{"title":"Understanding the effects of counterfactual thinking with protective behavioral strategies on healthy eating using the COM-B framework","authors":"Percy Gresham, Sherecce Fields, Emily Beebe, Rachel Smallman","doi":"10.1016/j.appet.2025.107953","DOIUrl":"10.1016/j.appet.2025.107953","url":null,"abstract":"<div><div>Healthy eating is often necessary to improve health outcomes, but many individuals don't consistently make healthy food choices. Previous intervention work has found that personally relevant interventions that identify actions to achieve goals are effective in changing behaviors. Counterfactual thinking (e.g. “if only … then …”) can be utilized to identify causal relationships and personally relevant behaviors to achieve health goals. Additionally, counterfactual thinking has been shown to increase goal-relevant domains such as motivation and intentions. The present study developed and evaluated an eating-based counterfactual reflection task that incorporated protective behavioral strategies (PBS) and measured capability, opportunity, and motivation to eat healthy. The results indicated that counterfactual thinking (vs. control) significantly increased self-efficacy and intentions to use specific PBS. Additionally, those in the counterfactual condition with less capability had a larger increase in their willingness to change their eating habits. Future research will refine the counterfactual task to be more relevant and effective for a wider range of individuals.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"209 ","pages":"Article 107953"},"PeriodicalIF":4.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-03-05DOI: 10.1016/j.appet.2025.107935
Lotte Hallez , Käbi Vanwinkelen , Filip Boen , Tim Smits
{"title":"The perceived environmental sustainability (PENSUS) scale for food and drinks: Development and validation among young consumers in Belgium","authors":"Lotte Hallez , Käbi Vanwinkelen , Filip Boen , Tim Smits","doi":"10.1016/j.appet.2025.107935","DOIUrl":"10.1016/j.appet.2025.107935","url":null,"abstract":"<div><div>The perceived sustainability of food plays a significant role in young consumers' eating behaviors. While it is highly relevant to investigate these sustainability perceptions, the available measures are limited. Previous research has mostly relied on single-item measurements that only allow a surface-level understanding of food sustainability perceptions. Therefore, this research aims to provide researchers with a scale to measure perceptions of environmental food sustainability, addressing the need for such a measurement tool. We used a mixed-methods approach to develop and validate the Perceived Environmental Sustainability (PENSUS) Scale for Food and Drinks. Items were generated and refined based on expert interviews and focus group discussions with young consumers (i.e., 12–25 years) (Phase 1). The structure of the scale was explored in two online surveys (Phase 2), and subsequently confirmed with confirmatory factor analyses in four online experiments (Phase 3). This process resulted in a 10-item version of the PENSUS scale, designed to measure perceptions of 1) production & processing, 2) packaging and 3) transport. The scale serves as a concise, reliable tool to measure young consumers' environmental sustainability perceptions.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"209 ","pages":"Article 107935"},"PeriodicalIF":4.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-03-02DOI: 10.1016/j.appet.2025.107938
David A. Wiss , Erica M. LaFata
{"title":"Structural equation modeling of adverse childhood experiences, ultra-processed food intake, and symptoms of post-traumatic stress disorder, ultra-processed food addiction, and eating disorder among adults seeking nutrition counseling in Los Angeles, CA","authors":"David A. Wiss , Erica M. LaFata","doi":"10.1016/j.appet.2025.107938","DOIUrl":"10.1016/j.appet.2025.107938","url":null,"abstract":"<div><div>Adverse childhood experiences (ACEs), such as abuse, neglect, or household violence, have been identified as significant risk factors for a multitude of physical and psychological conditions, motivating research to identify contributing mechanisms and conditions. Substantial evidence exists that supports strong associations between ACEs and symptoms of post-traumatic stress disorder (PTSD), eating disorders (EDs), and addictive disorders. Recent research has also elucidated a link between ACEs and ultra-processed food addiction (UPFA), a clinical presentation resembling a substance use disorder with ultra-processed foods (UPFs; e.g., pastries, packaged snacks, sweetened beverages). Yet, no research to our knowledge has explored causal mediation pathways between ACEs, consumption patterns of UPFs, and symptoms of PTSD, UPFA, and ED. In a sample of 304 adults seeking dietary counseling in a private practice specializing in mental health nutrition, this study conducted mediation analyses and structural equation modeling to test a conceptual model of the hypothesized contributions of UPF intake and UPFA in explaining the relationships between ACEs with symptoms of PTSD and ED. Symptoms of PTSD fully mediated (99.4%) the positive relationship between ACEs and ED symptoms and 51.0% of the ACE-UPFA association. Greater UPF consumption frequency mediated 23.7% of the positive relationship between ACEs and UPFA symptoms, and UPFA symptoms mediated 73.8% of the positive relationship between UPF intake and ED symptomology. Relatedly, symptoms of UPFA explained 46.0% of the positive association between symptoms of PTSD and indicators of ED pathology. Structural equation modeling indicated significant associations of all hypothesized relationships when analyzed simultaneously. This study found that the influences of UPF consumption and UPFA represent a blind spot in current trauma-informed treatment approaches for disordered eating.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"208 ","pages":"Article 107938"},"PeriodicalIF":4.6,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-03-01DOI: 10.1016/j.appet.2025.107908
