[en] Impaired episodic future thinking (EFT), as reflected in reduced specificity, low levels of detail and less use of mental imagery, has been associated with depressive symptomatology. The beneficial impact of Future Event Specificity Training (FEST) on impaired EFT has recently been demonstrated, as well as on anhedonia, the core symptom of depression reflecting low positive affect. The current study aimed to replicate these previous findings. In addition, this study is the first to examine the potential of FEST to reduce engagement in dampening, a maladaptive response style characterised by reducing the intensity and/or frequency of positive emotional states, which is linked to depressive symptoms and anhedonia. An RCT (FEST vs. waitlist control) was conducted in a large sample of Dutch-speaking undergraduate students (N = 155). In line with prior research, FEST resulted in significant improvements in EFT features. However, likely related to limited room for change detection, no significant changes were found in anhedonia and dampening. In the light of the positive impact of FEST on several EFT features, future studies should address methodological issues to create optimal conditions for potential change detection. Finally, further examination of the proposed theoretical change mechanisms aimed to reduce anhedonia and dampening is warranted.
Disciplines :
Treatment & clinical psychology
Author, co-author :
Bogaert, Liesbeth ; Faculty of Psychology and Educational Sciences, University of Leuven, Leuven, Belgium
Hallford, David J ; School of Psychology, Deakin University, Geelong, Australia
Loyen, Eline ; Faculty of Psychology and Educational Sciences, University of Leuven, Leuven, Belgium
Alsayednasser, B., Widnall, E., O'Mahen, H., Wright, K., Warren, F., Ladwa, A., Khazanov, G. K., Byford, S., Kuyken, W., Watkins, E., Ekers, D., Reed, N., Fletcher, E., McMillan, D., Farrand, P., Richards, D., & Dunn, B. D. (2022). How well do Cognitive Behavioural Therapy and Behavioural Activation for depression repair anhedonia? A secondary analysis of the COBRA randomized controlled trial. Behaviour Research and Therapy, 159, 104185. https://doi.org/10.1016/j.brat.2022.104185
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). American Psychiatric Publishing.
Bean, C. A. L., Summers, C. B., & Ciesla, J. A. (2022). Dampening of positive affect and depression: A meta-analysis of cross-sectional and longitudinal relationships. Behaviour Research and Therapy, 156, 104153. https://doi.org/10.1016/j.brat.2022.104153
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.
Beckers, T., Hermans, D., Lange, I., Luyten, L., Scheveneels, S., & Vervliet, B. (2023). Understanding clinical fear and anxiety through the lens of human fear conditioning. Nature Reviews Psychology, 2, 233–245. https://doi.org/10.1038/s44159-023-00156-1
Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society: Series B: Methodological, 57(1), 289–300. https://www.jstor.org/stable/2346101, https://doi.org/10.1111/j.2517-6161.1995.tb02031.x
Borsini, A., Wallis, A. S. J., Zunszain, P., Pariante, C. M., & Kemptom, M. J. (2020). Characterizing anhedonia: A systematic review of neuroimaging across subtypes of reward processing deficits in depression. Cognitive, Affective, & Behavioral Neuroscience, 20, 816–841. https://doi.org/10.3758/s13415-020-00804-6
Burr, L.-A., Javiad, M., Jell, G., Werner-Seidler, A., & Dunn, B. D. (2017). Turning lemonade into lemons: Dampening appraisals reduce positive affect and increase negative affect during positive activity scheduling. Behaviour Research and Therapy, 91, 91–101. https://doi.org/10.1016/j.brat.2017.01.010
