Trends Cogn Sci. 2011 Mar;15(3):132-9. doi: 10.1016/j.tics.2010.12.005.
Heatherton TF, Wagner DD.
Department of Psychological and Brain Sciences, 6207 Moore Hall, Dartmouth College, Hanover, NH 03755, USA. [email protected]
Abstract
Self-regulatory failure is a core feature of many social and mental health problems. Self-regulation can be undermined by failures to transcend overwhelming temptations, negative moods and resource depletion, and when minor lapses in self-control snowball into self-regulatory collapse. Cognitive neuroscience research suggests that successful self-regulation is dependent on top-down control from the prefrontal cortex over subcortical regions involved in reward and emotion. We highlight recent neuroimaging research on self-regulatory failure, the findings of which support a balance model of self-regulation whereby self-regulatory failure occurs whenever the balance is tipped in favor of subcortical areas, either due to particularly strong impulses or when prefrontal function itself is impaired. Such a model is consistent with recent findings in the cognitive neuroscience of addictive behavior, emotion regulation and decision-making.
Copyright © 2010 Elsevier Ltd. All rights reserved.
References
1. Baumeister RF, et al. Losing control : how and why people fail at self-regulation. Academic Press; 1994.
2. Hofmann W, et al. Impulse and Self-Control From a Dual-Systems Perspective. Perspect Psychol Sci. 2009;4:162–176.
3. Wagner DD, Heatherton TF. Giving in to temptation: The emerging cognitive
neuroscience of self-regulatory failure. In: Vohs KD, Baumeister RF,
editors. Handbook of self-regulation : research, theory, and applications. 2. Guilford Press; 2010.
4.
Heatherton TF. Self and Identity: Neuroscience of Self and Self-Regulation. Annu Rev Psychol. 2011;62:363–390. [PMC free article] [PubMed]5. Baumeister RF, Heatherton TF. Self-Regulation Failure: An Overview. Psychol Inq. 1996;7:1–15.
6.
Schroeder SA. We Can Do Better—Improving the Health of the American People. New Eng J Med. 2007;357:1221–1228. [PubMed]7.
Tangney JP, et al. High self-control predicts good adjustment, less pathology, better grades, and interpersonal success. J Pers. 2004;72:271–324. [PubMed]8.
Duckworth AL, Seligman ME. Self-discipline outdoes IQ in predicting academic performance of adolescents. Psychol Sci. 2005;16:939–944. [PubMed]9.
Quinn PD, Fromme K. Self-regulation as a protective factor against risky drinking and sexual behavior. Psychol Addict Behav. 2010;24:376–385. [PMC free article] [PubMed]10.
Hagger MS, et al. Ego depletion and the strength model of self-control: a meta-analysis. Psychol Bull. 2010;136:495–525. [PubMed]11. Marlatt GA, Gordon JR. Relapse prevention : maintenance strategies in the treatment of addictive behaviors. Guilford Press; 1985.
12.
Sinha R. Modeling stress and drug craving in the laboratory: implications for addiction treatment development. Addict Biol. 2009;14:84–98. [PMC free article] [PubMed]13.
Anderson CA, Bushman BJ. Human aggression. Annu Rev Psychol. 2002;53:27–51. [PubMed]14. Bruyneel SD, et al. I felt low and my purse feels light: depleting mood regulation attempts affect risk decision making. J Behav Decis Making. 2009;22:153–170.
15.
Somerville LH, et al. A time of change: behavioral and neural correlates of
adolescent sensitivity to appetitive and aversive environmental cues. Brain Cogn. 2010;72:124–133. [PMC free article] [PubMed]16.
Bousman CA, et al. Negative mood and sexual behavior among non-monogamous men
who have sex with men in the context of methamphetamine and HIV. J Affect Disord. 2009;119:84–91. [PMC free article] [PubMed]17.
Magid V, et al. Negative affect, stress, and smoking in college students:
unique associations independent of alcohol and marijuana use. Addict Behav. 2009;34:973–975. [PubMed]18.
