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1.
J Exp Child Psychol ; 249: 106099, 2024 Oct 04.
Article in English | MEDLINE | ID: mdl-39368238

ABSTRACT

Imagining anticipated affects can foster future-oriented behavior in adults. However, children often still have difficulties in vividly imagining how they will feel in a specific episode (affective episodic future thinking [EFT]). We investigated whether enacting anticipated affects helps children to imagine how they will feel and whether this enhances proactive behavior in turn. A total of 90 5-year-old children were randomly assigned to one of three groups. In the embodiment group, children were instructed to imagine and physically enact how positive and negative they would feel in an upcoming performance test. Children in the EFT-only group underwent a similar procedure but did not enact their future affect. In the control group, children were reminded of the upcoming test only without receiving a prompt to imagine the upcoming test. After the manipulation, children had the opportunity to play one of three games. One game was relevant for the test. Children's choice to play the relevant game in advance of the test served as an indicator for proactive behavior. Mechanisms (e.g., detailedness of the envisioned event) and moderators (theory of mind and neuroticism) of the link between embodied EFT and proactive behavior were explored. Children in the embodiment group chose the relevant game above chance level, but they did not choose the relevant game more often than children in the EFT-only group and the control group. Those results were independent of the assumed mediators and moderators.

2.
Br J Soc Psychol ; 2024 Oct 07.
Article in English | MEDLINE | ID: mdl-39373145

ABSTRACT

In four studies (Ntotal = 1832 French participants), we tested if perceiving present society as disintegrated and disregulated (i.e. perceived anomie) would foster the projection of a negative national future and feelings of collective angst; which would in turn predict increased present intentions to engage in actions aimed at defending the country. Perceived anomie was measured (Pilot Study) or manipulated (Studies 1-3). In the Pilot study, we found that perceiving high disregulation in present society was associated with the evocation of distressing national futures (e.g. war/misery), stronger collective angst and greater support for action against outgroups (e.g. closing borders). Similarly, when anomie was made salient (vs. not), participants projected more negative French futures (Study 1), believed more that the situation of France will deteriorate in the future (Study 2) and reported stronger collective angst (both studies); which in turn predicted greater support/intentions to engage in different type of defensive collective action and especially anti-immigration actions (both studies). In Study 3, the effects were not significant despite descriptive patterns in the expected direction. Altogether, these results suggest that the way people think about the national future is shaped by their perceptions of the present and contributes to predict their current actions.

3.
Learn Behav ; 2024 Sep 16.
Article in English | MEDLINE | ID: mdl-39285128

ABSTRACT

The "Spoon task" is a common measure of episodic future thinking (i.e., ability to imagine hypothetical future events) in children. However, by providing items and prompting children to choose one, this task might not require deliberate and goal-driven episodic future thinking. In contrast, "spontaneous" Spoon tasks may better reflect Tulving's original conception as they minimize environmental cues and verbal prompts. We identify challenges in designing such tasks, including removing the scaffolded intention to act and giving children permission and sufficient motivation to act. Drawing on the comparative literature, we propose methods to overcome these obstacles when designing spontaneous Spoon tasks. Furthermore, sampling from the work of Clayton and colleagues, we advocate for a multipronged approach including two or more of the following methods in order to capture spontaneous behavior: naturalistic observation, virtually administered tasks within the child's home, laboratory experiments, and questionnaires. Our review highlights the importance of spontaneous episodic future thinking and establishes a foundation for future methodologies to study this complex cognitive process.

4.
Philos Trans R Soc Lond B Biol Sci ; 379(1913): 20230399, 2024 Nov 04.
Article in English | MEDLINE | ID: mdl-39278244

