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How people respond to desires varies substantially across time and situations. Building on recent theoretical developments, we propose that motivation plays a central role in the dynamics of self-control as it unfolds across time. We illustrate the role of motivation in self-control by highlighting evidence that pursuing goals for intrinsic (vs. extrinsic) reasons plays a key role in shaping when and how people engage in self-control in service to their goals. We then expand this framework by outlining several promising directions for future research, specifically emphasizing the dynamic interplay between motivation and self-control at various stages in the regulation process. Ultimately, we posit that motivation is a key factor in helping people flexibly regulate desires in accordance with situational demands., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests:Elliot Berkman reports a relationship with Berkman Consultants, LLC that includes: consulting or advisory, employment, and equity or stocks. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Substance use disorders are a common and treatable condition among pregnant and parenting people. Social, self, and structural stigma experienced by this group represent a barrier to harm reduction, treatment utilization, and quality of care. We examine features of research dissemination that may generate or uphold stigmatization at every level for pregnant and parenting individuals affected by substance use disorder and their children. We explore stigma reduction practices within the research community that can increase uptake of evidence-based treatment programs and prevent potential harm related to substance use in pregnant and parenting people. The strategies we propose include: (1) address researcher stereotypes, prejudice, and misconceptions about pregnant and parenting people with substance use disorder; (2) engage in interdisciplinary and transdisciplinary collaborations that engage with researchers who have lived experience in substance use; (3) use community-based approaches and engage community partners, (4) address stigmatizing language in science communication; (5) provide contextualizing information about the social and environmental factors that influence substance use among pregnant and parenting people; and (6) advocate for stigma-reducing policies in research articles and other scholarly products., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Lipsett, Wyant-Stein, Mendes, Berger, Berkman, Terplan and Cioffi.)

Introduction: Models of addiction have identified deficits in inhibitory control, or the ability to inhibit inappropriate or unwanted behaviors, as one factor in the development and maintenance of addictive behaviors. Current literature supports disruption of the prefrontal circuits that mediate reactive inhibitory control processes (i.e., inhibition in response to sudden, unplanned changes in environmental demands) in substance use disorders. However, the relationship between disorders of addiction, such as nicotine dependence, and planned inhibitory processes (i.e., inhibition that occurs after advance warning) is unclear. The goal of the present study was to examine the extent to which reactive and planned inhibitory processes are differentially disrupted in nicotine dependent individuals., Method: We employed an internet-based novel stop signal task wherein participants were instructed to stop a continuous movement at either a predictable or unpredictable time. This task explicitly separated planned and reactive inhibitory processes and assessed group differences in task performance between smokers (N = 281) and non-smokers (N = 164). The smoker group was defined as any participant that identified as a smoker and reported an average daily nicotine consumption of at least 2 mg. The non-smoker group was defined as any participant that identified as a non-smoker and had not been a former smoker that quit within the last year. The smoker group also completed a questionnaire regarding smoking behaviors which included the Fägerstrom Test of Nicotine Dependence (FTND). We used these data to assess the continuous relation between planned stopping, unplanned stopping, and smoking behaviors., Results: We found significant differences in stop times for both reactive and planned stopping between groups as well as within the smoker group. Additionally, in the smoker group, dependence as measured by the FTND was associated with longer stop times on planned stop trials. Surprisingly, greater daily average consumption of nicotine was related to faster stopping for both trial types., Conclusion: These results indicate the relevance of measuring both reactive and planned inhibitory processes for elucidating the relationship between nicotine addiction and mechanisms of inhibitory control., Competing Interests: Declaration of Competing interest None Declared., (Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.)

Background and Aim: We examined error-driven learning in fMRI activity of 217 subjects in a stop signal task to obtain a more robust characterization of the relation between behavioral measures of learning and corresponding neural learning signals than previously possible., Methods: The stop signal task is a two-alternative forced choice in which participants respond to an arrow by pressing a left or right button but must inhibit that response on 1 in 7 trials when cued by an auditory "stop signal." We examined post-error learning by comparing brain activity (BOLD signal) and behavioral responses on trials preceded by successful (correct stop) vs. failed (failed stop) inhibition., Results: There was strong evidence of greater bilateral striatal activity in the period immediately following correct (vs. failed) stop trials (most evident in the putamen; peak MNI coordinates [-26 8 -2], 430 voxels, p < 0.001; [24 14 0], 527 voxels, p < 0.001). We measured median activity in the bilateral striatal cluster following every failed stop and correct stop trial and correlated it with learning signals for (a) probability and (b) latency of the stop signal. In a mixed-effects model predicting activity 5-10 s after the stop signal, both reaction time (RT) change (B = -0.05, t = 3.0, χ 2 = 11.3, p < 0.001) and probability of stop trial change (B = 1.53, t = 6.0, χ 2 = 43.0, p < 0.001) had significant within-subjects effects on median activity. In a similar mixed model predicting activity 1-5 s after the stop signal, only probability of stop trial change was predictive., Conclusions: A mixed-effects model indicates the striatal activity might be a learning signal that encodes reaction time change and the current expected probability of a stop trial occuring. This extends existing evidence that the striatum encodes a reward prediction error signal for learning within the stop signal task, and demonstrates for the first time that this signal seems to encode both change in stop signal probability and in stop signal delay.

The COVID-19 pandemic has extensively changed the state of psychological science from what research questions psychologists can ask to which methodologies psychologists can use to investigate them. In this article, we offer a perspective on how to optimize new research in the pandemic's wake. Because this pandemic is inherently a social phenomenon-an event that hinges on human-to-human contact-we focus on socially relevant subfields of psychology. We highlight specific psychological phenomena that have likely shifted as a result of the pandemic and discuss theoretical, methodological, and practical considerations of conducting research on these phenomena. After this discussion, we evaluate metascientific issues that have been amplified by the pandemic. We aim to demonstrate how theoretically grounded views on the COVID-19 pandemic can help make psychological science stronger-not weaker-in its wake.

