between efficacy beliefs and procrastination. Theory and research on motivation suggest that visual imagery (the capacity to create vivid mental images) may be implicated in this relationship and in the general tendency to procrastinate. This study's aim was to build on prior work by examining the role of visual imagery, as well as roles of other specific personal and affective factors, in predicting academic procrastination. Self-efficacy for self regulatory behavior was observed to be the strongest predictor, predicting lower rates of academic procrastination, though this effect was significantly greater for individuals who scored higher on a measure of visual imagery. Visual imagery predicted higher levels of academic procrastination when included in a regression model with other significant factors, though this relationship did not hold for individuals who scored higher on self regulatory self-efficacy, suggesting that this self-belief may shield individuals who would otherwise be disposed to procrastination behavior. Negative affect was observed to predict higher levels of academic procrastination, contrary to a previous finding. This result highlightsthe importance of considering social contextual issues that may influence emotional states, such as those surrounding the Covid-19 epidemic, in studies of procrastination.
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Affiliation(s)
- Meir Graff
- Graduate School of Education, Touro University, New York, NY, USA
| | - Elan Barenholtz
- Department of Psychology/Center for Complex Systems and Brain Sciences, Florida Atlantic University, Boca Raton, FL, USA
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Perszyk EE, Davis XS, Djordjevic J, Jones-Gotman M, Trinh J, Hutelin Z, Veldhuizen MG, Koban L, Wager TD, Kober H, Small DM. Odor imagery but not perception drives risk for food cue reactivity and increased adiposity. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.02.06.527292. [PMID: 36798231 PMCID: PMC9934556 DOI: 10.1101/2023.02.06.527292] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Abstract
Mental imagery has been proposed to play a critical role in the amplification of cravings. Here we tested whether olfactory imagery drives food cue reactivity strength to promote adiposity in 45 healthy individuals. We measured odor perception, odor imagery ability, and food cue reactivity using self-report, perceptual testing, and neuroimaging. Adiposity was assessed at baseline and one year later. Brain responses to real and imagined odors were analyzed with univariate and multivariate decoding methods to identify pattern-based olfactory codes. We found that the accuracy of decoding imagined, but not real, odor quality correlated with a perceptual measure of odor imagery ability and with greater adiposity changes. This latter relationship was mediated by cue-potentiated craving and intake. Collectively, these findings establish odor imagery ability as a risk factor for weight gain and more specifically as a mechanism by which exposure to food cues promotes craving and overeating.
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Affiliation(s)
- Emily E. Perszyk
- Modern Diet and Physiology Research Center, New Haven, CT 06510, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
| | - Xue S. Davis
- Modern Diet and Physiology Research Center, New Haven, CT 06510, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
| | - Jelena Djordjevic
- Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montréal, QC H3A 2B4, Canada
| | - Marilyn Jones-Gotman
- Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montréal, QC H3A 2B4, Canada
| | - Jessica Trinh
- Modern Diet and Physiology Research Center, New Haven, CT 06510, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
| | - Zach Hutelin
- Modern Diet and Physiology Research Center, New Haven, CT 06510, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
| | - Maria G. Veldhuizen
- Department of Anatomy, Faculty of Medicine, Mersin University, Ciftlikkoy Campus, Mersin 33343, Turkey
| | - Leonie Koban
- Lyon Neuroscience Research Center (CRNL), CNRS, INSERM, University Claude Bernard Lyon 1, France
| | - Tor D. Wager
- Department of Psychological and Brain Sciences, Dartmouth College, Hanover, NH 03755, USA
| | - Hedy Kober
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
- Department of Psychology, Yale University, New Haven, CT 06511, USA
| | - Dana M. Small
- Modern Diet and Physiology Research Center, New Haven, CT 06510, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
- Department of Psychology, Yale University, New Haven, CT 06511, USA
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Verzijl CL, Gius B, Schlauch R, Rancourt D. The transdiagnostic role of food craving: An application of substance use models. Appetite 2021; 170:105867. [PMID: 34915105 DOI: 10.1016/j.appet.2021.105867] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 09/06/2021] [Accepted: 12/11/2021] [Indexed: 12/15/2022]
Abstract
Food craving is a transdiagnostic process underlying clinically significant disordered eating behaviors and eating disorder diagnoses. However, the lack of literature examining the role of food craving as it relates to the full spectrum of disordered eating behaviors, including restrictive eating and compensatory behaviors, may be due to the traditional definition of food craving as the desire to consume particular foods. Applying motivational models of substance use craving to food craving may help to explain inconsistencies within existing literature. Three motivational models of craving from the substance use literature may be particularly applicable to (1) provide a clear definition of food craving as a motivational process, (2) understand the role of that motivational process as it underlies the full spectrum of disordered eating behavioral patterns, (3) provide insight for the most appropriate ways in which to accurately assess food craving, and (4) establish ways in which food craving may represent a useful motivational process to target in eating disorder treatments. This narrative review describes three models of substance use craving and provides suggestions for utilizing motivational models to understand the transdiagnostic role of food craving as it relates to the full spectrum of disordered eating behaviors in both research and clinical work.
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Affiliation(s)
- Christina L Verzijl
- Department of Psychology, University of South Florida, 4202 East Fowler Ave, Tampa, FL, 33620, USA.
| | - Becky Gius
- Department of Psychology, University of South Florida, 4202 East Fowler Ave, Tampa, FL, 33620, USA
| | - Robert Schlauch
- Department of Psychology, University of South Florida, 4202 East Fowler Ave, Tampa, FL, 33620, USA
| | - Diana Rancourt
- Department of Psychology, University of South Florida, 4202 East Fowler Ave, Tampa, FL, 33620, USA
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Devos E, Pandelaere M, Kerckhove AV. Does a single consumption imagery event increase food desire? Appetite 2021; 168:105773. [PMID: 34706288 DOI: 10.1016/j.appet.2021.105773] [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: 05/18/2021] [Revised: 10/12/2021] [Accepted: 10/21/2021] [Indexed: 11/16/2022]
Abstract
Food desire is an intense motivational state a consumer experiences toward food that accounts for much of consumption. While extant research has shown that experiencing desire elicits consumption imagery, it remains unclear whether consumption imagery alone instigates desire. Even though this directional relationship has been often speculated upon, little empirical study has considered it. This paper empirically identifies imagined consumption as an antecedent of food desire. Six studies show that consumption imagery increases food desire and suggest that this impact is due to induced feelings of deprivation. Our findings also show that increased desire explains previously researched outcomes of imagery, such as a higher willingness to pay for and consumption volumes of the imagined food.
