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Xu C, Wang F, Huang Q, Lyu D, Wu C, Cao T, Zhao J, Wang M, Zhou N, Yang W, Chen Y, Wei Z, Xie B, Hong W. Association between overt aggression and anhedonia in patients with major depressive disorder during the acute phase. J Psychiatr Res 2023; 165:41-47. [PMID: 37459777 DOI: 10.1016/j.jpsychires.2023.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 07/04/2023] [Accepted: 07/10/2023] [Indexed: 09/03/2023]
Abstract
OBJECTIVE To explore the factors influencing anhedonia at baseline and use them as confounding factors. To further investigate the correlation between overt aggression and anhedonia during the acute phase of major depressive disorder. METHODS In this eight-week prospective study, 384 major depressive disorder patients were recruited from the outpatient section of Shanghai Mental Health Center from May 1, 2017, to October 30, 2018. Standard treatments were performed with escitalopram or venlafaxine for participants. Depressive symptoms, overt aggression, and anhedonia were assessed using the 17-item Hamilton Rating Scale for Depression, Modified Overt Aggression Scale, and Snaith-Hamilton Pleasure Scale at baseline, and in the 4th and 8th weeks. RESULTS Obsessive-compulsive symptoms and the duration of untreated psychosis were positively associated with aggression (P < 0.05). Patients with aggressive behaviour had worse cognitive impairment and severe anhedonia of pleasurable sensory experiences (P < 0.05). For anhedonia, being female (tau_b = -0.23, P = 0.012) was a protective factor, while number of recurrent, melancholic features, current obsessions, previous combination drug therapies, depressive symptoms, and aggressive behaviour were risk factors (P < 0.05). Social anhedonia related to interests/pastimes, and pleasurable sensory experiences were more severe in major depressive disorder patients with aggressive behaviour in the acute phase (P < 0.05). CONCLUSIONS Anhedonia persisted in major depressive disorder patients with aggressive behaviour after standardized treatment during the acute phase. Being female protected the pleasures from social interaction and sensory experience. However, the number of depressive episodes, melancholic features, current obsessive symptoms, previous combination drug therapies, depressive symptoms, and aggressive behaviour was positively associated with anhedonia.
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Affiliation(s)
- Chuchen Xu
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
| | - Fan Wang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China. beauty--
| | - Qinte Huang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
| | - Dongbin Lyu
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
| | - Chenglin Wu
- Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, 200124, China.
| | - Tongdan Cao
- Shanghai Mental Health Center of Huangpu District, Shanghai, 200011, China.
| | - Jie Zhao
- Shanghai Mental Health Center of Huangpu District, Shanghai, 200011, China.
| | - Meiti Wang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
| | - Ni Zhou
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
| | - Weichieh Yang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
| | - Yiming Chen
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
| | - Zheyi Wei
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
| | - Bin Xie
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China; Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 20030, China.
| | - Wu Hong
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China; Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 20030, China.
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Lu J, Wang X, Liu Q, Yu Q, Fan J, Zhu X. The anticipatory and consummatory interpersonal pleasure scale: Applicability to Chinese OCD patients. Front Psychol 2023; 14:1074180. [PMID: 36818104 PMCID: PMC9936859 DOI: 10.3389/fpsyg.2023.1074180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 01/16/2023] [Indexed: 02/05/2023] Open
Abstract
As a transdiagnostic symptom, social anhedonia has gained increasing attention. Evidence suggests that obsessive-compulsive disorder (OCD) patients demonstrate social anhedonia. This study examined the psychometric properties of the Anticipatory and Consummatory Interpersonal Pleasure Scale (ACIPS) in an undergraduate sample and Chinese OCD patients. Furthermore, we explored the relationship between clinical symptoms and ACIPS scores. This study involved 3,306 undergraduate students and 293 patients with OCD. Internal consistency and convergent validity of ACIPS were examined. Confirmatory factor analysis (CFA) was applied to determine the best-fitting of potential factor models, and multi-group CFA was used to examine measurement invariance across genders and samples. Additionally, hierarchical linear regression was conducted in order to investigate the relationship between clinical symptoms and ACIPS scores in patients suffering from OCD. ACIPS showed acceptable internal consistency in undergraduate and OCD samples (Cronbach's α = 0.93 and 0.89, respectively). In both samples, the four-factor structure had the best fit index. Scalar invariance was established across undergraduate and OCD samples, while residual invariance was established across genders. In both samples, the ACIPS was significantly correlated with the Revised Social Anhedonia Scale and Beck Depression Inventory. Depression and the severity of obsessive thoughts significantly and negatively correlated with the ACIPS score in OCD patients (p < 0.05). In conclusion, ACIPS is a reliable, effective, simple, and convenient tool for the assessment of social anhedonia. Depression and obsessive thoughts contribute to social anhedonia in OCD patients.
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Affiliation(s)
- Jingjie Lu
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China,Medical Psychological Institute of Central South University, Changsha, Hunan, China,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Xiang Wang
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China,Medical Psychological Institute of Central South University, Changsha, Hunan, China,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Qian Liu
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China,Medical Psychological Institute of Central South University, Changsha, Hunan, China,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Quanhao Yu
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China,Medical Psychological Institute of Central South University, