The effects of potentially real and hypothetical rewards on effort discounting in a student sample

Effort and effort discounting as predictors of seeking psychotherapy among individuals with depression

OBJECTIVES

Many individuals who experience depression do not seek psychotherapy, and past research has had limited success in predicting help-seeking in this population. Accounting for behavioral characteristics of depression that affect help-seeking decisions, such as effort discounting (devaluation of rewards as a function of effort), may address this gap.

METHODS

Individuals with moderate-severe depression symptoms who were not in psychotherapy (N = 253) reported their depression symptom severity and the amount of effort they anticipated seeking psychotherapy would require; they also completed a behavioral measure of effort discounting. At a 3-month follow-up, they reported whether they initiated psychotherapy during the follow-up period.

RESULTS

Depression symptom severity was associated with perceptions that seeking psychotherapy would be more effortful. In turn, perceptions that seeking psychotherapy would be more effortful prospectively predicted a lower likelihood of initiating psychotherapy. Effort discounting was unrelated to psychotherapy use.

CONCLUSIONS

These results suggest that differences in the anticipated effort required to seek psychotherapy can increase depressed individuals' risk of going untreated. Future research may test whether reducing the effort of seeking psychotherapy increases psychotherapy use among those with depression. For instance, streamlining insurance enrollment procedures, implementing patient decision aids, or offering telehealth treatment options may be beneficial.

The Dark Factor of Personality and Risk-Taking

Aversive personality traits have been linked to risk-taking across various domains. Herein, we investigated whether the common core of aversive traits, the Dark Factor of Personality (D), is related to risk-taking. Whereas the conceptualizations of D (common core of aversive traits) and risk-taking (not inherently socially and/or ethically aversive) do not necessarily imply an association, several theoretical considerations do suggest a positive relation between the constructs. In three studies (overall n = 689), we linked D to various self-report measures of risk-taking (Studies 1 and 2), as well as to a behavioral risk-taking task (Study 3). Overall, D was positively (although not always statistically significantly) related to self-reported risk-taking in terms of financial, health-related, and recreational risk-taking, fearlessness, novelty sensation seeking, intensity sensation seeking, and drug use. However, we did not find an association between D and behavioral risk-taking. Our findings provide insights into the relation between aversive personality and risk-taking, but also point to inconsistencies depending on the specific nature of risk-taking studied.