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Affiliation(s)
- Evelynn Devos
- Faculty of Economics and Business Administration, Department of Marketing, Innovation and Organisation, Tweekerkenstraat 2, 9000 Ghent, Belgium.
| | - Mario Pandelaere
- Faculty of Economics and Business Administration, Department of Marketing, Innovation and Organisation, Tweekerkenstraat 2, 9000 Ghent, Belgium.
| | - Anneleen Van Kerckhove
- Faculty of Economics and Business Administration, Department of Marketing, Innovation and Organisation, Tweekerkenstraat 2, 9000 Ghent, Belgium.
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Brandtner A, Antons S, Cornil A, Brand M. Integrating Desire Thinking into the I-PACE Model: a Special Focus on Internet-Use Disorders. CURRENT ADDICTION REPORTS 2021. [DOI: 10.1007/s40429-021-00400-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Abstract
Purpose of Review
This manuscript aims to propose an integration of desire thinking into the Interaction of Person-Affect-Cognition-Execution (I-PACE) model based on theoretical considerations within the Elaborated Intrusion Theory of Desire and Self-Regulatory Execution Function model and empirical evidence from the field of internet-use disorders.
Recent Findings
Theory and research on desire thinking in the context of internet-use disorders suggest considerable relations to craving, metacognitive beliefs, and emphasizes its nature when initiated as a reaction towards unpleasant triggers. Accordingly, we postulate that desire thinking may be located at the position for affective and cognitive reactions towards triggers within the I-PACE model.
Summary
The suggested integration of desire thinking into the I-PACE model specifically implies the assumption of a relief-oriented and pleasure-oriented entry pathway into desire thinking and a feedback loop between desire thinking and the experience of gratification and compensation. The model pathways proposed here may serve as a theoretical basis for future research and need further empirical verification.
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Cornil A, Rothen S, De Timary P, Billieux J. Interference-based methods to mitigate gambling craving: a proof-of-principle pilot study. INTERNATIONAL GAMBLING STUDIES 2021. [DOI: 10.1080/14459795.2021.1903063] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Aurélien Cornil
- Louvain Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Stéphane Rothen
- Addictology Division, Department of Mental Health and Psychiatry, Geneva University Hospitals, Geneva, Switzerland
| | - Philippe De Timary
- Institute of Neuroscience, Université Catholique De Louvain and Department of Adult Psychiatry, Cliniques Universitaires Saint-Luc, Brussels, Belgium
| | - Joël Billieux
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland
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Stults-Kolehmainen MA, Blacutt M, Bartholomew JB, Gilson TA, Ash GI, McKee PC, Sinha R. Motivation States for Physical Activity and Sedentary Behavior: Desire, Urge, Wanting, and Craving. Front Psychol 2020; 11:568390. [PMID: 33240154 PMCID: PMC7677192 DOI: 10.3389/fpsyg.2020.568390] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 10/16/2020] [Indexed: 12/24/2022] Open
Abstract
To better explain daily fluctuations in physical activity and sedentary behavior, investigations of motivation are turning from social cognitive frameworks to those centered on affect, emotion and automaticity, such as the Affect and Health Behavior Framework (AHBF), Integrated Framework and Affective-Reflective Theory (ART). This shift has necessitated: (a) re-examination of older theories and their constructs, such as drives, needs and tensions and (b) an inspection of competing theories from other fields that also attempt to explain dynamic changes in health behaviors. The Dynamical Model of Desire, Elaborated Intrusion Theory and others commonly share with AHBF the idea that human behavior is driven strongly by desires and/or the similar concepts of wants, urges, and cravings. These affectively-charged motivation states (ACMS) change quickly and may better explain physical activity behavior from one moment to the next. Desires for movement predominantly derive from negative but also positive reinforcement. Data from clinical populations with movement dysfunction or psychiatric disorders provides further evidence of these drivers of movement. Those with Restless Legs Syndrome, akathisia, tic disorders and exercise dependence all report strong urges to move and relief when it is accomplished. Motor control research has identified centers of the brain responsible for wants and urges for muscular movement. Models elaborated herein differentiate between wants, desires, urges and cravings. The WANT model (Wants and Aversions for Neuromuscular Tasks) conceptualizes desires for movement and rest as varying by magnitude, approach or avoidance-orientation (wants versus aversions) and as occupying independent dimensions instead of opposite ends of the same axis. For instance, one hypothetically might be in a state of both high desire for movement and rest simultaneously. Variations in motivation states to move and rest may also be associated with various stress states, like freezing or fight and flight. The first validated instrument to measure feelings of desire/want for movement and rest, the CRAVE Scale (Cravings for Rest and Volitional Energy Expenditure) is already shedding light on the nature of these states. With these advances in theory, conceptual modeling and instrumentation, future investigations may explore the effects of desires and urges for movement and sedentary behavior in earnest.
