Name: errors as a means of reducing impulsive food choice
Uploaded: 2016-06-05T14:00:00
Description: Watch this Scientific Journal Video about Errors as a Means of Reducing Impulsive Food Choice at JoVE.com

This work was supported by a Programmi di Ricerca Scientifica di Rilevante Interesse Nazionale (PRIN) grant from Ministero Istruzione Universit&#224; e Ricerca (PRIN 2010, protocol number: 2010XPMFW4_009) awarded to GdP. We are also grateful to Caterina Bertini and Raffaella Marino for proofreading the manuscript and performing in the video.

Ethics statement: All procedures described in this protocol were developed and tested following ethical approval from the Ethics Committee of the Psychology Department of Bologna University (see also the Declaration of Helsinki23,53).
1. Participants
<ol>
	<li>Select a sample of healthy young adult females.
	<ol>
		<li>Recruit participants who are not on a diet, not taking psychoactive drugs, free of current or past psychiatric or neurological illness as determined by history, and...

This article describes in detail a novel protocol aimed at reducing impulsive food choice in healthy young adult women. Critical steps in this protocol include sampling participants from the healthy female population, collecting self-report hunger level at the time of the experiment, selecting two foods with equivalent incentive value for each subject, submitting participants to an error task where each of two different error likelihoods (high and low, randomly interspersed across trials) are associated with one of the t...

Nowadays, it is crucial to help people face the rise of eating disorders1-4. These disorders reflect an overestimation of the incentive motivation associated with appetitive food, which induces individuals to seek and consume it as soon as possible (this has been shown especially with sweet high-fat foods5-6). This happens at the expense of future benefits that can result from being on a diet for a while, but for which the ability to exert eating control is necessary7-8. Indeed, people showing these abnormal behaviors have increased attentional bias toward edible cues9-10 and experience enhanced incentive value for primary rewards11. Moreover, even just looking at appetizing foodstuffs can cue the desire for consuming the food immediately, both in individuals with eating disorders and in the normal population12-13. In order to refrain from immediate gratification and not forego the long-term outcome (e.g., losing weight after a few months of diet), one must exercise great self-controlled and resist the innate, evolutionarily determined impulse to give into temptation and consume immediately. Exerting self-control, a concept that is interrelated to the notion of cognitive control in the field of the Neuroscience, means that one is capable of overcoming innate impulses for further consideration and, possibly, implementation of other, more appropriate behaviors14.
How do individuals engage in self-control strategies? Research has highlighted over the years that the capacity to refrain from automatic responses is heightened in error-full contexts15. Errors are well considered highly arousing and aversive events that, when encountered, elicit compensatory responses16. Specifically, they cue failure/loss in both performance and utility, thereby signaling that one needs to adjust levels of control over current and future behavior accordingly17. Moreover, errors can cue aversive learning, as a warning way to escape from error-prone, maladaptive behaviors, thus inducing the implementation of optimal choice responses18-21.
The present protocol shows how the association between tasty food items and errors can signal that engaging in a certain behavior would lead to a cost (i.e., reward loss), thus encouraging the implementation of compensatory self-control strategies, and thereby reducing impulsive food choice20,22. In the present protocol adapted from23, participants are preliminarily asked to self-report their hunger level at the time of the experiment and to rate six different food items. Based on the ratings, two foods with equivalent incentive value for each subject are selected for the subsequent task. Then, participants perform an error task (see reference24) in which the two previously selected food items cue different error rates (high and low) associated with performance: The error task is programmed so that in one trial condition, cued by one food, participants make a small number of errors, and in the other trial condition, cued by the other food, they make a much larger number of errors. Afterwards, participants&#39; intertemporal choice for each of the two primary rewards is measured (adapted from reference25). The ability to seek larger but delayed reinforcements instead of sooner gratification, which is crucial when facing tempting foods while being on a diet, is indeed crisply captured by intertemporal choice paradigms26. The longer the time one needs to wait for a good to be received and consumed, the more the subjective evaluation of this potential reward is weakened (i.e., the so-called temporal discounting phenomenon27-34). Poor decisions (i.e., higher propensity to choose close gratifications, namely increased temporal discounting for future gains) are considered as a core feature of impulsivity35 and a landmark of numerous disorders, including drug addiction and obesity36-45. After undergoing the procedure described in this protocol, participants show reduced impatient choice for the stimulus cueing high error rate, selectively. The effect is more evident when the hunger level reported by the subjects is low23. This occurs because hunger affects the immediate evaluation of food items46-49 by heightening the motivational value of primary rewards and, in turn, the discount rate of future amounts of those rewards7,50-52.
The advantage of this method first lies in its easy applicability. The error training preceding the intertemporal decision tasks is almost completely effortless, making it possible to be employed in diverse clinical settings. Second, the method produces the desired effect with hypothetical edible items, without the need to use real food. Third, participants were mainly unaware of the food-error association, making the subsequent effect on food preferences genuine, which might affect food decisions reliably in real life as well. Finally, participants tested in the study23 were all young females, but there is good reason to speculate that the effect of food-error pairing on intertemporal decisions would be the same on young males too, mainly because subjects in the present study were unaware of the intended effect.

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errors as a means of reducing impulsive food choice

Nowadays, the increasing incidence of eating disorders due to poor self-control has given rise to increased obesity and other chronic weight problems, and ultimately, to reduced life expectancy. The capacity to refrain from automatic responses is usually high in situations in which making errors is highly likely. The protocol described here aims at reducing imprudent preference in women during hypothetical intertemporal choices about appetitive food by associating it with errors. First, participants undergo an error task where two different edible stimuli are associated with two different error likelihoods (high and low). Second, they make intertemporal choices about the two edible stimuli, separately. As a result, this method decreases the discount rate for future amounts of the edible reward that cued higher error likelihood, selectively. This effect is under the influence of the self-reported hunger level. The present protocol demonstrates that errors, well known as motivationally salient events, can induce the recruitment of cognitive control, thus being ultimately useful in reducing impatient choices for edible commodities.

Representative results from the application of the protocol described above are reported here.
Error task
The validity of the Error task has been determined by the following results. Concerning the percentage of errors committed by participants, they showed a significantly higher number of errors in the HE than in the LE condition, a significantly higher number of erro...

Watch this Scientific Journal Video about Errors as a Means of Reducing Impulsive Food Choice at JoVE.com

Errors as a Means of Reducing Impulsive Food Choice

Giving in to temptation of tasty food may result in long-term overweight problems. This protocol describes how to reduce imprudent preference for edible commodities during hypothetical intertemporal choices in women by associating them with errors.

Nowadays, the increasing incidence of eating disorders due to poor self-control has given rise to increased obesity and other chronic weight problems, and ...

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