The power of social influence over food intake: examining the effects of attentional bias and impulsivity.

Numerous studies have shown that people adjust their intake directly to that of their eating companions. A potential explanation for this modelling effect is that the eating behaviour of others operates as an external eating cue that stimulates food intake. The present study explored whether this cue-reactive mechanism can account for modelling effects on intake. It was investigated whether attentional bias towards dynamic eating cues and impulsivity would influence the degree of modelling. Participants completed one individual session and one session in which an experimental confederate accompanied them. In the first session, eye movements were recorded as an index of attentional bias to dynamic eating cues. In addition, self-reported impulsivity and response inhibition were assessed. The second session employed a between-participants design with three experimental conditions in which participants were exposed to a same-sex confederate instructed to eat nothing, a low or a large amount of M&Ms. A total of eighty-five young women participated. The participants' self-reported impulsivity determined the occurrence of modelling; only low-impulsive women adjusted their intake to that of their eating companion. Attention towards eating cues and response inhibition, however, did not moderate modelling of food intake. The present study suggests that cue-reactive mechanisms may not underlie modelling of food intake. Instead, the results emphasise the importance of social norms in explaining modelling effects, whereas it is suggested that the degree of impulsivity may play a role in whether or not women adhere to the intake norms set by their eating companion.

A double-blind trial of the effect of docosahexaenoic acid and vitamin and mineral supplementation on aggression, impulsivity, and stress.

OBJECTIVES: Although a series of well-designed studies have reported that supplementation with vitamins/minerals and omega-3 fatty acids reduces the incidence of aggressive behavior, to date, the relative contribution and interaction between these nutrients has not been examined. The aim was therefore to consider the relative contribution of supplementation with multivitamins/minerals and/or docosahexaenoic acid (DHA) on laboratory-based measures of aggression, impulsivity, and stress. METHODS: In a double-blind randomized trial, four groups of young adult men without a history of aggressive or impulsive behavior received a placebo (n = 42), multivitamins/minerals (n = 43), DHA (n = 47) or both (n = 41) for 3 months. RESULTS: With the Picture-Frustration Task, DHA decreased the display of aggressive behavior. DHA also decreased impulsivity as measured using the GoStop Impulsivity Paradigm that examines the ability to inhibit already initiated behavior. Although a multivitamin and mineral supplement did not influence these measures, it did decrease perceived stress. CONCLUSIONS: The influence of supplementation on aggression and impulsivity can be conveniently studied in a sample without a history of antisocial behavior, using laboratory-based measures. No evidence was found of a synergistic interaction between vitamins/minerals and DHA.

Changes in problem-solving appraisal after cognitive therapy for the prevention of suicide.

BACKGROUND: Cognitive therapy has been found to be effective in decreasing the recurrence of suicide attempts. A theoretical aim of cognitive therapy is to improve problem-solving skills so that suicide no longer remains the only available option. This study examined the differential rate of change in problem-solving appraisal following suicide attempts among individuals who participated in a randomized controlled trial for the prevention of suicide. METHOD: Changes in problem-solving appraisal from pre- to 6-months post-treatment in individuals with a recent suicide attempt, randomized to either cognitive therapy (n = 60) or a control condition (n = 60), were assessed by using the Social Problem-Solving Inventory-Revised, Short Form. RESULTS: Improvements in problem-solving appraisal were similarly observed for both groups within the 6-month follow-up. However, during this period, individuals assigned to the cognitive therapy condition demonstrated a significantly faster rate of improvement in negative problem orientation and impulsivity/carelessness. More specifically, individuals receiving cognitive therapy were significantly less likely to report a negative view toward life problems and impulsive/carelessness problem-solving style. CONCLUSIONS: Cognitive therapy for the prevention of suicide provides rapid changes within 6 months on negative problem orientation and impulsivity/carelessness problem-solving style. Given that individuals are at the greatest risk for suicide within 6 months of their last suicide attempt, the current study demonstrates that a brief cognitive intervention produces a rapid rate of improvement in two important domains of problem-solving appraisal during this sensitive period.

[Repetitive impulse-associated behavioral disorders in Parkinson's disease]. / Repetitive impulsassoziierte Verhaltensstörungen beim Morbus Parkinson.

