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Erschienen in: Cognitive Therapy and Research 1/2020

23.10.2019 | Original Article

Forecasting the Future, Remembering the Past: Misrepresentations of Daily Emotional Experience in Generalized Anxiety Disorder and Major Depressive Disorder

verfasst von: Danielle C. Mathersul, Ayelet Meron Ruscio

Erschienen in: Cognitive Therapy and Research | Ausgabe 1/2020

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Abstract

Studies have shown that individuals with emotional disorders expect and recall more negative and less positive information than healthy individuals. However, no study of emotional disorders has investigated affective forecasting and affective memory within the same individuals. Using ecological momentary assessment, we compared daily affective experiences to forecasts and memories in 145 adults with generalized anxiety disorder (GAD), major depressive disorder (MDD), comorbid GAD/MDD, or no psychopathology. All three clinical groups forecast, experienced, and remembered more negative affect than controls; positive affect showed the opposite pattern, which was especially robust for the depressed groups. All clinical groups demonstrated stronger negative forecasting and memory biases as well as a weaker positive forecasting bias than controls. However, when the independent contributions of symptom dimensions were analyzed, MDD severity was associated with a negative forecasting bias while GAD severity was associated with a negative memory bias. Cognitive representations of emotional experiences in GAD and MDD are biased in ways that may maintain the disorders and represent promising intervention targets.
Literatur
Zurück zum Zitat APA. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. APA. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Zurück zum Zitat Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York, NY: Guilford. Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York, NY: Guilford.
Zurück zum Zitat Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., et al. (2011). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. New York: Oxford University Press. Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., et al. (2011). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. New York: Oxford University Press.
Zurück zum Zitat Beck, A. T. (1995). Cognitive therapy: Basics and beyond. New York: Guilford Press. Beck, A. T. (1995). Cognitive therapy: Basics and beyond. New York: Guilford Press.
Zurück zum Zitat Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Zurück zum Zitat Bennett-Levy, J., Butler, G., Fennell, M., Hackmann, A., Mueller, M., & Westbrook, D. (2004). Oxford guide to behavioural experiments in cognitive therapy. Oxford: Oxford University Press.CrossRef Bennett-Levy, J., Butler, G., Fennell, M., Hackmann, A., Mueller, M., & Westbrook, D. (2004). Oxford guide to behavioural experiments in cognitive therapy. Oxford: Oxford University Press.CrossRef
Zurück zum Zitat Borkovec, T. D., Alcaine, O. M., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. In R. Heimberg, C. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 77–108). New York, NY: Guilford Press. Borkovec, T. D., Alcaine, O. M., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. In R. Heimberg, C. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 77–108). New York, NY: Guilford Press.
Zurück zum Zitat Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy,37(Suppl 1), S5–S27.CrossRefPubMed Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy,37(Suppl 1), S5–S27.CrossRefPubMed
Zurück zum Zitat Clark, D. A., & Beck, A. T. (2010). Cognitive therapy of anxiety disorders: Science and practice. New York: Guilford Publications. Clark, D. A., & Beck, A. T. (2010). Cognitive therapy of anxiety disorders: Science and practice. New York: Guilford Publications.
Zurück zum Zitat Davidson, R. J. (1998). Affective style and affective disorders: Perspectives from affective neuroscience. Cognition and Emotion,12, 307–330.CrossRef Davidson, R. J. (1998). Affective style and affective disorders: Perspectives from affective neuroscience. Cognition and Emotion,12, 307–330.CrossRef