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Affiliation(s)
- Matthew A. Stults-Kolehmainen
- Bariatric and Minimally Invasive Surgery Program, Yale-New Haven Hospital, New Haven, CT, United States
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, United States
| | - Miguel Blacutt
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, United States
| | - John B. Bartholomew
- Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, United States
| | - Todd A. Gilson
- Department of Kinesiology and Physical Education, Northern Illinois University, DeKalb, IL, United States
| | - Garrett I. Ash
- Pain Research, Informatics, Multi-morbidities, and Education (PRIME), VA Connecticut Healthcare System, West Haven, CT, United States
- Center for Medical Informatics, Yale School of Medicine, New Haven, CT, United States
| | - Paul C. McKee
- Department of Psychology, Southern Connecticut State University, New Haven, CT, United States
| | - Rajita Sinha
- Yale Stress Center, Yale School of Medicine, New Haven, CT, United States
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Investigating properties of imagery-induced flash-forwards and the effect of eye movements on the experience of desire and craving in gamers. Addict Behav 2020; 105:106347. [PMID: 32062335 DOI: 10.1016/j.addbeh.2020.106347] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Revised: 01/07/2020] [Accepted: 02/04/2020] [Indexed: 12/16/2022]
Abstract
Vivid and emotionally laden imagery is a symptom across a wide range of psychiatric disorders. Flash-forwards describe the mental simulation of anticipated future events which might also be relevant in the context of gaming disorder. The aim of this laboratory study was to investigate flash-forwards and the experience of desires and craving in gamers, and to examine the effect of eye movements on their vividness and related desires. A sample of 77 gamers formed a mental picture of themselves gaming in the future and rated the vividness and emotionality of this imagination, and their current desire and craving for gaming. Thereafter, one half of the gamers conducted a dual task (i.e., horizontal eye movements while retrieving the picture), whereas the other half let their eyes rest on the middle of the computer screen while retrieving the picture (non-dual task). Vividness of the flash-forward and intensity of desire and craving were again measured after the dual or non-dual task. In the overall sample, more imagery-related desire correlated positively with associated positive affect and vividness of flash-forwards. However, in a subsample of problematic gamers, flash-forwards are experienced less vivid and less pleasurable with increasing symptom severity. Eye movements while retrieving the flash-forwards led to significantly decreased ratings of imagery-related desire intensity, which was not the case for the non-dual condition. Results suggest different properties of flash-forwards between recreational and problematic gamers. Moreover, an attention-demanding task taxing the working memory seems beneficial for reducing desires related to imagery-induced flash-forwards.
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Social robots as treatment agents: Pilot randomized controlled trial to deliver a behavior change intervention. Internet Interv 2020; 21:100320. [PMID: 32461916 PMCID: PMC7240221 DOI: 10.1016/j.invent.2020.100320] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Revised: 04/01/2020] [Accepted: 04/06/2020] [Indexed: 12/29/2022] Open
Abstract
Social robots are increasingly demonstrating effectiveness as low-intensity behavior change agents. Key targets for these behavioral interventions include daily lifestyle behaviors with significant health consequences, such as the consumption of high-calorie foods and drinks ('snacks'). A pilot randomized controlled trial using a stepped-wedge design was conducted to determine the efficacy of a motivational intervention by an autonomous robot, to help reduce high-calorie snacks. Twenty-six adults were randomized to receive Immediate or 4-week Delayed treatment, with assessments at Baseline and Weeks 4 and 8. The treatment comprised motivation enhancement and self-management training using mental imagery (Functional Imagery Training). A significant condition by time effect for snack episode reduction was obtained, F(2, 32.06) = 4.30, p = .022. The Immediate condition significantly reduced snacking between Baseline and Week 4 (d = -1.06), while the Delayed condition did not (d = -0.08). Immediate participants maintained their improvement between Weeks 4 and 8 (d = -0.18), and Delayed participants then showed a significant fall (d = -1.42). Overall, 'Immediate' participants decreased their snack episodes by 54% and 'Delayed' decreased by 62% from Baseline to Week 8, and an average weight reduction of 4.4 kg was seen across over the first 2 weeks of treatment. Four weeks after starting the intervention, both conditions had significant increases in perceived confidence to control snack intake for time duration, specific scenarios and emotional states (d = 0.61 to 1.42). Working alliance was significantly correlated with reduced snack episodes. The pilot's results appear to suggest that the robot-delivered intervention may be as effective as a human clinician delivering a similar intervention. The robot-delivered pilot achieved similar snack episode reduction in the first four weeks (FIT-R, 55%) when compared with the human-delivered version by a trained clinician (FIT-H, 49%). Overall, the results provide preliminary evidence for an autonomous social robot to deliver a low-intensity treatment on dietary intake without the need for human intervention. Future trials should extend the deployment of the robot-delivered intervention protocol to other low-intensity behavioral outcomes.
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Abstract
Mental imagery refers to the experience of perception in the absence of external sensory input. Deficits in the ability to generate mental imagery or to distinguish it from actual sensory perception are linked to neurocognitive conditions such as dementia and schizophrenia, respectively. However, the importance of mental imagery to psychiatry extends beyond neurocognitive impairment. Mental imagery has a stronger link to emotion than verbal-linguistic cognition, serving to maintain and amplify emotional states, with downstream impacts on motivation and behavior. As a result, anomalies in the occurrence of emotion-laden mental imagery has transdiagnostic significance for emotion, motivation, and behavioral dysfunction across mental disorders. This review aims to demonstrate the conceptual and clinical significance of mental imagery in psychiatry through examples of mood and anxiety disorders, self-harm and suicidality, and addiction. We contend that focusing on mental imagery assessment in research and clinical practice can increase our understanding of the cognitive basis of psychopathology in mental disorders, with the potential to drive the development of algorithms to aid treatment decision-making and inform transdiagnostic treatment innovation.
