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See detailThe allure of the cream gateau: Attentional and response bias towards high calorie foods
Lutz, Annika UL; Meule, Adrian; Kübler, Andrea et al

Scientific Conference (2011)

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See detailSelbstregulation und Inhibition von „Food Cravings“
Lutz, Annika UL; Meule, Adrian; Kübler, Andrea et al

in Vögele, Claus (Ed.) Von der Forschung zur Praxis 13. Kongress der Deutschen Gesellschaft für Verhaltensmedizin und Verhaltensmodifikation – DGVM (2011)

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See detailFrames, decisions, and cardiac-autonomic control
Sütterlin, Stefan UL; Herbert, Cornelia; Schmitt, Michael et al

in Social Neuroscience (2011), 6(2), 169-177

The “framing effect” (FE) describes the phenomenon whereby human choices are susceptible to the way they are presented rather than objective information. The present study extends common decision-making ... [more ▼]

The “framing effect” (FE) describes the phenomenon whereby human choices are susceptible to the way they are presented rather than objective information. The present study extends common decision-making paradigms with frame variation by including inhibitory control, operationalized as vagally mediated heart rate variability (HRV) at rest and motor response inhibition during a stop-signal task (SST). We hypothesized that inhibitory control is inversely associated with susceptibility to framing effects. Forty adult volunteers performed a risky-choice framing task in which identical information about wins and losses was presented using loss or gain frames. As predicted, there was an inverse association between HRV and framing effects, accounting for 23% of the variance in framing effects. Inhibitory control as indexed by performance in the SST was not associated with framing effects. These results are discussed in terms of the role of inhibitory processes (as indicated by vagal activity) for decision-making processes. [less ▲]

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See detailOvercoming selfishness: Reciprocity, inhibition, and cardiac autonomic control in the ultimatum game
Sütterlin, Stefan UL; Herbert, Cornelia; Schmitt, Michael et al

in Frontiers in Psychology (2011), 2(173), 1-16

The processes underlying decision-making in response to unfair offers in the ultimatum game (UG) have recently been discussed in light of models of reciprocity and fairness-related behavior. It has been ... [more ▼]

The processes underlying decision-making in response to unfair offers in the ultimatum game (UG) have recently been discussed in light of models of reciprocity and fairness-related behavior. It has been suggested that behavior following norm-oriented, internalized expectations of reciprocity requires overcoming economic self-interest. In this study we investigated both, behavioral and peripheral-physiological indicators of inhibitory capacity related to neuronal networks that are likely to be involved in the behavioral response to unfair offers. Both heart-rate variability as an index of inhibitory capacity, and performance in a motor response inhibition task predicted rejection of unfair offers in an ultimatum game, suggesting an important role of inhibitory processes in overcoming economic temptations and regulating behavior conforming to social norms of reciprocity and fairness. The role of parasympathetic activity as a physiological trait-marker predicting inter-individual differences in the rejection of unfair offers is discussed. [less ▲]

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See detailInteroception and inhibitory capacity in panic disorder and somatoform disorders
Grosche, Christian; Sütterlin, Stefan UL; Koch, Stefan et al

in 13. Kongress der Deutschen Gesellschaft für Verhaltensmedizin und Verhaltensmodifikation (2011)

Hintergrund: Nach Damasios Theorie der Somatischen Marker werden Entscheidungen in komplexen Situationen durch die Wahrnehmung physiologischer Vorgänge (Interozeption) sowie durch die individuelle ... [more ▼]

