💬In plain words
What the trial is, and whether it could suit you
This study experimentally investigates whether a reduction in ultra-processed (UP) food intake (1) causes aversive withdrawal symptoms in humans, (2) increases the motivational salience of UP food cues and, if so, (3) whether these factors undermine the ability to adhere to a low-UP diet. The following aims and hypotheses are tested:
Aim 1: To investigate whether aversive physical, cognitive, and affective withdrawal symptoms emerge in response to reduced UP food intake compared to a high-UP diet, and whether this predicts failure to adhere to a low-UP diet.
H1a: Reducing UP food intake will result in aversive physical, cognitive, and affective withdrawal symptoms, as indicated by 1) ecological momentary assessment (EMA) reports of aversive withdrawal symptoms, and 2) heart rate reactivity and subjective distress to an in-lab stressor.
H1b: Aversive symptoms of UP food withdrawal will
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📋 Eligibility rules (as published)
Inclusion Criteria:
* 22 to 60 years of age
* English-speaking
* Must own an Android or iPhone Smartphone
* Able and willing to commute to the laboratory
* endorsement of ≥ 4 symptoms on the YFAS 2.0 completed during eligibility screener; at the time of consent, symptom count must remain above threshold for food addiction (this discrepany is based on a previously found tendency during pilot testing to overestimate food addiction symptoms at the time of screening)
* Willing and able to follow specific dietary instructions provided by the study team
* Willing and able to attend 3 in-person lab visits
* Willing to complete 4 phone interviews about foods eaten in the past 24 hours
* Willing to report daily intake of food
* Like the taste of chocolate milkshake (for fMRI scan eligibility only).
Exclusion Criteria:
* participants with a self-reported BMI \< 18.5
* Current diagnosis of disorder that may impact study results or the ability to safely complete study tasks (hypothyroidism (uncontrolled by medication), diabetes, etc.)
* History of food allergies
* Unable to respond to brief questionnaires within 90-minutes during the day
* Work night shifts or irregular shifts
* Restrictive dietary requirements (e.g., vegan) or high levels of picky eating
* Medications (e.g., insulin, antipsychotic medications) that may impact study results or safe completion of study tasks
* Diagnosis of severe mental illness (e.g., schizophrenia, bipolar disorder)
* Diagnosis of a restrictive eating disorder (e.g., Anorexia Nervosa, Bulimia Nervosa, purging disorder) within the last 5 years
* Current diagnoses of disorders that can impact reward/metabolic functioning
* 20+ pound weight fluctuation in the last 3-months
* Prior weight loss surgery (e.g., bariatric surgery)
* Currently pregnant, breastfeeding, trying to get pregnant, or within 6-months of having given birth
* High levels or high-risk intake of alcohol or caffeine
* Use of tobacco or nicotine in the past month
* Use of THC cannabis within the past week
* Unwillingness to abstain from THC cannabis, tobacco or nicotine during the main portion of the study (\~22 days)
* fMRI contraindications (e.g., claustrophobia, metal implants, BMI \>40, etc; Note: this is an fMRI-specific exclusion criterion. participants may be allowed to participate in all other study measures that do not involve fMRI).
* inability to complete a random report within 90 minutes
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