Article2011

The dynamic interplay between negative and positive emotions in daily life predicts response to treatment in depression: A momentary assessment study

Marieke Wichers · Claudia Menne‐Lothmann · Claudia J.P. Simons · Nancy A. Nicolson · Frenk P. M. L. Peeters

89 citations0/0 files storedBritish Journal of Clinical Psychology

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Mental Health Research Topics Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychotherapy Techniques and Applications

Abstract

OBJECTIVES: Although the treatment of depressive illness aims to restore the imbalance between an excess of negative affect (NA) and a shortage of positive affect (PA), no study has examined how NA and PA may influence each other in depression. This study examines how NA and PA dynamically influence each other in depression and how this may impact on treatment response. DESIGN: Depressed help-seeking individuals participated in the Experience Sampling Method (ESM), which enables visualization of subtle dynamic alterations of momentary affective states over time. Thereafter, participants received a combination of antidepressant treatment and psychotherapy, and were followed up each month. METHODS: NA and PA were assessed during ESM at 10 random moments per day for 6 days. Depressive symptoms were assessed at baseline and at monthly intervals during treatment. RESULTS: Future response to treatment was associated with altered baseline NA-PA dynamics in individuals with previous depressive episodes. Their daily life boosts of PA were followed by a stronger suppression of NA over subsequent hours than in other depressed groups or controls. CONCLUSIONS: Subtle individual differences in daily life emotional dynamics predict future treatment outcome in depression.

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References

1960A RATING SCALE FOR DEPRESSION 1988Development and validation of brief measures of positive and negative affect: The PANAS scales.1988Development and validation of brief measures of positive and negative affect: The PANAS scales.2004Resilient Individuals Use Positive Emotions to Bounce Back From Negative Emotional Experiences.2004The Positive and Negative Affect Schedule (PANAS): Construct validity, measurement properties and normative data in a large non‐clinical sample 1987Validity and Reliability of the Experience-Sampling Method 1999The two general activation systems of affect: Structural findings, evolutionary considerations, and psychobiological evidence.1995Testing a tripartite model: II. Exploring the symptom structure of anxiety and depression in student, adult, and patient samples.

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2019The dynamical signature of anhedonia in major depressive disorder: positive emotion dynamics, reactivity, and recovery 2013Moment-to-Moment Transfer of Positive Emotions in Daily Life Predicts Future Course of Depression in Both General Population and Patient Samples 2015Experience sampling and ecological momentary assessment studies in psychopharmacology: A systematic review 2015

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