Learned industriousness as a translational mechanism in anorexia nervosa.

Ann F Haynos, Emily Koithan, Kelsey E Hagan
Author Information
  1. Ann F Haynos: Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
  2. Emily Koithan: Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN, USA. ORCID
  3. Kelsey E Hagan: Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.

Abstract

It remains unexplained why some behaviours persist despite being non-hedonic and ostensibly aversive. This phenomenon is especially baffling when such behaviours are taken to excess in the form of psychopathology. Anorexia nervosa is one psychiatric disorder in which effortful behaviours that most people find unpleasant (suchas restrictive eating) are persistently performed. We propose thatthe social psychology theory of learned industriousness providesa novel mechanistic account for such phenomena. This theoryposits that high-effort behaviour can be conditioned to acquire secondary reinforcing properties through repeated pairing with reward. Accordingly, effort sensations become less aversive andmore appetitive, increasing willingness to engage in effortful behaviour. In this Perspective, we review pre-clinical behaviouraland biological data that support learned industriousness, contrast learned industriousness with other models of non-hedonic persistence (such as habit learning), highlight evidence that supports learned industriousness in individuals with anorexia nervosa and consider implications of the model, including translation to other psychiatric presentations.

References

  1. J Eat Disord. 2021 May 26;9(1):63 [PMID: 34039415]
  2. Nat Hum Behav. 2021 Mar;5(3):378-388 [PMID: 33230282]
  3. Biol Psychiatry. 2013 May 1;73(9):804-10 [PMID: 23098895]
  4. Sci Adv. 2021 Dec 03;7(49):eabg6611 [PMID: 34851665]
  5. Am J Ment Retard. 2002 May;107(3):212-21 [PMID: 11966334]
  6. Soc Cogn Affect Neurosci. 2014 Mar;9(3):342-9 [PMID: 23202663]
  7. Sci Rep. 2018 Aug 8;8(1):11888 [PMID: 30089782]
  8. Am J Psychiatry. 2013 May;170(5):477-84 [PMID: 23429750]
  9. Int J Eat Disord. 2006 Nov;39(7):556-64 [PMID: 16845678]
  10. Eur Eat Disord Rev. 2015 Mar;23(2):89-99 [PMID: 25546554]
  11. J Cogn Neurosci. 2021 Mar;33(3):463-481 [PMID: 33284076]
  12. Behav Processes. 2013 Nov;100:192-6 [PMID: 24140077]
  13. Neuroimage. 2015 Oct 15;120:104-13 [PMID: 26163803]
  14. Front Psychol. 2021 Jun 01;12:665711 [PMID: 34140918]
  15. J Eat Disord. 2021 Feb 10;9(1):20 [PMID: 33568228]
  16. Neuron. 2016 Feb 17;89(4):695-710 [PMID: 26889810]
  17. Pharmacol Biochem Behav. 2009 Sep;93(3):343-8 [PMID: 19490925]
  18. Int J Eat Disord. 2020 May;53(5):413-419 [PMID: 32227516]
  19. Front Behav Neurosci. 2018 Nov 29;12:295 [PMID: 30555310]