Practicality was a valued attribute of academic psychological theory during its initial decades, but usefulness has since faded in importance to the field. Theories are now evaluated mainly on their ability to account for decontextualized laboratory data and not their ability to help solve societal problems. With laudable exceptions in the clinical, intergroup, and health domains, most psychological theories have little relevance to people's everyday lives, poor accessibility to policymakers, or even applicability to the work of other academics who are better positioned to translate the theories to the practical realm. We refer to the lack of relevance, accessibility, and applicability of psychological theory to the rest of society as the practicality crisis. The practicality crisis harms the field in its ability to attract the next generation of scholars and maintain viability at the national level. We describe practical theory and illustrate its use in the field of self-regulation. Psychological theory is historically and scientifically well positioned to become useful should scholars in the field decide to value practicality. We offer a set of incentives to encourage the return of social psychology to the Lewinian vision of a useful science that speaks to pressing social issues.

One of the most persistent health disparities is the underutilization of mental health services by people of color. Neither evidence-based treatments (universal focus) nor culturally adapted treatments (group focus) have reduced these disparities. We propose the personal relevance of psychotherapy (PROP) model, which integrates universal, group, and individual dimensions to determine the personal relevance of interventions. A cultural example of personal relevance among people of East Asian ancestry involves "face" (i.e., one's prestige and position in society), which may moderate treatment outcomes. Pragmatic intervention approaches focused on helping individuals cope with specific external problems, compared to managing a "personal" disease, can effectively "restore" face. Thus, social problem-solving interventions may be more personally relevant to many people of East Asian ancestry than are approaches that are internally focused. In addition, we posit that social neuroscience can offer unique opportunities above and beyond self-report measures when assessing the impact of PROP and the personal relevance of interventions for diverse populations. Our preliminary evidence upon testing this hypothesis indicated that among Asian Americans, exposure to problem-solving therapy content elicited significantly greater neural activity in brain areas associated with personal relevance compared to exposure to cognitive-behavioral therapy content. Identifying personally relevant interventions has the potential to reduce mental health disparities by increasing engagement with mental health services for diverse groups. The increased client engagement produced by personally relevant interventions also has the potential to make mental health services more effective for diverse groups. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Considerable evidence points to a link between body mass index (BMI), eating behavior, and the brain's reward system. However, much of this research focuses on food cue reactivity without examining the subjective valuation process as a potential mechanism driving individual differences in BMI and eating behavior. The current pre-registered study (https://osf.io/n4c95/) examined the relationship between BMI, healthy eating, and subjective valuation of healthy and unhealthy foods in a community sample of individuals with higher BMI who intended to eat more healthily. Particularly, we examined: (1) alterations in neurocognitive measures of subjective valuation related to BMI and healthy eating; (2) differences in the neurocognitive valuation for healthy and unhealthy foods and their relation to BMI and healthy eating; (3) and whether we could conceptually replicate prior findings demonstrating differences in neural reactivity to palatable vs. plain foods. To this end, we scanned 105 participants with BMIs ranging from 23 to 42 using fMRI during a willingness-to-pay task that quantifies trial-by-trial valuation of 30 healthy and 30 unhealthy food items. We measured out of lab eating behavior via the Automated Self-Administered 24 H Dietary Assessment Tool, which allowed us to calculate a Healthy Eating Index (HEI). We found that our sample exhibited robust, positive linear relationships between self-reported value and neural responses in regions previously implicated in studies of subjective value, suggesting an intact valuation system. However, we found no relationship between valuation and BMI nor HEI, with Bayes Factor indicating moderate evidence for a null relationship. Separating the food types revealed that healthy eating, as measured by the HEI, was inversely related to subjective valuation of unhealthy foods. Imaging data further revealed a stronger linkage between valuation of healthy (compared to unhealthy) foods and corresponding response in the ventromedial prefrontal cortex (vmPFC), and that the interaction between healthy and unhealthy food valuation in this region is related to HEI. Finally, our results did not replicate reactivity differences demonstrated in prior work, likely due to differences in the mapping between food healthiness and palatability. Together, our findings point to disruptions in the valuation of unhealthy foods in the vmPFC as a potential mechanism influencing healthy eating., Competing Interests: EB is manager of Berkman Consultants, a boutique consulting firm specializing in goals, motivation, and behavior change. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2020 Merchant, Cosme, Giuliani, Dirks and Berkman.)

Neural patterns associated with viewing energy-dense foods can predict changes in eating-related outcomes. However, most research on this topic is limited to one follow-up time point, and single outcome measures. The present study seeks to add to that literature by employing a more refined assessment of food craving and consumption outcomes along with a more detailed neurobiological model of behavior change over several time points. Here, a community sample of 88 individuals (age: M = 39.17, SD = 3.47; baseline BMI: M = 31.5, SD = 3.9, range 24-42) with higher body mass index (BMI) performed a food craving reactivity and regulation task while undergoing functional magnetic resonance imaging. At that time-and 1, 3, and 6 months later-participants reported craving for and consumption of healthy and unhealthy foods via the Food Craving Inventory (FCI) and ASA24 (N at 6 months = 52-55 depending on the measure). A priori hypotheses that brain activity associated with both viewing and regulating personally desired unhealthy, energy-dense foods would be associated with self-reported craving for and consumption of unhealthy foods at baseline were not supported by the data. Instead, regression models controlling for age, sex, and BMI demonstrated that brain activity across several regions measured while individuals were regulating their desires for unhealthy food was associated with the self-reported craving for and consumption of healthy food. The hypothesis that vmPFC activity would predict patterns of healthier eating was also not supported. Instead, linear mixed models controlling for baseline age and sex, as well as changes in BMI, revealed that more regulation-related activity in the dlPFC, dACC, IFG, and vmPFC at baseline predicted decreases in the craving for and consumption of healthy foods over the course of 6 months., (Copyright © 2020 Giuliani, Cosme, Merchant, Dirks and Berkman.)