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The food craving experience: Thoughts, images and resistance as predictors of craving intensity and consumption. Appetite 2018; 133:387-392. [PMID: 30471328 DOI: 10.1016/j.appet.2018.11.018] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 11/17/2018] [Accepted: 11/21/2018] [Indexed: 11/22/2022]
Abstract
The Elaborated-Intrusion Theory of Desire (Kavanagh, Andrade, & May, 2005) suggests that cravings are made up of two distinct stages whereby an initial, seemingly spontaneous craving-related thought is sufficiently intrusive and pleasant for it then to be elaborated with vivid mental imagery. Previous questionnaire studies have investigated the craving experience with a particular focus on the role of imagery. The present study sought to provide a fuller account of the craving process by investigating the role of craving-related thoughts alongside imagery in predicting craving intensity. Further, the present study sought to investigate predictors of craving-related consumption, including spontaneous strategies used to resist cravings. Two-hundred and forty-nine women completed an online questionnaire which asked about their most recent food craving experience. Results showed that around a third of participants reported craving-related thoughts and about half reported craving-related imagery. Craving-related imagery appeared to be a more important predictor of craving intensity than craving-related thoughts; however, neither predicted craving-related consumption. One resistance strategy, 'recognised it was just a thought', was successful in decreasing the likelihood of eating in response to craving. Theoretical and practical implications are discussed in the context of the Elaborated-Intrusion Theory.
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Whitelock V, Nouwen A, van den Akker O, Higgs S. The role of working memory sub-components in food choice and dieting success. Appetite 2018; 124:24-32. [DOI: 10.1016/j.appet.2017.05.043] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2017] [Revised: 05/22/2017] [Accepted: 05/23/2017] [Indexed: 12/27/2022]
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16
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Giacobbi P, Long D, Nolan R, Shawley S, Johnson K, Misra R. Guided imagery targeting exercise, food cravings, and stress: a multi-modal randomized feasibility trial. J Behav Med 2018; 41:87-98. [PMID: 28766183 PMCID: PMC7147977 DOI: 10.1007/s10865-017-9876-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Accepted: 07/17/2017] [Indexed: 01/10/2023]
Abstract
The purpose of this randomized wait-list controlled trial was to test the feasibility and preliminary efficacy of a guided imagery based multi-behavior intervention intended to address psychological stress, food cravings, and physical activity. Personalized guided imagery scripts were created and participants were instructed to practice guided imagery every day for 35 consecutive days. Of 48 women who enrolled, we report comparisons between 16 randomized to treatment with 19 who were wait-listed (overall Mage = 45.50; Mbodymassindex = 31.43). Study completers reported 89% compliance with practicing guided imagery during the intervention. A significant time-by-group interaction was observed with reductions in food cravings and increases in physical activity compared with wait-list controls. Telephone-based multi-behavior interventions that utilize guided imagery to address food cravings and exercise behavior appear to be acceptable for overweight and obese women. Future phone-based guided imagery research testing this skill to address multiple health behaviors is justified.
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Affiliation(s)
- Peter Giacobbi
- Department of Sport Sciences, Joint Appointment, Social and Behavioral Sciences, West Virginia University, Health and Education Building, 208, 375 Birch Street, P. O. Box 6116, Morgantown, WV, 26506-6116, USA.
| | - Dustin Long
- Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, Ryals Public Health Building, Room 327, Birmingham, AL, 35294-0022, USA
| | - Richard Nolan
- School of Medicine, West Virginia University, Morgantown, WV, USA
| | - Samantha Shawley
- School of Public Health, West Virginia Univesity, Morgantown, WV, USA
| | - Kelsey Johnson
- School of Medicine, West Virginia University, Morgantown, WV, USA
| | - Ranjita Misra
- Department of Social and Behavioral Sciences, School of Public Health, West Virginia University, 3301 HSC South, Morgantown, WV, 26505, USA
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Cornil A, Lopez-Fernandez O, Devos G, de Timary P, Goudriaan AE, Billieux J. Exploring gambling craving through the elaborated intrusion theory of desire: a mixed methods approach. INTERNATIONAL GAMBLING STUDIES 2017. [DOI: 10.1080/14459795.2017.1368686] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Affiliation(s)
- Aurélien Cornil
- Laboratory for Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
- Internet and Gambling Disorders Clinic, Department of Adult Psychiatry, Saint-Luc University Hospital, Brussels, Belgium
| | - Olatz Lopez-Fernandez
- Laboratory for Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
- International Gaming Research Unit (IGRU), Department of Psychology, Nottingham Trent University, Nottingham, UK
| | - Gaëtan Devos
- Laboratory for Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Philippe de Timary
- Laboratory for Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
- Internet and Gambling Disorders Clinic, Department of Adult Psychiatry, Saint-Luc University Hospital, Brussels, Belgium
- Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
| | - Anna E. Goudriaan
- Department of Research, Arkin Mental Health Care, Amsterdam, The Netherlands
- Academic Medical Center, Department of Psychiatry, Amsterdam Institute for Addiction Research, University of Amsterdam, Amsterdam, The Netherlands
| | - Joël Billieux
- Laboratory for Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
- Internet and Gambling Disorders Clinic, Department of Adult Psychiatry, Saint-Luc University Hospital, Brussels, Belgium
- Addictive and Compulsive Behaviour Lab (ACB-Lab), Institute for Health and Behaviour. Integrative Research Unit on Social and Individual Development (INSIDE), University of Luxembourg, Esch-sur-Alzette, Luxembourg
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Lau‐Zhu A, Holmes EA, Butterfield S, Holmes J. Selective Association Between Tetris Game Play and Visuospatial Working Memory: A Preliminary Investigation. APPLIED COGNITIVE PSYCHOLOGY 2017; 31:438-445. [PMID: 29540959 PMCID: PMC5836929 DOI: 10.1002/acp.3339] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Revised: 04/14/2017] [Accepted: 06/07/2017] [Indexed: 01/26/2023]
Abstract
Recent experimental and clinical research has suggested that Tetris game play can disrupt maladaptive forms of mental imagery because Tetris competes for limited cognitive resources within visuospatial working memory (WM) that contribute to imagery. Whether or not Tetris performance is selectively associated with visuospatial WM remains to be tested. In this study, young adults (N = 46) completed six standardized measures indexing verbal and non-verbal reasoning, verbal and visuospatial short-term memory, and verbal and visuospatial WM. They also played Tetris. Consistent with the hypothesis that visuospatial WM resources support Tetris game play, there was a significant moderate positive relationship between Tetris scores and visuospatial WM performance but no association with other cognitive ability measures. Findings suggest that Tetris game play involves both storage and processing resources within visuospatial WM. These preliminary results can inform interventions involving computer games to disrupt the development of maladaptive visual imagery, for example, intrusive memories of trauma. © 2017 The Authors. Applied Cognitive Psychology Published by John Wiley & Sons Ltd.