  20. Eur Neuropsychopharmacol. 2019 May;29(5):629-642 [PMID: 30879927]
  21. Int J Eat Disord. 2018 Dec 31;: [PMID: 30597585]
  22. Psychol Sci Public Interest. 2018 Dec;19(3):102-129 [PMID: 30760176]
  23. Medicina (Kaunas). 2022 Feb 21;58(2): [PMID: 35208650]
  24. Eur Child Adolesc Psychiatry. 1995 Jul;4(3):165-74 [PMID: 8846205]
  25. Int J Eat Disord. 2009 Nov;42(7):620-35 [PMID: 19655370]
  26. J Abnorm Psychol. 2021 Oct;130(7):761-774 [PMID: 34780230]
  27. Curr Psychiatry Rep. 2022 Jan;24(1):77-87 [PMID: 35076888]
  28. Curr Opin Neurobiol. 1994 Apr;4(2):266-73 [PMID: 8038587]
  29. Sci Rep. 2019 Sep 19;9(1):13529 [PMID: 31537862]
  30. Prog Neuropsychopharmacol Biol Psychiatry. 2016 Jan 4;64:52-9 [PMID: 26192817]
  31. Int J Eat Disord. 2022 Jan;55(1):135-140 [PMID: 34799878]
  32. Cogn Affect Behav Neurosci. 2015 Jun;15(2):395-415 [PMID: 25673005]
  33. Eur Neuropsychopharmacol. 2016 May;26(5):828-40 [PMID: 26774661]
  34. J Psychiatr Res. 2005 Jul;39(4):431-8 [PMID: 15804394]
  35. PLoS One. 2016 Jan 25;11(1):e0145894 [PMID: 26808920]
  36. Behav Pharmacol. 2021 Apr 1;32(2&3):212-219 [PMID: 33660663]
  37. Int J Eat Disord. 2012 Mar;45(2):290-3 [PMID: 21495053]
  38. Am J Psychol. 1980 Jun;93(2):285-98 [PMID: 7406069]
  39. Psychol Psychother. 2017 Dec;90(4):567-585 [PMID: 28467686]
  40. Psychol Med. 2019 Mar;49(4):535-544 [PMID: 30101734]
  41. Int J Eat Disord. 2015 May;48(4):362-6 [PMID: 25256430]
  42. J Exp Psychol Gen. 2010 Nov;139(4):665-82 [PMID: 20853993]
  43. Int J Epidemiol. 2016 Apr;45(2):480-8 [PMID: 27097749]
  44. BMC Psychol. 2021 Jan 22;9(1):10 [PMID: 33482925]
  45. Clin Psychol Rev. 2020 Jul;79:101872 [PMID: 32521390]
  46. J Abnorm Psychol. 2019 Oct;128(7):710-722 [PMID: 31282687]
  47. PLoS One. 2014 Mar 07;9(3):e91008 [PMID: 24608867]
  48. Appetite. 2017 Feb 1;109:131-136 [PMID: 27884761]
  49. Trends Neurosci. 2013 Feb;36(2):110-20 [PMID: 23333342]
  50. Curr Opin Psychiatry. 2006 Jul;19(4):438-43 [PMID: 16721178]
  51. Physiol Behav. 2002 Jul;76(3):353-64 [PMID: 12117572]
  52. J Sports Sci. 2014;32(3):259-67 [PMID: 24016203]
  53. NPJ Schizophr. 2021 Oct 8;7(1):48 [PMID: 34625567]
  54. PLoS Biol. 2017 Feb 24;15(2):e1002598 [PMID: 28234892]
  55. Learn Behav. 2008 Nov;36(4):352-8 [PMID: 18927058]
  56. J Neurosci. 2016 Sep 28;36(39):10002-15 [PMID: 27683898]
  57. Eat Behav. 2021 Aug;42:101531 [PMID: 34126343]
  58. J Eat Disord. 2016 May 03;4:14 [PMID: 27144009]
  59. Neuroimage. 2014 Nov 15;102 Pt 2:510-9 [PMID: 25108181]
  60. J Neurosci. 2010 Oct 20;30(42):14080-90 [PMID: 20962229]
  61. J Eat Disord. 2016 May 18;4:19 [PMID: 27195123]
  62. J Clin Med. 2020 Mar 25;9(4): [PMID: 32218141]