ABSTRACT

Children's episodic future-thinking is typically assessed using experimental tasks that measure whether children select an item with future utility. Although these tasks-inspired by Tulving's seminal 'spoon test' (Tulving E. 2005 Episodic memory and autonoesis: uniquely human? In The missing link in cognition: origins of self-reflective consciousness [eds HS Terrace, J Metcalfe], pp. 3-56. Oxford, UK: Oxford University Press. [doi:10.1093/acprof:oso/9780195161564.001.0001])-are passed around age 4, they tell us little about the functional significance of children's episodic future-thinking in their day-to-day lives. We highlight how a naturalistic approach can shed light on this issue, and present a small study where we recruited mothers to report on their children's (N = 12, 3- and 4-year-olds and 6- and 7-year-olds) future-thinking over a 7-day period. We used a thematic analysis to understand why children express future thoughts and derived the following themes: (1) expressing future desires and/or intentions, (2) future-oriented information-seeking, (3) connecting present actions with future outcomes, and (4) predicting future mental/physiological states. We compare these themes with recent accounts of the functional significance of future-thinking in adults and conclude that children largely express their future-thinking verbally to request information or support from their parent-likely because they do not yet possess enough control/autonomy to independently act for their own future. Our findings both complement and extend an experimental approach and further elucidate the functional significance of mental time travel in children. This article is part of the theme issue 'Elements of episodic memory: lessons from 40 years of research'.


Subject(s)
Memory, Episodic , Humans , Child , Female , Child, Preschool , Male , Thinking/physiology , Cognition , Child Development
5.
Philos Trans R Soc Lond B Biol Sci ; 379(1913): 20230408, 2024 Nov 04.
Article in English | MEDLINE | ID: mdl-39278248

ABSTRACT

Tulving's concept of mental time travel (MTT), and the related distinction of episodic and semantic memory, have been highly influential contributions to memory research, resulting in a wealth of findings and a deeper understanding of the neurocognitive correlates of memory and future thinking. Many models have conceptualized episodic and semantic representations as existing on a continuum that can help to account for various hybrid forms. Nevertheless, in most theories, MTT remains distinctly associated with episodic representations. In this article, we review existing models of memory and future thinking, and critically evaluate whether episodic representations are distinct from other types of explicit representations, including whether MTT as a neurocognitive capacity is uniquely episodic. We conclude by proposing a new framework, the Multidimensional Model of Mental Representations (MMMR), which can parsimoniously account for the range of past, present and future representations the human mind is capable of creating. This article is part of the theme issue 'Elements of episodic memory: lessons from 40 years of research'.


Subject(s)
Memory, Episodic , Semantics , Humans , Models, Psychological , Thinking/physiology
6.
Behav Cogn Psychother ; : 1-18, 2024 Sep 23.
Article in English | MEDLINE | ID: mdl-39308216

ABSTRACT

BACKGROUND: Future events can spring to mind unbidden in the form of involuntary mental images also known as 'flashforwards', which are deemed important for understanding and treating emotional distress. However, there has been little exploration of this form of imagery in youth, and even less so in those with high psychopathology vulnerabilities (e.g. due to developmental differences associated with neurodiversity or maltreatment). AIMS: We aimed to test whether flashforwards are heightened (e.g. more frequent and emotional) in autistic and maltreatment-exposed adolescents relative to typically developing adolescents. We also explored their associations with anxiety/depression symptoms. METHOD: A survey including measures of flashforward imagery and mental health was completed by a group of adolescents (n=87) aged 10-16 (and one of their caregivers) who met one of the following criteria: (i) had a diagnosis of autism spectrum disorder; (ii) a history of maltreatment; or (ii) no autism/maltreatment. RESULTS: Flashforwards (i) were often of positive events and related to career, education and/or learning; with phenomenological properties (e.g. frequency and emotionality) that were (ii) not significantly different between groups; but nevertheless (iii) associated with symptoms of anxiety across groups (particularly for imagery emotionality), even after accounting for general trait (non-future) imagery vividness. CONCLUSIONS: As a modifiable cognitive risk factor, flashforward imagery warrants further consideration for understanding and improving mental health in young people. This implication may extend to range of developmental backgrounds, including autism and maltreatment.

7.
Br J Soc Psychol ; 2024 Sep 10.
Article in English | MEDLINE | ID: mdl-39254053

ABSTRACT

Futures consciousness (FC) refers to the capacity to understand, anticipate and prepare for the future. As a form of future orientation, it encompasses five interrelated dimensions of time perspective, agency beliefs, openness to alternatives, systems perception and concern for others. We present here cross-sectional evidence that FC is related to greater environmental engagement, above and beyond other future orientation constructs. In two pre-registered studies (one convenience student sample and one representative sample; N = 1041), we found that respondents with higher futures consciousness reported greater proenvironmental behaviour (consumption behaviour, land stewardship, social environmentalism and environmental citizenship). FC proved a better predictor of proenvironmental behaviour than the Zimbardo Inventory's Future Time Perspective and the Consideration for Future Consequences Scale (Study 1). FC was also related to stronger biospheric values (Study 2). However, it was not significantly related to personal environmental footprint (derived from a 16-item calculator). Strikingly, the environmental footprint was also unrelated to the Proenvironmental Behaviour Scale, which could point to a lack of correspondence between measures of proenvironmental propensity and impact. We discuss implications for future-thinking research and interventions aiming to improve futures consciousness.