Sinha R. The role of stress in addiction relapse. Curr Psychiatry Rep. 2007;9:388–395. [PubMed]19.
Witkiewitz K, Villarroel NA. Dynamic association between negative affect and alcohol lapses following alcohol treatment. J Consult Clin Psychol. 2009;77:633–644. [PMC free article] [PubMed]20.
Heatherton TF, et al. Effects of physical threat and ego threat on eating behavior. J Pers Soc Psychol. 1991;60:138–143. [PubMed]21.
Macht M. How emotions affect eating: a five-way model. Appetite. 2008;50:1–11. [PubMed]22.
McKee S, et al. Stress decreases the ability to resist smoking and potentiates smoking intensity and reward. J Psychopharmacol. 2010 doi: 10.1177/0269881110376694. [PMC free article] [PubMed] [Cross Ref]23.
Heatherton TF, Baumeister RF. Binge eating as escape from self-awareness. Psychol Bull. 1991;110:86–108. [PubMed]24.
Goldstein RZ, et al. The neurocircuitry of impaired insight in drug addiction. Trends Cogn Sci. 2009;13:372–380. [PMC free article] [PubMed]25.
Ward A, Mann T. Don’t mind if I do: disinhibited eating under cognitive load. J Pers Soc Psychol. 2000;78:753–763. [PubMed]26.
Sinha R. Chronic stress, drug use, and vulnerability to addiction. Ann NY Acad Sci. 2008;1141:105–130. [PMC free article] [PubMed]27.
Herman CP, Mack D. Restrained and unrestrained eating. J Pers. 1975;43:647–660. [PubMed]28. Herman CP, Polivy J. The Self-Regulation of Eating: Theoretical and Practical Problems. In: Vohs KD, Baumeister RF, editors. Handbook of self-regulation : research, theory, and applications. 2. Guilford Press; 2010.
29. Marlatt GA, et al. Relapse Prevention: Evidence Base and Future Directions. In: Miller PM, editor. Evidence-based addiction treatment. 1. xviii. Elsevier/Academic Press; 2009. p. 465.
30.
Drummond DC, et al. Conditioned learning in alcohol dependence: implications for cue exposure treatment. Br J Addict. 1990;85:725–743. [PubMed]31.
Glautier S, Drummond DC. Alcohol dependence and cue reactivity. J Stud Alcohol. 1994;55:224–229. [PubMed]32.
Jansen A. A learning model of binge eating: cue reactivity and cue exposure. Behav Res Ther. 1998;36:257–272. [PubMed]33.
Stewart J, et al. Role of unconditioned and conditioned drug effects in the self-administration of opiates and stimulants. Psychol Rev. 1984;91:251–268. [PubMed]34.
Drobes DJ, Tiffany ST. Induction of smoking urge through imaginal and in vivo
procedures: physiological and self-report manifestations. J Abnorm Psychol. 1997;106:15–25. [PubMed]35.
Payne TJ, et al. Pretreatment cue reactivity predicts end-of-treatment smoking. Addict Behav. 2006;31:702–710. [PubMed]36.
Ferguson MJ, Bargh JA. How social perception can automatically influence behavior. Trends Cogn Sci. 2004;8:33–39. [PubMed]37.
Stacy AW, Wiers RW. Implicit cognition and addiction: a tool for explaining paradoxical behavior. Annu Rev Clin Psychol. 2010;6:551–575. [PMC free article] [PubMed]38.
Bargh JA, Morsella E. The Unconscious Mind. Perspect Psychol Sci. 2008;3:73–79. [PMC free article] [PubMed]39.
Rooke SE, et al. Implicit cognition and substance use: a meta-analysis. Addict Behav. 2008;33:1314–1328. [PubMed]40.
Metcalfe J, Mischel W. A hot/cool-system analysis of delay of gratification: dynamics of willpower. Psychol Rev. 1999;106:3–19. [PubMed]41.
Mischel W, et al. “Willpower” over the life span: Mechanisms, consequences, and implications. Soc Cogn Affect Neurosci. 2010 doi: 10.1093/scan/nsq081. [PMC free article] [PubMed] [Cross Ref]42.