Hintergrund: Nach Damasios Theorie der Somatischen Marker werden Entscheidungen in komplexen Situationen durch die Wahrnehmung physiologischer Vorgänge (Interozeption) sowie durch die individuelle Fähigkeit zu dieser Wahrnehmung (Interozeptivität) beeinflusst. Im Sinne zielgerichteten Verhaltens müssen die auf diese Weise gewonnenen, emotional mediierten Informationen bei Bedarf reguliert werden, wofür präfrontal initiierte, inhibitorische Prozesse maßgeblich sind. Die hierfür notwendige Inhibitionskapazität kann durch die vagal mediierte und präfrontal modulierte Herzratenvariabilität (HRV) peripherphysiologisch quantifiziert werden. Die Interaktion interozeptiver und inhibitorischer Fähigkeiten bei Entscheidungen unter emotional ablenkenden Bedingungen ist im klinischen Kontext insbesondere bei Krankheitsbildern mit disinhibitorischen und körperwahrnehmungsbezogenen Symptomen relevant. Die vorliegende Studie untersuchte Entscheidungsprozesse unter emotionalen Einflüssen bei Patienten mit Panikstörung und Somatoformen Störungen. Methode: 17 Patienten mit Panikstörung und 20 Patienten mit Somatoformen Störungen wurden im stationären Setting einer psychosomatischen Klinik untersucht. Die Interozeptivität wurde mit einer Trackingaufgabe des Herzschlages bestimmt, zur HRV-Bestimmung ein EKG unter Ruhebedingung aufgezeichnet. Entscheidungsprozesse wurden mit Hilfe einer emotionalen Flanker Task und der Iowa Gambling Task untersucht. Ergebnisse: Bei Patienten mit Panikstörung zeigte sich eine negative Interaktion zwischen HRV und Interozeptivität, die darüber hinaus mit der Ablenkbarkeit durch emotionale Reize in der Flanker Task assoziiert war. Bei Patienten mit Somatoformen Störungen traten diese Zusammenhänge nicht auf. Patienten mit Panikstörung zeigten eine signifikant niedrigere HRV im Vergleich mit Patienten mit Somatoformen Störungen. Diskussion: Die Ergebnisse legen nahe, dass Interozeptivität und Inhibitionskapazität jeweils allein nicht ausreichend sind, um die untersuchten klinischen Störungen spezifisch zu charakterisieren. Eine negative Interaktion beider Maße allerdings scheint spezifisch mit der Panikstörung assoziiert zu sein und spricht für eine präzise, aber dysfunktionale interozeptive Wahrnehmung bei verminderter Regulationskapazität, was sich in der Beeinflussung der Aufmerksamkeitsausrichtung durch emotionale Prozesse manifestiert. [less ▲]

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See detailPsychophysiological responses to idiosyncratic stress in Bulimia Nervosa and Binge Eating Disorder.
Hilbert, Anja; Vögele, Claus UL; Tuschen-Caffier, Brunna et al

in Physiology and Behavior (2011), 104

This study examined psychophysiological stress responses to idiosyncratically relevant stress in bulimia nervosa (BN) and binge eating disorder (BED), in relation to autonomic cardiac control and ... [more ▼]

This study examined psychophysiological stress responses to idiosyncratically relevant stress in bulimia nervosa (BN) and binge eating disorder (BED), in relation to autonomic cardiac control and nutritional status. A total of 81 women with BN, BED and healthy controls (HC) took part in an in sensu exposure to idiosyncratic stress. Psychological and peripheral physiological parameters were measured, and tonic heart rate variability, nutritional status, and types of stress were determined. In response to stress exposure, both eating disordered groups showed a stronger reactivity of sadness, and the BED group showed a stronger reactivity of insecurity than the HC group. Desire to binge was increased in the context of interpersonal stress. Stress exposure led to increased cardiovascular activity and reduced electrodermal activity that did not differ by group. The BN-specific symptomatology moderated the association between autonomic cardiac control and psychophysiological stress responses. The results suggest common and specific psychophysiological processes in symptom maintenance through life stress in BN and BED. [less ▲]

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See detailPrepubertal gonadotropin-releasing hormone analog leads to exaggerated behavioral and emotional sex differences in sheep
Wojniusz, Slawomir; Vögele, Claus UL; Ropstad, Erik et al

in Hormones and Behavior (2011), 59(1), 22-27

In mammals, sex specialization is reflected by differences in brain anatomy and function. Measurable differences are documented in reproductive behavior, cognition, and emotion. We hypothesized that ... [more ▼]

In mammals, sex specialization is reflected by differences in brain anatomy and function. Measurable differences are documented in reproductive behavior, cognition, and emotion. We hypothesized that gonadotropin-releasing hormone (GnRH) plays a crucial role in controlling the extent of the brain's sex specificity and that changes in GnRH action during critical periods of brain development, such as puberty, will result in altered sex-specific behavioral and physiological patterns. We blocked puberty in half of the 48 same-sex Scottish mule Texel cross sheep twins with GnRH analog (GnRHa) goserelin acetate every 3 weeks, beginning just before puberty. To determine the effects of GnRHa treatment on sex-specific behavior and emotion regulation in different social contexts, we employed the food acquisition task (FAT) and measurement of heart rate variability (HRV). ANOVA revealed significant sex and sex × treatment interaction effects, suggesting that treated males were more likely to leave their companions to acquire food than untreated, while the opposite effect was observed in females. Concordant results were seen in HRV; treated males displayed higher HRV than untreated, while the reverse pattern was found in females, as shown by significant sex and sex × treatment interaction effects. We conclude that long-term prepubertal GnRHa treatment significantly affected sex-specific brain development, which impacted emotion and behavior regulation in sheep. These results suggest that GnRH is a modulator of cognitive function in the developing brain and that the sexes are differentially affected by GnRH modulation. [less ▲]

