Cognitive Defusion as Strategy to Reduce the Intensity of Craving Episodes and Improve Eating Behavior
- Irene Hinojosa-Aguayo and Felisa González 1
- Felisa González
-
1
Universidad de Granada
info
ISSN: 1138-7416
Année de publication: 2022
Número: 25
Pages: 1-12
Type: Article
D'autres publications dans: The Spanish Journal of Psychology
Résumé
The elaborated intrusion theory of desire proposes that craving is a cognitive motivational process involving intrusive thoughts. Changing the way we react to them, cognitive defusion (CD), should limit thought elaboration and craving. We induced chocolate craving in female chocolate cravers before CD (Study 1). A decrease in craving measured by a single-item scale, Visual Analogical Scale (VAS; p < .001, ηp 2 = .449) and as a state, State Food Craving Questionnaire (FCQ-S; p = .029, ηp 2 = .106) were found in the experimental group, while similar results were also found in group control. The reduction in craving (VAS) in group CD correlated negatively with chocolate consumption on a bogus taste test (r = –.439, p = .036), while the correlation was positive in the case of group control (r = .429, p = .047). Food craving as a trait, measured by the Trait Food Craving Questionnaire (FCQ-T), showed negative correlations with measures of CD and mindfulness skills (lowest r = –.313, p = .018). In Study 2 participants made use of a smartphone application implementing the CD procedure in real contexts whenever they experienced food craving. A corresponding decline in self-reported craving was found, as well as in consumption of the craved food (indulgence) compared with the control condition. Our findings indicate that CD may be a promising intervention for tackling the elaboration of intrusive thoughts and eating behavior in young female food cravers, both in a controlled laboratory environment after a cue-food exposure craving induction procedure, as well as responding to naturally occurring food cravings in real-life settings.
Information sur le financement
Financeurs
-
European Commission
- FEDER
-
Ministerio de Ciencia, Innovación y Universidades
- PGC2018–096438-B-I00
-
Ministerio de Economía y Competitividad
- PSI2015–64345-R
Références bibliographiques
- Andrade, J., Pears, S., May, J., & Kavanagh, D. J. (2012). Use of a clay modeling task to reduce chocolate craving. Appetite, 58(3), 955–963. https://doi.org/10.1016/j.appet.2012.02.044
- Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., & Williams, J. M. G. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. https://doi.org/10.1177/1073191107313003
- Bernstein, A., Hadash, Y., Lichtash, Y., Tanay, G., Shepherd, K., & Fresco, D. M. (2015). Decentering and related constructs: A critical review and metacognitive processes model. Perspectives on Psychological Science, 10(5), 599–617. https://doi.org/10.1177/1745691615594577
- Caselli, G., & Spada, M. M. (2010). Metacognitions in desire thinking: A preliminary investigation. Behavioural and Cognitive Psychotherapy, 38(5), 629–637. https://doi.org/10.1017/S1352465810000317
- Cebolla, A., García-Palacios, A., Soler, J., Guillen, V., Baños, R., & Botella, C. (2012). Psychometric properties of the Spanish validation of the five facets of mindfulness questionnaire (FFMQ). European Journal of Psychiatry, 26(2), 118–126. https://doi.org/10.4321/S0213-61632012000200005
- Cepeda-Benito, A., Gleaves, D. H., Fernández, M. C., Vila, J., Williams, T. L., & Reynoso, J. (2000). The development and validation of Spanish versions of the State and Trait Food Cravings Questionnaires. Behaviour Research and Therapy, 38(11), 1125–1138. https://doi.org/10.1002/masy.19920530125
- Chapman, J., Zientara, J., & Wilson, C. (2018). Pilot test of brief instructions to improve the self-management of general food cravings. Eating Behaviors, 30, 88–92. https://doi.org/10.1016/j.eatbeh.2018.05.010
- Fisher, N., Lattimore, P., & Malinowski, P. (2016). Attention with a mindful attitude attenuates subjective appetitive reactions and food intake following food-cue exposure. Appetite, 99, 10–16. https://doi.org/10.1016/j.appet.2015.12.009
- Forman, E. M., Hoffman, K. L., McGrath, K. B., Herbert, J. D., Brandsma, L. L., & Lowe, M. R. (2007). A comparison of acceptance- and control-based strategies for coping with food cravings: An analog study. Behaviour Research and Therapy, 45(10), 2372–2386. https://doi.org/10.1016/j.brat.2007.04.004
- Gillanders, D. T., Bolderston, H., Bond, F. W., Dempster, M., Flaxman, P. E., Campbell, L., Kerr, S., Tansey, L., Noel, P., Ferenbach, C., Masley, S., Roach, L., Lloyd, J., May, L., Clarke, S., & Remington, B. (2014). The development and initial validation of the Cognitive Fusion Questionnaire. Behavior Therapy, 45(1), 83–101. https://doi.org/10.1016/j.beth.2013.09.001
- Hooper, N., Sandoz, E. K., Ashton, J., Clarke, A., & McHugh, L. (2012). Comparing thought suppression and acceptance as coping techniques for food cravings. Eating Behaviors, 13(1), 62–64. https://doi.org/10.1016/j.eatbeh.2011.10.002
- Hsu, A., Yang, J., Yilmaz, Y. H., Haque, M. S., Can, C., & Blandford, A. E. (2014). Persuasive technology for overcoming food cravings and improving snack choices. In Jones, M. & Palanque, P. (Eds.), CHI’14: Proceedings of the SIGCHI conference on human factors in computing systems (pp. 3403–3412). Association for Computing Machinery Press. https://doi.org/10.1145/2556288.2557099
- Jáuregui Lobera, I., Bolaños, P., Carbonero, R., & Valero Blanco, E. (2010). Psychometric properties of the Spanish version of Food Craving Inventory (FCI-SP). Nutrición Hospitalaria, 25(6), 984–992.