Bickel WK, Marsch LA. Toward a behavioral economic understanding of drug dependence: Delay discounting processes. Addiction. 2001;96:73–86. [PubMed]43.
Vohs KD, Heatherton TF. Self-regulatory failure: a resource-depletion approach. Psychol Sci. 2000;11:249–254. [PubMed]44.
Muraven M, et al. Self-control and alcohol restraint: an initial application of the self-control strength model. Psychol Addict Behav. 2002;16:113–120. [PubMed]45.
Vohs KD, et al. Self-regulation and self-presentation: regulatory resource depletion impairs impression management and effortful self-presentation depletes regulatory resources. J Pers Soc Psychol. 2005;88:632–657. [PubMed]46.
Richeson JA, Shelton JN. When prejudice does not pay: effects of interracial contact on executive function. Psychol Sci. 2003;14:287–290. [PubMed]47.
Baler RD, Volkow ND. Drug addiction: the neurobiology of disrupted self-control. Trends Mol Med. 2006;12:559–566. [PubMed]48.
Robinson TE, Berridge KC. Addiction. Annu Rev Psychol. 2003;54:25–53. [PubMed]49.
Volkow ND, et al. Overlapping neuronal circuits in addiction and obesity: evidence of systems pathology. Philos Trans R Soc Lond B Biol Sci. 2008;363:3191–3200. [PMC free article] [PubMed]50.
O’Doherty JP, et al. Temporal difference models and reward-related learning in the human brain. Neuron. 2003;38:329–337. [PubMed]51.
Garavan H, et al. Cue-induced cocaine craving: neuroanatomical specificity for drug users and drug stimuli. Am J Psychiatry. 2000;157:1789–1798. [PubMed]52.
Grant S, et al. Activation of memory circuits during cue-elicited cocaine craving. Proc Natl Acad Sci U S A. 1996;93:12040–12045. [PMC free article] [PubMed]53.
Myrick H, et al. Effect of naltrexone and ondansetron on alcohol cue-induced activation of the ventral striatum in alcohol-dependent people. Arch Gen Psychiatry. 2008;65:466–475. [PMC free article] [PubMed]54.
Naqvi NH, Bechara A. The hidden island of addiction: the insula. Trends Neurosci. 2009;32:56–67. [PMC free article] [PubMed]55.
Diekhof EK, Gruber O. When desires collide with reason: Functional interactions between anteroventral prefrontal cortex and nucleus accumbens underlie the human ability to resist impulsive desires. J Neurosci. 2010;30:1488–1493. [PubMed]56.
McClure SM, et al. Separate neural systems value immediate and delayed monetary rewards. Science. 2004;306:503–507. [PubMed]57.
Pine A, et al. Dopamine, time, and impulsivity in humans. J Neurosci. 2010;30:8888–96. [PMC free article] [PubMed]58.
Childress AR, et al. Prelude to passion: limbic activation by “unseen” drug and sexual cues. PLoS One. 2008;3:e1506. [PMC free article] [PubMed]59.
Wagner DD, et al. Spontaneous Action Representation in Smokers Watching Movie Smoking. J Neurosci. doi: 10.1523/JNEUROSCI.5174-10.2010. (In Press) [PubMed] [Cross Ref]60.
Volkow ND, et al. Cognitive control of drug craving inhibits brain reward regions in cocaine abusers. Neuroimage. 2010;49:2536–2543. [PMC free article] [PubMed]61.
Kober H, et al. Prefrontal-striatal pathway underlies cognitive regulation of craving. Proc Natl Acad Sci U S A. 2010;107:14811–14816. [PMC free article] [PubMed]62.
Brody AL, et al. Neural substrates of resisting craving during cigarette cue exposure. Biol Psychiatry. 2007;62:642–651. [PMC free article] [PubMed]63.
Delgado MR, et al. Regulating the expectation of reward via cognitive strategies. Nat Neurosci. 2008;11:880–881. [PMC free article] [PubMed]64.
