Future‐directed thinking in eating disorders

Godley, Joanne; Tchanturia, Kate; MacLeod, Andrew K.; Schmidt, U

doi:10.1348/014466501163698

Cited by 23 publications

(26 citation statements)

References 21 publications

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“…Previous work has shown a tendency for people with bulimia to show an increase in intrapersonal-and health-related thoughts in both positive and negative conditions (Godley et al, 2001), and a tendency for people with anorexia to show an increase in intrapersonal-and health-related thoughts in the positive condition, and achievement / failure-related future-directed cognitions in the negative conditions (Godley et al, 2001). Another study has examined the content of future-directed thinking in individuals with Multiple Sclerosis (MS), on the basis of whether the items are connected with their illness or not.…”

Section: Content Of Future-directed Thinking In First Episode Psychosmentioning

confidence: 97%

“…However, calculations based on research into other clinical populations, such as individuals with bulimia (Godley, Tchanturia, MacLeod, & Schmidt, 2001) and depression (MacLeod, Pankhania, et al, 1997), suggested that the effect size in question was large (Cohen, 1988). To achieve 80% power to detect a large effect at an alpha level of 5%, a sample size of 26 per group was necessary for the between-groups part of the study.…”

Section: Power Calculationmentioning

confidence: 99%

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Future‐directed thinking in first‐episode psychosis

Goodby

MacLeod

2015

British J Clinic Psychol

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ObjectivesThis study employed the Future Thinking Task (MacLeod et al., 2005, Br. J. Clin. Psychol., 44, 495) to investigate whether future‐directed thinking in first‐episode psychosis is significantly different from that of matched controls, and to identify its correlates in this patient group.DesignCross‐sectional, mixed‐model, case–control design.MethodParticipants were 30 patients with first‐episode psychosis and 27 matched controls. The Future Thinking Task was used to assess future‐directed thinking in both groups. Anxiety and depression were also measured as well as self‐report measures of hopelessness, suicide ideation and a measure of negative symptoms.ResultsIndividuals with psychosis were impaired in future‐directed thinking in both positive and negative domains, particularly with respect to the coming year. Increased self‐reported hopelessness was associated with reduced positive future thinking and increased negative future thinking. Increased positive future thinking was also associated with reduced severity of negative symptoms, whilst negative future thinking was associated with suicide ideation.ConclusionsIndividuals with first‐episode psychosis show a reduction in positive future thinking in line with that seen in other clinical groups, but this is accompanied by an unexpected reduction in negative future thinking. The findings suggest a general disengagement with the future in this group that may affect recovery and functioning.Practitioner points Individuals with first‐episode psychosis may benefit from interventions to help them engage with their future, in particular in the mid‐range, up to 1 year. The Future Thinking Task may be a helpful addition to the assessment of suicide risk in those with first‐episode psychosis. Decreased positive future thinking was associated with increased severity of negative symptoms, indicating a potential new treatment angle for this resistant aspect of psychosis. The cross‐sectional design of this study does not allow for conclusions about the causal relationship between psychosis and future‐directed thinking. This study investigated future‐directed thinking in individuals with a range of psychotic illnesses employing a trans‐diagnostic approach; therefore, conclusions cannot be drawn about the nature of future‐directed thinking in individual psychotic disorders.

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Section: Content Of Future-directed Thinking In First Episode Psychosmentioning

confidence: 97%

Section: Power Calculationmentioning

confidence: 99%

Future‐directed thinking in first‐episode psychosis

Goodby

MacLeod

2015

British J Clinic Psychol

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“…Rather than relying on a self‐report evaluation of PWB, an integration of both the treating clinician's and the patient's point of view may be beneficial . These considerations are particularly relevant in patients with AN whose lack of realistic expectations may give rise to inaccurate self‐reporting of positive emotions and cognitions . In particular, if on one hand, we cannot exclude from our findings the possibility that out‐patients with AN present PWB actually similar to that of healthy controls, on the other hand, it has suggested that anorectic behaviors become positively meaningful to individuals with AN.…”

Section: Clinical Implications and Conclusionmentioning

confidence: 99%

Psychological well‐being in out‐patients with eating disorders: A controlled study

Tomba

Offidani

Tecuta

et al. 2013

Intl J Eating Disorders

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“…A hopeless view of the future in which negative events are perceived as likely and positive events are perceived as unlikely is associated with suicidal ideation (Sargalska, Miranda, & Marroquín, 2011), suicide attempt (MacLeod et al, 2005, eating disorders (Godley, Tchanturia, MacLeod, & Schmidt, 2001), substance abuse (Conrod, Pihl, Stewart, & Dongier, 2000), and risky sexual behavior (Broccoli & Sanchez, 2009). Global hopelessness about the future has long been considered a powerful psychological risk factor for suicidal ideation and attempt (e.g., Abramson et al, 1998;Brown, Beck, Steer, & Grisham, 2000).…”

mentioning

confidence: 99%

Escaping the Future: Affective Forecasting in Escapist Fantasy and Attempted Suicide

Marroquín¹,

Nolen–Hoeksema²,

Miranda³

2013

Journal of Social and Clinical Psychology

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When people predict how they will feel in response to future events, they typically overestimate the intensity of both negative and positive affect. These affective forecasting errors influence decision making in the present, but the possibility that they serve an adaptive function has been largely overlooked, as has their potential role in psychopathology. in 2 studies, we examined whether the forecasting error for positive events may serve a self-regulatory function by protecting the individual against maladaptive escape behavior in the face of distress. Blunted affective forecasts for future positive events were associated with greater appeal of escape fantasies but not general fantasies (Study 1), and distinguished suicide attempters' view of the future from that of both healthy controls and individuals matched in depressive symptoms but lacking a history of a suicide attempt (Study 2). overestimation of future positive affect in healthy individuals may play a role in adaptive cognitive and affective processes promoting perseverance over escape. interventions with individuals at risk for escape behavior, including suicide, may benefit from increased attention to affective forecasting processes, emotioncognition interactions, and their relationships with self-defeating behavior.

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Future‐directed thinking in eating disorders

Cited by 23 publications

References 21 publications

Future‐directed thinking in first‐episode psychosis

Future‐directed thinking in first‐episode psychosis

Psychological well‐being in out‐patients with eating disorders: A controlled study

Escaping the Future: Affective Forecasting in Escapist Fantasy and Attempted Suicide

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