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See detailPsychische Störungen bei HIV-Infektion und Aids: Klinisch-psychologische Diagnostik und Intervention
Vögele, Claus UL

in Psychotherapeut (2010), 55(3), 194-202

Noch nie zuvor waren so viele Menschen mit dem „human immunodeficiency virus“ (HIV) infiziert wie heute. Mehr als 39 Mio. Menschen leben mit der HIV-Infektion. Durch die Fortschritte der medizinischen ... [more ▼]

Noch nie zuvor waren so viele Menschen mit dem „human immunodeficiency virus“ (HIV) infiziert wie heute. Mehr als 39 Mio. Menschen leben mit der HIV-Infektion. Durch die Fortschritte der medizinischen Behandlung leben die Betroffenen heute sehr viel länger als vor der Einführung der modernen Kombinationstherapie („highly active anti-retroviral therapy“, HAART; s. Abschn. „Medizinische Behandlung“). Dadurch ist die HIV-Infektion/Aids zu einer chronischen Erkrankung geworden, die vom betroffenen Patienten ein hohes Maß an Anpassungsleistungen verlangt. Sie ist nicht heilbar und in unserer Gesellschaft immer noch stigmatisiert. Psychische Störungen sind häufig, werden aber oft nicht erkannt oder behandelt. Dabei könnten psychologische Interventionen entscheidend zur Verbesserung der Lebensqualität und Behandlungsadhärenz, zur Behandlung psychischer Begleiterkrankungen und zur Stärkung des Immunsystems beitragen. [less ▲]

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See detailFood choice: reason, drive or learned behaviour?
Vögele, Claus UL

in Agro Food Industry Hi Tech (2010), 21(3), 2-3

Editorial

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See detailNeuropsychiatric Complications of Efavirenz Therapy: Suggestions for a New Research Paradigm
Sütterlin, Stefan UL; Vögele, Claus UL; Gauggel, Siegfried

in Journal of Neuropsychiatry and Clinical Neurosciences (2010), 22

This review gives an up-to-date account of the current state of research on neuropsychiatric complications associated with efavirenz therapy and critiques the methods used in previous studies. The authors ... [more ▼]

This review gives an up-to-date account of the current state of research on neuropsychiatric complications associated with efavirenz therapy and critiques the methods used in previous studies. The authors suggest an extension of current research strategies using psychophysiological concepts and including behavioral regulation models. From a practical perspective, these may contribute to better screening methods for the identification of those at risk for neuropsychiatric complications and the improvement of neuropsychiatric monitoring during efavirenz treatment. From a theoretical viewpoint, the suggested research paradigms may help to move beyond the current state of descriptive approaches and thus improve our limited understanding of underlying mechanisms. [less ▲]

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See detailMood, emotions and eating disorders
Vögele, Claus UL; Gibson, E. Leigh

in Agras, W. S. (Ed.) Oxford Handbook of Eating Disorders. (2010)

Mood and emotions are intrinsically involved with eating. The question is in what ways do these normal emotional relations with food contribute to, or shed light on, the development of abnormal relations ... [more ▼]

Mood and emotions are intrinsically involved with eating. The question is in what ways do these normal emotional relations with food contribute to, or shed light on, the development of abnormal relations with food that eventually become clinical eating disorders (EDs). This chapter discusses basic mechanisms, findings, and models that help our understanding of the interactions between eating and emotions, in both clinical and nonclinical populations. The finding that comorbidity with mood and anxiety disorders is the norm among patients with EDs suggests that EDs may not necessarily be restricted to domains of eating behavior and body image but may also be associated with significant difficulties in affective functioning. This chapter reviews the evidence relating to the notion that EDs are disturbances of mood regulation, in which regulatory strategies specifi cally related to eating and the body are used to diminish negative affect associated with food, body image, or stress. [less ▲]

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See detailCardiac autonomic regulation and anger coping in adolescents
Vögele, Claus UL; Sorg, Sonja UL; Studtmann, Markus et al

in Biological Psychology (2010), (85), 465-471

The current study investigated spontaneous anger coping, cardiac autonomic regulation and phasic heart rate responses to anger provocation. Forty-five adolescents (27 female, mean age 14.7 years) attended ... [more ▼]