Establishing links between neural systems and health can be challenging since there is not a one-to-one mapping between brain regions and psychological states. Building sensitive and specific predictive models of health-relevant constructs using multivariate activation patterns of brain activation is a promising new direction. We illustrate the potential of this approach by building two 'neural signatures' of food craving regulation (CR) using multivariate machine learning and, for comparison, a univariate contrast. We applied the signatures to two large validation samples of overweight adults who completed tasks measuring CR ability and valuation during food choice. Across these samples, the machine learning signature was more reliable. This signature decoded CR from food viewing and higher signature expression was associated with less craving. During food choice, expression of the regulation signature was stronger for unhealthy foods and inversely related to subjective value, indicating that participants engaged in CR despite never being instructed to control their cravings. Neural signatures thus have the potential to measure spontaneous engagement of mental processes in the absence of explicit instruction, affording greater ecological validity. We close by discussing the opportunities and challenges of this approach, emphasizing what machine learning tools bring to the field of health neuroscience., (© The Author(s) 2020. Published by Oxford University Press.)

Despite evidence that acute stress impairs attention in adults, there has been minimal research in children. Here, the effects of acute stress on Go/No-go performance were examined in young children (M age = 5.41 years). Given the critical role of the parent-child relationship to children's self-regulatory development, the extent to which parenting stress predicts children's cognitive vulnerability to acute stress and autonomic reactivity was also investigated. A between-groups design (n = 58 stress, n = 26 control) was used with oversampling of the stressor-exposed children to examine individual differences. The Parenting Stress Index and subscales were employed as a measure of parenting stress. Acute stress impaired children's sustained attention, but not inhibitory control. Higher parenting stress was associated with vulnerability to attentional impairment. Parenting distress was also positively associated with sympathetic reactivity to acute stress, but neither sympathetic nor parasympathetic reactivity was associated with attentional impairment. A conceptual model of pathways through which repetitive acute stress may contribute to self-regulatory difficulties is presented, including the potential buffering role of caregivers., (© 2019 Wiley Periodicals, Inc.)

Neuroscientific tools and approaches such as neuroimaging, measures of neuroendocrine and psychoneuroimmune activity, and peripheral physiology are increasingly used in clinical science and health psychology research. We define translational neuroscience (TN) as a systematic, theory-driven approach that aims to develop and leverage basic and clinical neuroscientific knowledge to aid the development and optimization of clinical and public health interventions. There is considerable potential across basic and clinical science fields for this approach to provide insights into mental and physical health pathology that had previously been inaccessible. For example, TN might hold the potential to enhance diagnostic specificity, better recognize increased vulnerability in at-risk populations, and augment intervention efficacy. Despite this potential, there has been limited consideration of the advantages and limitations of such an approach. In this article, we articulate extant challenges in defining TN and propose a unifying conceptualization. We illustrate how TN can inform the application of neuroscientific tools to realistically guide clinical research and inform intervention design. We outline specific leverage points of the TN approach and barriers to progress. Ten principles of TN are presented to guide and shape the emerging field. We close by articulating ongoing issues facing TN research. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The benefits of autonomy to self-regulation, health, and well-being are well established. However, relatively few studies have investigated how autonomy might influence affect regulation. In this commentary, we argue that autonomy is an important motivational factor that interacts with affect regulation and may be particularly relevant in health contexts, such as cancer, that can limit individual autonomy. We describe the relationship between autonomy and affect regulation and illustrate ways in which autonomy can be supported broadly as well as during various phases in the cancer trajectory.

The goal of this article is to introduce readers to theories, tools, and evidence from the field of neuroeconomics and to describe how health psychology and neuroeconomics can be mutually informative in the study of preventative health behaviors. Preventative health behavior here refers to both individual actions that impact one's health (e.g., exercise) and broader behavioral patterns, such as those captured in personality constructs. Although neuroeconomic researchers have begun to incorporate health-relevant behaviors into their studies, the full potential of this research to inform preventative health models is as yet unrealized. What is needed to "translate up" is the unification of rich theoretical content from health psychology with investigations by neuroeconomic researchers of the decision-making process during health-relevant choices. We identify choice as a central, shared feature across models of preventative health behavior that can serve as an inroad for neuroeconomics to contribute to existing models and highlight commonalities that might not otherwise be apparent. A central premise of our argument is that, because health decisions are nearly always multiply determined, a more precise and mechanistic understanding of how choices are made is an important but understudied topic in health psychology. A partnership between health psychologists and neuroeconomic researchers can yield valuable insights into how preventative health choice is made and to identify targets and methods for intervention.

Establishing reliable predictors of health behavior is a goal of health psychology. A relevant insight from personality psychology is that facets can predict specific behaviors better than broad traits do. We hypothesized that we could predict physical activity with a facet of conscientiousness related to goal pursuit-planfulness. We measured the relationship between Planfulness Scale scores and physical activity in 282 individuals over a total of 20 weeks, using a piecewise latent growth curve model. We additionally tested whether planfulness uniquely relates to activity when compared with related constructs. Finally, ratings of participants' written goals were correlated with these personality traits and physical activity. We found that planfulness was positively associated with average visits to a recreational center, that planfulness explained unique variance in activity, and that planfulness correlated with the descriptiveness of written goals. We conclude that the Planfulness Scale is a valid measurement uniquely suited to predicting goal achievement.

Adolescence is a time of heightened neural plasticity. Many brain networks show protracted development through this period, such as those underlying inhibitory control (IC), a neurocognitive skill implicated in risk-taking and therefore relevant to public health. Although IC appears to be trainable in adults and young children, whether and how IC may be malleable during adolescence is not fully understood. In this pilot RCT, we tested the effects of a school-based IC training paradigm (versus active control) on IC performance and neural function in adolescents (N = 19) aged 15 to 17 recruited from a low-income school district. We also examined the extent to which training effects transferred to a nontrained IC task and real-world risk behavior, as well as potential moderation effects by early adversity exposure. Training altered brain function related to attention during IC preparation and implementation, though it did not alter IC performance in the training group compared to the control group. There was limited evidence of training transfer. Results have implications for translational neuroscience research in adolescents.

