Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
Overwaal, Center of Expertise for Anxiety, Obsessive-Compulsive, and Posttraumatic Stress Disorders, Pro Persona, Institute for Integrated Mental Health Care, Nijmegen, The Netherlands.
Psychol Med. 2023 Jul;53(9):3908-3919. doi: 10.1017/S0033291722000575. Epub 2022 Mar 29.
BACKGROUND: Anhedonia is apparent in different mental disorders and is suggested to be related to dysfunctions in the reward system and/or affect regulation. It may hence be a common underlying feature associated with symptom severity of mental disorders. METHODS: We constructed a cross-sectional graphical Least Absolute Shrinkage and Selection Operator (LASSO) network and a relative importance network to estimate the relationships between anhedonia severity and the severity of symptom clusters of major depressive disorder (MDD), anxiety sensitivity (AS), attention-deficit hyperactivity disorder (ADHD), and autism spectrum disorder (ASD) in a sample of Dutch adult psychiatric patients ( = 557). RESULTS: Both these networks revealed anhedonia severity and depression symptom severity as central to the network. Results suggest that anhedonia severity may be predictive of the severity of symptom clusters of MDD, AS, ADHD, and ASD. MDD symptom severity may be predictive of AS and ADHD symptom severity. CONCLUSIONS: The results suggest that anhedonia may serve as a common underlying transdiagnostic psychopathology feature, predictive of the severity of symptom clusters of depression, AS, ADHD, and ASD. Thus, anhedonia may be associated with the high comorbidity between these symptom clusters and disorders. If our results will be replicated in future studies, it is recommended for clinicians to be more vigilant about screening for anhedonia and/or depression severity in individuals diagnosed with an anxiety disorder, ADHD and/or ASD.
背景:快感缺失在不同的精神障碍中都很明显,据推测与奖励系统和/或情感调节功能障碍有关。因此,它可能是与精神障碍症状严重程度相关的一个共同潜在特征。
方法:我们构建了一个横断面图形最小绝对收缩和选择算子(LASSO)网络和一个相对重要性网络,以估计快感缺失严重程度与荷兰成年精神科患者样本中重度抑郁症(MDD)、焦虑敏感性(AS)、注意力缺陷多动障碍(ADHD)和自闭症谱系障碍(ASD)的症状群严重程度之间的关系(n=557)。
结果:这两个网络都显示快感缺失严重程度和抑郁症状严重程度是网络的核心。结果表明,快感缺失严重程度可能是预测 MDD、AS、ADHD 和 ASD 症状群严重程度的指标。MDD 症状严重程度可能是预测 AS 和 ADHD 症状严重程度的指标。
结论:结果表明,快感缺失可能是一种共同的潜在跨诊断精神病理学特征,预测抑郁、AS、ADHD 和 ASD 症状群的严重程度。因此,快感缺失可能与这些症状群和障碍之间的高共病性有关。如果我们的研究结果在未来的研究中得到复制,建议临床医生在诊断焦虑障碍、ADHD 和/或 ASD 的个体中更加警惕筛查快感缺失和/或抑郁严重程度。
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