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However, the neurophysiological mechanisms, particularly those related to learning, are not well understood. This longitudinal study investigated the neurophysiological effects of an online CFT for overeating (CFT\u2010OE) using functional magnetic resonance imaging (fMRI) and heart rate variability (HRV).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A total of 15 women seeking treatment for overeating completed a 16\u2010session group\u2010format CFT\u2010OE program. At pre\u2010 and post\u2010intervention, participants completed self\u2010report psychological measures and underwent task\u2010based fMRI with concurrent HRV recordings, in which they engaged in four emotion regulation conditions (avoidance, rumination, self\u2010criticism and self\u2010reassurance). A healthy control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) was also recruited and completed a single fMRI scan and self\u2010report psychological measures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Following the CFT\u2010OE intervention, a reduction in eating disorder symptoms, self\u2010criticism, rumination, and food thought suppression was observed, alongside improvements in self\u2010reassurance and self\u2010compassion. Participants also exhibited increased bilateral putamen activation during self\u2010reassurance, showing normalization to a level comparable to controls, associated with reduced food thought suppression. Right putamen activation during self\u2010criticism was associated with decreases in binge eating. Cortical activation decreased in several prefrontal areas, including the superior and middle frontal gyri. Correlation analysis showed that improvement in self\u2010compassion engagement and action was associated with HRV changes, suggesting a positive modulation of the vagal system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Results suggest that CFT\u2010OE operates via subcortical mechanisms in the putamen, involved in habit learning, and reduces frontal cortical activity as individuals become more adept at using self\u2010compassion strategies. This shift may reduce emotional reactivity, allowing participants to better manage distress, as reflected by improved vagal tone and decreased prefrontal activation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24456","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T02:45:25Z","timestamp":1746499525000},"page":"1499-1512","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Therapeutic Benefits of a 16\u2010Week Compassion Focused Therapy for Overeating Are Associated With Positive Autonomic Changes and Putamen Responses"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9594-9352","authenticated-orcid":false,"given":"Cristiana C.","family":"Marques","sequence":"first","affiliation":[{"name":"Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), LASI, Institute for Nuclear Sciences Applied to Health (ICNAS) University of Coimbra  Coimbra Portugal"},{"name":"Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences University of Coimbra  Coimbra Portugal"},{"name":"Institute of Psychological Medicine, Faculty of Medicine University of Coimbra  Coimbra Portugal"},{"name":"HEI\u2010Lab: Digital Human\u2010Environment Interaction Labs Lus\u00f3fona University  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0476-9533","authenticated-orcid":false,"given":"Alexandre","family":"Sayal","sequence":"additional","affiliation":[{"name":"Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), LASI, Institute for Nuclear Sciences Applied to Health (ICNAS) University of Coimbra  Coimbra Portugal"},{"name":"Siemens Healthineers  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7191-1002","authenticated-orcid":false,"given":"Lara","family":"Palmeira","sequence":"additional","affiliation":[{"name":"Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences University of Coimbra  Coimbra Portugal"},{"name":"RISE\u2010Health, Department of Psychology and Education Portucalense University  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0652-6153","authenticated-orcid":false,"given":"Kenneth","family":"Goss","sequence":"additional","affiliation":[{"name":"Coventry &amp; 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