Parkinson's disease (PD) is associated with a number of behavioral disorders which may cause considerable social, professional or financial problems. Impulse control disorders (ICDs), such as pathological gambling, binge eating, compulsive shopping and hypersexuality occur in approximately 13-14% of PD patients. Further behavioral disorders are the dopamine dysregulation syndrome (DDS), a substance dependence characterized by craving for dopaminergic substances and punding (prolonged repetitive activities which are not goal-oriented).Treatment-related risk factors are dopamine agonists for ICDs and a high total dopaminergic dose for DDS and punding. Shared risk factors are young age at onset, impulsive personality traits, depression and possibly dyskinesia. At the neuronal level these behavioral disorders seem to be associated with changes in the reward system and dysfunction of the orbitofrontal cortex. The evidence level for management strategies is at present insufficient. For ICDs current clinical practice consists of discontinuation or reduction of dopamine agonists.

Changing attitudes about self-injury prevention management: lessons learned.

In the behavioral health environment, nurses often use continuous staff monitoring and, at times, physical restraints, to manage the severity of patients' self-injury. Both options put staff in control, are the most restrictive in nature, and can be financially draining on the hospital's budget. This can result in negative reactions by both patients and staff. It is important to develop a program that will empower patients to control their behavior and allow staff to be aware of their perceptions and attitudes toward patients who self-injure. This article describes the leadership initiative that drove the development, training, and implementation of a self-injury prevention project and the lessons learned by staff.

Coping with food cravings. Investigating the potential of a mindfulness-based intervention.

The present study examined whether mindfulness-based strategies can effectively reduce food cravings in an overweight and obese adult population. Individuals participating in a dietary group treatment for overweight received an additional 7-week manual based training that aimed to promote regulation of cravings by means of acceptance. The control group did not receive this additional training program. The results showed that participants in the experimental group reported significantly lower cravings for food after the intervention compared to the control group. The findings are discussed in terms of possible mechanisms like prevention of goal frustration, disengagement of obsessive thinking and reduction of automatic relations between urge and reaction.

Adolescent risk taking, impulsivity, and brain development: implications for prevention.

Individual differences in impulsivity underlie a good deal of the risk taking that is observed during adolescence, and some of the most hazardous forms of this behavior are linked to impulsivity traits that are evident early in development. However, early interventions appear able to reduce the severity and impact of these traits by increasing control over behavior and persistence toward valued goals, such as educational achievement. One form of impulsivity, sensation seeking, rises dramatically during adolescence and increases risks to healthy development. However, a review of the evidence for the hypothesis that limitations in brain development during adolescence restrict the ability to control impulsivity suggests that any such limitations are subtle at best. Instead, it is argued that lack of experience with novel adult behavior poses a much greater risk to adolescents than structural deficits in brain maturation. Continued translational research will help to identify strategies that protect youth as they transition to adulthood.

Evaluating the relationship between inattention and impulsivity-related falls in hospitalized older adults.

Impulsivity in older adults is poorly understood and there is limited literature on the relationship between impulsivity and falls. This retrospective study evaluated the relationship between of inattention and impulsivity related falls (IRF) in hospitalized older adults. The sample (N = 192) included patients 65 years and older with a documented in-patient fall in 2007. "Impaired judgment" was identified as the critical attribute of IRF. The Confusion Assessment Method item for inattention was extracted as the variable for inattention. Twenty-eight percent (28%) of falls were classified as IRF. A significant relationship was found between inattention on the shift prior to a fall and the fall being an IRF (Chi-square = 45.5, df = 1, p = .00, Phi = .54, p = .00). Early identification of older adults with impaired attention has potential to reduce IRF when nursing uses this assessment to implement additional safety interventions for hospitalized older adults.

Human liberation: removing biological and psychological barriers to freedom.

In this article, the author argues that there are psychological and biological constraints on our moral behaviour, rational decision-making and capacities to love. For example, low oxytocin levels can constrain our willingness to cooperate with others, and our capacity to maintain long-term loving relationships. There is also evidence that increasing iodine intake can improve a person's general intelligence, while drugs such as Modafinil can enhance cognitive performance. Savulescu argues that we have a moral obligation to remove those constraints, and that we ought to accept these methods of improving our moral behaviour, decision-making, and cognitive functioning.

