Loas G, Pierson A
Clinique des Maladies Mentales et de l'Encéphale, Paris.
Ann Med Psychol (Paris). 1989 Sep;147(7):705-17.
Anhedonia, the loss of the capacity of feeling pleasure, was first introduced at the end of the last century by a French psychologist, Ribot, and has been the object of much research, essentially in English, for the last decades, in schizophrenia, in depression, in schizoid disorders. After considering the problems of quantitative evaluation, we review the literature and conclude that anhedonia appears to be a multi-morphological symptom and the are probably several types of anhedonia, which shows the necessity of developing more specific reliable evaluation instruments and of diversifying the approaches. We show the utility, in particular, of a psychophysiological approach using endogenous Evoked Potentials. Then several research directions in psychiatry are discussed: what place has anhedonia in the negative form of schizophrenia? Does anhedonia constitute a specific marker of certain endogenous depressions? Does it constitute a personality trait that predisposes to morbidity?
快感缺失，即丧失感受愉悦的能力，是由一位法国心理学家里博于上世纪末首次提出的。在过去几十年里，它一直是大量研究的对象，主要是关于精神分裂症、抑郁症和类精神分裂症障碍的英文研究。在考虑了定量评估的问题后，我们回顾了相关文献并得出结论：快感缺失似乎是一种多形态症状，可能存在多种类型的快感缺失，这表明有必要开发更具体可靠的评估工具并使研究方法多样化。我们特别展示了使用内源性诱发电位的心理生理学方法的实用性。然后讨论了精神病学中的几个研究方向：快感缺失在精神分裂症阴性症状中处于什么位置？快感缺失是否构成某些内源性抑郁症的特定标志物？它是否构成一种易发病的人格特质？