Zurück zum Zitat DiNardo, P. A., Brown, T. A., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM–IV: Lifetime version (ADIS-IV-L). San Antonio, TX: Psychological Corporation. DiNardo, P. A., Brown, T. A., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM–IV: Lifetime version (ADIS-IV-L). San Antonio, TX: Psychological Corporation.
Zurück zum Zitat Ehring, T., & Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Therapy,1, 192–205.CrossRef Ehring, T., & Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Therapy,1, 192–205.CrossRef
Zurück zum Zitat Emmanuel, J., Simmonds, S., & Tyrer, P. (1998). Systematic review of the outcome of anxiety and depressive disorders. The British Journal of Psychiatry,172(Supplement 34), 35–41.CrossRef Emmanuel, J., Simmonds, S., & Tyrer, P. (1998). Systematic review of the outcome of anxiety and depressive disorders. The British Journal of Psychiatry,172(Supplement 34), 35–41.CrossRef
Zurück zum Zitat Fairburn, C. G., Cooper, Z., Shafran, R., Bohn, K., Hawker, D. M., Murphy, R., et al. (2008). Enhanced cognitive behavior therapy for eating disorders: The core protocol. In C. G. Fairburn (Ed.), Cognitive Behavior Therapy and Eating Disorders (pp. 45–197). New York: Guilford Press. Fairburn, C. G., Cooper, Z., Shafran, R., Bohn, K., Hawker, D. M., Murphy, R., et al. (2008). Enhanced cognitive behavior therapy for eating disorders: The core protocol. In C. G. Fairburn (Ed.), Cognitive Behavior Therapy and Eating Disorders (pp. 45–197). New York: Guilford Press.
Zurück zum Zitat Fennell, M. (1998). Cognitive therapy in the treatment of low self-esteem. Advances in Psychiatric Treatment,3, 296–304.CrossRef Fennell, M. (1998). Cognitive therapy in the treatment of low self-esteem. Advances in Psychiatric Treatment,3, 296–304.CrossRef
Zurück zum Zitat Folkman, S., & Moskowitz, J. T. (2000). Positive affect and the other side of coping. American Psychologist,55, 647–654.CrossRef Folkman, S., & Moskowitz, J. T. (2000). Positive affect and the other side of coping. American Psychologist,55, 647–654.CrossRef
Zurück zum Zitat Fredrickson, B. L., & Levenson, R. W. (1998). Positive emotions speed recovery from the cardiovascular sequelae of negative emotions. Cognition and Emotion,12, 191–220.CrossRefPubMed Fredrickson, B. L., & Levenson, R. W. (1998). Positive emotions speed recovery from the cardiovascular sequelae of negative emotions. Cognition and Emotion,12, 191–220.CrossRefPubMed
Zurück zum Zitat Goldberg, D., Kendler, K. S., Sirovatka, P. J., & Regier, D. A. (2010). Diagnostic issues in depression and generalized anxiety disorder: Refining the research agenda for DSM-V. Washington, DC: American Psychiatric Association. Goldberg, D., Kendler, K. S., Sirovatka, P. J., & Regier, D. A. (2010). Diagnostic issues in depression and generalized anxiety disorder: Refining the research agenda for DSM-V. Washington, DC: American Psychiatric Association.
Zurück zum Zitat Gray, J. A. (1994). Framework for a taxonomy of psychiatric disorder. In S. H. M. van Goozen, N. E. van de Poll, & J. A. Sergeant (Eds.), Emotions: Essays on emotion theory (pp. 29–59). Hillsdale, NJ, USA: Erlbaum. Gray, J. A. (1994). Framework for a taxonomy of psychiatric disorder. In S. H. M. van Goozen, N. E. van de Poll, & J. A. Sergeant (Eds.), Emotions: Essays on emotion theory (pp. 29–59). Hillsdale, NJ, USA: Erlbaum.
Zurück zum Zitat Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York, NY: Guilford Press. Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York, NY: Guilford Press.
Zurück zum Zitat Heller, W. (1993). Neuropsychological mechanisms of individual differences in emotion, personality, and arousal. Neuropsychology,7, 476–489.CrossRef Heller, W. (1993). Neuropsychological mechanisms of individual differences in emotion, personality, and arousal. Neuropsychology,7, 476–489.CrossRef
Zurück zum Zitat Levine, L. J., & Safer, M. A. (2002). Sources of bias in memory for emotions. Current Directions in Psychological Science,11, 169–173.CrossRef Levine, L. J., & Safer, M. A. (2002). Sources of bias in memory for emotions. Current Directions in Psychological Science,11, 169–173.CrossRef
Zurück zum Zitat Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.
Zurück zum Zitat MacLeod, A. K. (2017). Prospection, well-being, and mental health. New York, NY: Oxford University.CrossRef MacLeod, A. K. (2017). Prospection, well-being, and mental health. New York, NY: Oxford University.CrossRef
