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- W4308313545 abstract "Abstract 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." @default.
- W4308313545 created "2022-11-10" @default.
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- W4308313545 date "2022-11-05" @default.
- W4308313545 modified "2023-09-30" @default.
- W4308313545 title "Reducing Anhedonia in Major Depressive Disorder with Future Event Specificity Training (FEST): A Randomized Controlled Trial" @default.
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- W4308313545 doi "https://doi.org/10.1007/s10608-022-10330-z" @default.
- W4308313545 hasPublicationYear "2022" @default.
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