[en] Background: Improving future thinking, such as characteristics of specificity, detail, and use of mental imagery, may be one means to reduce anhedonia, particularly in a Major Depressive Episode (MDE) in which future thinking is impaired. The current study aimed to test this using a validated program, Future Event Specificity Training (FEST). Methods: Participants (N = 177; 80.8% women; M age = 43.7, SD = 11.8) with a current depressive episode with anhedonia and high symptom severity were randomized to FEST or no FEST. Future thinking, anhedonia-related variables, and other clinical outcomes were assessed at baseline, one- and three-month follow-up. Results: Relative to the control group, FEST was associated with significantly improved future thinking characteristics, a reduced likelihood of anhedonia (35.1% vs. 61.1%, p =.015), improvements on other anhedonia-related variables such as anticipatory (d = 0.63, p =.004) and anticipated pleasure for future events (d = 0.77, p <.001), and desirable clinical outcomes such as less people meeting criteria for an MDE (37.8% vs. 64.8%, p =.011), higher behavioural activation (d = 0.71, p =.001) and improved global functioning (d = 0.52, p =.017). Changes in future thinking were found to mediate the effect of FEST on anhedonia. Conclusion: The quality of future thinking can be enhanced in Major Depression, and this leads to a substantially reduced likelihood of anhedonia, other significant clinical effects, and functional gains.
Disciplines :
Treatment & clinical psychology
Author, co-author :
Hallford, D.J. ; School of Psychology, Deakin University, Geelong, Melbourne, Australia ; School of Psychology, Deakin University, Burwood, Melbourne, Australia
Rusanov, D.; School of Psychology, Deakin University, Geelong, Melbourne, Australia
Yeow, J.J.E.; School of Psychology, Deakin University, Geelong, Melbourne, Australia
Austin, D.W.; School of Psychology, Deakin University, Geelong, Melbourne, Australia
This study was funded by a 2019 Alfred Deakin Postdoctoral
Research Fellowship.
Open Access funding enabled and organized by CAUL and its Member
Institutions
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