Episodic future thinking in generalized anxiety disorder
Open accessAbstract
Research on future-oriented cognition in generalized anxiety disorder (GAD) has primarily focused on worry, while less is known about the role of episodic future thinking (EFT), an imagery-based cognitive process. To characterize EFT in this disorder, we used the experimental recombination procedure, in which 21 GAD and 19 healthy participants simulated positive, neutral and negative novel future events either once or repeatedly, and rated their phenomenological experience of EFT. Results showed that healthy controls spontaneously generated more detailed EFT over repeated simulations. Both groups found EFT easier to generate after repeated simulations, except when GAD participants simulated positive events. They also perceived higher plausibility of negative-not positive or neutral-future events than did controls. These results demonstrate a negativity bias in GAD individuals' episodic future cognition, and suggest their relative deficit in generating vivid EFT. We discuss implications for the theory and treatment of GAD.
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Episodic future thinking has been linked to emotional regulation, partly based on evidence of reduced specificity and vividness of episodic future thinking in anxious individuals with emotion regulation problems.
“Episodic future thinking has also been linked to emotional regulation, partly on the basis of evidence of reduced specificity and vividness of episodic future thinking in anxious individuals with emotion regulation problems (82–84).”
From Episodic Future Thinking: Mechanisms and Functions (2017) · cites this paper as [84]
The Discussion (section 4; page unavailable) suggests that people with generalized anxiety disorder have relatively less ability to generate vivid episodic future thinking, and the Introduction (section 1; page unavailable) links worry to reduced concrete imagery and emotional processing. The study does not establish reduced specificity as a separate finding or directly test whether emotion-regulation problems account for the difference. (LLM, conf=0.84)
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- Authors
- Wu, J. Q., Szpunar, K. K., Godovich, S. A., Schacter, D. L., & Hofmann, S. G.
- Affiliations
- Boston University (US)
- University of Illinois Chicago (US)
- Harvard University (US)
- Corresponding author
- Hofmann, Stefan G.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2015-12
- Volume
- 36
- Pages
- 1-8
- ISSN
- 0887-6185 (ISSN-L)
- PMC
- PMC4658269
- OpenAlex
- W1609367337
- Cited by
- 97
- References
- 58
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 17 · 2023: 15 · 2022: 8 · 2021: 15 · 2020: 8 · 2019: 7 · 2018: 8 · 2017: 4 · 2016: 3 · 2014: 1
- FWCI
- 7.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- OpenBU (Boston University) (submittedVersion)
- Funders
- NIH (R01AT007257, R34MH078308, R21MH102646, R01MH60941, RO1AG08441)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Keywords
- episodic future thinking, generalized anxiety disorder, future-oriented cognition, imagery vividness, negativity bias, worry
- MeSH terms
- Adolescent, Adult, Analysis of Variance, Anxiety Disorders, Female, Forecasting, Humans, Male, Middle Aged, Perception, Thinking, Case-Control Studies, Young Adult
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