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  <title>NITRC News Group Forum: goal-directed-and-self-control-systems-in-bulimia-nervosa--an-fmri-study.</title>
  <link>http://www.nitrc.org/forum/forum.php?forum_id=8858</link>
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	&lt;table border=&quot;0&quot; width=&quot;100%&quot;&gt;&lt;tr&gt;&lt;td align=&quot;left&quot;/&gt;&lt;td align=&quot;right&quot;&gt;&lt;a href=&quot;https://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&amp;amp;cmd=Link&amp;amp;LinkName=pubmed_pubmed&amp;amp;from_uid=30045816&quot;&gt;Related Articles&lt;/a&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;
        &lt;p&gt;&lt;b&gt;Goal Directed and Self-Control Systems in Bulimia Nervosa: An fMRI Study.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;EBioMedicine. 2018 Jul 22;:&lt;/p&gt;
        &lt;p&gt;Authors:  Neveu R, Neveu D, Carrier E, Gay A, Nicolas A, Coricelli G&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        BACKGROUND: Binge eating is apparently the opposite of the strict control over food intake typically set by &quot;maladaptive dieters&quot;. Using functional magnetic resonance imaging (fMRI), we investigated the role of goal-directed behaviors, and the related use of self-control, in binge-related food choices in patients with Bulimia Nervosa (BN).&lt;br/&gt;
        METHOD: While undergoing fMRI, women aged 18-35 with BN (N = 35) and healthy control women (N = 26) rated foods for healthiness and tastiness and then made food choices on a 5 points Likert scale between two conflicting options: one food with lower healthiness and higher tastiness (defined as uncontrolled choice) than the other food (defined as controlled choice).&lt;br/&gt;
        RESULTS: BN and healthy participants made more uncontrolled than controlled choices (63% vs 24% and 65% vs 18% respectively). While healthy participants used only food tastiness (chose tastier foods more often) to make food choices (p &amp;lt; .001), BN patients used both food healthiness (chose unhealthy food more often, p &amp;lt; .001) and food tastiness (p &amp;lt; .001) to make binge-related food choices. Activity in the ventromedial prefrontal cortex (vmPFC), which correlated with food choices (pFWE = 0.02), reflected this difference in the integration of food healthiness and food tastiness into a decision value. Functional connectivity analysis showed that the activity in the dorsolateral prefrontal cortex was coupled with vmPFC activity in uncontrolled food choices (pFWE = 0.03).&lt;br/&gt;
        INTERPRETATION: Contrary to what might be expected, not only food tastiness but also unhealthiness (a more abstract cognitive-based attribute than food tastiness) plays a role in uncontrolled choices in BN. These choices are likely goal-directed behaviors and recruit self-control.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 30045816 [PubMed - as supplied by publisher]&lt;/p&gt;
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