Anhedonia: A Concept Analysis

Ho, Nancy; Sommers, Marilyn S.

doi:10.1016/j.apnu.2013.02.001

Cited by 62 publications

(57 citation statements)

References 96 publications

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“…Several authors advise to bear in mind that the symptom of anhedonia occurs on a continuum of hedonic tone and advise to measure it in a dimensional manner (Ho & Sommers, 2013). Therefore, we used the French version (Loas et al, 2009) really look forward to it").…”

Section: Behavioral and Self-report Measuresmentioning

confidence: 99%

“…However, only a few studies have investigated the specific symptom of anhedonia, which is supposed to be associated with this altered reward processing. Moreover, even though it has been suggested that anhedonia should be considered in a dimensional perspective (Ho & Sommers, 2013), even less studies have measured this symptom on a continuum. We believe that symptom-focused transdiagnostic studies are necessary and that an in-depth investigation of the specific role of anhedonia in reduced reward responsiveness is important and overdue.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, anhedonia does not reflect an absence or a presence of pleasure, but appears on a continuum of hedonic tone (Ho & Sommers, 2013). Finally, this symptom can be considered a risk factor leading to the development of depression (Loas, 1996).…”

Section: Introductionmentioning

confidence: 99%

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Anhedonic symptoms of depression are linked to reduced motivation to obtain a reward

Franzén

Brinkmann

2015

Motiv Emot

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People with depression report reduced motivation to obtain a reward and reduced affective responses to reward. However, studies focusing on the relation between anhedonia and deficits in reward processing are scarce. Furthermore, studies investigating wanting through cardiovascular reactivity and liking through facial electromyography in human beings are also scarce. In this study, we used the Temporal Experience of Pleasure Scale (TEPS) score as a continuous predictor variable of anhedonia and we manipulated two within-person conditions (wanting vs. liking). Participants earned money if their performance on a memory task exceeded a particular standard. As expected, effort-related cardiovascular reactivity and self-reports during the anticipatory phase were lower for participants scoring high on anhedonia. Moreover, task performance outcomes were worse for highly anhedonic participants. However, the zygomaticus major muscle's activity during the consummatory phase was unrelated to the anhedonia score. The present study underlines the importance of anhedonic symptoms particularly in reduced anticipatory motivation to obtain a reward.

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Section: Behavioral and Self-report Measuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anhedonic symptoms of depression are linked to reduced motivation to obtain a reward

Franzén

Brinkmann

2015

Motiv Emot

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“…Depression, according to the diagnostic criteria of DSM‐5, takes into account also lack of pleasure, “anhedonia,” as a feature of the diagnosis . Depressed patients do not always show anhedonia, and conversely, anhedonic patients may show a specific alteration in experiencing the pleasure that is independent of their sadness status . Nevertheless, anhedonia, unlike depression, is rarely taken into account when we approach a patient with a known GI disease.…”

Section: Discussionmentioning

confidence: 99%

“…9 Depressed patients do not always show anhedonia, and conversely, anhedonic patients may show a specific alteration in experiencing the pleasure that is independent of their sadness status. [27][28][29] Nevertheless, anhedonia, unlike depression, is rarely taken into account when we approach a patient with a known GI disease. Furthermore, it has been shown that anhedonia is particularly difficult to treat, and its presence predicts a poor treatment response to classical antidepressant therapy.…”

Section: In Recent Years a Relationship Between Diseases And Mood DImentioning

confidence: 99%

Anhedonia in irritable bowel syndrome and in inflammatory bowel diseases and its relationship with abdominal pain