8.
Obes Rev ; 25(10): e13801, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39095999

ABSTRACT

Episodic future thinking (EFT) strengthens self-regulation abilities by increasing the perceived value of long-term reinforcements and reducing impulsive choice in delay discounting tasks. As such, EFT interventions have the potential to improve dietary and eating-related decision-making in individuals with obesity or binge eating symptoms, conditions associated with elevated delay discounting. Here, we meta-analyzed evidence from 12 studies that assessed whether EFT interventions improve delay discounting and real-world food choice compared to control interventions. Included studies involved 951 adults with overweight or obesity (body mass index [BMI] ≥25). There were no studies involving participants with binge eating disorder. EFT intervention pooled effects were significant, improving delay discounting with a medium effect, g = 0.55, p < 0.0001, and subsequent food choice outcomes with a small effect, g = 0.31, p < 0.01. Notably, our review is the first to analyze mechanisms of effect in this population, demonstrating that improvements were greater when temporal horizons of EFT episodes were aligned with delay discounting tasks and more distant horizons predicted far-transfer to subsequent dietary and eating-related choices. Our findings thus show that EFT is an effective intervention for individuals with higher weight at risk of adverse health consequences.


Subject(s)
Choice Behavior , Delay Discounting , Food Preferences , Obesity , Humans , Food Preferences/psychology , Obesity/psychology , Thinking , Overweight/psychology
9.
Curr Opin Psychol ; 59: 101853, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39128387

ABSTRACT

Episodic future thinking (EFT), the ability to imagine future autobiographical events, is both an everyday and clinically significant cognitive process. With a focus on depression and suicidality, here we discuss evidence connecting EFT with psychopathology. Emotional valence of imagined future events has emerged as the most widely established feature of EFT detected to date, with less positive EFT being associated with depressive symptoms and suicidal thoughts and behaviors. This pattern may not be merely a byproduct of sadness or anhedonia. Promising directions for future research include clarifying the temporal association between EFT and clinical outcomes, investigating the potential benefits and drawbacks of positive EFT, and refining assessments for youth to measure EFT either preceding or soon after onset of psychopathology.


Subject(s)
Depression , Suicidal Ideation , Suicide , Thinking , Humans , Depression/psychology , Suicide/psychology , Memory, Episodic , Imagination
10.
Article in English | MEDLINE | ID: mdl-39167319

ABSTRACT

Maltreatment and autism can be associated with overlapping difficulties across functional domains (e.g., social, emotional, and sensory) and high rates of mental health problems. A cognitive approach focussing on affect-laden cognition, here on episodic future thinking (FT), could help inform cognitive assessments and adapt psychological interventions. Three groups of adolescents (N = 85), (i) maltreatment (n = 28), (ii) autism (n = 29), and (iii) typical development without maltreatment/autism (TD; n = 28), matched in age (10-16 years old), sex (assigned at birth), and socioeconomic status, completed a newly adapted online Autobiographical Future Thinking Test. As predicted, the maltreatment group generated significantly fewer specific future events relative to the TD group, however, the number of specific future events did not significantly differ between the autism and the other groups. Exploratory analyses showed that lower FT specificity was significantly associated with more depressive (but not anxiety) symptoms across the three groups. These findings shed light on the cognitive profiles of both maltreatment and autism during adolescence and signal FT as a potential therapeutic target for adolescents with these developmental differences. Our study lays the foundation for additional comparisons of maltreatment-related presentations versus autism with improved designs and a broader set of cognitive and clinical domains.

