This study evaluated the efficacy of approach-avoidance training as an additional treatment for children and adolescents with obesity seeking inpatient treatment. Two hundred thirty-two participants (8-16 years, 53.9% girls) were randomly assigned either to multisession approach-avoidance (IG) or to placebo training (CG). As outcomes, cognitive biases post intervention, body mass index, eating behaviour, food intake, self-regulation, and weight-related quality of life were assessed, also at 6- and 12-month follow-up. Modification of approach-avoidance bias was observed, but lacked in transfer over sessions and in generalization to attention and association bias. After 6 months, the IG reported less "problematic" food consumption, higher self-regulation, and higher quality of life; effects did not persist until the 12-month follow-up; no significant interaction effects were observed regarding weight course. Despite there was no direct effect on weight course, approach-avoidance training seems to be associated with promising effects on important pillars for weight loss. Further research concerning clinical effectiveness is warranted.
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http://dx.doi.org/10.1002/erv.2607 | DOI Listing |
Child Adolesc Psychiatry Ment Health
November 2024
Behavioural Science Institute, Radboud-University Nijmegen, 500 HB, Nijmegen, The Netherlands.
Cogn Emot
November 2024
Department of Psychology & Centre for Cognitive Neuroscience, Paris-Lodron-University of Salzburg, Salzburg, Austria.
The approach-avoidance task (AAT) probes tendencies contributing to unwanted behaviours, like excessive snacking, by measuring RT differences between approach and avoidance responses to different stimuli. It retrains such tendencies using repeated avoidance of appetitive stimuli and approach of healthy alternatives. The most common paradigm, the irrelevant-feature AAT, conceals these stimulus-response contingencies by requiring approach or avoidance based on features irrelevant to the tendencies (e.
View Article and Find Full Text PDFFront Psychol
October 2024
Department of Special Needs Education, University of Oslo, Oslo, Norway.
Introduction And Methods: This study aimed to investigate the motivational processes behind self-regulated learning and performance among 192 soccer players (82 girls) for three age groups (14-16 years old) eligible for the Norwegian national football team. A conditional process model was proposed and tested with achievement goals as mediators between achievement motives on the one hand and coach-reported performance and self-regulated learning on the other hand. The probability of success was examined as a potential moderator in the motivational process.
View Article and Find Full Text PDFPhilos Trans R Soc Lond B Biol Sci
December 2024
Department of Decoded Neurofeedback, Computational Neuroscience Laboratories, Advanced Telecommunications Research Institute International, Kyoto, Japan.
With the spread of smartphones and computer games, concerns have escalated regarding the rising prevalence of gaming disorder. Patients often display attentional biases, unconsciously turning their attention towards gaming-related stimuli. However, attempts to discover and ameliorate these attentional deficits have yielded inconsistent outcomes, potentially due to the dynamic nature of attentional bias.
View Article and Find Full Text PDFmedRxiv
September 2024
University of California San Francisco, Department of Psychiatry, San Francisco, California, USA.
Alcohol approach bias, a tendency to approach rather than to avoid alcohol and alcohol-related cues regardless of associated negative consequences, is an emerging key characteristic of alcohol use disorder (AUD). Reaction times from the Approach-Avoidance Task (AAT) can be used to quantify alcohol approach bias. However, only a handful of studies have investigated the neural correlates of implicit alcohol approach behavior.
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