The rosy future paradox: Positive future thinking without task relevance enhances negative biases and anxiety for aversive events

Abstract

Expectations have an important role in guiding behavior and the interpretation of novel information, but can contain negative biases such as is the case in anxiety disorders. Positive future thinking may provide an accessible way to attenuate these negatively biases. However, much is still unclear about the optimal form of such positive interventions, and it is unknown if the effects go beyond subjective experience. Here, we used a positive future thinking intervention to adapt the way a stressful event is experienced. Participants imagined either task-relevant (N = 21) or irrelevant (N = 21) positive future events before being subjected to the Trier Social Stress Task, or did not receive the intervention (N= 20). We recorded resting state EEG during the anticipation and recovery phases of the TSST to assess intervention and trait anxiety related differences in the level of frontal delta-beta coupling, which is considered a neurobiological substrate of emotion regulation. Results show that the intervention reduces event-related stress and anxiety, and increases social fixation behavior and task performance, but only if future thinking is task relevant. Paradoxically, task-irrelevant positive future thoughts enhance negative perceptual biases and stress reactivity. This increase in stress reactivity in the task-irrelevant group was corroborated by the elevated levels frontal delta-beta coupling during event anticipation, especially for those with high trait anxiety. This suggests an increased demand for emotion regulation following the task-irrelevant intervention, possibly due to the contextual incongruence between positive imagery and the stressor. Together, these results show that positive future thinking can mitigate the negative emotional, behavioral and neurobiological consequences of a stressful event, but that it should not be applied indiscriminately. Task-relevant positive future thinking can be an accessible way to boost efficacy of exposure therapy for pathological anxiety, and can help people deal with negative anticipation in daily life.

Future-oriented imagery rescripting facilitates conducting behavioral experiments in social anxiety

“…It is also unclear whether it is important that the imagery is related to the behavioral experiment or whether any form of positive mental imagery is sufficient. Recent findings suggest that a positive future thinking intervention can mitigate negative effects of a stressful event (Landkroon, van Dis et al, 2021;Montijn, Gerritsen, van Son, & Engelhard, 2022), but only if the intervention is related to the event (Montijn et al, 2022). Future imagery rescripting research with a more stringent control group is needed that also examines long-term efficacy (i.e., symptom reduction).…”