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快感缺失作为一种跨心理障碍的共病症状:一种网络方法。

Anhedonia as a transdiagnostic symptom across psychological disorders: a network approach.

机构信息

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.

出版信息

Psychol Med. 2023 Jul;53(9):3908-3919. doi: 10.1017/S0033291722000575. Epub 2022 Mar 29.


DOI:10.1017/S0033291722000575
PMID:35348051
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10317820/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/513e/10317820/61214e9ecbdc/S0033291722000575_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/513e/10317820/8bd3c2fb9ac4/S0033291722000575_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/513e/10317820/984748e91049/S0033291722000575_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/513e/10317820/61214e9ecbdc/S0033291722000575_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/513e/10317820/8bd3c2fb9ac4/S0033291722000575_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/513e/10317820/984748e91049/S0033291722000575_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/513e/10317820/61214e9ecbdc/S0033291722000575_fig3.jpg

相似文献

[1]
Anhedonia as a transdiagnostic symptom across psychological disorders: a network approach.

Psychol Med. 2023-7

[2]
A transdiagnostic model of psychiatric symptom co-occurrence and autism spectrum disorder.

Autism Res. 2020-4

[3]
Transdiagnostic Symptom Clusters and Associations With Brain, Behavior, and Daily Function in Mood, Anxiety, and Trauma Disorders.

JAMA Psychiatry. 2018-2-1

[4]
Machine Learning Models Identify Multimodal Measurements Highly Predictive of Transdiagnostic Symptom Severity for Mood, Anhedonia, and Anxiety.

Biol Psychiatry Cogn Neurosci Neuroimaging. 2019-7-30

[5]
ADHD severity as it relates to comorbid psychiatric symptomatology in children with Autism Spectrum Disorders (ASD).

Res Dev Disabil. 2017-1

[6]
Inattention and hyperactivity/impulsivity among children with attention-deficit/hyperactivity-disorder, autism spectrum disorder, and intellectual disability.

Res Dev Disabil. 2017-9-26

[7]
Effects of the Co-occurrence of Anxiety and Attention-Deficit/Hyperactivity Disorder on Intrinsic Functional Network Centrality among Children with Autism Spectrum Disorder.

Autism Res. 2019-5-10

[8]
Impact of ADHD symptoms on autism spectrum disorder symptom severity.

Res Dev Disabil. 2013-8-22

[9]
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Pediatrics. 2018-4

[10]
An emotion recognition subtyping approach to studying the heterogeneity and comorbidity of autism spectrum disorders and attention-deficit/hyperactivity disorder.

J Neurodev Disord. 2018-11-15

引用本文的文献

[1]
Temporal Predictions from Anhedonia To Anxiety in Adolescents with Major Depressive Disorder.

Res Child Adolesc Psychopathol. 2025-8-27

[2]
Childhood adversity predicts striatal functional connectivity gradient changes after acute stress.

Imaging Neurosci (Camb). 2024-8-19

[3]
Anhedonia influences threat avoidance and relief: A conceptual replication.

J Mood Anxiety Disord. 2024-1-17

[4]
Computationally Informed Insights Into Anhedonia and Treatment by Kappa Opioid Receptor Antagonism.

Biol Psychiatry Cogn Neurosci Neuroimaging. 2025-5-28

[5]
Pretreatment anhedonia as a predictor of exposure-based anxiety treatment outcomes.

J Psychiatr Res. 2025-6

[6]
Anhedonia as a Core Symptom of Depression and a Construct for Biological Research.

Focus (Am Psychiatr Publ). 2025-4

[7]
The NNDC Road Map for Depression Care and Focused Areas of Research.

Focus (Am Psychiatr Publ). 2025-4

[8]
From anxiety to depression: A longitudinal investigation into the role of anhedonia.

J Affect Disord. 2025-7-1

[9]
Emerging Medications for Treatment-Resistant Depression: A Review with Perspective on Mechanisms and Challenges.

Brain Sci. 2025-2-6

[10]
Severity of anhedonia is associated with hyper-synchronization of the salience-default mode network in non-clinical individuals: a resting state EEG connectivity study.

J Neural Transm (Vienna). 2025-5

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