11.
Subst Use Misuse ; 59(13): 1901-1910, 2024.
Article in English | MEDLINE | ID: mdl-39080912

ABSTRACT

Background: Episodic future thinking (EFT), which refers to people simulating possible future life events, has been suggested as a promising intervention for substance use disorders. Objectives: To examine the effect of gain-oriented and loss-oriented EFT on smoking cessation and its underlying mechanisms. Results: Two online experiments were conducted (Total N = 362). The results suggested that engaging in EFT led to increased short-term quitting behavior among smokers by bolstering their intentions to quit smoking (indirect effect = 0.10, bootstrap = 5000, bias-corrected 95% CI [0.0008, 0.2353]). Furthermore, the influence of EFT on quitting intention was mediated by anticipated regret (indirect effect = 0.37, bootstrap = 5000, bias-corrected 95% CI [0.2062, 0.5321]). There were no significant differences observed between the effects of gain-oriented and loss-oriented EFT on quitting intention (F = 0.28, p = .60). Importance: Our findings contribute to a growing body of literature on the adaptive functioning of EFT and lend support to the regret regulation theory. Health practitioners may consider integrating EFT into clinical interventions to help smokers quit smoking.


Subject(s)
Emotions , Intention , Smoking Cessation , Thinking , Humans , Smoking Cessation/psychology , Male , Female , Adult , Young Adult , Middle Aged , Cigarette Smoking/psychology , Anticipation, Psychological , Smokers/psychology , Adolescent
12.
J Behav Ther Exp Psychiatry ; 85: 101978, 2024 Dec.
Article in English | MEDLINE | ID: mdl-38964185

ABSTRACT

BACKGROUND AND OBJECTIVES: Despite documented alterations in future thinking in posttraumatic stress disorder (PTSD), our understanding of how individuals with PTSD make future-oriented decisions is limited. We tested the hypothesis that increased discounting in association with PTSD reflects failure to spontaneously envision future rewarding situations. METHODS: Thirty-seven trauma exposed war-zone veterans completed a standard temporal discounting task as well as a temporal discounting task accompanied by episodic future thinking cues. RESULTS: Severity of PTSD symptoms was associated with preference for sooner, smaller rewards in the standard task. Consistent with our hypothesis, when participants engaged in future thinking, greater PTSD symptom severity was no longer associated with steeper discounting. Moreover, difficulty anticipating future events, as measured contemporaneously in a separate task (Verfaellie et al., 2024), mediated the relationship between PTSD symptom severity and degree of discounting in the standard task. Among PTSD symptom clusters, the severity of avoidance and negative alterations in cognition and mood was related to steeper discounting. Measures of depression and alcohol use were not associated with discounting. LIMITATIONS: The sample included mostly male, predominantly White veterans who experienced primarily combat-related trauma. CONCLUSIONS: PTSD-associated alterations in temporal discounting reflect failure to spontaneously imagine future positive events. Two common correlates of PTSD, depression and alcohol use, could not account for the observed associations between PTSD and future-oriented decisions.


Subject(s)
Delay Discounting , Stress Disorders, Post-Traumatic , Thinking , Veterans , Humans , Stress Disorders, Post-Traumatic/physiopathology , Male , Delay Discounting/physiology , Adult , Female , Thinking/physiology , Middle Aged , Reward , Young Adult
13.
Memory ; 32(6): 803-818, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39047055

ABSTRACT

In this article we present a review of research on the IAM Task, whereby memories are cued by self-images in the form of "I am … " statements, such as I am a grandfather, I am a Bob Dylan fan, I am from Darlington, I am a Psychologist. Such cues are particularly successful at accessing memories associated with the formation of specific aspects of the self. We describe the conceptual and historical context for the development of our task and review findings from other researchers who have used the same basic design. We present aggregate data and examples from across several experiments, examining how these patterns change in psychological distress and dysfunction. We also discuss research on "I will be" statements and how these have been adopted to examine self-related future cognitions. We conclude that the working self operates to organise memory retrieval and make accessible episodic and semantic material for self-relevant periods across the lifespan. Moreover, accessibility of self-images can be modulated by retrieval of autobiographical memories, highlighting Conway's bidirectional relationship between memory and the self. We provide suggestions for future research and for the first time provide a standardised version of our IAM Task for use by researchers.