[Violence prevention in secondary schools: the Faustlos-curriculum for middle school]. / Gewaltprävention in weiterführenden Schulen: Das Faustlos-Curriculum für die Sekundarstufe.

Schools and kindergartens are particularly suitable for the implementation of violence prevention programs. Many German schools and kindergartens have securely established the violence prevention curriculum Faustlos. The Faustlos programs for kindergartens and elementary schools are now complemented with the version for middle schools. As the kindergarten- and elementary school versions the middle school program too focuses on the theoretically profound, age group-tailored promotion of empathy, impulse control and anger management. These dimensions are subdivided into the five themes "understanding the problem" "training for empathy"; "anger management", "problem solving" and "applying skills" and taught stepwise, highly structured and based on several video sequences in 31 lessons. US-American evaluation studies proof the effectiveness and the violence prevention potential of the program. With the curriculum for middle schools a comprehensive Faustlos program package is now made available to sustainably promote core violence prevention competences of children and adolescents on a developmentally appropriate level and with a consistent didactic approach.

Effects of mGlu1 receptor blockade on working memory, time estimation, and impulsivity in rats.

RATIONALE: Metabotropic glutamate 1 (mGlu1) receptor antagonists were reported to induce cognitive deficits in several animal models using aversive learning procedures. OBJECTIVE: The present study aimed to further characterize behavioral effects of mGlu1 receptor antagonists using appetitively motivated tasks that evaluate working memory, timing, and impulsivity functions. MATERIALS AND METHODS: Separate groups of adult male Wistar rats were trained to perform four food-reinforced operant tasks: delayed non-matching to position (DNMTP), differential reinforcement of low rates of responding 18 s (DRL 18-s), signal duration discrimination (2-s vs 8-s bisection), and tolerance to delay of reward. Before the tests, rats were pretreated with (3-ethyl-2-methyl-quinolin-6-yl)-(4-methoxy-cyclohexyl)-methanone methanesulfonate (EMQMCM; 2.5-10 mg/kg, i.p.; JNJ16567083). RESULTS: In DNMTP task, EMQMCM produced delay-dependent increases in performance accuracy so that, at 10 mg/kg dose level, percentage of correct lever choices was enhanced at 8- and 16-s delays. In DRL task, at all three tested doses, response rates were higher, and reinforcement rates were lower than under control conditions. In signal duration discrimination tasks, EMQMCM did not have any specific effects on temporal control. In tolerance to delay of reward, EMQMCM (5 and 10 mg/kg) facilitated choice of the lever associated with large reward at longer delay levels. CONCLUSIONS: Blockade of mGlu1 receptors improves working memory and reduces impulsive choice at the doses that have no effects on time perception but appear to facilitate impulsive action.

Effectiveness of antismoking public service announcements on children's intent to smoke.

The authors randomly assigned 5th- and 8th-grade students to 1 of 3 treatment conditions to study the effects of frequency of exposure to an antismoking public service announcement (PSA) on the students' intent to smoke over time. They found that, among younger children only, viewing an antismoking PSA at least once reduced smoking intentions, although these positive effects did not remain over time. However, the antismoking PSA was effective for younger at-risk children. After younger at-risk children viewed the antismoking PSA once, their intent to smoke decreased significantly. Notably, these positive effects remained stable over time and mirrored the smoking intentions of younger children who were not identified as at risk.

The effect of a self-monitored relaxation breathing exercise on male adolescent aggressive behavior.

This study sought to contribute to the identification of effective interventions in the area of male adolescent aggressive behavior. Existing research includes both group- and single-case studies implementing treatments which typically include an anger-management component and its attendant relaxation and stress-reduction techniques. The design of this study was single-subject with multiple baselines across 6 subjects on 2 behavioral measures. The setting was a residential juvenile justice program for male adolescents, and the treatment was a relaxation breathing exercise. The results of the study were mixed, with improvement on both behavioral measures in 2 of the 6 participants.

[Without fists--violence prevention in primary school]. / Faustlos--Gewaltprävention in der Grundschule.

Faustlos is a violence prevention program for primary school and preschool children for the promotion of social and emotional competences. The curriculum focuses on the promotion of empathy, impulse control and anger management. The program was evaluated over a period of three years in 13 first and second grade classes. Positive effects of the curriculum were shown especially on aggressive behaviour for boys and children with high aggression scores and on the promotion of empathy.