Zurück zum Zitat MacLeod, A. K., Tata, P., Kentish, J., & Jacobsen, H. (1997). Retrospective and prospective cognitions in anxiety and depression. Cognition and Emotion,11, 467–479.CrossRef MacLeod, A. K., Tata, P., Kentish, J., & Jacobsen, H. (1997). Retrospective and prospective cognitions in anxiety and depression. Cognition and Emotion,11, 467–479.CrossRef
Zurück zum Zitat Martell, C. R., Addis, M. E., & Jacobsoen, N. S. (2001). Depression in context: Strategies for guided action. New York: Norton. Martell, C. R., Addis, M. E., & Jacobsoen, N. S. (2001). Depression in context: Strategies for guided action. New York: Norton.
Zurück zum Zitat Mathews, A., May, J., Mogg, K., & Eysenck, M. (1990). Attentional bias in anxiety: Selective search or defective filtering? Journal of Abnormal Psychology,99, 166–173.CrossRefPubMed Mathews, A., May, J., Mogg, K., & Eysenck, M. (1990). Attentional bias in anxiety: Selective search or defective filtering? Journal of Abnormal Psychology,99, 166–173.CrossRefPubMed
Zurück zum Zitat Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology,49, 377–412.CrossRefPubMed Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology,49, 377–412.CrossRefPubMed
Zurück zum Zitat Ruscio, A. M., & Khazanov, G. K. (2017). Anxiety and depression. In R. J. DeRubeis & D. R. Strunk (Eds.), The Oxford handbook of mood disorders (pp. 313–324). New York: Oxford University Press. Ruscio, A. M., & Khazanov, G. K. (2017). Anxiety and depression. In R. J. DeRubeis & D. R. Strunk (Eds.), The Oxford handbook of mood disorders (pp. 313–324). New York: Oxford University Press.
Zurück zum Zitat Thomas, D. L., & Diener, E. (1990). Memory accuracy in the recall of emotions. Journal of Personality and Social Psychology,59, 291–297.CrossRef Thomas, D. L., & Diener, E. (1990). Memory accuracy in the recall of emotions. Journal of Personality and Social Psychology,59, 291–297.CrossRef
Zurück zum Zitat Thompson, R. J., Spectre, A., Insel, P., Mennin, D., Gotlib, I. H., & Gruber, J. (2017). Positive and negative affective forecasting in remitted individuals with bipolar I disorder, and major depressive disorder, and healthy controls. Cognitive Therapy and Research,41, 673–685. https://doi.org/10.1007/s10608-017-9840-2.CrossRef Thompson, R. J., Spectre, A., Insel, P., Mennin, D., Gotlib, I. H., & Gruber, J. (2017). Positive and negative affective forecasting in remitted individuals with bipolar I disorder, and major depressive disorder, and healthy controls. Cognitive Therapy and Research,41, 673–685. https://​doi.​org/​10.​1007/​s10608-017-9840-2.CrossRef
Zurück zum Zitat Watson, D., & Clark, L. A. (1991). The mood and anxiety symptom questionnaire. Iowa City: Department of Psychology, University of Iowa. Watson, D., & Clark, L. A. (1991). The mood and anxiety symptom questionnaire. Iowa City: Department of Psychology, University of Iowa.
Zurück zum Zitat Watson, D., & Clark, L. A. (1994). The PANAS-X: Manual for the positive and negative affect schedule-expanded form. Ames, IA, USA: The University of Iowa. Watson, D., & Clark, L. A. (1994). The PANAS-X: Manual for the positive and negative affect schedule-expanded form. Ames, IA, USA: The University of Iowa.
Zurück zum Zitat Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS Scales. Journal of Personality and Social Psychology,54, 1063–1070.CrossRefPubMed Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS Scales. Journal of Personality and Social Psychology,54, 1063–1070.CrossRefPubMed
Zurück zum Zitat Wilson, T. D., Wheatley, T., Meyers, J. M., Gilbert, D. T., & Axsom, D. (2000). Focalism: A source of durability bias in affective forecasting. Journal of Personality and Social Psychology,78, 821–836.CrossRefPubMed Wilson, T. D., Wheatley, T., Meyers, J. M., Gilbert, D. T., & Axsom, D. (2000). Focalism: A source of durability bias in affective forecasting. Journal of Personality and Social Psychology,78, 821–836.CrossRefPubMed
Metadaten
Titel
Forecasting the Future, Remembering the Past: Misrepresentations of Daily Emotional Experience in Generalized Anxiety Disorder and Major Depressive Disorder
verfasst von
Danielle C. Mathersul
Ayelet Meron Ruscio
Publikationsdatum
23.10.2019
Verlag
Springer US
Erschienen in
Cognitive Therapy and Research / Ausgabe 1/2020
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-019-10048-5

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