Observed parent-child feeding dynamics in relation to child body mass index and adiposity.

BACKGROUND: Restrictive feeding is associated with child overweight; however, the majority of studies used parent-report questionnaires. OBJECTIVES: The relationship between child adiposity measures and directly observed parent and child behaviours were tested using a novel behavioural coding system (BCS). METHODS: Data from 109 children, participants in a twin study and their mothers, were analyzed. Parent-child dyads were video-recorded twice in the laboratory, while children ate ad libitum from a buffet lunch. Mother and child behaviours were assessed using the BCS. Height, body weight and body fat were directly measured for each child. Associations between child adiposity measures and average BCS behaviour (i.e. pooled across visits) were tested using partial correlations adjusting for child age. RESULTS: Regarding discouragement prompts, child body mass index (BMI) z-score was significantly associated with a greater rate of total discouragements (per minute, min-1 ), nonverbal discouragements (min-1 ) and temporary (delay) discouragements (min-1 ) (p < 0.05). Child percent body fat was associated with greater nonverbal discouragements (min-1 ). Regarding encouragement prompts, child BMI z-score was significantly associated with a greater rate of total encouragements (min-1 ), nonverbal encouragements (min-1 ) and reward encouragements (min-1 ). Child BMI z-score and percent body fat were both positively associated with greater maternal health encouragements (min-1 ). Associations with encouragement to eat prompts were no longer significant when accounting for the dependence among twins (being part of the same family). CONCLUSIONS: Heavier children received greater maternal discouragements to eat and, with qualifications, encouragements to eat. The role of nonverbal parenting cues warrants further research regarding child eating regulation and obesity.

Body image across three generations of Americans: inter-family correlations, gender differences, and generation differences.

Three-hundred-and-eighty-one participants (undergraduates, their parents and grandparents) completed body image (BI; current minus ideal figure ratings) and dieting attitude measures. We found the usual gender gap in BI for the undergraduates (females' BI worse than males), but not for the parents and grandparents. This was due to males' worsening BI with age; females' BI did not differ across generations. The gender gap in dieting attitudes (females more likely to diet) also narrowed with increasing age (again due to males' changing attitudes), but remained significant across generations. In all three generations, females underestimated the size of the figure males found most attractive, whereas males overestimated the analogous figure for females. Finally, we found significant inter-family correlations for BI and dieting for all groups except undergraduate females. We discuss these results within cultural and evolutionary theoretical frameworks.

Religion and the morality of mentality.

Christian doctrine considers mental states important in judging a person's moral status, whereas Jewish doctrine considers them less important. The authors provide evidence from 4 studies that American Jews and Protestants differ in the moral import they attribute to mental states (honoring one's parents, thinking about having a sexual affair, and thinking about harming an animal). Although Protestants and Jews rated the moral status of the actions equally. Protestants rated a target person with inappropriate mental states more negatively than did Jews. These differences in moral judgment were partially mediated by Protestants' beliefs that mental states are controllable and likely to lead to action and were strongly related to agreement with general statements claiming that thoughts are morally relevant. These religious differences were not related to differences in collectivistic (interdependent) and individualistic (independent) tendencies.

Stability of body image and body image dissatisfaction in American college students over about the last 15 years.

It is widely assumed that body image dissatisfaction is increasing, particularly in females. We examined data from comparable samples, University of Pennsylvania introductory psychology students, over a span of about 15 years (1983-1984 versus 1995-1998). Ratings of current and ideal body figure were obtained using silhouettes, along with self-reported height and weight. While males always had a much smaller discrepancy between current and ideal than females, levels of dissatisfaction and gender differences in satisfaction have remained the same in these samples. This finding contrasts with the conclusion of a meta-analysis by Feingold and Mazzella in 1998 (Psychological Science 9 (3), 190-195), which indicates an increased difference in body image satisfaction between men and women over the last two decades. Possible accounts for this difference in results are discussed.

Exploring Hindu Indian emotion expressions: evidence for accurate recognition by Americans and Indians.

Subjects were presented with videotaped expressions of 10 classic Hindu emotions. The 10 emotions were (in rough translation from Sanskrit) anger, disgust, fear, heroism, humor-amusement, love, peace, sadness, shame-embarrassment, and wonder. These emotions (except for shame) and their portrayal were described about 2,000 years ago in the Natyasastra, and are enacted in the contemporary Hindu classical dance. The expressions are dynamic and include both the face and the body, especially the hands. Three different expressive versions of each emotion were presented, along with 15 neutral expressions. American and Indian college students responded to each of these 45 expressions using either a fixed-response format (10 emotion names and "neutral/no emotion") or a totally free response format. Participants from both countries were quite accurate in identifying emotions correctly using both fixed-choice (65% correct, expected value of 9%) and free-response (61% correct, expected value close to zero) methods.