Self-control is the process of favoring abstract, distal goals over concrete, proximal goals during decision-making and is an important factor in health and well-being. We directly compare two prominent neurocognitive models of human self-control with the goal of identifying which, if either, best describes behavioral and neural data of dietary decisions in a large sample of overweight and obese adults motivated to eat more healthfully. We extracted trial-by-trial estimates of neural activity during incentive-compatible choice from three brain regions implicated in self-control, dorsolateral prefrontal cortex, ventral striatum and ventromedial prefrontal cortex and assessed evidence for the dual-process and value-based choice models of self-control using multilevel modeling. Model comparison tests revealed that the value-based choice model outperformed the dual-process model and best fit the observed data. These results advance scientific knowledge of the neurobiological mechanisms underlying self-control-relevant decision-making and are consistent with a value-based choice model of self-control., (© The Author(s) 2019. Published by Oxford University Press.)

Personality traits such as conscientiousness and impulsivity correlate with temporal discounting, the degree to which individuals discount the value of future relative to present rewards. These variables have, in turn, been hypothesized to relate to income inequality in the United States. A key but untested assumption of this hypothesis is that the association among these variables is distinct across socioeconomic classes. The purpose of the present research is to test that assumption. N = 1,100 adults with annual income ranging from at or below the poverty line ($0-$20,000) to upper-middle class ($200,000+) completed personality measures and a measure of temporal discounting. The results of our preregistered analyses indicated a positive association of income with trait planfulness, and a negative association with trait impulsivity and one parameter of temporal discounting that captures a bias to prefer sooner rewards to a greater degree if they are delivered that day. Our results can inform psychological theories of inequality and a broader conversation about effective public policy.

Objective: Studies have consistently shown that long-term meditation practice is associated with reduced pain, but the neural mechanisms by which long-term meditation practice reduces pain remain unclear. This study tested endogenous opioid involvement in meditation analgesia associated with long-term meditation practice., Methods: Electrical pain was induced with randomized, double-blind, cross-over administration of the opioid antagonist naloxone (0.15-mg/kg bolus dose, then 0.2-mg/kg per hour infusion dose) with 32 healthy, experienced meditation practitioners and a standardized open monitoring meditation., Results: Under saline, pain ratings were significantly lower during meditation (pain intensity: 6.41 ± 1.32; pain unpleasantness: 3.98 ± 2.17) than at baseline (pain intensity: 6.86 ±1.04, t(31) = 2.476, p = .019, Cohen's d = 0.46; pain unpleasantness: 4.96 ±1.75, t(31) = 3.746, p = .001, Cohen's d = 0.68), confirming the presence of meditation analgesia. Comparing saline and naloxone revealed significantly lower pain intensity (t(31) = 3.12, p = .004, d = 0.56), and pain unpleasantness (t(31) = 3.47, p = .002, d = 0.62), during meditation under naloxone (pain intensity: 5.53 ± 1.54; pain unpleasantness: 2.95 ± 1.88) than under saline (pain intensity: 6.41 ± 1.32; pain unpleasantness: 3.98 ± 2.17). Naloxone not only failed to eliminate meditation analgesia but also made meditation analgesia stronger., Conclusions: Long-term meditation practice does not rely on endogenous opioids to reduce pain. Naloxone's blockade of opioid receptors enhanced meditation analgesia; pain ratings during meditation were significantly lower under naloxone than under saline. Possible biological mechanisms by which naloxone-induced opioid receptor blockade enhances meditation analgesia are discussed.

Substance use and addiction are disproportionately experienced by individuals with a history of exposure to early life stress (ELS), such as maltreatment, domestic violence and parent psychopathology. Unfortunately, extant interventions have mixed effectiveness at improving outcome trajectories for ELS-exposed children, who are often underserved by evidenced-based programs. Here, we employ a translational neuroscience framework to delineate how neuroscience can deepen our understanding of ELS-linked alterations in children's function to inform the development of more targeted, effective early intervention and addiction prevention programs. Candidate neural pathways altered by ELS and linked to addiction are described across sensory, affective, motivational, and executive function domains. Next, we provide an example of the application of translational neuroscience principles in a family of early interventions (i.e. Multidimensional Treatment Foster Care - Preschool, Kids in Transition to School) focused on improving self-regulation in ELS-exposed children. Future directions and areas of unmet need in intervention research detail the significant potential of translational neuroscience to advance interventionists' ability to support positive adjustment in ELS-exposed children and prevent harmful addiction outcomes.

Early life adversity is a documented risk factor for substance abuse and addiction. The pre- and perinatal period (i.e., from implantation, through pregnancy, to 6 months of age) is a critical period marked by high biological plasticity and vulnerability, making perinatal stress a particularly robust form of adversity. The neuroendocrine and immune systems are key mechanisms implicated in the transmission of addiction risk. We review animal and human studies that provide preliminary evidence for links between perinatal stress, neuroendocrine and immune dysregulation, and risk for substance abuse and addiction. A translational neuroscience perspective is employed to elucidate pre- and perinatally-induced biological mechanisms linked to addiction and discuss implications for prevention and intervention efforts. Significant evidence supports associations between pre- and perinatal stress and dysregulation of the hypothalamic-pituitary-adrenal axis and immune systems as well as links between neuroendocrine/immune functioning and addiction risk. More work is needed to explicitly examine the interplay between pre- and perinatal stress and neuroendocrine/immune disruptions that together heighten substance abuse risk. Future work is needed to fully understand how pre- and perinatal stress induces biological alterations to predispose individuals to higher risk for addiction. Such knowledge will strengthen theoretically-driven and empirically-supported prevention efforts for substance abuse and addiction.

