Stults-Kolehmainen Matthew A, Blacutt Miguel, Bartholomew John B, Gilson Todd A, Ash Garrett I, McKee Paul C, Sinha Rajita
Bariatric and Minimally Invasive Surgery Program, Yale-New Haven Hospital, New Haven, CT, United States.
Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, United States.
Front Psychol. 2020 Nov 6;11:568390. doi: 10.3389/fpsyg.2020.568390. eCollection 2020.
To better explain daily fluctuations in physical activity and sedentary behavior, investigations of motivation are turning from social cognitive frameworks to those centered on affect, emotion and automaticity, such as the Affect and Health Behavior Framework (AHBF), Integrated Framework and Affective-Reflective Theory (ART). This shift has necessitated: (a) re-examination of older theories and their constructs, such as drives, needs and tensions and (b) an inspection of competing theories from other fields that also attempt to explain dynamic changes in health behaviors. The Dynamical Model of Desire, Elaborated Intrusion Theory and others commonly share with AHBF the idea that human behavior is driven strongly by and/or the similar concepts of wants, urges, and cravings. These (ACMS) change quickly and may better explain physical activity behavior from one moment to the next. Desires for movement predominantly derive from negative but also positive reinforcement. Data from clinical populations with movement dysfunction or psychiatric disorders provides further evidence of these drivers of movement. Those with Restless Legs Syndrome, akathisia, tic disorders and exercise dependence all report strong urges to move and relief when it is accomplished. Motor control research has identified centers of the brain responsible for wants and urges for muscular movement. Models elaborated herein differentiate between wants, desires, urges and cravings. The WANT model (Wants and Aversions for Neuromuscular Tasks) conceptualizes desires for movement and rest as varying by magnitude, approach or avoidance-orientation (wants versus aversions) and as occupying independent dimensions instead of opposite ends of the same axis. For instance, one hypothetically might be in a state of both high desire for movement and rest simultaneously. Variations in motivation states to move and rest may also be associated with various stress states, like freezing or fight and flight. The first validated instrument to measure feelings of desire/want for movement and rest, the CRAVE Scale (Cravings for Rest and Volitional Energy Expenditure) is already shedding light on the nature of these states. With these advances in theory, conceptual modeling and instrumentation, future investigations may explore the effects of desires and urges for movement and sedentary behavior in earnest.
为了更好地解释身体活动和久坐行为的日常波动,动机研究正从社会认知框架转向以情感、情绪和自动性为中心的框架,如情感与健康行为框架(AHBF)、综合框架和情感反思理论(ART)。这种转变使得有必要:(a)重新审视旧理论及其结构,如驱力、需求和紧张感;(b)审视其他领域中也试图解释健康行为动态变化的竞争理论。欲望动态模型、详尽侵入理论等与AHBF通常都有一个共同观点,即人类行为受到强烈驱动,并且/或者受到欲望、冲动和渴望等类似概念的驱动。这些(情感与动机状态)变化迅速,可能能更好地解释不同时刻的身体活动行为。对运动的欲望主要源于负面强化,但也有正面强化。来自有运动功能障碍或精神疾病的临床人群的数据进一步证明了这些运动驱动因素。患有不安腿综合征、静坐不能、抽动障碍和运动成瘾的人都报告说有强烈的运动冲动,并且在运动完成后会感到轻松。运动控制研究已经确定了大脑中负责对肌肉运动产生欲望和冲动的区域。本文阐述的模型区分了欲望、渴望、冲动和成瘾性渴望。WANT模型(神经肌肉任务的欲望与厌恶)将对运动和休息的欲望概念化为在强度、趋近或回避取向(欲望与厌恶)方面存在差异,并且占据独立维度,而不是同一轴的两端。例如,一个人可能同时处于对运动和休息都有强烈欲望的状态。运动和休息动机状态的变化也可能与各种应激状态相关,如冻结、战斗或逃跑。第一个经过验证的测量对运动和休息的欲望/需求感的工具,即CRAVE量表(对休息和意志力能量消耗的渴望)已经开始揭示这些状态的本质。随着理论、概念建模和测量工具的这些进展,未来的研究可能会认真探索对运动和久坐行为的欲望和冲动的影响。