National Institute for Health and Care Research

Changes in Positive and Negative Affect in Psychotherapy for Depression and Anxiety

Barnes-Horowitz et al. (2024) investigate how changes in positive and negative affect relate to symptom improvement during psychotherapy for depression and anxiety.

The study found that increases in positive affect predicted subsequent reductions in depression and anxiety symptoms, regardless of the type of psychotherapy received. In contrast, symptom improvement did not predict later increases in positive affect, suggesting that positive affect may act as an active mechanism of change rather than simply a consequence of recovery. Decreases in negative affect were also associated with later symptom reductions, particularly in treatments designed to enhance positive affect. Overall, the findings highlight the importance of targeting positive affect alongside negative affect in psychotherapy and suggest that fostering positive emotions may play a key role in improving outcomes for depression and anxiety.

Back to Top