Following a key developmental task of childhood-building a foundation of self-knowledge in the form of domain-specific self-concepts-adolescents begin to explore their emerging identities in ways that foster autonomy and connectedness. Neuroimaging studies of self-related processes demonstrate enhanced engagement of the ventromedial prefrontal cortex in adolescence, which may facilitate and reflect the development of identity by integrating the value of potential actions and choices. Drawing from neuroeconomic and social cognitive accounts, we propose that motivated behavior during adolescence can be modeled by a general value-based decision-making process centered around value accumulation in the ventromedial prefrontal cortex. This approach advances models of adolescent neurodevelopment that focus on reward sensitivity and cognitive control by considering more diverse value inputs, including contributions of developing self- and identity-related processes. It also considers adolescent decision making and behavior from adolescents' point of view rather than adults' perspectives on what adolescents should value or how they should behave.

Recently, there has been an increase in the number of human neuroimaging studies seeking to predict behavior above and beyond traditional measurements such as self-report. This trend has been particularly notable in the area of food consumption, as the percentage of people categorized as overweight or obese continues to rise. In this review, we argue that there is considerable utility in this form of health neuroscience, modeling the neural bases of eating behavior and dietary change in healthy community populations. Further, we propose a model and accompanying evidence indicating that several basic processes underlying eating behavior, particularly reactivity, regulation, and valuation, can be predictive of behavior change. We also discuss future directions for this work., (© 2018 New York Academy of Sciences.)

The ways that people set, pursue, and eventually succeed or fail in accomplishing their goals are central issues for consulting psychology. Goals and behavior change have long been the subject of empirical investigation in psychology, and have been adopted with enthusiasm by the cognitive and social neurosciences in the last few decades. Though relatively new, neuroscientific discoveries have substantially furthered the scientific understanding of goals and behavior change. This article reviews the emerging brain science on goals and behavior change, with particular emphasis on its relevance to consulting psychology. I begin by articulating a framework that parses behavior change into two dimensions, one motivational (the will ) and the other cognitive (the way ). A notable feature of complex behaviors is that they typically require both. Accordingly, I review neuroscience studies on cognitive factors, such as executive function, and motivational factors, such as reward learning and self-relevance, that contribute to goal attainment. Each section concludes with a summary of the practical lessons learned from neuroscience that are relevant to consulting psychology.

Introduction: Text-message-based interventions hold great potential for intervention and are increasingly feasible, given advances in information technology., Aims: This pilot randomized controlled trial (RCT) aims to compare the efficacy of self-versus expert-authored content delivered via text-messaging for smoking cessation., Methods: Sixty-two participants aged 25-66 attended laboratory sessions pre- and post-30 days of text-messaging intervention. Participants were randomised to one of two experimental conditions - self-authorship (SA) only and SA with implementation intentions (SA+ii) - or active control. Participants composed 30-60 brief motivational cessation messages for use during their cessation attempt. SA+ii participants were further instructed to anticipate obstacles and form simple if-then plans to overcome them. Experimental groups received their self-authored texts during the intervention phase, whereas control participants received expert-authored messages., Results: Overall, smoking decreased as measured by change in exhaled carbon monoxide (CO), F (1,59) = 4.43, p = 0.04. The SA+ii group showed slightly greater CO reduction ( M = 3.63, SD = 5.39) than control ( M = 0.03, SD = 5.80; t (40) = 2.08, p = 0.04). SA alone ( M = 1.97, SD = 9.30) was not more effective than control., Conclusions: SA does not appear to increase efficacy. However, this pilot supports prior research, indicating that text-based interventions can increase smoking cessation success and may decrease psychological symptoms of withdrawal. Much research is needed to identify ways to bolster intervention efficacy.

Goal-directed behavior and lifelong well-being often depend on the ability to control appetitive motivations, such as cravings. Cognitive reappraisal is an effective way to modulate emotional states, including cravings, but is often studied under explicit instruction to regulate. Despite the strong prediction from Self-Determination Theory that choice should enhance task engagement and regulation success, little is known empirically about whether and how regulation is different when participants choose (vs are told) to exert control. To investigate how choice affects neural activity and regulation success, participants reappraised their responses to images of personally-craved foods while undergoing functional neuroimaging. Participants were either instructed to view or reappraise ('no-choice') or chose freely to view or reappraise ('yes-choice'). Choice increased activity in the frontoparietal control network. We expected this activity would be associated with increased task engagement, resulting in better regulation success. However, contrary to this prediction, choice slightly reduced regulation success. Follow-up multivariate functional neuroimaging analyses indicated that choice likely disrupted allocation of limited cognitive resources during reappraisal. While unexpected, these results highlight the importance of studying upstream processes such as regulation choice, as they may affect the ability to regulate cravings and other emotional states.

Objective: Traditional models of health behaviour focus on the roles of cognitive, personality and social-cognitive constructs (e.g. executive function, grit, self-efficacy), and give less attention to the process by which these constructs interact in the moment that a health-relevant choice is made. Health psychology needs a process-focused account of how various factors are integrated to produce the decisions that determine health behaviour., Design: I present an integrative value-based choice model of health behaviour, which characterises the mechanism by which a variety of factors come together to determine behaviour. This model imports knowledge from research on behavioural economics and neuroscience about how choices are made to the study of health behaviour, and uses that knowledge to generate novel predictions about how to change health behaviour. I describe anomalies in value-based choice that can be exploited for health promotion, and review neuroimaging evidence about the involvement of midline dopamine structures in tracking and integrating value-related information during choice. I highlight how this knowledge can bring insights to health psychology using illustrative case of healthy eating., Conclusion: Value-based choice is a viable model for health behaviour and opens new avenues for mechanism-focused intervention.