Clark, A. (2013). Whatever next? Predictive brains, situated agents, and the future of cognitive science. Behavioral and Brain Sciences, 36(3), 181–204. https://doi.org/10.1017/S0140525X12000477
Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10–23. https://doi.org/10.1016/j.brat.2014.04.006
Dalgleish, T., Bevan, A., McKinnon, A., Breakwell, L., Mueller, V., Chadwick, I., Schweizer, S., Hitchcock, C., Watson, P., Raes, F., Jobson, L., & Werner-Seidler, A. (2014). A comparison of MEmory Specificity Training (MEST) to education and support (ES) in the treatment of recurrent depression: Study protocol for a cluster randomised controlled trial. Trials, 15(1), 29. https://doi.org/10.1186/1745-6215-15-293
Ducasse, D., Loas, G., Dassa, D., Gramaglia, C., Zeppegno, P., Guillaume, S., Olié, E., & Courtet, P. (2018). Anhedonia is associated with suicidal ideation independently of depression: A meta-analysis. Depression and Anxiety, 35(5), 382–392. https://doi.org/10.1002/da.22709
Dunn, B. D., German, R. E., Khazanov, G., Xu, C., Hollon, S. D., & DeRubeis, R. J. (2020). Changes in positive and negative affect during pharmacological treatment and cognitive therapy for major depressive disorder: A secondary analysis of two randomized controlled trials. Clinical Psychological Science, 8(1), 36–51. https://doi.org/10.1177/2167702619863427
Dunn, B. D., & Roberts, H. (2016). Improving the capacity to treat depression using talking therapies: Setting a positive clinical psychology agenda. In A. M. Wood & J. Johnson (Eds.), The Wiley handbook of positive clinical psychology (pp. 183–204). Wiley Blackwell. https://doi.org/10.1002/9781118468197.ch13
Dunn, B. D., Widnall, E., Reed, N., Owens, C., & Campbell, J. (2019). Bringing light into darkness: A multiple baseline mixed methods case series evaluation of augmented depression therapy (ADepT). Behaviour Research and Therapy, 120, 103418. https://doi.org/10.1016/j.brat.2019.103418
Everaert, J., Gross, J. J., & Uusberg, A. (2021). Appraisal dynamics: A predictive mind process model perspective. In C. E. Waugh & P. Kuppens (Eds.), Affect dynamics (pp. 19–32). Springer. https://doi.org/10.1007/978-3-030-82965-0_2
Feldman, G. C., Joormann, J., & Johnson, S. L. (2008). Responses to positive affect: A self-report measure of rumination and dampening. Cognitive Therapy and Research, 32(4), 507–525. https://doi.org/10.1007/s10608-006-9083-0
Friston, K. J. (2010). The free-energy principle: A unified brain theory? Nature Reviews Neuroscience, 11(2), 127–138. https://doi.org/10.1038/nrn2787
Hallford, D. J., Barry, T. J., Austin, D. W., Raes, F., Takano, K., & Klein, B. (2020). Impairments in episodic future thinking for positive events and anticipatory pleasure in major depression. Journal of Affective Disorders, 260, 536–543. https://doi.org/10.1016/j.jad.2019.09.039
Hallford, D. J., Rusanov, D., Yeow, J. J. E., Austin, D. W., D'Argembeau, A., Fuller-Tyszkiewicz, M., & Raes, F. (2022). Reducing anhedonia in major depressive disorder with Future Event Specificity Training (FEST): A randomized controlled trial. Cognitive Therapy and Research, 47, 20–37. https://doi.org/10.1007/s10608-022-10330-z
Hallford, D. J., Sharma, M. K., & Austin, D. W. (2020). Increasing anticipatory pleasure in major depression through enhancing episodic future thinking: A randomized single-case series trial. Journal of Psychopathology and Behavioral Assessment, 42, 751–764. https://doi.org/10.1007/s10862-020-09820-9
Hallford, D. J., Takano, K., Raes, F., & Austin, D. W. (2020). Psychometric evaluation of an episodic future thinking variant of the Autobiographical Memory Test—Episodic Future Thinking-Test (EFT-T). European Journal of Psychological Assessment, 36(4), 658–669. https://doi.org/10.1027/1015-5759/a000536