Personality and emotional performance: extraversion, neuroticism, and self-monitoring.

Using an experimental design, the authors linked personality to performance on two emotional regulation tasks requiring the expression of either anger or enthusiasm. Across tasks, self-monitoring was associated with effective emotional performance. High self-monitors reported less stress and more deep acting than low self-monitors and did not experience elevated heart rate during emotional performance. The authors also examined affective traits, positing that emotional regulation would be less stressful for individuals who were asked to perform personality congruent emotions. As expected, individuals high on extraversion experienced elevated heart rates when asked to express personality incongruent emotions (i.e., anger). However, the association between extraversion and emotional performance was not significantly different for the two types of emotional regulation (anger and enthusiasm). Neuroticism was associated with increased heart rate and poor performance in both tasks. Overall, these data provide partial support for our personality congruency hypotheses and suggest that personality plays an important role in effective emotional performance.

Use of warning messages to modify gambling beliefs and behavior in a laboratory investigation.

This laboratory study assessed the effectiveness of warning messages intended to aid in the control of gambling. Participants were 120 undergraduate students from an urban state university who reported previous gambling activity. They were recruited to play a computerized roulette game with imaginary money. Money left at the end of play was exchanged for raffle tickets for a prize drawing. Participants were randomly assigned to 1 of 2 conditions. In the warning-message condition, participants received an educational component discussing common irrational beliefs expressed by gamblers and, while playing roulette, viewed brief messages that addressed irrational gambling beliefs. In the control condition, participants received an educational component on the history of roulette but no warning messages. Participants in the warning-message condition reported significantly fewer irrational beliefs and demonstrated less risky gambling behavior than those in the control condition.

Selective serotonin reuptake inhibitors decrease impulsive behavior as measured by an adjusting delay procedure in the pigeon.

The inability to delay gratification (reinforcement or reward) is one index of impulsive behavior. In order to measure the willingness of pigeons to delay reinforcement, an adjustable delay schedule was developed that allowed daily approximations of an indifference point between immediate brief access to reinforcer and delayed, longer access to reinforcer. Acute administration of the anxiolytic alprazolam (5 mg/kg) decreased the length of delay tolerated before a larger reinforcement. Likewise, acute administration of the anxiolytic chlordiazepoxide (10 mg/kg) produced a similar, although not significant, effect. Neither acute nor five daily injections of 8-OH-DPAT, a 5-HT(1A) agonist, or WAY100635, a 5-HT(1A) antagonist, affected the length of the delay period. Chronic (17 day), but not acute injections of the selective serotonin reuptake inhibitors (SSRIs) fluoxetine (10 mg/kg), citalopram (10 mg/kg) and paroxetine (3 mg/kg) increased the delay period. When given in addition to 1 mg/kg of 8-OH-DPAT, but not 1 mg/kg WAY100635, the effect of fluoxetine was accelerated in that the increase in delay was observed earlier in the treatment. These data support the use of SSRIs to decrease impulsive behavior. Addition of a 5-HT(1A) agonist, but not a 5-HT(1A) antagonist, to the SSRI may hasten the therapeutic activity of the SSRI in treating impulsivity.

Making choices in anticipation of similar future choices can increase self-control.

Two experiments tested the efficacy of linking a current choice with similar future choices as a means of increasing self-control. Participants were offered choices between smaller and sooner vs. larger and later amounts of money (Experiment 1, n = 60) or food (Experiment 2, n = 34). After a small-large pair for which the participant preferred the smaller reward was found, a choice between the same pair was offered as the 1st of 5 such choices to be offered over a period of weeks. The majority of participants in both experiments who chose between all 5 smaller and all 5 larger rewards chose the larger rewards. One third of participants in Experiment 1 who could choose independently on each pair in the series reversed their previous preference and chose the larger reward in the context of the series. These results suggest that self-control can be enhanced by viewing one's current choice as predictive of future choices.

Using rational suicide as an intervention to prevent irrational suicide.

This paper sets forth the idea that using the concept of, and criteria for, rational suicide can be a clinically useful intervention even with people who may be irrational in their suicidality. Case examples are used to illustrate ways in which reviewing the criteria may help move a person away from an impulsive decision to suicide.