Sarah C. Galway , Kimberley L. Gammage
{"title":"Corrigendum to “An examination of the effect of exposure to calories on menus on body-related self-conscious emotions: Continuing the investigation beyond body dissatisfaction” [Appetite 206 (2025) 107821]","authors":"Sarah C. Galway , Kimberley L. Gammage","doi":"10.1016/j.appet.2025.107908","DOIUrl":"10.1016/j.appet.2025.107908","url":null,"abstract":"","PeriodicalId":242,"journal":{"name":"Appetite","volume":"207 ","pages":"Article 107908"},"PeriodicalIF":4.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-03-01DOI: 10.1016/j.appet.2025.107867
Yang Hu , Xumin Zhang , Yingkai Fang , Zhifeng Gao
{"title":"Corrigendum to “The influence of multicultural experience on attitudes towards new foods in the U.S.” [Appetite 206 (2025) 107822 https://doi.org/10.1016/j.appet.2024.107822]","authors":"Yang Hu , Xumin Zhang , Yingkai Fang , Zhifeng Gao","doi":"10.1016/j.appet.2025.107867","DOIUrl":"10.1016/j.appet.2025.107867","url":null,"abstract":"","PeriodicalId":242,"journal":{"name":"Appetite","volume":"207 ","pages":"Article 107867"},"PeriodicalIF":4.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142997172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-03-01DOI: 10.1016/j.appet.2025.107948
Julie Ortmann , André Schulz , Annika P.C. Lutz , Zoé van Dyck , Claus Vögele
{"title":"Cardiac interoceptive processing and emotional experience in binge eating behavior: Neural evidence of disengagement from bodily sensations","authors":"Julie Ortmann , André Schulz , Annika P.C. Lutz , Zoé van Dyck , Claus Vögele","doi":"10.1016/j.appet.2025.107948","DOIUrl":"10.1016/j.appet.2025.107948","url":null,"abstract":"<div><h3>Objective</h3><div>This study provides a comprehensive assessment of cardiac interoception in individuals with binge eating (BE) behavior and compares their emotional experience and affective state related to heartbeat perception with those of healthy controls (HCs).</div></div><div><h3>Method</h3><div>After a 5-min resting phase, participants (<em>n</em> = 28 BE group, <em>n</em> = 28 HC group) completed the heartbeat counting task, with concurrent EEG and ECG recording. Indices for interoceptive accuracy (IAcc), interoceptive beliefs (IBe), and interoceptive insight (IIn) were computed. Heart rate (HR) and heart rate variability (HRV) served as indicators of bodily signal strength. Heartbeat-evoked potentials (HEPs) were derived to assess the neural representation of cardio-afferent signals at the cortical level during rest or task performance. Emotional experiences and changes in affective state from pre-to post-task were assessed using self-reports.</div></div><div><h3>Results</h3><div>The BE group exhibited lower mean HR and higher HRV compared to HCs. No group differences were found in IAcc, IBe, or IIn. HCs showed increased HEP amplitudes during the task compared to rest, whereas no such effect was observed in the BE group. Both groups reported an increase in negative affect from pre-to post-task, with the BE group experiencing significantly higher negative affect post-task.</div></div><div><h3>Discussion</h3><div>The altered neural representation observed in the BE group may reflect disengagement from bodily sensations, which may impair emotion processing and regulation, potentially contributing to BE behavior. Further research is warranted to determine whether this pattern is specific BE-related eating disorders (EDs) or relevant to EDs in general.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"208 ","pages":"Article 107948"},"PeriodicalIF":4.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-03-01DOI: 10.1016/j.appet.2024.107840
Nori Geary , Lori Asarian , Brigitte Leeners
{"title":"Best practices for including sex as a variable in appetite research","authors":"Nori Geary , Lori Asarian , Brigitte Leeners","doi":"10.1016/j.appet.2024.107840","DOIUrl":"10.1016/j.appet.2024.107840","url":null,"abstract":"<div><div>Despite increasing recognition that sex is a critical variable in appetite research, many studies fail to include participants of both sexes, fail to consider reproductive physiology in participant selection, or include both sexes but fail to test for sex differences in outcomes. To help remedy this situation, this article seeks to engender enthusiasm for including sex as a variable in appetite research. We first illustrate some sex differences in healthy and disordered eating, including both male-female differences and differences across the menstrual cycle. We next provide methodological guidance for studies involving male and female participants around puberty, during reproductive adulthood, and during reproductive senescence. Studies in children ≥5 y of age should consider adrenarche and gonadarche. Appetite studies in girls and women following menarche and similarly aged males should consider the influences of sex-specific aspects the hypothalamic-pituitary-gonadal (HPG) axis function. The cyclicity of HPG function (i.e., the menstrual cycle) in girls and women presents the challenge of identifying of menstrual-cycle subphases, which are highly variable within and between individuals. Reproductive senescence refers to changes in HPG axis function that occur in both men and women beginning in mid-life. Current best practices involve consideration of hormone-assay methodology, experimental design, and statistical analyses. On the horizon are options based on wearable-sensors and nanotechnology. Well informed consideration of sex as a variable will accelerate progress in appetite research by increasing rigor, replicability, and relevance.