The current study investigated spontaneous anger coping, cardiac autonomic regulation and phasic heart rate responses to anger provocation. Forty-five adolescents (27 female, mean age 14.7 years) attended the single experimental session, which included monitoring of continuous heart rate and blood pressure responses to anger provocation (receiving an unfair offer) using a modified version of the Ultimatum Game (UG). Vagal activation was operationalized as high frequency component of heart rate variability during rest periods, and spontaneous baroreflex-sensitivity (SBR) during the UG. Adolescents employing cognitive reappraisal showed higher vagal activity under resting conditions and attenuated heart rate deceleration after receiving the unfair offer compared with participants who tended to ruminate about their anger and experienced injustice. Results from SBR suggested vagal withdrawal in anger ruminators during contemplation of the unfair offer. These results provide further support for the specificity and sensitivity of vagal responses to higher cortical functions such as emotion regulation. [less ▲]

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See detailPhysical activity and dietary intake of children aged 9-11 years and the influence of peers on these behaviours: a one-year follow-up.
Coppinger, Tara; Jeanes, Yvonne; Dabinett, Jacqueline et al

in European Journal of Clinical Nutrition (2010), 64(8), 776-781

Background: This study investigated physical activity and dietary intake of children aged 9–11 years, and the influence of peers on these behaviours over a 2-year period. Methods: A total of 106 (64 girls ... [more ▼]

Background: This study investigated physical activity and dietary intake of children aged 9–11 years, and the influence of peers on these behaviours over a 2-year period. Methods: A total of 106 (64 girls; 42 boys) children were investigated annually, over 2 years. Measures included physical activity (sealed pedometer), self-report measures of dietary intake and physical activity, and a peer influence questionnaire. Anthropometric measures of height and weight were also obtained. Results: The findings reveal insufficient energy intakes, physical activity levels and fruit and vegetable consumption but high intakes of saturated fat and sodium, over time, in both boys and girls. Both male calcium and female iron intakes were also of concern. Throughout the survey, peers were found to influence physical activity behaviour but not dietary intake. Conclusions: The fact that youth consistently failed to meet established nutrition and physical activity recommendations highlights the importance of promoting physical activity and healthy eating to children younger than 9 years of age. The finding that peers significantly influence physical activity behaviour over time should be considered when designing new physical activity interventions aimed at young people. [less ▲]

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See detailEffects of peer influence on dietary intake and physical activity in school children
Finnerty, Tara; Reeves, Sue; Dabinett, Jaqueline et al

in Public Health Nutrition (2010), 13(3), 376-383

Objective: To investigate the dietary intake and physical activity of boys and girls aged 9–13 years, and the influence of peers on these behaviours. Design: Cross-sectional study. Setting: Nine primary ... [more ▼]

Objective: To investigate the dietary intake and physical activity of boys and girls aged 9–13 years, and the influence of peers on these behaviours. Design: Cross-sectional study. Setting: Nine primary and secondary schools in south-west London. Subjects: A total of 315 children wore sealed pedometers, provided self-report measures of dietary intake and answered a questionnaire relating to peer influence. Anthropometric measures of height and weight were also obtained. Results: Obese children had the lowest reported energy intakes and the lowest step counts per day. Boys took significantly more steps per day than girls, however girls were closer to achieving their recommended cut-offs for physical activity. Girls had lower energy intakes per day and lower BMI Z-scores than boys, however both genders, across all age groups, had higher than recommended intakes of saturated fat. There were significant associations between peer influence and physical activity levels but not between peer influence and dietary intake. Conclusions: Low energy intake and physical activity levels but high saturated fat intakes among boys and girls across all age groups highlight the importance of promoting both physical activity and healthy food choices. The finding that peers have a significant effect on physical activity levels but not on dietary intake offers an important approach for the design of health promotion interventions and obesity prevention programmes. Such designs may be particularly beneficial for obese youth, since the low physical activity levels found could be a major contributing factor to the maintenance of the condition. [less ▲]

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See detailPsychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia (Protocol)
Powell, Rachael; Bruce, Julie; Johnston, Marie et al

in Cochrane Database of Systematic Reviews (Online) (2010), (8), 1-15

Objective: To review the effects of psychological preparation on postoperative outcomes in adults undergoing elective surgery under general anaesthetic.