Odor and affect: individual differences in the impact of odor on liking for places, things and people.

This paper provides evidence of substantial individual differences in the affective importance of odors, and offers initial validation for an eight-item scale of the impact of odor (AIO) on liking for people, places, foods and cosmetic/health products. In study 1, 116 American college students and 336 Flemish Belgian college students completed the AIO along with other measures of reactions to odors and to commercial products designed to mask body odors. There were substantial individual differences in AIO scores, but means were similar for males and females, and for US and Belgian respondents. Higher AIO scores were associated with more odor-mediated memory, more attention to odors and more liking or disliking for odors as a function of their association with liked and disliked persons. AIO scores were not related to preference for toiletries with artificial scents, to use of products to mask natural body odors, or to disgust sensitivity. In study 2, AIO scores were strongly related to a measure of evaluative conditioning (a form of Pavlovian associative learning) in the laboratory, using liked and disliked odors as unconditioned stimuli and pictures of faces as conditioned stimuli.

Attitudes to food and the role of food in life in the U.S.A., Japan, Flemish Belgium and France: possible implications for the diet-health debate.

For human beings, food is a critical contributor to physical well being, a major source of pleasure, worry and stress, a major occupant of waking time and, across the world, the single greatest category of expenditures. This is a first study of the way food functions in the minds and lives of people from four cultures. Adults and college students from Flemish Belgium, France, U.S.A. and Japan were surveyed with questions dealing with beliefs about the diet-health link, worry about food, the degree of consumption of foods modified to be "healthier" (e.g. reduced in salt or fat), the importance of food as a positive force in life, the tendency to associate foods with nutritional vs. culinary contexts, and satisfaction with the healthiness of one's own diet. In all domains except beliefs about the importance of diet for health, there are substantial country (and usually gender) differences. Generally, the group associating food most with health and least with pleasure is the Americans, and the group most food-pleasure-oriented and least food-health-oriented is the French. In all four countries, females, as opposed to males, show a pattern of attitudes that is more like the American pattern, and less like the French pattern. In either gender, French and Belgians tend to occupy the pleasure extreme, Americans the health extreme, with the Japanese in between. Ironically, the Americans, who do the most to alter their diet in the service of health, are the least likely to classify themselves as healthy eaters. We conclude that there are substantial cross-cultural differences in the extent to which food functions as a stressor vs. a pleasure. These differences may influence health and may partially account for national differences in rates of cardiovascular diseases (the "French paradox").

The role of low progesterone and tension as triggers of perimenstrual chocolate and sweets craving: some negative experimental evidence.

Approximately half of the 40-50% of North American women who crave chocolate or sweets do so principally in the perimenstrum, the part of the menstrual cycle surrounding the onset of menstruation. We test two hypotheses about the events that trigger these cravings: 1) the premenstrual drop in progesterone levels; or 2) dysphoria or tension in the perimenstruum. Chocolate craving, sweets craving, and other perimenstrual symptoms were rated daily for six menstrual cycles by a sample of women with severe premenstrual syndrome (PMS). Forty-four women satisfied criteria for cyclicity in chocolate craving, and 44 for sweet craving, determined during the first two cycles. Thirty-four subjects satisfied criteria for craving of both chocolate and sweets. After placebo treatments during the third cycle, subjects were randomly assigned, double blind, to administration of placebo, oral micronized progesterone, or alprazolam (a tranquillizer). Treatments were administered from the beginning of the third week to the second day postonset of menstruation during the fourth to sixth months of study. Neither progesterone nor alprazolam decreased chocolate or sweets craving.

The CAD triad hypothesis: a mapping between three moral emotions (contempt, anger, disgust) and three moral codes (community, autonomy, divinity).

