Promising technological innovations in cognitive training to treat eating-related behavior.

Promising technological innovations in cognitive training to treat eating-related behavior.
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DOI:
10.1016/j.appet.2017.04.011
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发表时间:
2018-05-01
期刊:
影响因子:
5.4
通讯作者:
Dochat C
Dochat C
中科院分区:
医学2区
文献类型:
--
作者:
Forman EM;Goldstein SP;Flack D;Evans BC;Manasse SM;Dochat C

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针对食欲行为(如饮食和饮酒)的治疗结果不理想的一个潜在原因是,它们没有针对可能驱动这些行为的内隐认知过程。与饮食失调密切相关的两组相关神经认知过程是注意偏差(AB;对特定刺激的选择性注意)和执行功能(EF;一组控制目标导向行为的认知控制过程,如抑制控制、工作记忆、设定转移)。越来越多的研究表明EF和AB训练计划可以改善食欲行为的调节,特别是如果训练频繁和持续的话。然而,一些关键的挑战,如长期坚持训练,以及训练的整体效力,仍然存在。目前的手稿描述了五种技术创新,它们有可能解决与EF和AB培训的有效性和可行性相关的困难:(1)在家中部署培训,(2)通过智能手机进行培训,(3)游戏化,(4)虚拟现实和(5)个性化。本文还讨论了这些创新的缺点以及未来的研究领域。上述创新可能有助于未来的实证工作,以开发和评估有效的EF和AB训练的食欲行为。
One potential reason for the suboptimal outcomes of treatments targeting appetitive behavior, such as eating and alcohol consumption, is that they do not target the implicit cognitive processes that may be driving these behaviors. Two groups of related neurocognitive processes that are robustly associated with dysregulated eating and drinking are attention bias (AB; selective attention to specific stimuli) and executive function (EF; a set of cognitive control processes such as inhibitory control, working memory, set shifting, that govern goal-directed behaviors). An increasing body of work suggests that EF and AB training programs improve regulation of appetitive behaviors, especially if trainings are frequent and sustained. However, several key challenges, such as adherence to the trainings in the long term, and overall potency of the training, remain. The current manuscript describes five technological innovations that have the potential to address difficulties related to the effectiveness and feasibility of EF and AB trainings: (1) deployment of training in the home, (2) training via smartphone, (3) gamification, (4) virtual reality, and (5) personalization. The drawbacks of these innovations, as well as areas for future research, are also discussed. The above-mentioned innovations are likely to be instrumental in the future empirical work to develop and evaluate effective EF and AB trainings for appetitive behaviors.
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