Hallford, D. J., Yeow, J. J. E., Fountas, G., Herrick, C. A., Raes, F., & D'Argembeau, A. (2020). Changing the future: An initial test of Future Specificity Training (FeST). Behaviour Research and Therapy, 131, 103638. https://doi.org/10.1016/j.brat.2020.103638
Hoffman, L., & Rovine, M. J. (2007). Multilevel models for the experimental psychologist: Foundations and illustrative examples. Behavior Research Methods, 39(1), 101–117. https://doi.org/10.3758/BF03192848
Hofmann, S. G., & Smits, J. A. J. (2008). Cognitive-behavioral therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials. Journal of Clinical Psychiatry, 69(4), 621–632. https://doi.org/10.4088/jcp.v69n0415
Holmes, E. A., Blackwell, S. E., Heyes, S. B., Renner, F., & Raes, F. (2016). Mental imagery in depression: Phenomenology, potential mechanisms, and treatment implications. Annual Reviews Clinical Psychology, 12, 249–280. https://doi.org/10.1146/annurev-clinpsy-021815-092925
Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. https://doi.org/10.1037/0022-006X.59.1.12
Ji, J. L., Geiles, D., & Saulsman, L. M. (2021). Mental imagery-based episodic simulation amplifies motivation and behavioural engagement in planned reward activities. Behaviour Research and Therapy, 145, 103947. https://doi.org/10.1016/j.brat.2021.103947
Ji, L. J., Holmes, E. A., & Blackwell, S. E. (2017). Seeing light at the end of the tunnel: Positive prospective mental imagery and optimism in depression. Psychiatry Research, 247, 155–162. https://doi.org/10.1016/j.psychres.2016.11.025
Kassambara, A. (2023). Package ‘rstatix’ [Computer software]. https://cran.r-project.org/web/packages/rstatix/rstatix.pdf
Kraiss, J. T., ten Klooster, P. M., Moskowitz, J. T., & Bohlmeijer, E. T. (2020). The relationship between emotion regulation and well-being in patients with mental disorders: A meta-analysis. Comprehensive Psychiatry, 102, 152189. https://doi.org/10.1016/j.comppsych.2020.152189
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
MacAulay, R. K., McGovern, J. E., & Cohen, A. S. (2014). Understanding anhedonia: The role of perceived control. In M. Ritsner (Ed.), Anhedonia: A comprehensive handbook (1st ed.) (pp. 23–49). Springer. https://doi.org/10.1007/978-94-017-8591-4_2
Mair, P., & Wilcox, R. (2020). Robust statistical methods in R using the WRS2 package. Behavior Research Methods, 52, 464–488. https://doi.org/10.3758/s13428-019-01246-w
Malouff, J. M., & Schutte, N. S. (2017). Can psychological interventions increase optimism? A meta-analysis. The Journal of Positive Psychology, 12(6), 594–604. https://doi.org/10.1080/17439760.2016.1221122
McGowan, S. K., & Behar, E. (2013). A preliminary investigation of stimulus control training for worry: Effects on anxiety and insomnia. Behavior Modification, 37(1), 90–112. https://doi.org/10.1177/0145445512455661
Melville, K. M., Casey, L. M., & Kavanagh, D. J. (2010). Dropout from internet-based treatment for psychological disorders. British Journal of Clinical Psychology, 49, 455–471. https://doi.org/10.1348/014466509X472138
Moors, A., De Houwer, J., Hermans, D., Wanmaker, S., van Schie, K., Van Harmelen, A.-L., De Schryver, M., De Winne, J., & Brysbaert, M. (2012). Norms of valence, arousal, dominance, and age of acquisition for 4,300 Dutch words. Behaviour Research, 45, 169–177. https://doi.org/10.3758/s13428-012-0243-8
