Title: Mood and Chocolate
Key words: cocoa, hysteroid dysphoria, compulsive eating,
craving, depression, chocoholic, chocolate addiction
Date: Sept 2000
Category: The Mind
Type: Article
Author: Dr Van Rhijn
Mood And Chocolate.
Introduction
Chocolate, a processed food made from cocoa (Theobroma
cacao) seeds and sugar (sucrose) is a significant source of several nutrients,
enhanced by its preparation with milk. The average UK annual intake per capita
approximates 9 Kg (12 bars/week) and the relation with its consumption and mood
will be further discussed.
Chocolate
and Mood
The foods and moods inventory (FMI) questionnaire, used to
investigate appetite for sweets and chocolate and its relationship to dysphoric
mood, revealed that those who reported "self-medicating" with sweets
or chocolate were more likely to have personality traits associated with
hysteroid dysphoria, and atypical depressive syndrome. Women were significantly
more inclined to eat compulsively and had a greater appetite for sweets and
chocolate1. Other surveys confirmed the finding that chocolate was
highly liked and probably the most craved food (49%)2 especially by
females in the peri-menstrual period, suggesting a link between magnesium as
well as a link between negative3 or dysphoric4 moods.
An interview and completed battery of questionnaires on food
cravings, eating, weight, dieting and depression on individuals who identified
themselves as "chocoholics", found the amount of chocolate consumed
correlated significantly with disinhibition (lack of control) around chocolate.
The "addictive" factor and craving motivation of chocolate was
regarded primarily as orosensory5 pleasure (hedonic appeal of fat,
sugar, taste, texture, and aroma6) and cognitive experiences or mood
states associated with post-ingestional effects of chocolate. Dieters and
secret chocolate eaters experienced negative effects, 'addicts' reported guilt7
feelings without mood improvement and also reported a higher degree of aberrant
eating8. A study, using music-induced states (happiness or sadness),
found that chocolate craving and intake (rather than substitute carob)
increased in those who heard sad music9. Another study found that
arousal was rated higher when candidates were exposed to chocolate scent10.
Possible
Physiological Mechanisms
Chocolate provides numerous amino acids, which may have
modulatory effects on several mood-modifying neurotransmitters. For example
tyrosine, a precursor for endogenous catecholamine (norepinephrine) production.
Its concentration is associated with
several mood disorders, and it is also required for melanin production
for prevention of seasonal affective disorder. Tryptophan, a serotonin
precursor and major neurotransmitter associated with depression, alleviates
bipolar affective disorders, mania, anxiety, and reduces aggressiveness.
Chocolate also contains anandomides (cannabinoid)11, phenylalanine
and phenylethylamine (metabolised by MAO-B), a stimulatory neurotransmitter
(like amphetamine) responsible for emotions associated with infatuation and
love.
Chocolate contains the stimulants caffeine and theobromine,
a methylxanthine (like caffeine but weaker) that activates the CNS. It also
contains toxic pressor amines, such as tyramine, that cause hypertension
(norepinephrine) and result in depression, mood swings and anxiety. Thus
prohibiting chocolate (daily consumed by 30% of psychiatric patients) from the
diet is essential in patients who are potential candidates for antidepressant
treatment with monoamine oxidase inhibitors (MAOIs) in order to prevent
tyramine induced hypertensive reactions12.
It has been suggested that ingestion of excessive
carbohydrates increases the ratio of tryptophan:large neutral amino acids13, thereby enhancing
serotonin14,15 production and subsequent mood modulation. This reflects self-medication by depressive
patients, temporarily relieving vegetative symptoms16. These
theories are disputed, however, as chocolate contains 13% protein that would
decrease rather than increase tryptophan uptake17 and a single
chocolate bar does not contain enough ‘drug-like’ substances to produce
pharmacological effects18. Benton concluded the ‘chocolate effect’
is probably due to a release of endorphins, which modulate the intake of sweets
and other palpable foods19,20.
Conclusion
Chocolate has great effects on mood and is craved by those
who feel emotionally low. The most likely psychopharmacological mechanism
accounting for mood elevation is stimulation and endorphin release, the latter
quality shared with all palatable foods. The chemosensory effects suggest that
oral gratification is as important as mood elevating nutrients to satisfy
chocolate craving.
References
1. Schuman, M. et al. Sweets, chocolate, and atypical
depressive traits. J. Nerv. Ment. Dis. 1987; 175(8): 491 – 495.
2. Hill, A.J. & Heaton
Brown, L. The experience of food craving: a prospective investigation in
healthy women. J. Psychosom. Res. 1994; 38(8): 801 – 814.
3. Benton, D. et al. The development of the attitudes
to chocolate questionnaire. Person. Individ. Diff. 1998; 24: 513 – 520.
4. Hill, A.J. et al. Food craving, dietary restraint
and mood. Appetite. 1991; 17: 187 – 197.
5. Rozin, P. et al. Chocolate craving and liking.
Appetite. 1991; 17(3): 199 – 212.
6. Bruinsma, K. & Taren, D.L. Chocolate: food or drug? J. Am. Diet Assoc. 1999; 99(10): 1249 –
1256.
7. MacDiarmid, J.I. & Hetherington, M.M. Mood modulation
by food: an exploration of affect and cravings in 'chocolate addicts'. Br. J.
Clin. Psychol. 1995; 34( Pt 1): 129 – 138.
8. Hetherington, M.M. & MacDiarmid, J.I. "Chocolate
addiction": a preliminary study of its description and its relationship to
problem eating. Appetite. 1993; 21(3): 233 – 246.
9. Willner, P. et al. "Depression" increases
"craving" for sweet rewards in animal and human models of depression
and craving. Psychopharmacology. 1998; 136(3): 272 – 283.
10. Knasko, S.C.
Pleasant odours and congruency: effects on approach behaviour. Chem.
Senses. 1995; 20(5): 479 – 487.
11. DiTomaso, E. et al. Brain cannabinoids in
chocolate. Nature. 1996; 382: 677 – 678.
12. Sweet, R.A. et al. Monoamine oxidase inhibitor
dietary restrictions: what are we asking patients to give up? J. Clin.
Psychiatry. 1995; 56(5): 196 – 201.
13. Wurtman, R.J. & Wurtman, J.J. Carbohydrates and
depression. Sci. Amer. 1989; 260: 50 – 57.
14. Pijl, H. et al. Plasma amino acid ratios related
to brain serotonin synthesis in response to food intake in bulimia nervosa.
Biol. Psychiatry. 1995; 38(10): 659 – 668.
15. Kaye, W.H. et al. Bingeing behaviour and plasma
amino acids: a possible involvement of brain serotonin in bulimia nervosa.
Psychiatry Res. 1988; 23(1): 31 – 43.
16. Miller, S.E. Serotonin, carbohydrates, and
atypical depression. Pharmacol. Toxicol.
1992; 71(Suppl 1): 61 – 71.
17. Benton, D. Chocolate craving: a biological or
psychological phenomenon? In: Knight, I. ed. Chocolate and Cocoa: A Review of
health and Nutrition. Oxford: Blackwell Science LTD. 1999.
18. Benton, D. & Donohoe, R.T. The effects of nutrients
on mood. Public Health Nutr. 1999;
2(3a): 403 – 409.
19. Yeomans, M.R. et al. Effects of nalmefene on
feeding in humans. Psychopharmacol. 1990; 100: 426 – 432.
20. Reid, L.D. Endogenous opioid peptides and regulation of
drinking and feeding. Am. J. Clin. Nutr. 1985; 42: 1099 – 1132.