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    Anticipatory Pleasure in Current Psychosis: Cognitive and Emotional Correlates

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    Date
    2020-12
    Author
    Rosebrock, Laina
    Waite, Felicity
    Diamond, Rowan
    Collett, Nicola
    Bold, Emily
    Chadwick, Eleanor
    Teale, Ashley-Louise
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    Citation
    Laina E Rosebrock, Felicity Waite, Rowan Diamond, Nicola Collett, Emily Bold, Eleanor Chadwick, Ashley-Louise Teale, Daniel Freeman. Anticipatory Pleasure in Current Psychosis: Cognitive and Emotional Correlates. Psychiatry Research, December 2020
    Abstract
    Anticipation of pleasure – a key aspect of hedonic experience - is a motivating factor for engaging in activities. Low levels of anticipatory pleasure and activity are found in individuals with psychosis. Cognitive factors (e.g., working memory and IQ) have been a focus of explanation for anticipation of pleasure in psychosis. However, cognitive factors do not fully account for such difficulties. It is plausible that emotional factors (e.g., depression, self-beliefs) also contribute. We examined anticipatory pleasure in relation to cognitive and emotional processes in patients with current psychosis. 128 patients with persecutory delusions in the context of non-affective psychosis completed assessments of anticipatory pleasure, cognitive functioning, emotional processes, and activity. Lower anticipatory pleasure was significantly associated with depression, insomnia, negative-self beliefs, suicidal ideation, poorer psychological wellbeing, and paranoia-related avoidance. There were no significant associations with working memory, physical activity, or meaningful activity. Emotional factors may play a more significant role than cognitive difficulties in the experience of anhedonia in psychosis. However, the cross-sectional design precludes causal inferences. Future research should examine whether, for example, improving self-concept or reducing paranoia-related avoidance leads to improvement in anticipatory pleasure in patients with psychosis.
    URI
    https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/696
    Published online at:
    https://doi.org/10.1016/j.psychres.2020.113697
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    • Schizophrenia and Psychotic Disorders [101]

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