The Effect of Integrated Anticipatory Pleasure Skills Training Program on Anhedonia of Persons with Major Depressive Disorder
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Abstract
This quasi-experimental research employed a two-group pretest-posttest design and aimed to examine the effect of integrated anticipatory pleasure skills training program on anhedonia of persons with major depressive disorder. The sample consisted of 64 male and female patients aged between 20 and 59 years who were receiving outpatient treatment at the psychiatric clinic of a tertiary hospital in Bangkok. Participants were randomly assigned to either the experimental group or the control group, with 32 individuals in each group. The experimental group received the integrated anticipatory pleasure skills training program, while the control group received standard nursing care. Research instruments included The Integrated Anticipatory Pleasure Skills Training program, the Anhedonia Assessment Scale and the Temporal Experience Pleasure Scale (for intervention monitoring). All instruments were validated for content validity by experts. The content validity index (CVI) of the Anhedonia Assessment Scale and the Temporal Experience Pleasure Scale were 1.00 and 0.98, respectively. The reliability coefficients (Cronbach’s alpha) were 0.94 and 0.87, respectively. Data were analyzed using descriptive statistics, paired t-tests, and independent t-tests.
The results revealed that the mean anhedonia score of patients with major depressive disorder in the experimental group significantly decreased after participating in the integrated anticipatory pleasure skills training program (p<0.05). Additionally, the mean anhedonia score of the experimental group after participating in the integrated anticipatory pleasure skills training program was significantly lower than that of the control group (p<0.05). These findings indicated that the nursing intervention involving integrated anticipatory pleasure skills training can effectively reduce anhedonia in patients with major depressive disorder.
The results revealed that the mean anhedonia score of patients with major depressive disorder in the experimental group significantly decreased after participating in the integrated anticipatory pleasure skills training program (p < .05). Additionally, the mean anhedonia score of the experimental group after participating in the integrated anticipatory pleasure skills training program was significantly lower than that of the control group (p < .05). These findings indicate that the nursing intervention involving integrated anticipatory pleasure skills training can effectively reduce anhedonia in patients with major depressive disorder.
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References
Fan Y, Yang X, Chen H, Li T, Lian M, Zhou X, et al. Global burden of mental disorders in
countries and territories, 1990-2021: results from the Global Burden of Disease Study
BMC Psychiatry. 2025;25(1):486.
World Health Organization. Depression and Other Common Mental Disorders: Global
Health Estimates [Internet]. Geneva: WHO; 2017 [cited 2024 Jan 15]. Available from:
https://www.who. int/publications/i/item/depression-global-health-estimates
กรมสุขภาพจิต กระทรวงสาธารณสุข. รายงานประจำปี กรมสุขภาพจิต ปีงบประมาณ 2565 [Internet].
กรุงเทพฯ: กรมสุขภาพจิต; 2565 [cited 2566 Sep 5]. Available from: https://www.dmh.co.th/
report/suicide
Nour MO, Alharbi KK, Hafiz TA, et al. Prevalence of Depression and Associated Factors
among Adults in Saudi Arabia: Systematic Review and Meta-Analysis (2000-2022).
Depression and Anxiety. 2023;2023:1-18.
Llorca P, Gourion D. Management of Anhedonia and Depressive Symptoms in Depressed
Outpatients: Benefit for Functioning. European Psychiatry. 2015;30:364.
วนิดา อาแว, รัชนีกร อุปเสน. ปัจจัยคัดสรรที่มีความสัมพันธ์กับภาวะสิ้นยินดีของผู้ป่วยโรคซึมเศร้า
เขตภาคใต้. วารสารพยาบาลทหารบก. 2561;19 (ฉบับพิเศษ):333-342.
แผนกทะเบียนเวชสถิติ โรงพยาบาลภูมิพลอดุลยเดช กรมแพทย์ทหารอากาศ. สถิติจำนวนผู้ป่วยนอก
โรคซึมเศร้าปี 2562 - 2566. โรงพยาบาลภูมิพลอดุลยเดช กรมแพทย์ทหารอากาศ; 2566.
Wong S, Le GH, Phan L, Rhee TG, Ho R, Meshkat S, et al. Effects of anhedonia on health-
related quality of life and functional outcomes in major depressive disorder: a
systematic review and meta-analysis. J Affect Disord. 2024;356:684-98.
Gourion D, Vinckier F, Mouchabac S. A longi-tudinal study of the Relationships between
anhedonia and functioning in a large cohort of depressed patients treated by general
practitioners. European Neuropsychopharmacology. 2015;25(2):393-4.
Wong S, Le GH, Phan L, Rhee TG, Ho R, Meshkat S, et al. Effects of anhedonia on health-
related quality of life and functional outcomes in major depressive disorder: A
systematic review and meta-analysis. J Affect Disord. 2024;356:684-98.