A recent meta-analytic review by Shields, Sazma, & Yonelinas (2016) brings to the fore several conceptual issues within the stress and executive function (EF) literatures. We present a critique of these issues, using the review as an exemplar of how stress and EF are often examined empirically. The review summarizes research suggesting that EF is not only trait-like, but can be also state-like, influenced by factors such as acute stress. It has numerous strengths including its scope in examining EF across domains, inclusion of moderators, and timeliness, given the rapidly expanding field of stress research. We argue that the conclusions would be less equivocal with a more precise and neurally-informed consideration of EF, stressor, and timing assessments. A detailed discussion of these issues is provided, using the inhibition EF domain as an example, in order to illustrate key limitations and potential consequences of broad inclusion criteria. We endeavor to promote precise, shared definitions in the service of delineating a more complete and consistent account of acute stress effects on EF., (Copyright © 2017 Elsevier Ltd. All rights reserved.)

Adolescents with prenatal substance (drug and alcohol) exposure exhibit inhibitory control (IC) deficits and aberrations in associated neural function. Nearly all research to date examines exposure to individual substances, and a minimal amount is known about the effects of heterogeneous exposure-which is more representative of population exposure levels. Using functional magnetic resonance imaging (fMRI), we investigated IC (Go/NoGo) in heterogeneously exposed (n = 7) vs. control (n = 7) at-risk adolescents (ages 13-17). The fMRI results indicated multiple IC processing differences consistent with a more immature developmental profile for exposed adolescents (Exposed  >  Nonexposed: NoGo > Go: right ventrolateral prefrontal cortex, right cuneus, and left inferior parietal lobe; NoGo > false alarm: occipital lobe; Go > false alarm: right anterior prefrontal cortex). Simple effects suggest exposed adolescents exhibited exaggerated correct trial but decreased incorrect trial activation. Results provide initial evidence that prenatal exposure across substances creates similar patterns of atypical brain activation to IC success and failure.

Identifying environmental influences on inhibitory control (IC) may help promote positive behavioral and social adjustment. Although chronic stress is known to predict lower IC, the immediate effects of acute stress are unknown. The parasympathetic nervous system (PNS) may be a mechanism of the stress-IC link, given its psychophysiological regulatory role and connections to prefrontal brain regions critical to IC. We used a focused assessment of IC (the stop-signal task) to test whether an acute social stressor (the Trier Social Stress Test) affected participants' pre- to post-IC performance (n=58), compared to a control manipulation (n=31). High frequency heart-rate variability was used as an index of PNS activity in response to the manipulation. Results indicated that stress impaired IC performance, blocking the practice effects observed in control participants. We also investigated the associations between PNS activity and IC; higher resting PNS activity predicted better pre-manipulation IC, and greater PNS stressor reactivity protected against the negative effects of stress on IC. Together, these results are the first to document the immediate effects of acute stress on IC and a phenotypic marker (PNS reactivity to stressors) of susceptibility to stress-induced IC impairment. This study suggests a new way to identify situations in which individuals are likely to exhibit IC vulnerability and related consequences such as impulsivity and risk taking behavior. Targeting PNS regulation may represent a novel target for IC-focused interventions., (Copyright © 2017 Elsevier B.V. All rights reserved.)

Many psychological theories suggest a link between self-regulation and identity, but until now a mechanistic account that suggests ways to improve self-regulation has not been put forth. The identity-value model (IVM) connects the idea from social psychology, that aspects of identity such as core values and group affiliations hold positive subjective value, to the process-focused account from decision-making and behavioral economics, that self-regulation is driven by a dynamic value integration across a range of choice attributes. Together, these ideas imply that goal-directed behaviors that are identity-relevant are more likely to be enacted because they have greater subjective value than identity-irrelevant behaviors. A central hypothesis, therefore, is that interventions that increase the degree to which a target behavior is perceived as self-relevant will improve self-regulation. Additionally, identity-based changes in self-regulation are expected to be mediated by changes in subjective value and its underlying neural systems. In this paper, we define the key constructs relevant to the IVM, explicate the model and delineate its boundary conditions, and describe how it fits with related theories. We also review disparate results in the research literature that might share identity-related value as a common underlying mechanism of action. We close by discussing questions about the model whose answers could advance the study of self-regulation.

Self-control is often conceived as a battle between "hot" impulsive processes and "cold" deliberative ones. Heeding the angel on one shoulder leads to success; following the demon on the other leads to failure. Self-control feels like a duality. What if that sensation is misleading, and, despite how they feel, self-control decisions are just like any other choice? We argue that self-control is a form of value-based choice wherein options are assigned a subjective value and a decision is made through a dynamic integration process. We articulate how a value-based choice model of self-control can capture its phenomenology and account for relevant behavioral and neuroscientific data. This conceptualization of self-control links divergent scientific approaches, allows for more robust and precise hypothesis testing, and suggests novel pathways to improve self-control.

The ability to inhibit unwanted responses is critical for effective control of behavior, and inhibition failures can have disastrous consequences in real-world situations. Here, we examined how prior exposure to negative emotional stimuli affects the response-stopping network. Participants performed the stop-signal task, which relies on inhibitory control processes, after they viewed blocks of either negatively emotional or neutral images. In Experiment 1, we found that neural activity was reduced following negative image viewing. When participants were required to inhibit responding after neutral image viewing, we observed activation consistent with previous studies using the stop-signal task. However, when participants were required to inhibit responding after negative image viewing, we observed reductions in the activation of ventrolateral prefrontal cortex, dorsolateral prefrontal cortex, medial frontal cortex, and parietal cortex. Furthermore, analysis of neural connectivity during stop-signal task blocks indicated that across participants, emotion-induced changes in behavioral performance were associated with changes in functional connectivity, such that greater behavioral impairment after negative image viewing was associated with greater weakening of connectivity. In Experiment 2, we collected behavioral data from a larger sample of participants and found that stopping performance was impaired after negative image viewing, as seen in longer stop-signal reaction times. The present results demonstrate that negative emotional events can prospectively disrupt the neural network supporting response inhibition., Competing Interests: The authors declare that they have no conflict of interest.