It is proposed that 3 emotions--contempt, anger, and disgust--are typically elicited, across cultures, by violations of 3 moral codes proposed by R. A. Shweder and his colleagues (R. A. Shweder, N. C. Much, M. Mahapatra, & L. Park, 1997). The proposed alignment links anger to autonomy (individual rights violations), contempt to community (violation of communal codes including hierarchy), and disgust to divinity (violations of purity-sanctity). This is the CAD triad hypothesis. Students in the United States and Japan were presented with descriptions of situations that involve 1 of the types of moral violations and asked to assign either an appropriate facial expression (from a set of 6) or an appropriate word (contempt, anger, disgust, or their translations). Results generally supported the CAD triad hypothesis. Results were further confirmed by analysis of facial expressions actually made by Americans to the descriptions of these situations.

Lay American conceptions of nutrition: dose insensitivity, categorical thinking, contagion, and the monotonic mind.

Two studies explored Americans' tendency to simplify nutrition information. Substantial minorities of separate samples of college students, physical plant workers, and a national sample considered a variety of substances, including some essential nutrients (salt and fat), to be harmful at trace levels. Almost half the respondents believed that high-calorie foods in small amounts contain more calories than low-calorie foods in much larger amounts. Many subjects classified foods according to a good/bad dichotomy, and almost all subjects confounded nutritional completeness with long-term healthfulness of foods. To account for these results, we suggest the following heuristics and biases: dose insensitivity, categorical perception, a "monotonic mind" belief (if something is harmful at high levels then it is harmful at low levels), and the magical principle of contagion.

Pharmacological versus sensory factors in the satiation of chocolate craving.

This is the first experimental study directed at differentiating between physiological or sensory accounts of the satiation of nondrug cravings, using chocolate craving, the most common craving in North America. At the onset of craving, chocolate cravers consumed a chocolate bar, the caloric equivalent in "white chocolate" (containing none of the pharmacological components of chocolate), the pharmacological equivalent in cocoa capsules, placebo, and no treatment conditions had virtually no effect. White chocolate produced partial abatement, unchanged by the addition of all the pharmacological factors in cocoa. This result indicates no role for pharmacological effects in the satisfaction of chocolate craving. It also suggests a role for aroma independent of sweetness, texture, and calories.

Sensitivity to indirect contacts with other persons: AIDS aversion as a composite of aversion to strangers, infection, moral taint, and misfortune.

College students and their parents rated their willingness to wear sweaters previously worn by a target person described as having AIDS, another infectious illness (tuberculosis), a misfortune (maimed in automobile accident), moral taint (convicted murderer), or simply as a healthy but unknown man. Parallel ratings were obtained with respect to beds slept in or automobiles previously owned by the same set of target persons. Results indicated that there are strong individual differences in sensitivity to 4 sources of aversion to indirect interpersonal contagion: infection, misfortune, immorality, and unfamiliarity. Individual sensitivity to any one of these sources predicts sensitivity to the others (rs in the .30s). Aversion to indirect contact with a person with AIDS (by sweater, bed, or car) includes all 4 sources of aversion.

Varieties of disgust faces and the structure of disgust.

In 3 facial expression identification studies, college students matched a variety of disgust faces to verbally described eliciting situations. The faces depicted specific muscle action movements in accordance with P. Ekman and W. V. Friesen's (1978) Facial Action Coding System. The nose wrinkle is associated with either irritating or offensive smells and, to some extent, bad tastes. Gape and tongue extrusion are associated primarily with what we call core or food-offense disgust and also oral irritation. The broader range of disgust elicitors, including stimuli that remind humans of their animal origins (e.g., body boundary violations, inappropriate sex, poor hygiene, and death), a variety of aversive interpersonal contacts, and certain moral offenses are associated primarily with the raised upper lip. The results support a theory of disgust that posits its origin as a response to bad tastes and maps its evolution onto a moral emotion.

Understanding patients' decisions. Cognitive and emotional perspectives.

OBJECTIVE: To describe ways in which intuitive thought processes and feelings may lead patients to make suboptimal medical decisions. DESIGN: Review of past studies from the psychology literature. RESULTS: Intuitive decision making is often appropriate and results in reasonable choices; in some situations, however, intuitions lead patients to make choices that are not in their best interests. People sometimes treat safety and danger categorically, undervalue the importance of a partial risk reduction, are influenced by the way in which a problem is framed, and inappropriately evaluate an action by its subsequent outcome. These strategies help explain examples where risk perceptions conflict with standard scientific analyses. In the domain of emotions, people tend to consider losses as more significant than the corresponding gains, are imperfect at predicting future preferences, distort their memories of past personal experiences, have difficulty resolving inconsistencies between emotions and rationality, and worry with an intensity disproportionate to the actual danger. In general, such intangible aspects of clinical care have received little attention in the medical literature. CONCLUSION: We suggest that an awareness of how people reason is an important clinical skill that can be promoted by knowledge of selected past studies in psychology.