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Affiliation(s)
- Alex Lau‐Zhu
- Medical Research Council Cognition and Brain Sciences UnitCambridgeUK
- Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and NeuroscienceKing's College LondonLondonUK
| | - Emily A. Holmes
- Medical Research Council Cognition and Brain Sciences UnitCambridgeUK
- Department of Clinical NeuroscienceKarolinska InstitutetStockholmSweden
| | - Sally Butterfield
- Medical Research Council Cognition and Brain Sciences UnitCambridgeUK
| | - Joni Holmes
- Medical Research Council Cognition and Brain Sciences UnitCambridgeUK
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Solbrig L, Jones R, Kavanagh D, May J, Parkin T, Andrade J. People trying to lose weight dislike calorie counting apps and want motivational support to help them achieve their goals. Internet Interv 2017; 7:23-31. [PMID: 28286739 PMCID: PMC5332530 DOI: 10.1016/j.invent.2016.12.003] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Revised: 12/21/2016] [Accepted: 12/22/2016] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Two thirds of UK adults are overweight or obese and at increased risk of chronic conditions such as heart disease, diabetes and certain cancers. Basic public health support for weight loss comprises information about healthy eating and lifestyle, but internet and mobile applications (apps) create possibilities for providing long-term motivational support. AIMS To explore among people currently trying to lose weight, or maintaining weight loss, (i) problems, experiences and wishes in regards to weight management and weight loss support including e-health support; (ii) reactions to Functional Imagery Training (FIT) as a possible intervention. METHOD Six focus groups (N = 24 in total) were recruited from a public pool of people who had expressed an interest in helping with research. The topics considered were barriers to weight loss, desired support for weight loss and acceptability of FIT including the FIT app. The focus group discussions were transcribed and thematically analysed. RESULTS All groups spontaneously raised the issue of waning motivation and expressed the desire for motivational app support for losing weight and increasing physical activity. They disliked calorie counting apps and those that required lots of user input. All groups wanted behavioural elements such as setting and reviewing goals to be included, with the ability to personalise the app by adding picture reminders and choosing times for goal reminders. Participants were positive about FIT and FIT support materials. CONCLUSION There is a mismatch between the help provided via public health information campaigns and commercially available weight-loss self-help (lifestyle information, self-monitoring), and the help that individuals actually desire (motivational and autonomous e-support), posing an opportunity to develop more effective electronic, theory-driven, motivational, self-help interventions.
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Affiliation(s)
- Linda Solbrig
- School of Psychology, Plymouth University & NIHR CLAHRC South-West Peninsula, UK
| | - Ray Jones
- School of Psychology, Cognition Institute, Plymouth University, UK
| | - David Kavanagh
- School of Health Professions (Dietetics), Plymouth University, UK
| | - Jon May
- School of Nursing & Midwifery, Plymouth University, UK
| | - Tracey Parkin
- Institute for Health & Biomedical Innovation and School of Psychology & Counselling, Queensland University of Technology, Australia
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Boomsma C, Pahl S, Andrade J. Imagining Change: An Integrative Approach toward Explaining the Motivational Role of Mental Imagery in Pro-environmental Behavior. Front Psychol 2016; 7:1780. [PMID: 27909415 PMCID: PMC5112244 DOI: 10.3389/fpsyg.2016.01780] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Accepted: 10/31/2016] [Indexed: 12/02/2022] Open
Abstract
Climate change and other long-term environmental issues are often perceived as abstract and difficult to imagine. The images a person associates with environmental change, i.e., a person’s environmental mental images, can be influenced by the visual information they come across in the public domain. This paper reviews the literature on this topic across social, environmental, and cognitive psychology, and the wider social sciences; thereby responding to a call for more critical investigations into people’s responses to visual information. By integrating the literature we come to a better understanding of the lack in vivid and concrete environmental mental imagery reported by the public, the link between environmental mental images and goals, and how affectively charged external images could help in making mental imagery less abstract. Preliminary research reports on the development of a new measure of environmental mental imagery and three tests of the relationship between environmental mental imagery, pro-environmental goals and behavior. Furthermore, the paper provides a program of research, drawing upon approaches from different disciplines, to set out the next steps needed to examine how and why we should encourage the public to imagine environmental change.
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Affiliation(s)
| | - Sabine Pahl
- School of Psychology, Plymouth University Plymouth, UK
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21
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Pearson J, Naselaris T, Holmes EA, Kosslyn SM. Mental Imagery: Functional Mechanisms and Clinical Applications. Trends Cogn Sci 2016; 19:590-602. [PMID: 26412097 PMCID: PMC4595480 DOI: 10.1016/j.tics.2015.08.003] [Citation(s) in RCA: 397] [Impact Index Per Article: 49.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Revised: 07/31/2015] [Accepted: 08/10/2015] [Indexed: 12/15/2022]
Abstract
Mental imagery research has weathered both disbelief of the phenomenon and inherent methodological limitations. Here we review recent behavioral, brain imaging, and clinical research that has reshaped our understanding of mental imagery. Research supports the claim that visual mental imagery is a depictive internal representation that functions like a weak form of perception. Brain imaging work has demonstrated that neural representations of mental and perceptual images resemble one another as early as the primary visual cortex (V1). Activity patterns in V1 encode mental images and perceptual images via a common set of low-level depictive visual features. Recent translational and clinical research reveals the pivotal role that imagery plays in many mental disorders and suggests how clinicians can utilize imagery in treatment.
