Food cravings are a common barrier to losing weight. This article presents a randomised comparison of non-expert group-delivered ultra-brief defusion and acceptance interventions against a distraction control. A total of 63 participants were asked to carry a bag of chocolates for a week while trying to resist the temptation to eat them. A behavioural rebound measure was administered. Each intervention out-performed control in respect of consumption, but not cravings. These techniques may have a place in the clinical management of food cravings. We provide tentative evidence that the mechanism of action is through decreased reactivity to cravings, not through reduced frequency of cravings.
AlbertsHJEMMulkensSSmeetsM, et al. (2010) Coping with food cravings. Investigating the potential of a mindfulness-based intervention. Appetite55(1): 160–163.
2.
AlbertsHJEMThewissenRMiddelweerdM (2013) Accepting or suppressing the desire to eat: Investigating the short-term effects of acceptance-based craving regulation. Eating Behaviors14(3): 405–409.
3.
AlbertsHJEMThewissenRRaesL (2012) Dealing with problematic eating behaviour. The effects of a mindfulness-based intervention on eating behaviour, food cravings, dichotomous thinking and body image concern. Appetite58(3): 847–851.
4.
BaerRASmithGTAllenKB (2004) Assessment of mindfulness by self-report: The Kentucky Inventory of Mindfulness Skills. Assessment11(3): 191–206.
5.
BishopSLauMShapiroS, et al. (2004) Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice11(3): 230–241.
6.
BuchananKSheffieldJ (2017) Why do diets fail? An exploration of dieters experiences using thematic analysis. Journal of Health Psychology22 (7): 906–915. DOI: 10.1177/1359105315618000.
7.
ChaoAGriloCMWhiteMA, et al. (2015) Food cravings mediate the relationship between chronic stress and body mass index. Journal of Health Psychology20(6): 721–729.
8.
CoelhoJSNederkoornCJansenA (2014) Acute versus repeated chocolate exposure: Effects on intake and cravings in restrained and unrestrained eaters. Journal of Health Psychology19(4): 482–490.
9.
DayNEMcKeownNWongMY, et al. (2001) Epidemiological assessment of diet: A comparison of a 7-day diary with a food frequency questionnaire using urinary markers of nitrogen, potassium and sodium. International Journal of Epidemiology30(2): 309–317.
10.
FormanEMHoffmanKLJuarascioAS, et al. (2013) Comparison of acceptance-based and standard cognitive-based coping strategies for craving sweets in overweight and obese women. Eating Behaviors14(1): 64–68.
11.
FormanEMHoffmanKLMcGrathKB, et al. (2007) A comparison of acceptance- and control-based strategies for coping with food cravings: An analog study. Behaviour Research and Therapy45(10): 2372–2386.
12.
GodseyJ (2013) The role of mindfulness based interventions in the treatment of obesity and eating disorders: An integrative review. Complementary Therapies in Medicine21(4): 430–439.
13.
HainesPSHamaMYGuilkeyDK, et al. (2012) Weekend eating in the United States is linked with greater energy, fat, and alcohol intake. Obesity Research11(8): 945–949.
14.
HayesSC (2002) Acceptance, mindfulness, and science. Clinical Psychology: Science and Practice9(1): 101–106.
15.
HayesSC (2004) Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies*. Behavior Therapy35(4): 639–665.
16.
HayesSCSmithS (2005) Get Out of Your Mind and into Your Life. Oakland, CA: New Harbinger Publications.
17.
HayesSCBarnes-HolmesDRocheB (2001) Relational Frame Theory: A Post-Skinnerian Account of Human Language and Cognition. New York: Kluwer Academic Publishers.
18.
HooperNSandozEKAshtonJ, et al. (2012) Comparing thought suppression and acceptance as coping techniques for food cravings. Eating Behaviors13(1): 62–64.
19.
Hulbert-WilliamsLNichollsWJoyJ, et al. (2013) Initial validation of the Mindful Eating Scale. Mindfulness5(6): 719–729.
20.
JenkinsKTTapperK (2014) Resisting chocolate temptation using a brief mindfulness strategy. British Journal of Health Psychology19(3): 509–522.
21.
KristellerJWoleverRQSheetsV (2014) Mindfulness-based eating awareness training (MB-EAT) for binge eating: A randomized clinical trial. Mindfulness5(3): 282–297.
22.
LacailleJLyJZacchiaN, et al. (2014) The effects of three mindfulness skills on chocolate cravings. Appetite76: 101–112.