Berkman ET, et al. In the trenches of real-world self-control: Neural correlates of breaking the link between craving and smoking. Psychol Sci (In Press) [PMC free article] [PubMed]65.
Heatherton TF, et al. Effects of distress on eating: the importance of ego-involvement. J Pers Soc Psychol. 1992;62:801–803. [PubMed]66.
Heatherton TF, et al. Self-awareness, task failure, and disinhibition: how attentional focus affects eating. J Pers. 1993;61:49–61. [PubMed]67.
Demos KE, et al. Dietary Restraint Violations Influence Reward Responses in Nucleus Accumbens and Amygdala. J Cogn Neurosci. 2011 doi: 10.1162/jocn.2010.21568. [PMC free article] [PubMed] [Cross Ref]68.
Crews FT, Boettiger CA. Impulsivity, frontal lobes and risk for addiction. Pharmacol Biochem Behav. 2009;93:237–247. [PMC free article] [PubMed]69.
Sellitto M, Ciaramelli E, de Pellegrino G. Myopic discounting of future rewards after medial orbitofrontal damage in humans. J Neurosci. 2010;30:6429–36. [PubMed]70.
Figner B, Knoch D, Johnson EJ, Krosch AR, Lisanby SH, Fehr E, Weber EU. Lateral prefrontal cortex and self-control in intertemporal choice. Nat Neurosci. 2010;13:538–39. [PubMed]71.
Sinha R, et al. Neural activity associated with stress-induced cocaine craving: a functional magnetic resonance imaging study. Psychopharmacology. 2005;183:171–180. [PubMed]72.
Davidson RJ, et al. Dysfunction in the neural circuitry of emotion regulation–a possible prelude to violence. Science. 2000;289:591–594. [PubMed]73.
Ochsner KN, Gross JJ. The cognitive control of emotion. Trends Cogn Sci. 2005;9:242–249. [PubMed]74.
Hariri AR, et al. Neocortical modulation of the amygdala response to fearful stimuli. Biol Psychiatry. 2003;53:494–501. [PubMed]75.
Johnstone T, et al. Failure to regulate: counterproductive recruitment of top-down prefrontal-subcortical circuitry in major depression. J Neurosci. 2007;27:8877–8884. [PubMed]76.
Ochsner KN, et al. Rethinking feelings: an FMRI study of the cognitive regulation of emotion. J Cogn Neurosci. 2002;14:1215–1229. [PubMed]77.
Ochsner KN, et al. For better or for worse: neural systems supporting the cognitive down- and up-regulation of negative emotion. Neuroimage. 2004;23:483–499. [PubMed]78.
Urry HL, et al. Amygdala and ventromedial prefrontal cortex are inversely coupled during regulation of negative affect and predict the diurnal
pattern of cortisol secretion among older adults. J Neurosci. 2006;26:4415–4425. [PubMed]79.
Wager TD, et al. Prefrontal-subcortical pathways mediating successful emotion regulation. Neuron. 2008;59:1037–1050. [PMC free article] [PubMed]80.
Schardt DM, et al. Volition diminishes genetically mediated amygdala hyperreactivity. Neuroimage. 2010;53:943–951. [PubMed]81.
Donegan NH, et al. Amygdala hyperreactivity in borderline personality disorder: implications for emotional dysregulation. Biol Psychiatry. 2003;54:1284–1293. [PubMed]82.
Silbersweig D, et al. Failure of frontolimbic inhibitory function in the context of negative emotion in borderline personality disorder. Am J Psychiatry. 2007;164:1832–1841. [PubMed]83.
New AS, et al. Amygdala-prefrontal disconnection in borderline personality disorder. Neuropsychopharmacology. 2007;32:1629–1640. [PubMed]84.
Kim MJ, Whalen PJ. The structural integrity of an amygdala-prefrontal pathway predicts trait anxiety. J Neurosci. 2009;29:11614–11618. [PMC free article] [PubMed]85.