Carpinelli

Bucci

Santonicola

et al. 2019

Neurogastroenterology Motil

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Background Anhedonia is the lowered ability to experience pleasure from rewarding or enjoyable activities and is considered a symptom of depression. Inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS) are frequently accompanied by psychiatric disorders such as depression. However, to our knowledge, studies have yet to investigate the anhedonia in these patients. Our aim was to study the level of anhedonia in patients with IBD and IBS in comparison with healthy controls (HC), and to relate anhedonia levels with the severity of abdominal pain. Methods We consecutively recruited IBD and IBS patients. All patients fulfilled the Snaith‐Hamilton Pleasure Scale (SHAPS), a self‐rating scale consisting of 14 items that cover the domains of social interaction, food, and drink, sensory experiences, achievement and pastimes, and the Beck Depression Inventory‐II (BDI‐II) to screen for depression. Moreover, we calculated abdominal pain on a (0‐100) Visual Analog Scale (VAS) in all patients. Key Results We enrolled 120 patients (64 IBD and 56 IBS) and 81 HC. Among IBD patients, 34 had Crohn's disease and 30 ulcerative colitis. All patients as a whole had significantly higher SHAPS and BDI‐II scores than HC (1.3 ± 1.5 vs 0.8 ± 0.1; P = 0.01 and 10.4 ± 7.5 vs 5.9 ± 4.9; P < 0.001, respectively), while no significant differences were found among groups. SHAPS score showed a significant correlation in only a few statements of BDI‐II. In our cohort, a multivariate regression analysis showed that SHAPS score was significantly related to current abdominal pain (0‐100 VAS) (P = 0.03) independent of gender and age. Conclusions and Inferences The level of anhedonia was higher in all patients compared to healthy controls. The more the subject is anhedonic, the higher the VAS scale for abdominal pain. This study suggests that anhedonia would need to be very carefully weighed in IBD and IBS patients.

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Psychometric properties of the Dimensional Anhedonia Rating Scale in Chinese typical, subthreshold, and clinically depressed adolescents

Xiao

Zhu

et al. 2022

PsyCh Journal

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The Dimensional Anhedonia Rating Scale measures state anhedonia in multiple domains, such as hobbies, food and drink, social activities, and sensory experience, and it has good reliability and validity in adult samples. However, no study has examined the psychometrical properties of this scale in adolescents. The present study examined its reliability and validity in adolescents with and without depression. In Study 1, 988 high‐school students completed the Dimensional Anhedonia Rating Scale; 915 completed the second‐round survey 3 months later. Confirmatory factor analysis was used to determine the factor structure. Additionally, internal consistency and test–retest reliability, and concurrent, convergent, and divergent validity were assessed in typical adolescents. In Study 2, the Dimensional Anhedonia Rating Scale was administrated to 108 patients with major depressive disorder, 108 adolescents with subthreshold depression, and 108 healthy controls. Factor structure and convergent validity were assessed in the clinical and subclinical groups. Finally, a one‐way analysis of variance (ANOVA) was applied to examine the effect of depression severity on the scale scores. The results of Study 1 indicated that a four‐factor model (i.e., hobbies, food and drink, social activities, and sensory experience) best fit the data. Meanwhile, the scale also yielded good concurrent, convergent, and divergent validity, as well as high internal consistency and test–retest reliability, in typical adolescents. In Study 2, goodness‐of‐fit statistics also suggested a good fit for the four‐factor model in the two depressed groups. The one‐way ANOVA revealed significant group differences in the total and factor scores, whereby the major depressive disorder group had lower scores than the subthreshold depression group, whose scores were lower than the healthy controls, indicating excellent eligibility of the scale in depressed adolescents. The Chinese version of the Dimensional Anhedonia Rating Scale is a reliable and valid instrument to comprehensively measure state anhedonia in Chinese typical and depressed adolescents.

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Anhedonia: A Concept Analysis

Cited by 62 publications

References 96 publications

Anhedonic symptoms of depression are linked to reduced motivation to obtain a reward

Anhedonic symptoms of depression are linked to reduced motivation to obtain a reward

Anhedonia in irritable bowel syndrome and in inflammatory bowel diseases and its relationship with abdominal pain

Psychometric properties of the Dimensional Anhedonia Rating Scale in Chinese typical, subthreshold, and clinically depressed adolescents

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