Efficacy and predictors of long-term treatment success for Cognitive-Behavioral Treatment and Behavioral Weight-Loss-Treatment in overweight individuals with binge eating disorder

ObjectiveThe aim of the study was to assess the long-term efficacy of Cognitive-Behavioral Treatment (CBT) and Behavioral Weight-Loss-Treatment (BWLT) in patients with binge eating disorder (BED) and to identify potential predictors of long-term treatment success.MethodIn a sample of overweight to obese BED patients from a randomized comparative trial we evaluated the efficacy of four months of CBT or BWLT, followed by 12 months extended care, and a final follow-up assessment 6 years after the end of active treatment. Outcomes included binge eating, eating disorder pathology, depressive feelings, and body mass index.ResultsAfter a strong improvement during active treatment, outcomes worsened during follow-up, yet remained improved at 6-year follow-up relative to pretreatment values. Long-term effects between CBT and BWLT were comparable. Rapid response during the early treatment phase was the only characteristic that was predictive of favorable treatment outcome in the long term.ConclusionsBoth CBT and BWLT can be considered to be comparably efficacious in the long-term. Patients not responding strongly enough during the first four therapy sessions might be in need of tailored interventions early during the treatment phase.     

The Role of External Sources of Information in Children's Evaluative Food Categories

Evaluative food categories are value‐laden assessments, which reflect the healthfulness and palatability of foods (e.g. healthy/unhealthy, yummy/yucky). In a series of three studies, this research examines how 3‐ to 4‐year‐old children (N = 147) form evaluative food categories based on input from external sources of information. The results indicate that children prefer to ask a mom and teacher over a cartoon and child for information about the evaluative status of foods. However, children are cautious to accept information about healthy foods from all of the external sources compared with unhealthy, yummy and yucky foods. The results also indicate that providing information about the positive taste of healthy foods helps to encourage children to select healthy foods to eat. Taken together, these results have potential implications for children's health and nutrition education. Copyright © 2011 John Wiley & Sons, Ltd.     

How tool use and arm position affect peripersonal space representation

Experiment 1 investigated whether tool use can expand the peripersonal space into the very far extrapersonal space. Healthy participants performed line bisection in peripersonal and extrapersonal space using wooden sticks up to a maximum of 240 cm. Participants misbisected to the left of the true midpoint, both for lines presented in peripersonal and for those presented in extrapersonal space, confirming a peripersonal space expansion up to a distance of 240 cm. Experiment 2 investigated whether arm position could influence the perception of peripersonal and extrapersonal space during tool use. Participants performed line bisection in the peripersonal and in the extrapersonal space (up to a maximum of 120 cm) using wooden sticks in two different conditions: either with the arm bent or with the arm stretched. Results showed stronger pseudoneglect in the stretched arm condition.     

Exploring the role of primary and supplementary motor areas in simple motor tasks with fNIRS

Studies employing functional magnetic resonance imaging (fMRI) have highlighted a covariation between the amplitude of hemodynamic responses recorded in primary and supplementary motor areas (M1 and SMA) and the duration of a motor task. A subset of these studies have hinted to a possible functional dissociation between processing carried out in these areas, with SMA primarily involved in action preparation, while M1 involved in action execution. This proposed functional dissociation was explored in the present study using a different technique--functional near-infrared spectroscopy--which enabled a finer-grained monitoring of the temporal characteristics of the hemodynamic response compared to fMRI. Here, hemodynamic responses in M1 and SMA were recorded in 7 participants during a right-finger-tapping task of short (1 s) or long (3 s) duration. Hemodynamic responses of larger amplitude were recorded from both contralateral M1 and SMA during long-duration than short-duration tapping. Furthermore, the analysis of the temporal profiles of these responses revealed a more sustained and prolonged activity for long-duration versus short-duration tapping in M1, but not in SMA. Rather than functionally dissociable areas, the present results are more compatible with the hypothesis that M1 and SMA subserve different, though strongly interacting, functional subroutines subtended in motor task preparation and execution.     

Space coding for sensorimotor transformations can emerge through unsupervised learning

The posterior parietal cortex (PPC) is fundamental for sensorimotor transformations because it combines multiple sensory inputs and posture signals into different spatial reference frames that drive motor programming. Here, we present a computational model mimicking the sensorimotor transformations occurring in the PPC. A recurrent neural network with one layer of hidden neurons (restricted Boltzmann machine) learned a stochastic generative model of the sensory data without supervision. After the unsupervised learning phase, the activity of the hidden neurons was used to compute a motor program (a population code on a bidimensional map) through a simple linear projection and delta rule learning. The average motor error, calculated as the difference between the expected and the computed output, was less than 3°. Importantly, analyses of the hidden neurons revealed gain-modulated visual receptive fields, thereby showing that space coding for sensorimotor transformations similar to that observed in the PPC can emerge through unsupervised learning. These results suggest that gain modulation is an efficient coding strategy to integrate visual and postural information toward the generation of motor commands.     

