Department of Psychology, Dalian Medical University, Dalian, China.
Department of Neurology and Psychiatry, First Affiliated Hospital, Dalian Medical University, Dalian, China.
J Affect Disord. 2018 Oct 1;238:442-450. doi: 10.1016/j.jad.2018.05.053. Epub 2018 May 29.
Anhedonia, the reduced capacity to experience pleasure, has long been regarded as a cardinal symptom in depression and schizophrenia. Recent evidence highlights that anhedonia is not a single construct but consists of an anticipatory component and a consummatory component, which is captured by the Temporal Experience of Pleasure Scale (TEPS). The current event-related potential study examined the electrophysiological underpinnings of anticipatory and consummatory aspects of anhedonia as assessed by the TEPS in a non-clinical sample.
EEG was recorded during both anticipatory and consummatory phases of incentive processing in an anticipatory-anhedonia (ANT) group, a consummatory-anhedonia (CON) group, and a control (CNT) group selected from a large sample based on their TEPS scores.
The ANT relative to the CON group exhibited a reduced cue-P3 during the anticipatory phase, a less positive feedback-related negativity (FRN) and a blunted feedback P3 (fb-P3) during the consummatory phase. Moreover, correlation results revealed a dissociation between anticipatory and consummatory anhedonia, which occurred in an unexpected way such that higher levels of anticipatory anhedonia were associated with reduced fb-P3 amplitudes whereas higher levels of consummatory anhedonia with enhanced cue-P3 and FRN amplitudes.
The sample size for each group was relatively small.
Anticipatory and consummatory anhedonia as measured by the TEPS might be driven by abnormal motivational salience, which was represented by the cue-P3 during the anticipatory phase and the FRN and fb-P3 during the consummatory phase of incentive processing.
快感缺失,即体验快乐的能力下降,长期以来一直被视为抑郁症和精神分裂症的主要症状。最近的证据强调,快感缺失不是单一的结构,而是由预期成分和满足成分组成的,这由时间体验快感量表(TEPS)来捕捉。目前的事件相关电位研究在非临床样本中使用 TEPS 评估了快感缺失的预期和满足方面的电生理基础。
在一个预期快感缺失(ANT)组、一个满足快感缺失(CON)组和一个基于 TEPS 分数从大样本中选择的对照组(CNT)中,在激励处理的预期和满足阶段记录 EEG。
与 CON 组相比,ANT 组在预期阶段的线索-P3 减少,在满足阶段的反馈相关负波(FRN)和反馈 P3(fb-P3)减少。此外,相关结果显示预期和满足快感缺失之间存在分离,这种分离以意想不到的方式发生,即较高的预期快感缺失水平与 fb-P3 幅度减小相关,而较高的满足快感缺失水平与线索-P3 和 FRN 幅度增强相关。
每个组的样本量相对较小。
TEPS 测量的预期和满足快感缺失可能是由异常的动机显著性驱动的,这在激励处理的预期阶段由线索-P3 和满足阶段的 FRN 和 fb-P3 表示。