Using Psychology to Cut Portion Sizes

By Lauran Neergaard – Associated Press

Call it the alter-ego of super-sizing.

Researchers infiltrated a fast-food Chinese restaurant and found up to a third of diners jumped at the offer of a half-size of the usual heaping pile of rice or noodles — even when the smaller amount cost the same.

HEALTHBEAT: Trimming super-size with psychology, from half-order sides to color of the platesGiant portion sizes are one of the culprits behind the epidemic of bulging waistlines, and nowhere is the portion-creep more evident than in restaurants with French fry-heavy meal deals or plates overflowing with pasta. Now scientists are tapping into the psychology of eating to find ways to trim portions without people feeling cheated — focusing on everything from the starchy sides to the color of the plates.

“The small Coke now is what used to be a large 15 years ago,” laments psychologist Janet Schwartz, a marketing professor at Tulane University who led the Chinese food study. “We should ask people what portion size they want,” instead of large being the default.

Restaurants are paying close attention, says prominent food-science researcher Brian Wansink of Cornell University. His own tests found children were satisfied with about half the fries in their Happy Meal long before McDonald’s cut back the size, and the calories, last year.

“We’ll be seeing some very creative ways of down-sizing in the next couple of years,” predicts Wansink, author of Mindless Eating: Why We Eat More Than We Think.

But let’s call it “right-sizing,” says Duke University behavioral economist Dan Ariely. Right-size suggests it’s a good portion, not a cut, he says.

Couldn’t you just get a doggie bag? Sure, if you’ve got the willpower to stop before your plate is mostly clean. Lots of research shows Americans don’t. We tend to rely on visual cues about how much food is left, shoveling it in before the stomach-to-brain signal of “hey wait, I’m getting full” can arrive.

So Schwartz and Ariely tested a different approach: Could we limit our own temptation if we focus not on the tastiest reason we visited a restaurant — the entree — but on the side dishes? After all, restaurants can pile on calorie-dense starches like rice or pasta or fries because they’re very inexpensive, filling the plate so it looks like a good deal, Schwartz says.

A popular Chinese franchise at Duke University, with a mix of students, staff and visitors to the campus hospital, allowed the researchers in at lunchtime.

In the serving line, customers pick the rice or noodles first. The standard serving is a whopping 10 ounces, about 400 calories even before ordering the entree, says Schwartz. There was no half-size option on the menu board.

In a series of experiments, servers asked 970 customers after their initial rice or noodle order: “Would you like a half-order to save 200 calories?” Those who said yes didn’t order a higher-calorie entree to compensate. Weighing leftovers showed they threw away the same amount of food as customers who refused or weren’t offered the option.

A 25-cent discount didn’t spur more takers. Nor did adding calorie labels so people could calculate for themselves, the researchers report in this month’s journal Health Affairs — concluding the up-front offer made the difference.

Anywhere from 14 percent to 33 percent chose the reduced portions, depending on the day and the mix of customers.

Even 200 fewer calories can add up over time. And other tricks can trim portions without people noticing, whether dining out or at home. Cornell’s Wansink found people served 18 percent more pasta with marinara sauce onto a red plate than a white one — and 18 percent more pasta alfredo onto a white plate.

A stark contrast “makes you think twice before you throw on another scoop,” explains Wansink. His own family bought some dark dinner plates to supplement their white ones, because people tend to overeat white starches more than veggies.

Wansink’s other research has found:

—Switching from 11-inch plates to 10-inch plates makes people take less food, and waste less food. The slightly smaller plate makes a normal serving look more satisfying.

—People think they’re drinking more from a tall skinny glass than a short wide one even if both hold the same volume, a finding Wansink says was widely adopted by bars.

—Beware if kids eat from the adult bowls. He found 6-year-olds serve themselves 44 percent more food in an 18-ounce bowl than a 12-ounce bowl.