- Kavanagh, D. J., Andrade, J., & May, J. (2005). Imaginary relish and exquisite torture: The elaborated intrusion theory of desire. Psychological Review, 112, 446–467. https://doi.org/10.1037/0033-295X.112.2.446
- Lacaille, J., Ly, J., Zacchia, N., Bourkas, S., Glaser, E., & Knäuper, B. (2014). The effects of three mindfulness skills on chocolate cravings. Appetite, 76, 101–112. https://doi.org/10.1016/j.appet.2014.01.072
- Lafay, L., Thomas, F., Mennen, L., Charles, M. A., Eschwege, E., & Borys, J.-M. (2001). Gender differences in the relation between food cravings and mood in an adult community: Results from the Fleurbaix Laventie Ville Santé Study. International Journal of Eating Disorders, 29(2), 195–204. https://doi.org/10.1002/1098-108X(200103)29:2<195::AID-EAT1009>3.0.CO;2-N3.0.CO;2-N>
- May, J., Andrade, J., Kavanagh, D. J., & Hetherington, M. (2012). Elaborated intrusion theory: A cognitive-emotional theory of food craving. Current Obesity Reports, 1(2), 114–121. https://doi.org/10.1007/s13679-012-0010-2
- Moffitt, R., Brinkworth, G., Noakes, M., & Mohr, P. (2012). A comparison of cognitive restructuring and cognitive defusion as strategies for resisting a craved food. Psychology and Health, 27, 74–90. https://doi.org/10.1080/08870446.2012.694436
- Romero-Moreno, R., Márquez-González, M., Losada, A., Gillanders, D., & Fernández-Fernández, V. (2014). Cognitive fusion in dementia caregiving: Psychometric properties of the Spanish version of the “Cognitive Fusion Questionnaire”. Behavioral Psychology/Psicología Conductual, 22(1), 117–132.
- Ruiz, F. J., Suárez-Falcón, J. C., Riaño-Hernández, D., & Gillanders, D. (2017). Psychometric properties of the Cognitive Fusion Questionnaire in Colombia. Revista Latinoamericana de Psicología, 49(1), 80–87. https://doi.org/10.1016/j.rlp.2016.09.006
- Schnepper, R., Richard, A., Wilhelm, F. H., & Blechert, J. (2019). A combined mindfulness-prolonged chewing intervention reduces body weight, food craving, and emotional eating. Journal of Consulting and Clinical Psychology, 87(1), 106–111. https://doi.org/10.1037/ccp0000361
- Schumacher, S., Kemps, E., & Tiggemann, M. (2017). Acceptance- and imagery-based strategies can reduce chocolate cravings: A test of the elaborated-intrusion theory of desire. Appetite, 113, 63–70. https://doi.org/10.1016/j.appet.2017.02.012
- Schumacher, S., Kemps, E., & Tiggemann, M. (2018). Cognitive defusion and guided imagery tasks reduce naturalistic food cravings and consumption: A field study. Appetite, 127, 393–399. https://doi.org/10.1016/j.appet.2018.05.018
- Skorka-Brown, J., Andrade, J., & May, J. (2014). Playing “Tetris” reduces the strength, frequency and vividness of naturally occurring cravings. Appetite, 76, 161–165. https://doi.org/10.1016/j.appet.2014.01.073
- Skorka-Brown, J., Andrade, J., Whalley, B., & May, J. (2015). Playing Tetris decreases drug and other cravings in real world settings. Addictive Behaviors, 51, 165–170. https://doi.org/10.1016/j.addbeh.2015.07.020
- Soler, J., Tejedor, R., Feliu-Soler, A., Pascual, J. C., Cebolla, A., Soriano, J., Alvarez, E., & Perez, V. (2012). Psychometric proprieties of Spanish version of Mindful Attention Awareness Scale (MAAS). Actas Españolas de Psiquiatría, 40(1), 19–26.
- Tapper, K. (2018). Mindfulness and craving: Effects and mechanisms. Clinical Psychology Review, 59, 101–117. https://doi.org/10.1016/j.cpr.2017.11.003
- Tapper, K., & Turner, A. (2018). The effect of a mindfulness-based decentering strategy on chocolate craving. Appetite, 130, 157–162. https://doi.org/10.1016/j.appet.2018.08.011
- Vainik, U., García-García, I., & Dagher, A. (2019). Uncontrolled eating: A unifying heritable trait linked with obesity, overeating, personality and the brain. European Journal of Neuroscience, 50, 2430–2445. https://doi.org.10.1111/ejn.14352
- Vallis, M. (2019). Sustained behaviour change in healthy eating to improve obesity outcomes: It is time to abandon willpower to appreciate wanting. Clinical Obesity, 9(2), Article e12299. https://doi.org/10.1111/cob.12299
- Vallis, M., & Mackllin, D. (2021). When behaviour meets biology: If obesity is a chronic medical disease what is obesity management? Clinical Obesity, 11(3), Article e12443. https://doi.org/10.1111/cob.12443
- van Dillen, L. F., & Andrade, J. (2016). Derailing the streetcar named desire: Cognitive distractions reduce individual differences in cravings and unhealthy snacking in response to palatable food. Appetite, 96, 102–110. https://doi.org/10.1016/j.appet.2015.09.013
- Weingarten, H. P., & Elston, D. (1990). The phenomenology of food cravings. Appetite, 15(3), 231–246. https://doi.org/10.1016/0195-6663(90)90023-2
- Weingarten, H. P., & Elston, D. (1991). Food cravings in a college population. Appetite, 17(3), 167–175. https://doi.org/10.1016/0195-6663(91)90019-O