Inhibitory control (IC) is a critical neurocognitive skill for successfully navigating challenges across domains. Several studies have attempted to use training to improve neurocognitive skills such as IC, but few have found that training generalizes to performance on non-trained tasks. We used functional magnetic resonance imaging (fMRI) to investigate the effect of IC training on a related but untrained emotion regulation (ER) task with the goal of clarifying how training alters brain function and why its effects typically do not transfer across tasks. We suggest hypotheses for training-related changes in activation relevant to transfer effects: the strength model and several plausible alternatives (shifting priorities, stimulus-response automaticity, scaffolding). Sixty participants completed three weeks of IC training and underwent fMRI scanning before and after. The training produced pre- to post-training changes in neural activation during the ER task in the absence of behavioral changes. Specifically, individuals in the training group demonstrated reduced activation during ER in the left inferior frontal gyrus and supramarginal gyrus, key regions in the IC neural network. This result is less consistent with the strength model and more consistent with a motivational account. Implications for future work aiming to further pinpoint mechanisms of training transfer are discussed., (© The Author (2016). Published by Oxford University Press. For Permissions, please email: journals.permissions@oup.com.)

In spite of extensive scientific knowledge about the neurobiological systems and neural pathways underlying addictions, only limited progress has been made to reduce the population-level incidence of addictions by using prevention and treatment programs. In this area of research the translation of basic neuroscience of causal mechanisms to effective interventions has not been fully realized. In this article we describe how an understanding of the effects of early adverse experiences on brain and biological development may provide new opportunities to achieve impact at scale with respect to reduction of addictions. We propose four categories of new knowledge that translational neuroscience investigations of addictions should incorporate to be successful. We then describe a translational neuroscience-informed smoking cessation intervention based on this model.

Objective: Research on eating relies on various indices (e.g., stable, momentary, neural) to accurately reflect food-related reactivity (e.g., disinhibition) and regulation (e.g., restraint) outside the laboratory. The degree to which they differentially predict real-world consumption remains unclear. Further, the predictive validity of these indices might vary depending on whether an individual is actively restricting intake., Methods: We assessed food craving reactivity and regulation in 46 healthy participants (30 women, 18-30 years) using standard measurements in three modalities: a) self-reported (stable) traits using surveys popular in the eating literature, and b) momentary craving ratings and c) neural activation using aggregated functional magnetic resonance imaging data gathered during a food reactivity-and-regulation task. We then used these data to predict variance in real-world consumption of craved energy-dense "target" foods across 2 weeks among normal-weight participants randomly assigned to restrict or monitor target food intake., Results: The predictive validity of four indices varied significantly by restriction. When participants were not restricting intake, momentary (B = 0.21, standard error [SE] = 0.05) and neural (B = 0.08, SE = 0.04) reactivity positively predicted consumption, and stable (B = -0.22, SE = 0.05) and momentary (B = -0.24, SE = 0.05) regulation negatively predicted consumption. When restricting, stable (B = 0.36, SE = 0.12) and neural (B = 0.51, SE = 0.12) regulation positively predicted consumption., Conclusions: Commonly-used indices of regulation and reactivity differentially relate to an ecologically-valid eating measurement, depending on the presence of restriction goals, and thus have strong implications for predicting real-world behaviors.

Dynamic, momentary approach or avoidance motivational states have downstream effects on eventual goal success and overall well being, but there is still uncertainty about how those states affect the proximal neurocognitive processes (e.g., attention) that mediate the longer-term effects. Attentional flexibility, or the ability to switch between different attentional foci, is one such neurocognitive process that influences outcomes in the long run. The present study examined how approach and avoidance motivational states affect the neural processes involved in attentional flexibility using fMRI with the aim of determining whether flexibility operates via different neural mechanisms under these different states. Attentional flexibility was operationalized as subjects' ability to switch between global and local stimulus features. In addition to subjects' motivational state, the task context was manipulated by varying the ratio of global to local trials in a block in light of recent findings about the moderating role of context on motivation-related differences in attentional flexibility. The neural processes involved in attentional flexibility differ under approach versus avoidance states. First, differences in the preparatory activity in key brain regions suggested that subjects' preparedness to switch was influenced by motivational state (anterior insula) and the interaction between motivation and context (superior temporal gyrus, inferior parietal lobule). Additionally, we observed motivation-related differences the anterior cingulate cortex during switching. These results provide initial evidence that motivation-induced behavioral changes may arise via different mechanisms in approach versus avoidance motivational states.

In the recent literature, several hypotheses have been offered to explain patterns of human behavior in social environments. In particular, these patterns include 'prosocial' ones, such as fairness, cooperation, and collective good provision. Psychologists suggest that these prosocial behaviors are driven not by miscalculations, but by salience of social identity, in-group favoritism, emotion, or evolutionary adaptations. This paper imports psychology scholarship into an economic model and results in a sustainable solution to collective action problems without any external enforcement mechanisms. This natural mechanism of public goods provision is created, analyzed, and observed in a controlled laboratory environment using experimental techniques.

We used multilevel modeling to examine dynamic changes in respiratory sinus arrhythmia (RSA) and observer-coded interactive synchrony for mother-child dyads engaged in a laboratory interaction, to characterize parenting-at-risk. Seventy-nine preschooler-mother dyads including a subset with documented child maltreatment (CM; n=43) were observed completing a joint puzzle task while physiological measures were recorded. Dyads led by CM mothers showed decreases in positive synchrony over time, whereas no variation was observed in non-CM dyads. Growth models of maternal RSA indicated that mothers who maintained high levels of positive interactive synchrony with their child evidenced greater RSA reactivity, characterized by an initial withdrawal followed by augmentation as the task progressed, after accounting for CM group status. These results help to clarify patterns of RSA responding in the context of caregiver-child interactions, and demonstrate the importance of modeling dynamic changes in physiology over time in order to better understanding biological correlates of parenting-at-risk., (Copyright © 2014 Elsevier B.V. All rights reserved.)

