Anhedonia in schizophrenia: The role of subjective experiences

Fortunati, Renata; Ossola, Paolo; Camerlengo, A.; Bettini, Elena; Panfilis, Chiara De; Tonna, Matteo; Maggini, Carlo; Marchesi, Carlo

doi:10.1016/j.comppsych.2015.07.011

Cited by 21 publications

(15 citation statements)

References 69 publications

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“…Among the 6,868 records identified by database searching, we finally retained 15 observational articles (Chuang et al., , Dorard, Berthoz, Phan, Corcos, & Bungener, , Fortunati et al., , Franken, Rassin, & Muris, , Loas, Monestes, Yon, Thomas, & Gard, , Lussier and Loas , Marechal, Loas, Legrand, & Corcos, , Miettunen et al., , Mrochen et al., , Pelizza and Ferrari , Rivera‐Baltanas et al., , Savitz et al., , Spalletta et al., , Wang et al. , Winer, Veilleux, & Ginger, ) for the meta‐analysis (for the full selection process see Fig.…”

Section: Resultsmentioning

confidence: 99%

“…In these studies, anhedonia was assessed with different scales: Snaith–Hamilton Pleasure Scale (Chuang et al., , Fortunati et al., , Franken et al., , Loas et al., , Lussier and Loas , Marechal et al., , Mrochen et al., , Savitz et al., , Spalletta et al., , Wang et al., ), Self‐Assessment Anhedonia Scale (Rivera‐Baltanas et al., ), Specific Loss of Interest and Pleasure Scale (Winer et al., ), Physical Anhedonia Scale (Dorard et al., , Miettunen et al., , Pelizza & Ferrari, ). The quality of the studies ranged from 1 to 4 according to the Newcastle‐Ottawa Quality Assessment Scale (Table ).…”

Section: Resultsmentioning

confidence: 99%

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Anhedonia is associated with suicidal ideation independently of depression: A meta-analysis

et al. 2017

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Anhedonia is associated with suicidal ideation independently of depression: A meta-analysis

et al. 2017

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“…Of the 23 studies that included schizophrenia and control samples, 11 have found lower anticipatory pleasure in individuals with schizophrenia than controls [67–69, 9, 70–75, 52]; however, these findings may be specific to patients with severe negative symptoms [76]. Ten studies found no group differences in anticipatory pleasure [77–79, 39, 80–85].…”

Section: Anticipatory Affect Affective Forecasting and Prospectionmentioning

confidence: 99%

“…Ten studies found no group differences in anticipatory pleasure [77–79, 39, 80–85]. Eight studies found lower consummatory pleasure in schizophrenia patients than controls [78, 71, 72, 74, 81–83, 75], while 12 found no group differences in consummatory pleasure [52, 85, 84, 80, 39, 79, 73, 70, 9, 69, 77, 67]. Eleven studies have reported group means for the TEPS subscales in patient and control groups, which provide evidence for numerically lower consummatory and anticipatory pleasure in schizophrenia: Schizophrenia anticipatory = 4.17; Control anticipatory = 4.54; Schizophrenia consummatory = 3.99; Control consummatory = 4.35.…”

Section: Anticipatory Affect Affective Forecasting and Prospectionmentioning

confidence: 99%

A Review of Anticipatory Pleasure in Schizophrenia

Frost

Strauss

2016

Curr Behav Neurosci Rep

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Purpose of Review Anhedonia, traditionally defined as a diminished capacity to experience pleasure, has long been considered a core symptom of schizophrenia. However, recent research calls into question whether individuals with schizophrenia are truly anhedonic, suggesting intact subjective and neurophysiological response to rewarding stimuli in-the-moment. Despite a presumably intact capacity to experience pleasure, people with schizophrenia still engage in fewer reward-seeking behaviors. This discrepancy has been explained as a dissociation between “liking” and “wanting”, with dopaminergic and prefrontal influences on incentive salience leading hedonic responses to not effectively translate into motivated behavior. In the current review, the literature on a key aspect of the wanting deficit is reviewed, anticipatory pleasure. Recent Findings Results provide consistent evidence for impairment in some aspects of anticipatory pleasure (e.g., prospection, associative learning between reward predictive cues and outcomes), and inconsistent evidence for others (e.g., anticipatory affect and affective forecasting). Summary Mechanisms underlying anticipatory pleasure abnormalities in schizophrenia are discussed and a new model of anticipatory pleasure deficits is proposed. Findings suggest that anticipatory pleasure may be a critical component of impairments in wanting that impact motivated behavior in schizophrenia.

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“…SA is present in both nonclinical and clinical populations. The expression of SA in psychiatric disorders (Blanchard, Horan, & Brown, ; Fortunati et al, ) and the general population (Healey, Morgan, Musselman, Olino, & Forbes, ; Setterfield, Walsh, Frey, & McCabe, ) has relevance for social outcomes, including levels of social functioning. Given the key role for social support in maintaining well‐being, it is imperative that factors which impinge on social functioning are fully understood.…”

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confidence: 99%

Social anhedonia and social functioning: Loneliness as a mediator

2020

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Social anhedonia is associated with reduced social functioning and diminished reward from social interactions. Individuals expressing social anhedonia are likely to experience reduced social connectedness and feel lonely. Loneliness is also associated with reduced social functioning. Therefore, loneliness could account for the relationship between social anhedonia and social functioning. We aimed to determine whether loneliness mediates the relationship between social anhedonia and reduced social functioning. In total, 824 young adults (M age = 21.03, SD = 5.59; 72.3% female) completed the Revised-Social Anhedonia Scale (RSAS), University of California Los Angeles (UCLA) Loneliness Scale, and the Social Functioning Scale (SFS). Scores on thee SFS were summed into six subscales: Social Withdrawal, Relationships, Social Activities, Recreational Activities, Independence (Competence), and Independence (Performance). Negative affect (Depression, Anxiety and Stress Scales-21 [DASS] total score) was included as a covariate. Both the RSAS and the UCLA Loneliness Scale were negatively correlated with overall and all social functioning subscales. The DASS-21 positively correlated with all variables of interest. Mediation analyses revealed that loneliness partially mediated the relationship between social anhedonia and the social functioning subscales, with the exception of Recreational Activities. However, loneliness was a full mediator for the relationship between social anhedonia and overall social functioning. The study findings suggest that targeting loneliness in interventions may be important for improving various aspects of social functioning in those individuals who express social anhedonia.

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Anhedonia in schizophrenia: The role of subjective experiences

Cited by 21 publications

References 69 publications

Anhedonia is associated with suicidal ideation independently of depression: A meta-analysis

Anhedonia is associated with suicidal ideation independently of depression: A meta-analysis

A Review of Anticipatory Pleasure in Schizophrenia

Social anhedonia and social functioning: Loneliness as a mediator

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