Subject(s)
Cues , Memory, Episodic , Mental Recall , Humans , Self Concept , Memory/physiology
14.
Cognition ; 250: 105867, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38954903

ABSTRACT

The "end of history" illusion in adults (Quoidbach et al., 2013) is an asymmetrical pattern in which people accept that they've changed in the past but don't believe they will change in the future. We explore here whether the same psychological forces that cause the illusion in adults exist in the minds of children. Two studies with 4- to 11-year-olds (N = 256) suggest that they do, even in a within-subject design where the same child is asked questions about the past and the future. A third study (N = 83) finds that this illusion does not persist when children are asked about other people. These studies suggest that even young children believe that although they used to be different in the past, from this point on, they will remain forever young.


Subject(s)
Illusions , Humans , Child , Illusions/physiology , Male , Female , Child, Preschool , Child Development/physiology
15.
Cogn Emot ; : 1-11, 2024 Jul 02.
Article in English | MEDLINE | ID: mdl-38953160

ABSTRACT

Intertemporal decision-making is important for both economy and physical health. Nevertheless, in daily life, individuals tend to prefer immediate and smaller rewards to delayed and larger rewards, which is known as delay discounting (DD). Episodic future thinking (EFT) has been proven to influence DD. However, there is still no inconsistent conclusion on the effect of negative EFT on DD. Considering the perceived controllability of negative EFT may address the issue (Controllability refers to the extent to which progress and result of an event could be controlled by ourselves). In the current study, we manipulated EFT conditions (baseline, neutral EFT, negative-controllable EFT and negative-uncontrollable EFT), delayed time (i.e. 1 week, 1 month, 3 months, 6 months, 1 year and 3 years) and reward magnitude (small, large). We mainly found that when experiencing negative-uncontrollable EFT compared to negative-controllable EFT in the delayed time of 6 months with large rewards, individuals chose more delayed rewards, suggesting that negative-uncontrollable EFT effectively reduced DD under conditions of both large-magnitude reward and longer delayed time. The current study provides new insight for healthy groups on optimising EFT. In that case, individuals are able to gain long-term benefits in financial management and healthcare.

16.
Proc Natl Acad Sci U S A ; 121(25): e2318292121, 2024 Jun 18.
Article in English | MEDLINE | ID: mdl-38861594

ABSTRACT

From close friends to people on a first date, imagining a shared future appears fundamental to relationships. Yet, no previous research has conceptualized the act of imagination as a socially constructed process that affects how connected we feel to others. The present studies provide a framework for investigating imagination as a collaborative process in which individuals cocreate shared representations of hypothetical events-what we call collaborative imagination. Across two preregistered studies (N = 244), we provide evidence that collaborative imagination of a shared future fosters social connection in novel dyads-beyond imagining a shared future individually or shared experience in general. Subjective ratings and natural language processing of participants' imagined narratives illuminate the representational features of imagined events shaped by collaborative imagination. Together, the present findings have the potential to shift how we view the structure and function of imagination with implications for better understanding interpersonal relationships and collective cognition.


Subject(s)
Cooperative Behavior , Imagination , Interpersonal Relations , Humans , Male , Female , Adult , Young Adult , Cognition/physiology
17.
Br J Dev Psychol ; 42(3): 409-424, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38923552

ABSTRACT

Do children consider temporal distance in their reasoning about the world? Using a novel method that relied minimally on verbal ability, we asked N = 106 3- to 6-year-olds to judge which of two characters felt more 'happy'/'sad' right now: one engaging in a pleasant/unpleasant activity tomorrow or another engaging in this same activity when they are a year older. That is, we examined whether children understood that the closer in time a future event, the more intense the currently felt emotion. Starting at age 4, children correctly judged which child was more 'happy'/'sad' right now. However, 4- to 6-year-olds tended not to explain their judgements by referring to temporal distance, per se. Results suggest that children are sensitive to temporal distance early in development, but do not yet verbally express this understanding. Implications for theories about children's future thinking and future areas of research are discussed.