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Affiliation(s)
- Joel Pearson
- School of Psychology, The University of New South Wales, Sydney, Australia.
| | - Thomas Naselaris
- Department of Neuroscience, Medical University of South Carolina, Charleston, SC, USA
| | - Emily A Holmes
- Medical Research Council Cognition and Brain Sciences Unit, Cambridge, UK; Department for Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Stephen M Kosslyn
- Minerva Schools at the Keck Graduate Institute, San Francisco, CA, USA
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22
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Littel M, van den Hout MA, Engelhard IM. Desensitizing Addiction: Using Eye Movements to Reduce the Intensity of Substance-Related Mental Imagery and Craving. Front Psychiatry 2016; 7:14. [PMID: 26903888 PMCID: PMC4745337 DOI: 10.3389/fpsyt.2016.00014] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2015] [Accepted: 01/25/2016] [Indexed: 01/31/2023] Open
Abstract
Eye movement desensitization and reprocessing (EMDR) is an effective treatment for posttraumatic stress disorder. During this treatment, patients recall traumatic memories while making horizontal eye movements (EM). Studies have shown that EM not only desensitize negative memories but also positive memories and imagined events. Substance use behavior and craving are maintained by maladaptive memory associations and visual imagery. Preliminary findings have indicated that these mental images can be desensitized by EMDR techniques. We conducted two proof-of-principle studies to investigate whether EM can reduce the sensory richness of substance-related mental representations and accompanying craving levels. We investigated the effects of EM on (1) vividness of food-related mental imagery and food craving in dieting and non-dieting students and (2) vividness of recent smoking-related memories and cigarette craving in daily smokers. In both experiments, participants recalled the images while making EM or keeping eyes stationary. Image vividness and emotionality, image-specific craving and general craving were measured before and after the intervention. As a behavioral outcome measure, participants in study 1 were offered a snack choice at the end of the experiment. Results of both experiments showed that image vividness and craving increased in the control condition but remained stable or decreased after the EM intervention. EM additionally reduced image emotionality (experiment 2) and affected behavior (experiment 1): participants in the EM condition were more inclined to choose healthy over unhealthy snack options. In conclusion, these data suggest that EM can be used to reduce intensity of substance-related imagery and craving. Although long-term effects are yet to be demonstrated, the current studies suggest that EM might be a useful technique in addiction treatment.
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Affiliation(s)
- Marianne Littel
- Clinical Psychology, Utrecht University , Utrecht , Netherlands
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Goodhew J, Pahl S, Auburn T, Goodhew S. Making Heat Visible: Promoting Energy Conservation Behaviors Through Thermal Imaging. ENVIRONMENT AND BEHAVIOR 2015; 47:1059-1088. [PMID: 26635418 PMCID: PMC4639755 DOI: 10.1177/0013916514546218] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Householders play a role in energy conservation through the decisions they make about purchases and installations such as insulation, and through their habitual behavior. The present U.K. study investigated the effect of thermal imaging technology on energy conservation, by measuring the behavioral effect after householders viewed images of heat escaping from or cold air entering their homes. In Study 1 (n = 43), householders who received a thermal image reduced their energy use at a 1-year follow-up, whereas householders who received a carbon footprint audit and a non-intervention control demonstrated no change. In Study 2 (n = 87), householders were nearly 5 times more likely to install draught proofing measures after seeing a thermal image. The effect was especially pronounced for actions that addressed an issue visible in the images. Findings indicate that using thermal imaging to make heat loss visible can promote energy conservation.
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Skorka-Brown J, Andrade J, Whalley B, May J. Playing Tetris decreases drug and other cravings in real world settings. Addict Behav 2015; 51:165-70. [PMID: 26275843 DOI: 10.1016/j.addbeh.2015.07.020] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2014] [Revised: 07/21/2015] [Accepted: 07/23/2015] [Indexed: 11/30/2022]
Abstract
Most research on cognitive processes in craving has been carried out in the laboratory and focuses on food craving. This study extends laboratory findings to real world settings and cravings for drugs or activities as well as food. Previous laboratory research has found that playing Tetris reduces craving strength. The present study used an ecological momentary assessment protocol in which 31 undergraduate participants carried iPods for a week and were prompted 7 times each day, by SMS message, to use their iPod to report craving. Participants reported craving target and strength (0-100), whether they indulged their previous craving (yes/no), and whether they were under the influence of alcohol (yes/no). Those randomly assigned to the intervention condition (n=15) then played Tetris for 3min and reported their craving again. Those in the monitoring-only control condition (n=16) provided baseline craving data to test if Tetris reduced the incidence and strength of spontaneous cravings across the week. Playing Tetris decreased craving strength for drugs (alcohol, nicotine, caffeine), food and drink, and activities (sex, exercise, gaming), with a mean reduction of 13.9 percentage points, effect size f(2)=0.11. This effect was consistent across the week. This is the first demonstration that visual cognitive interference can be used in the field to reduce cravings for substances and activities other than eating.
