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Anticipation and Motivation as Predictors of Leisure and Social Enjoyment and Engagement in Young People With #depression Symptoms: Ecological Momentary Assessment Study Background: Participating in leisure and social activities can alleviate #depression symptoms, yet effective strategies to enhance enjoyment and maintain long-term engagement remain scarce. Gaining insight into the reward sub-components that influence daily experiences and drive behaviour could uncover novel targets for intervention. Objective: This study examines the role of anticipatory pleasure and motivation in predicting enjoyment and engagement in leisure activities and socializing among young people, and how these relationships are moderated by #depression severity, using intensive longitudinal ecological momentary assessments. Methods: Participants (N=80, mean age = 20 years) used the Psymate2 smartphone #App to report mood, enjoyment, current and anticipated activities, and social company seven times daily for six days. Activity categories were relaxation, exercise, other leisure, work/school, studying, chores, shopping, hygiene, eating/drinking, traveling and company categories were partner, friends, family, colleagues, acquaintances, strangers, nobody. Anticipation (anticipatory pleasure, expectation) and motivation (interest, preference) for upcoming activities were rated on Likert scales. Participants were grouped by #depression severity: high (HD, MFQ ≥ 27, N=48), moderate (MD, MFQ 16–27, N=16), and low (C, MFQ ≤ 16, N=22). A total of 2,316 assessments met inclusion criteria. Results: Leisure activities (relaxation, exercise, other leisure) and being in social company (partner, friends, family) were rated most enjoyable across all groups. Higher #depression symptoms were associated with reduced enjoyment of studying (β=-0.03, P=.005), eating/drinking (β=-0.02, P=.02), and other leisure activities (β=-0.02, P=.018), as well as lower engagement in work/school (β=-0.26, P=.016) and hygiene (β=-0.08, P=.03), and increased inactivity (β=0.17, P=.026). Time-lagged multilevel analyses showed that anticipatory pleasure predicted greater enjoyment across all activities (β=0.12, P

JMIR Mental Health: Anticipation and Motivation as Predictors of Leisure and Social Enjoyment and Engagement in Young People With #depression Symptoms: Ecological Momentary Assessment Study #MentalHealth #Depression #YouthEngagement #LeisureActivities #SocialEnjoyment

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