  63. Psychol Rev. 1992 Apr;99(2):248-67 [PMID: 1594725]
  64. J Neurosci. 2014 Feb 5;34(6):2148-54 [PMID: 24501355]
  65. Neurosci Biobehav Rev. 2015 May;52:131-52 [PMID: 25735957]
  66. Proc Natl Acad Sci U S A. 2022 Feb 1;119(5): [PMID: 35101919]
  67. Int J Psychol Stud. 2014;6(4):12-25 [PMID: 26052372]
  68. Trends Cogn Sci. 2018 Apr;22(4):337-349 [PMID: 29477776]
  69. J Abnorm Psychol. 2013 Aug;122(3):709-19 [PMID: 24016011]
  70. J Gen Psychol. 1998 Jul;125(3):213-7 [PMID: 9830713]
  71. J Psychiatry Neurosci. 2019 Oct 09;45(2):108-116 [PMID: 31595737]
  72. Annu Rev Neurosci. 2008;31:359-87 [PMID: 18558860]
  73. Am J Psychiatry. 2017 Sep 1;174(9):850-858 [PMID: 28494655]
  74. J Exp Anal Behav. 2011 Nov;96(3):427-39 [PMID: 22084499]
  75. Psychother Psychosom. 2020;89(2):125-127 [PMID: 31991442]
  76. PLoS One. 2009 Aug 12;4(8):e6598 [PMID: 19672310]
  77. Biol Psychiatry. 2015 Sep 1;78(5):336-43 [PMID: 25981173]
  78. Int J Eat Disord. 2000 May;27(4):371-80 [PMID: 10744843]
  79. J Health Psychol. 2006 Nov;11(6):942-56 [PMID: 17035265]
  80. PLoS One. 2014 Oct 31;9(10):e111697 [PMID: 25360690]
  81. JAMA Psychiatry. 2019 Nov 1;76(11):1176-1186 [PMID: 31461131]
  82. Arch Gen Psychiatry. 2011 Jul;68(7):724-31 [PMID: 21727255]
  83. Psych J. 2020 Apr;9(2):210-222 [PMID: 31692266]
  84. J Eat Disord. 2013 Apr 15;1:13 [PMID: 24999394]
  85. Int J Eat Disord. 2012 Apr;45(3):362-9 [PMID: 21805483]
  86. Mol Psychiatry. 2015 Mar;20(3):345-52 [PMID: 24840709]
  87. Sci Rep. 2019 Feb 8;9(1):1689 [PMID: 30737422]
  88. Eat Disord. 2016 Oct-Dec;24(5):412-23 [PMID: 27348805]
  89. Biol Psychiatry. 2014 Apr 15;75(8):631-8 [PMID: 23510580]
  90. Int J Eat Disord. 1999 Mar;25(2):177-86 [PMID: 10065395]
  91. Eat Behav. 2021 Apr;41:101506 [PMID: 33812126]
  92. J Behav Addict. 2016 Jun;5(2):325-31 [PMID: 27363466]
  93. Int J Eat Disord. 2001 Nov;30(3):312-7 [PMID: 11746292]
  94. Int J Eat Disord. 2010 Nov 1;43(7):611-8 [PMID: 19806608]
  95. J Abnorm Psychol. 2016 May;125(4):528-536 [PMID: 26999282]
  96. Proc Natl Acad Sci U S A. 2018 May 29;115(22):E5233-E5242 [PMID: 29760060]
  97. Endocr Metab Immune Disord Drug Targets. 2018;18(4):316-324 [PMID: 29437020]
  98. Neurobiol Learn Mem. 2014 Oct;114:198-208 [PMID: 24981854]
  99. Nutrients. 2019 Mar 19;11(3): [PMID: 30893841]
  100. Psychiatry J. 2016;2016:1795901 [PMID: 27525258]
  101. J Neurodev Disord. 2012 May 21;4(1):13 [PMID: 22958545]
  102. Psychol Res. 2009 Nov;73(6):835-42 [PMID: 19023592]
  103. Cochrane Database Syst Rev. 2015 Jul 27;(7):CD003909 [PMID: 26212713]
  104. J Vis Exp. 2012 May 03;(63):e3754 [PMID: 22588164]
  105. Biol Psychiatry. 2015 Nov 1;78(9):606-14 [PMID: 25641636]