Is there a general tendency to become addicted?

The tendency to become addicted across a number of different substances or activities was determined for a sample of 573 subjects, including college students and their parents. Four components of addiction were defined: craving, tolerance, withdrawal and lack of control. Subjects rated the extent to which each of these components characterized their relationships to each of ten substance/activities: coffee, tea, cola beverages, favorite alcoholic beverage, chocolate, nonchocolate sweets, hot chili pepper on food, cigarettes, gambling and video games. An "addiction score" was computed for each subject and each substance/activity, by summing the scores on the four components. Correlations in addiction scores for almost all activities were positive, but low (between 0 and .30), with the exception of chocolate and nonchocolate sweets, where the correlation was higher. The results suggest, at best, a weak tendency to become addicted, across a wide range of substances or activities. Other explanations for the low positive correlations are available, besides the notion of a general tendency to become addicted. There were a few significant mother-father correlations in various addiction scores, but none between mid-parent and child values. Three of the four components of addiction (craving, lack of control and withdrawal), were highly correlated. We conclude that there is little basis for the assumption of a general tendency to become addicted, a conclusion which casts doubt on the derivative notion of an addictive personality.

Information processing in the separated hemispheres of callosotomy patients: does the analytic-holistic dichotomy hold?

The characterization of the left and right cerebral hemispheres as analytic and holistic, respectively, was evaluated with callosotomy patients. This distinction was operationalized by reference to the work of Garner, Kemler Nelson, and their colleagues on separable (analytic) and integral (holistic) dimensions of cognition. In one experiment, patients were asked to make similarity judgments when faced with triads of stimuli such that one pair matched on a criterial attribute (analytic) and another pair showed a family resemblance (holistic). The right hemisphere showed a stronger bias to judge on the basis of the criterial attribute. In a second experiment, each hemisphere was engaged separately in a concept formation task. Depending on the exemplars in a particular set, analytic or holistic processing was seen in either hemisphere. However, the left hemisphere was more likely to engage in analytic processing. The results suggest that both hemispheres are capable of either type of processing and may use either mode, depending on the nature of the task and stimulus material. Thus, the analytic/holistic distinction may not provide a simple, generalizable description of information processing differences between the two hemispheres.

Chocolate craving and liking.

Liking and craving for chocolate and related substances were surveyed in a sample of University of Pennsylvania undergraduates (n = 249) and their parents (n = 319). Chocolate was highly liked in all groups, with a stronger liking by females. Chocolate is the most craved food among females, and is craved by almost half of the female sample (in both age groups). Although this craving is related to a sweet craving, it cannot be accounted for as a craving for sweets. About half of the female cravers show a very well defined craving peak for chocolate in the perimenstrual period, beginning from a few days before the onset of menses and extending into the first few days of menses. There is not a significant relation in chocolate craving or liking between parents and their children. The current motivation for chocolate preference seems to be primarily, if not entirely, sensory. Liking for chocolate correlates significantly with liking for sweets and white chocolate. The liking for the sensory properties could originate in innate or acquired liking based on the sweetness, texture and aroma of chocolate, or it could be based in part on interactions between the postingestional effects of chocolate and a person's state (e.g., mood, hormone levels). Based on correlational data, we find little evidence for a relation between addiction to chocolate or the pharmacological (e.g., xanthine-based) effects of chocolate and the liking for chocolate.

Family resemblance in food and other domains: the family paradox and the role of parental congruence.

Although families are almost certainly a powerful force for conveying culture-wide preferences, family resemblance for preferences that vary within culture are surprisingly small. This study examines causes of this low correlation, especially in the domain of food preferences. A sample of 118 college students and their current and biological parents completed surveys on food and aesthetic preferences and values. Mid-parent-child correlations were low (mean r = 0.17) for preferences, but were much higher for values (mean r = 0.54). Mid-parent-child correlations were increased to a modest extent by restricting analyses to parents who were in accord (congruent) with the trait being measured. Furthermore, the children's preferences were not reliably correlated more highly with mother than with father, or with same-sex as opposed to opposite-sex parents. This study refers to the low parent-child correlations, and the lack of a mother or same-sex parent effect as the family paradox, and points to the challenge of accounting for the greater part of variance in food and other preferences.