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Affiliation(s)
| | - Jackie Andrade
- School of Psychology, Cognition Institute, Plymouth University, UK; Institute of Health and Biomedical Innovation and School of Psychology and Counselling, Queensland University of Technology, Australia.
| | - Ben Whalley
- School of Psychology, Cognition Institute, Plymouth University, UK
| | - Jon May
- School of Psychology, Cognition Institute, Plymouth University, UK; Institute of Health and Biomedical Innovation and School of Psychology and Counselling, Queensland University of Technology, Australia
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May J, Kavanagh DJ, Andrade J. The Elaborated Intrusion Theory of desire: a 10-year retrospective and implications for addiction treatments. Addict Behav 2015; 44:29-34. [PMID: 25306214 DOI: 10.1016/j.addbeh.2014.09.016] [Citation(s) in RCA: 95] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2014] [Revised: 09/15/2014] [Accepted: 09/15/2014] [Indexed: 01/09/2023]
Abstract
INTRODUCTION Ten years after the publication of Elaborated Intrusion (EI) Theory, there is now substantial research into its key predictions. The distinction between intrusive thoughts, which are driven by automatic processes, and their elaboration, involving controlled processing, is well established. Desires for both addictive substances and other desired targets are typically marked by imagery, especially when they are intense. Attention training strategies such as body scanning reduce intrusive thoughts, while concurrent tasks that introduce competing sensory information interfere with elaboration, especially if they compete for the same limited-capacity working memory resources. CONCLUSION EI Theory has spawned new assessment instruments that are performing strongly and offer the ability to more clearly delineate craving from correlated processes. It has also inspired new approaches to treatment. In particular, training people to use vivid sensory imagery for functional goals holds promise as an intervention for substance misuse, since it is likely to both sustain motivation and moderate craving.
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Kemps E, Tiggemann M. A role for mental imagery in the experience and reduction of food cravings. Front Psychiatry 2015; 5:193. [PMID: 25610404 PMCID: PMC4284995 DOI: 10.3389/fpsyt.2014.00193] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2014] [Accepted: 12/16/2014] [Indexed: 12/04/2022] Open
Affiliation(s)
- Eva Kemps
- School of Psychology, Flinders University, Adelaide, SA, Australia
| | - Marika Tiggemann
- School of Psychology, Flinders University, Adelaide, SA, Australia
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May J, Andrade J, Kavanagh DJ. An imagery-based road map to tackle maladaptive motivation in clinical disorders. Front Psychiatry 2015; 6:14. [PMID: 25729369 PMCID: PMC4325580 DOI: 10.3389/fpsyt.2015.00014] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Accepted: 01/26/2015] [Indexed: 11/13/2022] Open
Affiliation(s)
- Jon May
- School of Psychology, Cognition Institute, Plymouth University , Plymouth , UK ; Institute of Health and Biomedical Innovation and School of Psychology and Counselling, Queensland University of Technology , Brisbane, QLD , Australia
| | - Jackie Andrade
- School of Psychology, Cognition Institute, Plymouth University , Plymouth , UK ; Institute of Health and Biomedical Innovation and School of Psychology and Counselling, Queensland University of Technology , Brisbane, QLD , Australia
| | - David J Kavanagh
- Institute of Health and Biomedical Innovation and School of Psychology and Counselling, Queensland University of Technology , Brisbane, QLD , Australia
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May J, Andrade J, Kavanagh DJ, Feeney GFX, Gullo MJ, Statham DJ, Skorka-Brown J, Connolly JM, Cassimatis M, Young RM, Connor JP. The craving experience questionnaire: a brief, theory-based measure of consummatory desire and craving. Addiction 2014; 109:728-35. [PMID: 24400950 DOI: 10.1111/add.12472] [Citation(s) in RCA: 99] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2013] [Revised: 08/13/2013] [Accepted: 12/19/2013] [Indexed: 11/27/2022]
Abstract
BACKGROUND AND AIMS Research into craving is hampered by lack of theoretical specification and a plethora of substance-specific measures. This study aimed to develop a generic measure of craving based on elaborated intrusion (EI) theory. Confirmatory factor analysis (CFA) examined whether a generic measure replicated the three-factor structure of the Alcohol Craving Experience (ACE) scale over different consummatory targets and time-frames. DESIGN Twelve studies were pooled for CFA. Targets included alcohol, cigarettes, chocolate and food. Focal periods varied from the present moment to the previous week. Separate analyses were conducted for strength and frequency forms. SETTING Nine studies included university students, with single studies drawn from an internet survey, a community sample of smokers and alcohol-dependent out-patients. PARTICIPANTS A heterogeneous sample of 1230 participants. MEASUREMENTS Adaptations of the ACE questionnaire. FINDINGS Both craving strength [comparative fit indices (CFI = 0.974; root mean square error of approximation (RMSEA) = 0.039, 95% confidence interval (CI) = 0.035-0.044] and frequency (CFI = 0.971, RMSEA = 0.049, 95% CI = 0.044-0.055) gave an acceptable three-factor solution across desired targets that mapped onto the structure of the original ACE (intensity, imagery, intrusiveness), after removing an item, re-allocating another and taking intercorrelated error terms into account. Similar structures were obtained across time-frames and targets. Preliminary validity data on the resulting 10-item Craving Experience Questionnaire (CEQ) for cigarettes and alcohol were strong. CONCLUSIONS The Craving Experience Questionnaire (CEQ) is a brief, conceptually grounded and psychometrically sound measure of desires. It demonstrates a consistent factor structure across a range of consummatory targets in both laboratory and clinical contexts.
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Affiliation(s)
- Jon May
- School of Psychology, Cognition Institute, Plymouth University, Plymouth, UK
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Connor JP, Kavanagh DJ, Andrade J, May J, Feeney GF, Gullo MJ, White AM, Fry ML, Drennan J, Previte J, Tjondronegoro D. Alcohol consumption in young adults: the role of multisensory imagery. Addict Behav 2014; 39:721-4. [PMID: 24360399 DOI: 10.1016/j.addbeh.2013.11.023] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2013] [Revised: 11/06/2013] [Accepted: 11/18/2013] [Indexed: 10/25/2022]
Abstract
Little is known about the subjective experience of alcohol desire and craving in young people. Descriptions of alcohol urges continue to be extensively used in the everyday lexicon of young, non-dependent drinkers. Elaborated Intrusion (EI) Theory contends that imagery is central to craving and desires, and predicts that alcohol-related imagery will be associated with greater frequency and amount of drinking. This study involved 1535 age stratified 18-25 year olds who completed an alcohol-related survey that included the Imagery scale of the Alcohol Craving Experience (ACE) questionnaire. Imagery items predicted 12-16% of the variance in concurrent alcohol consumption. Higher total Imagery subscale scores were linearly associated with greater drinking frequency and lower self-efficacy for moderate drinking. Interference with alcohol imagery may have promise as a preventive or early intervention target in young people.
