Wednesday, May 1, 2024

Rewards that really motivate change

11737-Tips-for-Staying-Healthy-Even-With-a-Busy-ScheduleBy Srini Pillay, MD, Harvard Gazette Contributor

It’s hard to maintain the lifestyle changes you want to make. It doesn’t matter whether your goal is weight loss,exercise, normal blood sugar, or decreasing stress — research has shown that simply learning about the value of lifestyle changes is insufficient on its own to help people maintain their goals.

Of course, few people are actually ignorant about the number of calories in a chocolate truffle, the benefits of exercise, or the incredible danger, discomfort, and inconvenience of diabetes and stress. Still, despite this awareness, maintaining these changes is an uphill battle. And that’s largely because habits are hard to kick.

The rewards of the changes themselves have their limits. On a cold, snowy day in February, going to the gym is far less appealing than staying in bed for one more hour. And when you return home tired from a day of work, the calories in that extra glass of wine may in fact suddenly turn invisible. So how can you get that extra motivation?

The two types of rewards — and what they can do for you

Despite a growing body of evidence on the value of reward-based systems in promoting health behaviors, they are notoriously ineffective. But these studies generally focus on one kind of reward. Having an understanding of the other category of rewards may provide additional motivation to maintain the changes that you want.

There are two kinds of rewards: hedonia and eudaimonia. Hedonia (H-rewards) includes superficial pleasures such as weight loss, looking good, and acceptance by others. These rewards are more concrete and often short-lived. Eudaimonia (E-rewards), on the other hand, refers to a sense of meaning and purpose that contributes to overall well-being. Connecting your lifestyle goals to E-rewards may help motivate you even more.

The greater the size of a self-processing region in your brain called the insula, the higher your E-rewards. Specifically, if you have a large insula, your senses of personal growth, positive relations with others, and personal purpose are high. It’s not hard to imagine how feeling this way can help motivate you in many different ways, let alone when it comes to making specific lifestyle changes.

E-rewards also motivate you by activating the brain’s reward region, the ventral striatum. You feel less depressed when this part of the brain is activated. In contrast, when you satisfy only your H-rewards (e.g., looking good and getting a massage), this can actually make you more depressed and less motivated in the longer term.

Read more here.

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