Subject(s)
Child Development , Judgment , Humans , Male , Female , Child , Child, Preschool , Judgment/physiology , Child Development/physiology , Time Perception/physiology , Emotions/physiology , Happiness
18.
J Health Psychol ; : 13591053241258207, 2024 Jun 25.
Article in English | MEDLINE | ID: mdl-38916215

ABSTRACT

Delay discounting (DD) is associated with smoking behavior and relapses. Episodic future thinking (EFT) is one of the leading interventions shown to reduce DD. The 1-month follow-up study with 60 participants that employed EFT as active intervention and episodic recent thinking (ERT) as control intervention was conducted in participants receiving smoking cessation treatment. In EFT group, there was significant decrease in DD rates from pre-intervention to post-intervention (p = 0.009), whereas no significant change was observed in ERT group (p = 0.497). DD rates in EFT group did not change significantly over 1 month (p = 0.059), while decrease was detected in ERT group (p = 0.011). Smoking cessation rates between groups were similar (p = 0.486). Adherence with completing follow-up evaluation forms and performing relevant exercises was higher in EFT group (p = 0.038, p = 0.006). Adding EFT to usual smoking cessation treatment did not increase smoking cessation rates, however feasibility of the self-administered exercises needs to be improved to clarify clinical effects.

19.
Healthcare (Basel) ; 12(12)2024 Jun 17.
Article in English | MEDLINE | ID: mdl-38921322

ABSTRACT

BACKGROUND: This study aimed to delineate the interplay between depression, hopelessness, and episodic future thinking (EFT), focusing on cognitive biases towards negative future thinking that are central to depressive symptomatically. METHODS: A Japanese university student was utilized to scrutinize divergences in EFT across groups stratified by varying degrees of depression and hopelessness. The research leveraged a modified future thinking task (FTT), the Beck Hopelessness Scale, and the Beck Depression Inventory-II to gauge participants' levels of hopelessness and depressive symptoms. RESULTS: Consistent with prior research, the non-depressed group showed a reduction in positive EFT, reinforcing the idea that diminished positive future thinking is a hallmark of depressive conditions, even in the absence of a clinical diagnosis. Moreover, individuals with comorbid depression and elevated hopelessness demonstrated a significant decrease in positive EFT and an increase in negative EFT, substantiating a distinctive cognitive profile for this subgroup. This finding suggests that the presence of hopelessness exacerbates the negative cognitive biases associated with depression. CONCLUSIONS: The study emphasizes the importance of considering hopelessness as an independent construct when assessing EFT in clinical contexts. The pronounced impact of hopelessness on future thinking in those with depression suggests that targeted interventions, such as future-directed therapy (FDT), may be particularly effective for individuals with hopelessness depression by focusing on modifying negative future thinking patterns and enhancing life quality.

20.
Behav Ther ; 55(4): 885-897, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38937057

ABSTRACT

Many people with schizophrenia spectrum disorders (SSDs) experience profound amotivation, which is strongly related to anticipatory anhedonia. Yet, the neuropsychological fundamentals of anticipatory anhedonia and amotivation are barely understood, resulting in a lack of effective treatments for these patients. Aberrancies in positive mental imagery may interfere with the anticipation of pleasure and could thus explain anticipatory anhedonia and amotivation. However, the nature of mental imagery and its relationship with amotivational psychopathology in SSD is largely unknown. In this preregistered study, we therefore examined mental imagery characteristics and their relation to anticipatory anhedonia, amotivation, and daily life activity in SSD. TheN = 86 participants included individuals with SSD (n = 43) and demographically matched healthy controls (n = 43). Mental imagery, anticipatory pleasure, amotivation, and activity engagement were assessed with structured interviews and self-report questionnaires. Ecological momentary assessment was used to measure state anticipatory pleasure and activity engagement in daily life (n = 81). Compared to the control group, the SSD group showed comparable quantity, but less vividness of mental imagery. Reduced vividness of mental imagery in SSD was significantly associated with higher anticipatory anhedonia, amotivation, and low activity engagement in cross-sectional and prospective analyses. Reduced mental imagery vividness may cause a lack of internal incentive to seek pleasurable experiences and could explain amotivation. Interventions aiming to improve mental imagery vividness and related anticipatory pleasure responses in SSD may be effective in targeting amotivation.


Subject(s)
Anhedonia , Imagination , Motivation , Schizophrenia , Humans , Female , Male , Adult , Middle Aged , Schizophrenic Psychology , Pleasure , Ecological Momentary Assessment , Case-Control Studies , Young Adult , Anticipation, Psychological
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