Yoo SS, et al. The human emotional brain without sleep–a prefrontal amygdala disconnect. Curr Biol. 2007;17:R877–878. [PubMed]86. Devine PG. Stereotypes and Prejudice – Their Automatic and Controlled Components. J Pers Soc Psychol. 1989;56:5–18.
87. Fiske ST. Stereotyping, prejudice, and discrimination. The handbook of social psychology. 1998;2:357–411.
88.
Cunningham WA, et al. Separable neural components in the processing of black and white faces. Psych Sci. 2004;15:806–813. [PubMed]89.
Lieberman MD, et al. An fMRI investigation of race-related amygdala activity in African-American and Caucasian-American individuals. Nat Neurosci. 2005;8:720–722. [PubMed]90.
Richeson JA, et al. An fMRI investigation of the impact of interracial contact on executive function. Nat Neurosci. 2003;6:1323–1328. [PubMed]91.
Banks SJ, et al. Amygdala-frontal connectivity during emotion regulation. Soc Cogn Affect Neurosci. 2007;2:303–312. [PMC free article] [PubMed]92.
Batterink L, et al. Body mass correlates inversely with inhibitory control in response to food among adolescent girls: an fMRI study. Neuroimage. 2010;52:1696–1703. [PMC free article] [PubMed]93.
Li CS, Sinha R. Inhibitory control and emotional stress regulation: neuroimaging evidence for frontal-limbic dysfunction in psycho-stimulant
addiction. Neurosci Biobehav Rev. 2008;32:581–597. [PMC free article] [PubMed]94.
MacDonald KB. Effortful control, explicit processing, and the regulation of human evolved predispositions. Psychol Rev. 2008;115:1012–1031. [PubMed]95.
Bechara A. Decision making, impulse control and loss of willpower to resist drugs: a neurocognitive perspective. Nat Neurosci. 2005;8:1458–1463. [PubMed]96.
Koob GF, Le Moal M. Addiction and the brain antireward system. Annu Rev Psychol. 2008;59:29–53. [PubMed]97. Heuttel SA. Ten challenges for decision neuroscience. Front Neurosci. 2010;4:1– 7.
98.
Volkow ND, et al. Moderate doses of alcohol disrupt the functional organization of the human brain. Psychiatry Res. 2008;162:205–213. [PMC free article] [PubMed]99. Cohen JR, Lieberman MD. The Common Neural Basis of Exerting Self-Control in Multiple Domains. Self Control in Society, Mind, and Brain. 2010:141–162.
100.
Muraven M, et al. Longitudinal improvement of self-regulation through practice: building self-control strength through repeated exercise. J Soc Psychol. 1999;139:446–457. [PubMed]101.
Gailliot MT, et al. Increasing self-regulatory strength can reduce the depleting effect of suppressing stereotypes. Pers Soc Psychol Bull. 2007;33:281–294. [PubMed]102.
Muraven M. Practicing self-control lowers the risk of smoking lapse. Psychol Addict Behav. 2010;24:446–452. [PMC free article] [PubMed]103.
Bermudez P, et al. Neuroanatomical correlates of musicianship as revealed by cortical thickness and voxel-based morphometry. Cereb Cortex. 2009;19:1583–1596. [PubMed]104.
Gailliot MT, Baumeister RF. The physiology of willpower: linking blood glucose to self-control. Pers Soc Psychol Rev. 2007;11:303–327. [PubMed]105.
Gailliot MT, et al. Self-control relies on glucose as a limited energy source: willpower is more than a metaphor. J Pers Soc Psychol. 2007;92:325–336. [PubMed]106. Gailliot MT, et al. Stereotypes and prejudice in the blood: Sucrose drinks reduce prejudice and stereotyping. J Exp Soc Psychol. 2009;45:288–290.
107.
Benton D, et al. Blood glucose influences memory and attention in young adults. Neuropsychologia. 1994;32:595–607. [PubMed]108. Jonides J, et al. Verbal Working Memory Load Affects Regional Brain Activation as Measured by PET. J Cogn Neurosci. 1997;9:462–475.