23.
LanskyDBrownellKD (1982) Estimates of food quantity and calories: Errors in self-report among obese patients. The American Journal of Clinical Nutrition35(4): 727–732.
24.
LevinMELuomaJBHaegerJA (2015) Decoupling as a mechanism of change in mindfulness and acceptance: A literature review. Behavior Modification39(6): 870–911.
25.
LucianoCMolinaFGutierrez-MartinezO, et al. (2010) The impact of acceptance-based versus avoidance-based protocols on discomfort. Behavior Modification34(2): 94–119.
26.
LucianoCRuizFJVizcaíno-TorresRM, et al. (2011) A relational frame analysis of defusion interactions in acceptance and commitment therapy. A preliminary and quasi-experimental study with at-risk adolescents. International Journal of Psychology and Psychological Therapy11(2): 165–182.
27.
MarksDF (2015) Homeostatic theory of obesity. Health Psychology Open2(1): 1–30.
28.
MartinCKO’NeilPMPawlowL (2006) Changes in food cravings during low-calorie and very-low-calorie diets. Obesity14(1): 115–121.
29.
MeuleAWestenhöferJKüblerA (2011) Food cravings mediate the relationship between rigid, but not flexible control of eating behavior and dieting success. Appetite57(3): 582–584.
30.
MoffittRBrinkworthGNoakesM, et al. (2012) A comparison of cognitive restructuring and cognitive defusion as strategies for resisting a craved food. Psychology & Health27(Suppl. 2): 74–90.
31.
NichollsWHulbert-WilliamsL (2013) British English translation of the Food Craving Inventory (FCI-UK). Appetite67: 37–43.
32.
O’ReillyGACookLSpruijt-MetzD, et al. (2014) Mindfulness-based interventions for obesity-related eating behaviours: A literature review. Obesity Reviews15(6): 453–461.
33.
OstafinBDMarlattG (2008) Surfing the urge: Experiential acceptance moderates the relation between automatic alcohol motivation and hazardous drinking. Journal of Social and Clinical Psychology27(4): 404–418.
34.
OstafinBDBauerCMyxterP (2012) Mindfulness decouples the relation between automatic alcohol motivation and drinking behavior. Journal of Social and Clinical Psychology31: 729–745.
35.
PolivyJColemanJHermanCP (2005) The effect of deprivation on food cravings and eating behavior in restrained and unrestrained eaters. International Journal of Eating Disorders38(4): 301–309.
36.
PotenzaMNGriloCM (2014) How relevant is food craving to obesity and its treatment?Frontiers in Psychiatry5: 1–5.
37.
RozinPLevineEStoessC (1991) Chocolate craving and liking. Appetite17(3): 199–212.
38.
SchuckKOttenRKleinjanM, et al. (2014) Self-efficacy and acceptance of cravings to smoke underlie the effectiveness of quitline counseling for smoking cessation. Drug and Alcohol Dependence142: 269–276.
39.
ShapiroSLCarlsonLEAstinJA, et al. (2006) Mechanisms of mindfulness. Journal of Clinical Psychology62(3): 373–386.
40.
StoddardJAAfariN (2014) The Big Book of ACT Metaphors: A Practitioner’s Guide to Experiential Exercises and Metaphors in Acceptance and Commitment Therapy. Oakland, CA: New Harbinger Publications, pp. 1–250.
41.
TabachnickBFidellLS (2012). Using Multivariate Statistics. San Francisco: Pearson.
42.
TiggemannMKempsE (2005) The phenomenology of food cravings: The role of mental imagery. Appetite45(3): 305–313.
43.
TranUSGlückTMNaderIW (2013) Investigating the Five Facet Mindfulness Questionnaire (FFMQ): Construction of a short form and evidence of a two-factor higher order structure of mindfulness. Journal of Clinical Psychology69(9): 951–965.
44.
VillatteJLVilardagaRVillatteM, et al. (2016) Acceptance and commitment therapy modules: Differential impact on treatment processes and outcomes. Behaviour Research and Therapy77: 52–61.
45.
WalachHBuchheldNButtenmullerV, et al. (2006) Measuring mindfulness—the Freiburg Mindfulness Inventory (FMI). Personality and Individual Differences40(8): 1543–1555.
46.
WenzlaffRMWegnerDM (2000) Thought suppression. Annual Review of Psychology51(1): 59–91.
