Beames Joanne R, Uyttebroek Lotte, Edwards Clementine J, Eisele Gudrun V, Kemme Nian D F, Collier Olivia, van Roekel Eeske, Kwapil Thomas R, Kirtley Olivia J, Myin-Germeys Inez
Department of Neuroscience, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Department of Neuroscience, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Clin Psychol Rev. 2025 Jul;119:102590. doi: 10.1016/j.cpr.2025.102590. Epub 2025 May 4.
Anhedonia is a lack or loss of pleasure in daily life. This is the first systematic review to investigate anhedonia in mental health research with a focus on experience sampling methodology (ESM). The review aimed to identify how anhedonia is conceptualized and measured in ESM research, how it is experienced during daily life, and the quality of reporting in the published literature. To generate a comprehensive picture of anhedonia, we also examined associations between time-invariant measures of anhedonia and other affective, cognitive, and behavioral processes assessed via ESM. We searched PsychARTICLES, MEDLINE, Psychology Databases, EMBASE, Web of Science Core Collection, and Europe PMC (last search 6th January 2025). We identified 113 relevant articles. Anhedonia was typically conceptualized as diminished pleasure, enjoyment, or liking, with emphasis on consummatory rather than anticipatory experiences. Anticipatory and consummatory anhedonia were present in samples that experienced different mental health conditions or symptoms (between-person) and varied across daily contexts and time (within-person). Daily life correlates of anhedonia included increased negative affect, decreased positive affect, affect prediction biases, and social processes. Most studies explored anhedonia in depression or psychotic disorders, although measurement was heterogeneous, and compliance with a reporting quality assessment tool for ESM studies was generally low. This review demonstrates that using ESM to measure anhedonia in mental health research is critical to identify how and when it is experienced in daily life. Future anhedonia research would benefit from using a transdiagnostic perspective, standardized and validated ESM items, exploration of moment-to-moment changes over shorter time-scales, and increased transparency in methodological reporting.
快感缺失是指在日常生活中缺乏或丧失愉悦感。这是第一项系统综述，旨在调查心理健康研究中的快感缺失，重点关注经验取样法（ESM）。该综述旨在确定在经验取样法研究中快感缺失是如何被概念化和测量的，在日常生活中它是如何被体验的，以及已发表文献中的报告质量。为了全面了解快感缺失，我们还研究了快感缺失的时间不变测量指标与通过经验取样法评估的其他情感、认知和行为过程之间的关联。我们检索了PsychARTICLES、MEDLINE、心理学数据库、EMBASE、科学引文索引核心合集和欧洲PMC（最后一次检索时间为2025年1月6日）。我们共识别出113篇相关文章。快感缺失通常被概念化为愉悦感、享受感或喜好的减少，重点在于满足性体验而非预期性体验。预期性和满足性快感缺失在经历不同心理健康状况或症状的样本中均存在（个体间），并且在日常情境和时间中也有所变化（个体内）。快感缺失在日常生活中的相关因素包括负面情绪增加、正面情绪减少、情绪预测偏差和社交过程。大多数研究探讨了抑郁症或精神障碍中的快感缺失，尽管测量方法各异，并且对经验取样法研究报告质量评估工具的依从性普遍较低。本综述表明，在心理健康研究中使用经验取样法来测量快感缺失对于确定其在日常生活中的体验方式和时间至关重要。未来的快感缺失研究将受益于采用跨诊断视角、标准化和经过验证的经验取样法项目、在更短时间尺度上探索瞬间变化，以及提高方法学报告的透明度。