Restaurants are starting to get the message that at least some customers want to eat more sensibly. Applebees, for example, has introduced a line of meals under 550 calories, including such things as steak.

And a National Restaurant Association survey found smaller-portion entrees, “mini-meals” for adults and kids, and bite-size desserts made a new trend list.

It’s all consumer demand, says association nutrition director Joy Dubost: More diners now are “requesting the healthier options and paying attention to their calories.”

Source: http://www.washingtonpost.com/national/health-science/healthbeat-trimming-super-size-with-psychology-from-half-order-sides-to-color-of-the-plates/2012/02/14/gIQABz6kCR_story.html

Enhanced by Zemanta

DSM-5 May List Internet Addiction Among Illnesses

By Rheana Murray / NEW YORK DAILY NEWS

Surf the web too much? That might soon land you on a psychiatrist’s couch.

The American Psychiatric Association (APA) is catching heat over proposed amendments to its newest Diagnostic and Statistical Manual of Mental Disorders (DSM) — widely considered the “bible” of psychiatric symptoms in the mental-health industry.

Opponents say the new version would label millions more people as “mentally ill” for conditions such as extreme shyness — and qualify them for psychiatric drugs they don’t need.

“[It’s] hard to avoid the conclusion that DSM-5 will help the interests of the drug companies,” said Allen Frances of Duke University, according to Reuters.

DSM-5, the new mental illness ‘bible,’ may list Internet addiction among illnesses

Internet addiction might be considered a mental illness under proposed revisions to DSM-5, the mental-health industry’s guidebook.

The DSM-5, as the new edition will be called, is scheduled to be released in May 2013, and could list “Internet addiction” among its diagnoses.

The association says it is still considering how to address non-substance-abuse addictions.

“Gambling disorder has been moved into this category and there are other addiction-like behaviorial disorders such as ‘Internet addiction’ that will be considered as potential addictions to this category as research data accumulate,” the APA says on its website.

Experts say lots of the new diagnoses are problematic – like “oppositional defiant disorder.”

“That basically means children who say ‘no’ to their parents more than a certain number of times,” said Pete Kinderman of Liverpool University’s Institute of Psychology, according to Reuters.

“On that criteria, many of us would have to say our children are mentally ill.”

People who are excessively shy could also be diagnosed as mentally ill under the new guidelines, Kinderman said.

Kids’ temper tantrums might be explained by “disruptive mood disregulation disorder,” characterized by temper outbursts that occur at least three times per week.

David Elkins, president of the American Psychological Association’s society for humanistic psychology, helped launch a petition against the new manual, yielding more than 11,000 supporters, according to ABC News.

“Our main concern is that they’ve introduced some new disorders that have never been in a DSM before that we think are not scientifically based,” he said.

“We’re not opposed to the proper use of psychiatric drugs when there’s a real diagnosis and when a child or an adult needs pharmacological interventions,” he said. “But we are concerned about the normal kids and elderly people who are going to be diagnosed with these disorders and treated with psychiatric drugs.

“We think that’s very, very dangerous.”

Dr. Allen Frances, who worked on revisions for the current manual, DSM-4, agrees that the proposed changes are irresponsible.

“You don’t want to be inventing new diagnoses until you’re sure they can be accurately made, effectively treated that the treatments are safe,” said Frances, a psychiatry professor at Duke University, according to ABC News. “None of these conditions is fulfilled in DSM-5.”

“You can’t have one professional organization, like the American Psychiatric Association, responsible for vetting something so important,” he added.

The APA hasn’t commented directly on the backlash, but said in a statement that it considers “input from all sectors of the mental health community a vital part of the process,” according to ABC News.

“We are confident that the DSM-5 will be based on the most reliable scientific and clinical data.”

Source: http://www.nydailynews.com/news/dsm-5-mental-illness-bible-list-internet-addiction-illnesses-article-1.1020979#ixzz1mHYHMxjt

Enhanced by Zemanta