Electronic devices such as mobile phones are quickly becoming a popular way to gather participant reports of everyday thoughts, feelings, and behaviors, including food cravings and intake. Electronic devices offer a number of advantages over alternative methods such as paper-and-pencil (PNP) assessment including automated prompts, on-the-fly data transmission, and participant familiarity with and ownership of the devices. However, only a handful of studies have systematically compared compliance between electronic and PNP methods of ecological momentary assessment (EMA), and none have examined eating specifically. Existing comparisons generally find greater compliance for electronic devices than PNP, but there is variability in the results across studies that may be accounted for by differences across research domains. Here, we compared the two EMA methods in an unexamined domain - eating - in terms of response rate and response latency, and their sensitivity to individual difference variables such as body mass index (BMI). Forty-four participants were randomly assigned to report on their food craving, food intake, and hunger four times each day for 2 weeks using either a PNP diary (N = 19) or text messaging (TXT; N = 25). Response rates were higher for TXT than PNP (96% vs. 70%) and latencies were faster (29 min vs. 79 min), and response rate and latency were less influenced by BMI in the TXT condition than in the PNP condition. These results support the feasibility of using text messaging for EMA in the eating domain, and more broadly highlight the ways that research domain-specific considerations (e.g., the importance of response latency in measuring short-lived food craving) interact with assessment modality during EMA., (Copyright © 2014 Elsevier Ltd. All rights reserved.)

Craving of unhealthy food is a common target of self-regulation, but the neural systems underlying this process are understudied. In this study, participants used cognitive reappraisal to regulate their desire to consume idiosyncratically craved or not craved energy-dense foods, and neural activity during regulation was compared with each other and with the activity during passive viewing of energy-dense foods. Regulation of both food types elicited activation in classic top-down self-regulation regions including the dorsolateral prefrontal, inferior frontal, and dorsal anterior cingulate cortices. This main effect of regulation was qualified by an interaction, such that activation in these regions was significantly greater during reappraisal of craved (versus not craved) foods and several regions, including the dorsolateral prefrontal, inferior frontal, medial frontal, and dorsal anterior cingulate cortices, were uniquely active during regulation of personally craved foods. Body mass index significantly negatively correlated with regulation-related activation in the right dorsolateral PFC, thalamus, and bilateral dorsal ACC and with activity in nucleus accumbens during passive viewing of craved (vs. neutral, low-energy density) foods. These results suggest that several of the brain regions involved in the self-regulation of food craving are similar to other kinds of affective self-regulation and that others are sensitive to the self-relevance of the regulation target.

In the present studies, we aimed to understand how approach and avoidance states affect attentional flexibility by examining attentional shifts on a trial-by-trial basis. We also examined how a novel construct in this area, task context, might interact with motivation to influence attentional flexibility. Participants completed a modified composite letter task in which the ratio of global to local targets was varied by block, making different levels of attentional focus beneficial to performance on different blocks. Study 1 demonstrated that, in the absence of a motivation manipulation, switch costs were lowest on blocks with an even ratio of global and local trials and were higher on blocks with an uneven ratio. Other participants completed the task while viewing pictures (Studies 2 and 3) and assuming arm positions (Studies 2 and 4) to induce approach, avoidance, and neutral motivational states. Avoidance motivation reduced switch costs in evenly proportioned contexts, whereas approach motivation reduced switch costs in mostly global contexts. Additionally, approach motivation imparted a similar switch cost magnitude across different contexts, whereas avoidance and neutral states led to variable switch costs depending on the context. Subsequent analyses revealed that these effects were driven largely by faster switching to local targets on mostly global blocks in the approach condition. These findings suggest that avoidance facilitates attentional shifts when switches are frequent, whereas approach facilitates responding to rare or unexpected local stimuli. The main implication of these results is that motivation has different effects on attentional shifts depending on the context., (PsycINFO Database Record (c) 2014 APA, all rights reserved.)

Despite extensive research on inhibitory control (IC) and its neural systems, the questions of whether IC can be improved with training and how the associated neural systems change are understudied. Behavioral evidence suggests that performance on IC tasks improves with training but that these gains do not transfer to other tasks, and almost nothing is known about how activation in IC-related brain regions changes with training. Human participants were randomly assigned to receive IC training (N = 30) on an adaptive version of the stop-signal task (SST) or an active sham-training (N = 30) during 10 sessions across 3 weeks. Neural activation during the SST before and after training was assessed in both groups using functional magnetic resonance imaging. Performance on the SST improved significantly more in the training group than in the control group. The pattern of neuroimaging results was consistent with a proactive control model such that activity in key parts of the IC network shifted earlier in time within the trial, becoming associated with cues that anticipated the upcoming need for IC. Specifically, activity in the inferior frontal gyrus decreased during the implementation of control (i.e., stopping) and increased during cues that preceded the implementation of IC from pretraining to post-training. Also, steeper behavioral improvement in the training group correlated with activation increases during the cue phase and decreases during implementation in the dorsolateral prefrontal cortex. These results are the first to uncover the neural pathways for training-related improvements in IC and can explain previous null findings of IC training transfer.

A common emotion regulation strategy, cognitive reappraisal, involves altering the meaning of a situation so that the emotional response to the situation is changed. Most research on reappraisal has focused on down-regulation of negative emotion; few studies exist on reappraisal of positive affect, and even fewer have examined the cognitive reappraisal of craving for energy-dense (e.g., "junk") foods. In the present study we examined this form of cognitive reappraisal using a new adaptation of a classic emotion regulation task. Subjects chose idiosyncratic categories of craved (and not craved) energy-dense foods as stimuli, and were instructed either to look at the stimulus or to reappraise it in a way that reduced desire to eat the depicted food using a strategy that could be used in the real world. A repeated-measures ANOVA and follow-up tests revealed that reappraisal significantly reduced self-reported desirability of both Craved and Not Craved foods, but for a greater degree in Craved foods. In addition, the degree to which subjects decreased their desire to consume Craved foods positively correlated with the cognitive restraint subscale of the Three-Factor Eating Questionnaire, a measure of self-control of eating in everyday life., (Copyright © 2013 Elsevier Ltd. All rights reserved.)