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"207 ","pages":"Article 107840"},"PeriodicalIF":4.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143035485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-02-28DOI: 10.1016/j.appet.2025.107937
Shuang Wu , Xiaonan Hao , Danhua Qu , Xuetong Zhao , Xinyi Zhao , Jingwen Xu , Yan Xiao , Kun Li
{"title":"Association of temporal self-regulation theory and its constructs with eating behavior: A systematic review and meta-analysis","authors":"Shuang Wu , Xiaonan Hao , Danhua Qu , Xuetong Zhao , Xinyi Zhao , Jingwen Xu , Yan Xiao , Kun Li","doi":"10.1016/j.appet.2025.107937","DOIUrl":"10.1016/j.appet.2025.107937","url":null,"abstract":"<div><div>Temporal Self-Regulation theory (TST) aims to address the intention-behavior gap; however, its applicability to eating behavior remains insufficiently validated. The objective of this review was to assess whether the constructs of TST are associated with eating behavior. A comprehensive literature review was conducted in December 2024, utilizing the databases Web of Science, PsycINFO, CINAHL, and EMBASE. A total of 21 articles, encompassing 7913 participants, were identified. Meta-analyses were performed to examine the associations between the theoretical constructs and eating behaviors. The findings indicated that intention (ES(z) = 0.50, 95% CI: 0.33, 0.68, <em>P</em> < 0.001; pooled <em>r</em> = 0.46), behavioral prepotency (ES(z) = 0.68, 95% CI: 0.31, 1.05, <em>P</em> < 0.001; pooled <em>r</em> = 0.59), and self-regulation capacity (ES(z) = 0.37, 95% CI: 0.25, 0.49, <em>P</em> < 0.001; pooled <em>r</em> = 0.35) are significantly associated with healthy eating behaviors. For unhealthy eating behaviors, significant associations were demonstrated only with intention (ES(z) = 0.47, 95% CI: 0.01, 0.93, <em>P</em> = 0.04; pooled <em>r</em> = 0.44) and behavioral prepotency (ES(z) = 0.39, 95% CI: 0.25, 0.53, <em>P</em> < 0.001; pooled <em>r</em> = 0.37). These findings suggest that TST is applicable to eating behaviors. In particular, future interventions should be grounded in scientific theory, with a focus on optimizing intention, behavioral prepotency, and self-regulation capacity, while also considering the cultural context and individual needs of the target population. These efforts are essential for achieving global dietary health goals and will contribute significantly to preventing the occurrence of diet-related noncommunicable diseases.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"208 ","pages":"Article 107937"},"PeriodicalIF":4.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Eating behaviours in care-experienced children: A mixed-methods UK comparative cohort study to examine mealtime challenges","authors":"Sarah Snuggs , Polly Cowan , Bhakti Jethwa , Eleanor Galloway","doi":"10.1016/j.appet.2025.107946","DOIUrl":"10.1016/j.appet.2025.107946","url":null,"abstract":"<div><div>Insufficient food provision and malnutrition are features of neglect and are reasons children are taken into care. Subsequent eating difficulties may have long-term negative physical and mental health impact. Literature from various countries indicates patterns of over- and under-consumption, hoarding and stealing food, and consumption of contaminated or non-food (pica) sources in care-experienced children, but no studies have examined these patterns in the UK.</div><div>This study recruited parents and carers of care-experienced children (CE, n = 105, Age M = 9.24 years, 62% male), comparing them with birth parents living with their child/ren (NCE, n = 103, Age M = 7.95 years, 43% male) on problematic eating measures. Participants were also asked open-ended questions about challenges and enjoyment of mealtimes.</div><div>The CE group reported higher levels of problematic eating, dietary concern and food maintenance in their children than the other group, with medium-large effect sizes. Number of Adverse Childhood Events experienced was positively associated with these factors. Through Template Analysis, the CE group identified <em>food consumption, disruptive behaviour, negative communication</em> and <em>food rejection/aversion</em> as challenges. The comparison group reported similar challenges, with lower levels of behavioural extremes. <em>Time together, creating a positive environment</em> and <em>exploring/enjoying new food</em> were identified as enjoyable mealtime aspects in both groups. The CE group placed more emphasis on creating a nurturing and calm atmosphere.</div><div>This is the first study in the UK to provide a comprehensive picture of eating and mealtime behaviours in care-experienced children. Insights into the specific challenges that parents and carers face in this context can assist intervention development.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"208 ","pages":"Article 107946"},"PeriodicalIF":4.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}