Carr Katelyn A, Daniel Tinuke Oluyomi, Lin Henry, Epstein Leonard H
Department of Pediatrics, School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York 14214-3000, USA.
Curr Drug Abuse Rev. 2011 Sep;4(3):190-6. doi: 10.2174/1874473711104030190.
Obesity is, in part, a result of positive energy balance or energy intake exceeding physiological needs. Excess energy intake is determined by a series of food choices over time. These choices involve both motivational and executive function processes. Problems arise when there is excessive motivation to eat and low impulse control, a situation we have termed reinforcement pathology. Motivational and executive function processes have also been implicated in the development of drug dependence and addiction. In this review we discuss the application of reinforcement pathology to obesity, and implications of this approach for obesity treatment.
肥胖在一定程度上是能量正平衡或能量摄入超过生理需求的结果。随着时间的推移,过量的能量摄入是由一系列食物选择决定的。这些选择涉及动机和执行功能过程。当进食动机过强且冲动控制能力低下时,问题就会出现,我们将这种情况称为强化病理。动机和执行功能过程也与药物依赖和成瘾的发展有关。在本综述中,我们讨论强化病理在肥胖中的应用以及这种方法对肥胖治疗的意义。