Balancing cognitive control: How observed movements influence motor performance in a task with balance constraints

We investigated the influence of observed movements on executed movements in a task requiring lifting one foot from the floor while maintaining whole-body balance. Sixteen young participants (20–30 years) performed foot lift movements, which were either cued symbolically by a letter (L/R, indicating to lift the left/right foot) or by a short movie showing a foot lift movement. In the symbol cue condition, stimuli from the movie cue condition were used as distractors, and vice versa. Anticipatory postural adjustments (APAs) and actual foot lifts were recorded using force plates and optical motion capture. Foot lift responses were generally faster in response to the movie compared to the symbol cue condition. Moreover, incongruent movement distractors interfered with performance in the symbol cue condition, as shown by longer response times and increased number of APAs. Latencies of the first (potentially wrong) APA in a trial were shorter for movie compared to symbol cues but were not affected by cue-distractor congruency. Amplitude of the first APA was smaller when it was followed by additional APAs compared to trials with a single APA. Our results show that automatic imitation tendencies are integrated with postural control in a task with balance constraints. Analysis of the number, timing and amplitude of APAs indicates that conflicts between intended and observed movements are not resolved at a purely cognitive level but directly influence overt motor performance, emphasizing the intimate link between perception, cognition and action.     

Some Reflections around the Concept of Value: On Valéry's Claim that Philosophy is Poetry

In response to Paul Valéry's claim that “philosophy is poetry,” Simone Weil set out to examine the nature of philosophical thinking. She argues that it is above all concerned with value. In the course of her argument, she lays out the grammatical differences between thinking about value, and other epistemological endeavours. These differences mean that inconsistencies are not to be avoided in philosophy, and that philosophy is not a matter of system building. In the end, she also believes that thinking philosophically requires one to possess the value of detachment, and hence a readiness to be transformed.     

Usability evaluation with screen reader users: a video presentation of the PCTA’s experimental setting and rules

In the study entitled “Web usability evaluation with screen reader users: Implementation of the Partial Concurrent Thinking Aloud technique” (Federici et al. 2010), we have proposed a modified protocol of usability evaluation technique for blind users, which integrates the features of the concurrent and the retrospective techniques. This new technique, called partial concurrent thinking aloud (PCTA), while respecting the properties of classic verbal protocols, overcomes the structural interference and the limits of concurrent and retrospective protocols when used with screen reader users. In order to facilitate understanding and acquisition of the PCTA’s technique for practitioners and researchers, we have video recorded three different verbal protocols by visualizing five experimental sections. In the first two videos, we have compared a concurrent with a retrospective’s verbal protocol of a sighted user, showing the difference of the verbalizations provided by the user in these two conditions. The third video shows the structural interference of the screen reader, during a blind user concurrent thinking aloud. In the last two videos, we show the difference of a blind user behaviour when PCTA or retrospective protocol is adopted. The videos clearly visualize the advantage of the PCTA use in respect of the two other protocols. In conclusion, the visualization of the PCTA technique confirms that this new verbal protocol promotes and guarantees a more user-driven usability assessment with disabled people, by better involving screen reader users, overcoming the structural interference and the limits of the concurrent and retrospective protocols.     

Involuntary autobiographical memories in dysphoric mood: A laboratory study

The frequency and characteristics of involuntary autobiographical memories were compared in 25 stable dysphoric and 28 non-dysphoric participants, using a new laboratory-based task (Schlagman & Kvavilashvili, 2008). Participants detected infrequent target stimuli (vertical lines) in a simple vigilance task and recorded any involuntary autobiographical memories that came to mind, mostly in response to irrelevant words presented on the screen. Dysphoric participants reported involuntary memories as frequently and as quickly as non-dysphoric participants and their memories were not repetitive intrusive memories of negative or traumatic events. Additional content analysis showed that dysphoric participants did not recall more memories of objectively negative events (e.g., accidents, illnesses, deaths) than non-dysphoric participants. However, significant group differences emerged in terms of a mood congruency effect whereby dysphoric participants rated their memories as more negative than non-dysphoric participants. Moreover, the proportion of negatively rated involuntary memories was related to lower mood ratings at the end of the session in the dysphoric but not in the non-dysphoric group. Finally, groups did not differ on several memory characteristics such as vividness, specificity (high in both groups) and rates of rehearsal (low in both groups). Theoretical and practical implications of these findings for research on depression and autobiographical memory are discussed.