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EXperimental Paradigm to Investigate Expectation Change in Depression 4

Worse Than Expected - Differences Between Healthy and Depressed People in Processing Unexpectedly Negative Information

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03780881
Acronym
EXPECD4
Enrollment
171
Registered
2018-12-19
Start date
2018-11-11
Completion date
2019-08-31
Last updated
2023-12-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Major Depressive Disorder

Brief summary

Research has shown that people with depressive symptoms maintain negative expectations even if they have positive experiences that contradict their expectations. Healthy people, however, change their expectations after unexpected positive experiences. In this experimental study, it will now be examined whether there are also differences between healthy people and people with depressive symptoms in dealing with unexpected negative experiences.

Detailed description

Research has already shown that people with depressive symptoms continue to hold on to negative expectations even if they have positive experiences that contradict their expectations. By contrast, healthy people change their expectations after unexpectedly positive experiences. In this experimental study, the authors will now examine whether there are also differences between healthy people and people with depressive symptoms in processing unexpectedly negative experiences. It is hypothesized that people with depressive symptoms change their expectations in a negative direction after unexpectedly negative experiences, while healthy people continue to hold on to an optimistic view.

Interventions

BEHAVIORALExpectation confirmation

Participants receive manipulated feedback indicating that their performance was above average in the test they had previously worked on. This feedback is intended to confirm the previously induced positive expectations of their own performance.

BEHAVIORALExpectation disconfirmation

Participants receive manipulated feedback indicating that their performance was below average in the test they had previously worked on. This feedback is intended to negatively disconfirm the previously induced positive expectations of their own performance.

Sponsors

Philipps University Marburg
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Investigator)

Masking description

The investigator randomly assigns participants to one of the experimental conditions. Participants are not aware which experimental condition they are allocated to.

Intervention model description

Participants are assigned to one of two experimental groups in parallel for the duration of the study

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

(clinical sample): * diagnosis of major depression * at least 18 years old * sufficient German language skills

Exclusion criteria

(clinical sample): * participation in previous studies on changes in expectations Inclusion Criteria (healthy sample): * at least 18 years old * sufficient German language skills

Design outcomes

Primary

MeasureTime frameDescription
2-Item Performance Expectations Scale - generalizedImmediately before the performance test and immediately after completion of the performance testChanges from baseline to postassessment in generalized performance expectations. Each item is scored from 1 to 7 (1 = very negative expectations, 7 = very positive expectations), yielding a total score between 2 and 14. Higher total scores reflect more positive expectations.

Secondary

MeasureTime frameDescription
2-Item Performance Expectations Scale - task-specificImmediately before the performance test and immediately after completion of the performance testChanges from baseline to postassessment in task-specific performance expectations. Each item is scored from 1 to 7 (1 = very negative expectations, 7 = very positive expectations), yielding a total score between 2 and 14. Higher total scores reflect more positive expectations.

Other

MeasureTime frameDescription
5-Item Cognitive Immunization after Performance Feedback (CIPF) scaleImmediately after completion of the performance testEngagement in cognitive immunization strategies after receiving performance feedback. Each item is scored from 1 to 7 (1 = no cognitive immunization, 7 = great engagement in cognitive immunization), yielding a total score between 5 and 35. Higher total scores reflect a greater engagement in cognitive immunization strategies.

Countries

Germany

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026