预期和动机作为有抑郁症状年轻人休闲、社交享受及参与度的预测因素:生态瞬时评估研究
Anticipation and Motivation as Predictors of Leisure and Social Enjoyment and Engagement in Young People With Depression Symptoms: Ecological Momentary Assessment Study.
作者信息
Sahni Angad, McCabe Ciara
机构信息
Department of Psychology, School of Psychology and Clinical Language Sciences, University of Reading, Whiteknights Campus, Reading, RG6 6AL, United Kingdom, 44 (0) 118 378 5450, 44 (0) 118-378-8523.
出版信息
JMIR Ment Health. 2025 Aug 13;12:e74427. doi: 10.2196/74427.
BACKGROUND
Participating in leisure and social activities can alleviate depression symptoms, yet effective strategies to enhance enjoyment and maintain long-term engagement remain scarce. Gaining insight into the reward subcomponents that influence daily experiences and drive behavior could uncover novel targets for intervention.
OBJECTIVE
This study examines the role of anticipation and motivation in predicting enjoyment and engagement in leisure activities and socializing among young people, and how these relationships are moderated by depression severity, using intensive longitudinal ecological momentary assessments.
METHODS
Participants (N=80; mean age 20, SD 2.3 years) used the Psymate2 smartphone app to report mood, enjoyment, current and anticipated activities, and social company 7 times daily for 6 days. Activity categories were relaxation, exercise, other leisure, work or school, studying, chores, shopping, hygiene, eating or drinking, and traveling, and company categories were partner, friends, family, colleagues, acquaintances, strangers, and nobody. Anticipation (anticipatory pleasure and expectation) and motivation (interest and preference) for upcoming activities were rated on Likert scales. Participants were grouped by depression severity, measured using the Mood and Feelings Questionnaire (MFQ): high (HD, MFQ ≥27, N=42), moderate (MD, MFQ 16-27, N=16), and low, that is, controls (C, MFQ ≤16, N=22). Totally, 2316 assessments met inclusion criteria.
RESULTS
Leisure activities (relaxation, exercise, and other leisure) and social company (partner, friends, and family) were rated most enjoyable across all groups. Higher depression symptoms were associated with reduced enjoyment of studying (β=-.03; P=.005), eating or drinking (β=-.02; P=.02), and other leisure activities (β=-.02; P=.02), as well as lower engagement in work or school (β=-.26; P=.02) and hygiene (β=-.08; P=.03), and increased inactivity (β=.17; P=.03). Time-lagged multilevel analyses showed that anticipatory pleasure predicted greater enjoyment across all activities (β=.12; P<.001) and social contexts (β=.33; P<.001), with consistent effects in controls and the high depression group. However, the more an activity was expected to happen, the less enjoyment was experienced in the whole sample (β=-.006; P=.001) and high depression group (β=-.008; P=.001) but not controls. Anticipatory pleasure and motivation (preference) predicted leisure engagement in the whole sample (β=.19, P=.003; β=.11, P<.001) and controls (β=.43, P=.005; β=.17, P=.048) but not the depression groups. Anticipatory pleasure predicted only leisure engagement in the high depression group when predictors and outcomes were matched for the same event (β=.22; P=.001). Anticipatory pleasure predicted social engagement in the whole sample (β=.095; P=.047) and controls (β=.34; P=.003), but not in the depression groups.
CONCLUSIONS
These findings highlight the importance of anticipatory pleasure and intrinsic motivation in shaping young people's engagement and enjoyment of daily activities. Structured or externally driven contexts may dampen enjoyment-especially among those with depression-underscoring the need for novel interventions targeting anticipation and motivation to enhance sustained participation in rewarding activities, leading to improved well-being in individuals with depression.
背景
参与休闲和社交活动可以缓解抑郁症状,但增强愉悦感并保持长期参与的有效策略仍然稀缺。深入了解影响日常体验并驱动行为的奖励子成分可能会揭示新的干预靶点。
目的
本研究使用密集纵向生态瞬时评估,考察预期和动机在预测年轻人休闲活动和社交中的愉悦感及参与度方面的作用,以及这些关系如何受到抑郁严重程度的调节。
方法
参与者(N = 80;平均年龄20岁,标准差2.3岁)使用Psymate2智能手机应用程序,连续6天每天7次报告情绪、愉悦感、当前和预期的活动以及社交陪伴情况。活动类别包括放松、锻炼、其他休闲、工作或学习、学习、家务、购物、卫生、饮食和旅行,社交陪伴类别包括伴侣、朋友、家人、同事、熟人、陌生人以及无人陪伴。对即将进行的活动的预期(预期愉悦和期望)和动机(兴趣和偏好)采用李克特量表进行评分。参与者根据使用情绪和感受问卷(MFQ)测量的抑郁严重程度进行分组:高抑郁组(HD,MFQ≥27,N = 42)、中度抑郁组(MD,MFQ 16 - 27,N = 16)和低抑郁组,即对照组(C,MFQ≤16,N = 22)。总共2316次评估符合纳入标准。
结果
在所有组中,休闲活动(放松、锻炼和其他休闲)和社交陪伴(伴侣、朋友和家人)的愉悦感评分最高。较高的抑郁症状与学习(β = -0.03;P = 0.005)、饮食(β = -0.02;P = 0.02)和其他休闲活动(β = -0.02;P = 0.02)的愉悦感降低相关,同时与工作或学习(β = -0.26;P = 0.02)和卫生(β = -0.08;P = 0.03)的参与度降低以及不活动增加(β = 0.17;P = 0.03)相关。时间滞后的多层次分析表明,预期愉悦在所有活动(β = 0.12;P < 0.001)和社交情境(β = 0.33;P < 0.001)中预测了更高的愉悦感,在对照组和高抑郁组中效果一致。然而,在整个样本(β = -0.006;P = 0.001)和高抑郁组(β = -0.008;P = 0.001)中,一项活动预期发生的频率越高,体验到的愉悦感越少,但对照组并非如此。预期愉悦和动机(偏好)在整个样本(β = 0.19,P = 0.003;β = 0.11,P < 0.001)和对照组(β = 0.43,P = 0.005;β = 0.17,P = 0.048)中预测了休闲参与度,但在抑郁组中并非如此。当预测因素和结果针对同一事件进行匹配时,预期愉悦仅在高抑郁组中预测了休闲参与度(β = 0.22;P = 0.001)。预期愉悦在整个样本(β = 0.095;P = 0.047)和对照组(β = 0.34;P = 0.003)中预测了社交参与度,但在抑郁组中并非如此。
结论
这些发现强调了预期愉悦和内在动机在塑造年轻人日常活动的参与度和愉悦感方面的重要性。结构化或外部驱动的情境可能会降低愉悦感,尤其是在抑郁症患者中,这突出了针对预期和动机的新型干预措施的必要性,以增强对有益活动的持续参与,从而改善抑郁症患者的幸福感。
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