Moors, A., Van de Cruys, S., & Pourtois, G. (2021). Comparison of the determinants for positive and negative affect proposed by appraisal theories, goal-directed theories, and predictive processing theories. Current Opinion in Behavioral Sciences, 39, 147–152. https://doi.org/10.1016/j.cobeha.2021.03.015
Nelis, S., Bastin, M., Raes, F., & Bijttebier, P. (2018). When do good things lift you up? Dampening, enhancing, and uplifts in relation to depressive and anhedonic symptoms in early adolescence. Journal of Youth and Adolescence, 47(8), 1712–1730. https://doi.org/10.1007/s10964-018-0880-z
Nelis, S., Holmes, E. A., & Raes, F. (2015). Response styles to positive affect and depression: Concurrent and prospective associations in a community sample. Cognitive Therapy and Research,39, 480–491. https://doi.org/10.1007/s10608-015-9671-y
Raes, F., Daems, K., Feldman, G. C., Johnson, S. L., & Van Gucht, D. (2009). A psychometric evaluation of the Dutch version of the Responses to Positive Affect Questionnaire. Psychologica Belgica, 49(4), 293–310. https://doi.org/10.5334/pb-49-4-293
Raes, F., & Williams, J. M. G. (2010). The relationship between mindfulness and uncontrollability of ruminative thinking. Mindfulness, 1(4), 199–203. https://doi.org/10.1007/s12671-010-0021-6
Raes, F., Williams, J. M. G., & Hermans, D. (2009). Reducing cognitive vulnerability to depression: A preliminary investigation of MEmory Specificity Training (MEST) in inpatients with depressive symptomatology. Journal of Behavior Therapy and Experimental Psychiatry, 40(1), 24–38. https://doi.org/10.1016/j.jbtep.2008.03.001
Renner, F., Murphy, F. C., Ji, J. L., Manly, T., & Holmes, E. A. (2019). Mental imagery as a “motivational amplifier” to promote activities. Behaviour Research and Therapy, 114, 51–59. https://doi.org/10.1016/j.brat.2019.02.002
Schacter, D. L., Benoit, R. G., & Szpunar, K. K. (2017). Episodic future thinking: Mechanisms and functions. Current Opinion in Behavioral Sciences, 17, 41–50. https://doi.org/10.1016/j.cobeha.2017.06.002
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67(6), 1063–1078. https://doi.org/10.1037/0022-3514.67.6.1063
Szpunar, K. K., & Schacter, D. L. (2013). Get real: Effects of repeated simulation and emotion on the perceived plausibility of future experiences. Journal of Experimental Psychology: General, 142(2), 323–327. https://doi.org/10.1037/a0028877
ten Klooster, P. M., Weekers, A. M., Eggelmeijer, F., van Woerkom, J. M., Drossaert, C. H. C., Taal, E., Baneke, J. J., Baneke, J. J., & Rasker, J. J. (2010). Optimisme en/of pessimisme: Factorstructuur van de Nederlandse Life Orientation Test Revised. Psychologie & Gezondheid, 38(2), 89–100. https://doi.org/10.1007/BF03089356
Tugade, M. M., & Fredrickson, B. L. (2004). Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology, 86(2), 320–333. https://doi.org/10.1037/0022-3514.86.2.320
Van de Cruys, S., & Van Dessel, P. (2021). Mental distress through the prism of predictive processing theory. Current Opinion in Psychology, 41, 107–112. https://doi.org/10.1016/j.copsyc.2021.07.006
World Health Organization. (2023). Depressive disorder (depression). https://www.who.int/news-room/fact-sheets/detail/depression
Young, G. R., Karnilowicz, H. R., Mauss, I. B., Hastings, P. D., Guyer, A. E., & Robins, R. W. (2022). Prospective associations between emotion regulation and depressive symptoms among Mexican-origin adolescents. Emotion, 22(1), 129–141. https://doi.org/10.1037/emo0001060
Zou, R., Hong, X., Wei, G., Xu, X., & Yuan, J. (2022). Differential effects of optimism and pessimism on adolescents' subjective well-being: Mediating roles of reappraisal and acceptance. International Journal of Environmental Research and Public Health, 19(12), 7067. https://doi.org/10.3390/ijerph19127067