Cited by 97Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMemory Processes and InfluencesIdentity, Memory, and Therapy

Episodic future thinking in generalized anxiety disorder

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Wu, Jade Q., Szpunar, Karl K., Godovich, Sheina A., Schacter, Daniel L., Hofmann, Stefan G.·2015·Journal of Anxiety Disorders

Abstract

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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Research works printed but not linked: 2

  1. Brown T Barlow D Anxiety disorders interview schedule adult version (ADIS-V) 2013 Oxford University Press New York, NY
  2. Wheatley J Brewin CR Patel T Hackmann A Wells A Fischer P Myers S I'll believe it when I see it”: imagery re-scripting of intrusive sensory memories. Journal of Behaviour Therapy and Experimental Psychiatry 2007 39 371 385 doi:10.1016/j.jbtep.2007.07.003 17915192 · DOI · Paper page

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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)
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
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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