  106. J Am Acad Child Adolesc Psychiatry. 2016 Jan;55(1):41-46.e1 [PMID: 26703908]
  107. Front Psychol. 2015 Oct 20;6:1608 [PMID: 26539148]
  108. Psychol Sci Public Interest. 2018 Dec;19(3):95-101 [PMID: 30760174]
  109. Int J Eat Disord. 2019 May;52(5):564-575 [PMID: 30770581]
  110. Neuroimage. 2019 Dec;203:116181 [PMID: 31521824]
  111. Eur Eat Disord Rev. 2007 Mar;15(2):81-97 [PMID: 17676677]
  112. Int J Eat Disord. 2018 Sep;51(9):1090-1097 [PMID: 30353938]
  113. Neuroimage. 2017 Feb 15;147:330-338 [PMID: 27989778]
  114. Int J Environ Res Public Health. 2021 Jul 02;18(13): [PMID: 34281048]
  115. Psychol Rec. 2019 Sep;69(3):415-424 [PMID: 32095026]
  116. Int J Eat Disord. 2007 Jul;40(5):446-53 [PMID: 17497709]
  117. Psychol Assess. 2018 Sep;30(9):1237-1248 [PMID: 29620381]
  118. Clin Psychol Rev. 2006 May;26(3):299-320 [PMID: 16330138]
  119. Appetite. 2016 Aug 1;103:265-274 [PMID: 27105583]
  120. JAMA Psychiatry. 2020 Aug 1;77(8):797-805 [PMID: 32211833]
  121. Curr Psychiatry Rep. 2018 Jul 23;20(8):61 [PMID: 30039342]
  122. Psychol Med. 2019 Jan;49(2):190-199 [PMID: 30070191]
  123. Anim Behav. 1997 Jun;53(6):1171-91 [PMID: 9236014]
  124. Biol Psychiatry. 2015 Apr 1;77(7):642-52 [PMID: 25481622]
  125. Neuropsychopharmacology. 2008 Jul;33(8):1966-79 [PMID: 17805307]
  126. Cogn Behav Pract. 2011 Aug;18(3):394-402 [PMID: 23814455]
  127. Int J Eat Disord. 2019 Mar;52(3):219-229 [PMID: 30632629]
  128. Eat Behav. 2015 Aug;18:192-6 [PMID: 26122390]
  129. J Abnorm Psychol. 2012 Aug;121(3):553-8 [PMID: 22775583]
  130. J Abnorm Psychol. 2017 Jul;126(5):495-505 [PMID: 27893231]
  131. J Eat Disord. 2016 Jul 19;4:20 [PMID: 27437100]
  132. Curr Top Behav Neurosci. 2016;27:411-49 [PMID: 26026289]
  133. Eur Eat Disord Rev. 2011 Jul-Aug;19(4):296-302 [PMID: 21714039]
  134. J Am Acad Child Adolesc Psychiatry. 2016 Nov;55(11):972-979 [PMID: 27806865]

Grants

  1. K23 MH112867/NIMH NIH HHS

Word Cloud

Created with Highcharts 10.0.0industriousnesslearnedbehavioursnervosanon-hedonicaversivepsychiatriceffortfulbehaviouranorexiaremainsunexplainedpersistdespiteostensiblyphenomenonespeciallybafflingtakenexcessformpsychopathologyAnorexiaonedisorderpeoplefindunpleasantsuchasrestrictiveeatingpersistentlyperformedproposethatthesocialpsychologytheoryprovidesanovelmechanisticaccountphenomenatheorypositshigh-effortcanconditionedacquiresecondaryreinforcingpropertiesrepeatedpairingrewardAccordinglyeffortsensationsbecomelessandmoreappetitiveincreasingwillingnessengagePerspectivereviewpre-clinicalbehaviouralandbiologicaldatasupportcontrastmodelspersistencehabitlearninghighlightevidencesupportsindividualsconsiderimplicationsmodelincludingtranslationpresentationsLearnedtranslationalmechanism

Similar Articles

Cited By