Anticipatory Pleasure Skills Training: A New Intervention to Reduce Anhedonia in Schizophrenia

Favrod, Jérôme; Giuliani, Fabienne; Ernst, F; Bonsack, Charles

doi:10.1111/j.1744-6163.2010.00255.x

Cited by 63 publications

(34 citation statements)

References 52 publications

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“…This result extends previous findings in Parkinson's disease (Jordan et al 2013) and schizophrenia (Favrod et al 2010) linking between anticipatory pleasure and goal-directed behaviors. Thus, difficulties in predicting enjoyment in the future negatively influence motivation to seek out a desired end in older healthy adults (Freitas et al 2002a).…”

Section: Discussionsupporting

confidence: 90%

“…Although similar factors impact on the different types of apathy, this impact was not the same especially regarding the behavioral apathy. This study points toward the importance of the development and implementation of non-pharmacological interventions such as promotion physical activity (Telenius et al 2015), cognitive remediation interventions, and anticipatory pleasure skills training (Favrod et al 2010) to reduce apathy in healthy older adults.…”

Section: Conclusion and Future Developmentsmentioning

confidence: 90%

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Multidimensional model of apathy in older adults using partial least squares—path modeling

Raffard¹,

Bortolon²,

Burca³

et al. 2016

AGE

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Apathy defined as a mental state characterized by a lack of goal-directed behavior is prevalent and associated with poor functioning in older adults. The main objective of this study was to identify factors contributing to the distinct dimensions of apathy (cognitive, emotional, and behavioral) in older adults without dementia. One hundred and fifty participants (mean age, 80.42) completed self-rated questionnaires assessing apathy, emotional distress, anticipatory pleasure, motivational systems, physical functioning, quality of life, and cognitive functioning. Data were analyzed using partial least squares variance-based structural equation modeling in order to examine factors contributing to the three different dimensions of apathy in our sample. Overall, the different facets of apathy were associated with cognitive functioning, anticipatory pleasure, sensitivity to reward, and physical functioning, but the contribution of these different factors to the three dimensions of apathy differed significantly. More specifically, the impact of anticipatory pleasure and physical functioning was stronger for the cognitive than for emotional apathy. Conversely, the impact of sensibility to reward, although small, was slightly stronger on emotional apathy. Regarding behavioral apathy, again we found similar latent variables except for the cognitive functioning whose impact was not statistically significant. Our results highlight the need to take into account various mechanisms involved in the different facets of apathy in older adults without dementia, including not only cognitive factors but also motivational variables and aspects related to physical disability. Clinical implications are discussed.

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Section: Discussionsupporting

confidence: 90%

Section: Conclusion and Future Developmentsmentioning

confidence: 90%

Multidimensional model of apathy in older adults using partial least squares—path modeling

Raffard¹,

Bortolon²,

Burca³

et al. 2016

AGE

View full text Add to dashboard Cite

show abstract

“…For example, a pilot study of six sessions of Loving Kindness Meditation, focused on mindfully directing compassion toward the self and others, led to improvements in motivational negative symptoms as measured by CAINS, and these benefits remained at a three-month follow-up (Johnson et al 2011). The feasibility of a cognitive/pleasure skills training approach to enhance anticipatory pleasure has also been considered (Favrod et al 2010), and improvements were found on a self-report measure of anticipatory pleasure (Gard et al 2007) and a measure of daily activities. Thus, from a psychosocial treatment perspective, recent studies indicate that motivational deficits may be responsive to interventions that address defeatist beliefs, social connections, general compassion for oneself and others, and prospection.…”

Section: Recent Developmentsmentioning

confidence: 97%

Motivational Deficits and Negative Symptoms in Schizophrenia: Concepts and Assessments

Reddy

Horan

Green

2015

Behavioral Neuroscience of Motivation

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Recent years have seen a resurgence of interest in motivational disturbances in schizophrenia . This is largely driven by the recognition that these disturbances are central to the "experiential" subdomain of negative symptoms and are particularly important determinants of functional disability. Research into the causes and treatment of experiential negative symptoms is therefore a high priority. This chapter reviews findings from experimental psychopathology and affective science relevant to understanding the neurobehavioral processes that underlie these negative symptoms. We focus on abnormalities in four processes that have received the most attention as likely contributors: anticipatory pleasure, reward learning, effort-based decision-making, and social motivation. We also review the research literature on pharmacological and psychosocial approaches to reduce functional deficits attributable to negative symptoms. Translational research is beginning to inform the development of new treatments specifically designed to target the experiential subdomain of negative symptoms.

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“…This deficit may lead to low motivation and poor functioning (Foussias et al, 2011;Strauss et al, 2013;Rocca et al, 2014). Preliminary evidence suggests targeting anticipatory pleasure in schizophrenia may be effective (Favrod et al, 2010) but the development of interventions has been limited by the unclear nature of this deficit.…”

Section: Introductionmentioning

confidence: 96%

Predicting the future in schizophrenia: The discrepancy between anticipatory and consummatory pleasure

Edwards

Cella

Tarrier

et al. 2015

Psychiatry Research

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Anticipatory Pleasure Skills Training: A New Intervention to Reduce Anhedonia in Schizophrenia

Abstract: These preliminary data need to be interpreted with caution given the small sample of the study, but they offer promising paths to develop new interventions to alleviate anhedonia in schizophrenia.

Cited by 63 publications

References 52 publications

Multidimensional model of apathy in older adults using partial least squares—path modeling

Multidimensional model of apathy in older adults using partial least squares—path modeling

Motivational Deficits and Negative Symptoms in Schizophrenia: Concepts and Assessments

Predicting the future in schizophrenia: The discrepancy between anticipatory and consummatory pleasure

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