Luca A, Luca M, Kasper S, Pecorino B, Zohar J, Souery D, et al. Anhedonia is associated
with a specific depression profile and poor antide-pressant response. Int J
Neuropsychopharmacol. 2024;27(12):pyae055.
Klein DF. Depression and anhedonia. In: Clark DC, Fawcett J, editors. Anhedonia and
affect deficit states. New York: PMA Publishing; 1987. p.1-14.
สมภพ เรืองตระกูล และคณะ. คู่มือจิตเวชศาสตร์. กรุงเทพมหานคร: โรงพิมพ์เรือนแก้ว; 2557.
Lin J, Su Y, Rizvi SA, Jagoda J, Li J, Wu Y, Dai Y, Zhang Y, Kennedy SH, Si T. Define and
characterize the anhedonia in major depressive disorder: An explorative study. J Affect
Disord. 2022;313:235-242.
จิรวัฒน์ เตริยาภิรมย์, สกาวรัตน์ เทพประสงค์. ผลของโปรแกรมการฝึกทักษะที่มุ่งสร้างความสุขต่อภาวะ
สิ้นยินดีในผู้ป่วยโรคซึมเศร้า. วารสารวิจัยการพยาบาลและการสาธารณสุข. 2564;1(2):1-13.
Hallford DJ, Barry TJ, Austin DW, Raes F, Takano K, Klein B. Impairments in episodic
future thinking for positive events and anticipatory pleasure in major depression.
J Affect Disord. 2020;260:536-43.
จิราภา บุญศิลป์, วีณา จีระแพทย์, เพ็ญพักตร์ อุทิศ. ผลของโปรแกรมการฝึกทักษะที่มุ่งสร้างความสุข
ต่อภาวะ สิ้นยินดีในผู้ป่วยจิตเภทที่มีอาการทางลบ. The Journal of Baromarajonani College of
Nursing, Nakhonratchasima. 2559;20(1):6-21.
Favrod J, Giuliani F, Ernst F, Bonsack C. Anticipatory pleasure skills training: a new
intervention to reduce anhedonia in schizophrenia. Perspect Psychiatr Care. 2010;46(3):
-81.
Favrod J, Nguyen A, Fankhauser C, et al. Positive Emotions Program for Schizophrenia
(PEPS): a pilot intervention to reduce anhedonia and apathy. BMC Psychiatry.
;15(1):231.
Favrod J, Nguyen A, Chaix J, et al. Improving Pleasure and Motivation in Schizophrenia:
A Randomized Controlled Clinical Trial. Psychotherapy and Psychosomatics. 2019;84-95.
Hallford DJ, Sharma MK, Austin DW. Increasing Anticipatory Pleasure in Major Depression
through Enhancing Episodic Future Thinking: a Randomized Single-Case Series Trial.
Journal of Psychopathology and Behavioral Assessment. 2020;42(4):751-64.
Hallford DJ, Rusanov D, Yeow JJE, et al. Reducing Anhedonia in Major Depressive
Disorder with Future Event Specificity Training (FEST): A Randomized Controlled Trial.
Cognitive Therapy and Research. 2023;47:20-37.
Shankman SA, Katz AC, DeLizza AA, Sarapas C, Gorka SM, Campbell ML. The different
facets of anhedonia and their associations with different psychopathologies. In: Ritsner
MS, editor. Anhedonia: A comprehensive handbook volume I: conceptual issues and
neurobiological advances. Dordrecht: Springer; 2014. p.3-22.
Kirkpatrick B, Strauss GP, Nguyen L, Fischer BA, Daniel DG, Cienfuegos A, et al. The Brief
Negative Symptom Scale: Psychometric properties. Schizophrenia Bulletin. 2011;37(2):
-5.
Gard DE, Gard MG, Kring AM, John OP. Anticipatory and consummatory components
of the experience of pleasure: A scale development study. Journal of Research in
Personality. 2006;40(6):1086-2.
Lin J, Su Y, Rizvi SA, Jagoda J, Li J, Wu Y, Dai Y, Zhang Y, Kennedy SH, Si T. Define and
characterize the anhedonia in major depressive disorder: An explorative study. J Affect
Disord. 2022;313:235-42.
LaFreniere LS, Newman MG. Savoring, worry, and positive emotion duration in
generalized anxiety disorder: Assessment and interventional experiment. J Anxiety
Disord. 2023;97:102724.
Culpepper L. Cognitive impairment in patients with depression: awareness, assessment,
and management. J Clin Psychiatry. 2022;83(5): IN21078AH1C.
Blackwell SE, Rolver A, Margraf J, Woud ML. The effect of positive mental imagery versus
positive verbal thoughts on anhedonia. Appl Psychol Health Well Being.
;17(1):e12626.