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See detailCognitive mediation of clinical improvement after intensive exposure-based therapy of agoraphobia and social phobia
Vögele, Claus UL; Ehlers, Anke; Meyer, Andrea H. et al

in Depression and Anxiety (2010), (27), 294-301

Background: The present study investigated cognitive mediation of clinical improvement in patients with agoraphobia (N5427) or social phobia (N598) receiving high-density exposure therapy in a ... [more ▼]

Background: The present study investigated cognitive mediation of clinical improvement in patients with agoraphobia (N5427) or social phobia (N598) receiving high-density exposure therapy in a naturalistic clinical treatment setting. Methods: Patients were assessed before therapy, 6 weeks after the end of therapy, and 1 year thereafter, using a self-report assessment battery. Lower level mediation analyses provided support for the notion that cognitive changes partially mediate clinical improvement after exposure therapy. Results: Changes in cognitions relating to physical catastrophes mediated treatment outcome only for patients with agoraphobia, whereas changes in cognitions about loss of control mediated outcome for both agoraphobia and social phobia patients. Changes in relationship satisfaction did not mediate symptomatic improvement. Conclusions: The results extend previous findings by demonstrating mediation in an unselected clinical sample and by providing evidence for the specificity of mediation effects. They further support the importance of cognitive changes in cognitive–behavior therapy. Depression and Anxiety 27:294–301, 2010. [less ▲]

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See detailNutritional profiles in a public health perspective: a critical review
Foltran, Francesca; Verduci, Elvira; Ghidina, Marco et al

in Journal of International Medical Research (The) (2010), 38(2), 318-385

Nutritional profiling is defined as ‘the science of categorizing foods according to their nutritional composition’ and it is useful for food labelling and regulation of health claims. The evidence for the ... [more ▼]

Nutritional profiling is defined as ‘the science of categorizing foods according to their nutritional composition’ and it is useful for food labelling and regulation of health claims. The evidence for the link between nutrients and health outcomes was reviewed. A reduced salt intake reduces blood pressure, but only a few randomized controlled trials have verified the effect of salt on overall and cardiovascular mortality. Evidence linking a reduced fat intake with cardiovascular mortality and obesity is generally nonsignificant. Studies that have examined the relationship between obesity and diet have produced contrasting results. A simulation exercise that demonstrated that the impact of a reduced salt and fat intake on overall mortality would be negligible in the European population was carried out. Consideration of the literature and the results of this simulation exercise suggest that the introduction of nutritional profiles in Europe would be expected to have a very limited impact on health outcomes. [less ▲]

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See detailThe psychology of childhood obesity
Vögele, Claus UL

in Agro Food Industry Hi Tech (2009), 5(20), 34-37

The prevalence of obesity in children and adolescents has been increasing worldwide at an alarming rate. Childhood obesity is not only associated with significant risks for chronic physical conditions ... [more ▼]

The prevalence of obesity in children and adolescents has been increasing worldwide at an alarming rate. Childhood obesity is not only associated with significant risks for chronic physical conditions, but also impacts negatively on self-esteem, body-image and quality of life. Psychological factors may contribute to the development and maintenance of overweight and obesity through the family environment, dieting behaviour, stress and negative affect. Among the psychological consequences of obesity in childhood are reduced quality of life, social seclusion and an increased risk for psychopathology, especially anxiety and depression. In addition, psychological factors significantly predict outcome of obesity treatment. [less ▲]

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See detailMedizinische Eingriffe und Operationsstress
Vögele, Claus UL

in Bengel, J.; Jerusalem, M. (Eds.) Handbuch der Gesundheitspsychologie und Medizinischen Psychologie (2009)

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See detailKlinische Psychologie: Körperliche Erkrankungen
Vögele, Claus UL

Book published by Weinheim: Verlagsgruppe Beltz - Psychologie Verlags Union. (2009)

The book describes in uniformly structured chapters the foundations and the application of psychological assessment and treatment approaches for 8 chronic physical conditions: cardiovascular disorders ... [more ▼]

The book describes in uniformly structured chapters the foundations and the application of psychological assessment and treatment approaches for 8 chronic physical conditions: cardiovascular disorders, COPD, obesity, diabetes, cancer, HIV, musculo-skeletal disorders and chronic pain, and neurological conditions. It is unique in its practical approach by giving advice on empirically based methods from Clinical and Health Psychology. It is also rare to find a monograph on this topic, as most volumes are edited books that attempt to provide a more detailed account of current research, which is usually out-dated by the time the book is published. The current monograph draws almost exclusively on meta-analyses rather than to “get lost in detail”, thereby providing a solid and more lasting empirical foundation that is translated into recommendations for daily practice. It is also low-cost and user friendly as supporting material (e.g. assessment methods, therapeutic formulations, case histories etc.) is published as pdf via the publisher’s web-site. [less ▲]

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