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Andrade J, Pears S, May J, Kavanagh DJ. Use of a clay modeling task to reduce chocolate craving. Appetite 2012; 58:955-63. [DOI: 10.1016/j.appet.2012.02.044] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2011] [Revised: 02/09/2012] [Accepted: 02/18/2012] [Indexed: 11/28/2022]
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Replacing craving imagery with alternative pleasant imagery reduces craving intensity. Appetite 2011; 57:173-8. [DOI: 10.1016/j.appet.2011.04.021] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2011] [Revised: 04/21/2011] [Accepted: 04/23/2011] [Indexed: 11/19/2022]
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Kavanagh DJ, May J, Andrade J. Tests of the elaborated intrusion theory of craving and desire: Features of alcohol craving during treatment for an alcohol disorder. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2011; 48:241-54. [DOI: 10.1348/014466508x387071] [Citation(s) in RCA: 77] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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33
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Less food for thought. Impact of attentional instructions on intrusive thoughts about snack foods. Appetite 2010; 55:279-87. [DOI: 10.1016/j.appet.2010.06.014] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2010] [Revised: 06/22/2010] [Accepted: 06/23/2010] [Indexed: 11/22/2022]
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Holmes EA, Mathews A. Mental imagery in emotion and emotional disorders. Clin Psychol Rev 2010; 30:349-62. [DOI: 10.1016/j.cpr.2010.01.001] [Citation(s) in RCA: 497] [Impact Index Per Article: 35.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2009] [Revised: 12/29/2009] [Accepted: 01/08/2010] [Indexed: 12/12/2022]
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Visuospatial tasks suppress craving for cigarettes. Behav Res Ther 2010; 48:476-85. [PMID: 20189549 DOI: 10.1016/j.brat.2010.02.001] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2009] [Revised: 01/28/2010] [Accepted: 02/01/2010] [Indexed: 11/23/2022]
Abstract
The Elaborated Intrusion (EI) theory of desire posits that visual imagery plays a key role in craving. We report a series of experiments testing this hypothesis in a drug addiction context. Experiment 1 showed that a mental visual imagery task with neutral content reduced cigarette craving in abstaining smokers, but that an equivalent auditory task did not. The effect of visual imagery was replicated in Experiment 2, which also showed comparable effects of non-imagery visual working memory interference. Experiment 3 showed that the benefit of visual over auditory interference was not dependent upon imagery being used to induce craving. Experiment 4 compared a visuomotor task, making shapes from modeling clay, with a verbal task (counting back from 100), and again showed a benefit of the visual over the non-visual task. We conclude that visual imagery supports craving for cigarettes. Competing imagery or visual working memory tasks may help tackle craving in smokers trying to quit.
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Skinner MD, Aubin HJ. Craving's place in addiction theory: contributions of the major models. Neurosci Biobehav Rev 2009; 34:606-23. [PMID: 19961872 DOI: 10.1016/j.neubiorev.2009.11.024] [Citation(s) in RCA: 166] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2009] [Revised: 11/25/2009] [Accepted: 11/26/2009] [Indexed: 01/23/2023]
Abstract
We examine in this paper the unfolding of craving concepts within 18 models that span roughly 60 years (1948-2009). The amassed evidence suggests that craving is an indispensable construct, useful as a research area because it has continued to destabilize patients seeking treatment for substances. The models fall into four categories: the conditioning-based models, the cognitive models, the psychobiological models, and the motivation models. In the conditioning models, craving is assumed to be an automatic, unconscious reaction to a stimulus. In the cognitive models, craving arises from the operation of information processing systems. In the psychobiological models, craving can be explained at least in part by biological factors with an emphasis on motivational components. Finally, in the motivation models, craving is viewed as a component of a larger decision-making framework. It is well accepted that no single model explains craving completely, suggesting that a solid understanding of the phenomenon will only occur with consideration from multiple angles. A reformulated definition of craving is proposed.
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Affiliation(s)
- Marilyn D Skinner
- Centre de Traitement des Addictions, Centre Hospitalier Emile Roux, 1 avenue de Verdun, 94456 Limeil-Brévannes, France.
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Berry LM, May J, Andrade J, Kavanagh D. Emotional and behavioral reaction to intrusive thoughts. Assessment 2009; 17:126-37. [PMID: 19797324 DOI: 10.1177/1073191109344694] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
A self-report measure of the emotional and behavioral reactions to intrusive thoughts was developed. The article presents data that confirm the stability, reliability, and validity of the new seven-item measure. Emotional and behavioral reactions to intrusions emerged as separate factors on the Emotional and Behavioral Reactions to Intrusions Questionnaire (EBRIQ), a finding confirmed by an independent stress study. Test-retest reliability over 30 to 70 days was good. Expected relationships with other constructs were significant. Stronger negative responses to intrusions were associated with lower mindfulness scores and higher ratings of experiential avoidance, thought suppression, and intensity and frequency of craving. The EBRIQ will help explore differences in reactions to intrusive thoughts in clinical and nonclinical populations, and across different emotional and behavioral states. It will also be useful in assessing the effects of therapeutic approaches such as mindfulness.
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Can Relaxation Training Reduce Emotional Eating in Women with Obesity? An Exploratory Study with 3 Months of Follow-Up. ACTA ACUST UNITED AC 2009; 109:1427-32. [DOI: 10.1016/j.jada.2009.05.004] [Citation(s) in RCA: 67] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2008] [Accepted: 02/18/2009] [Indexed: 11/19/2022]
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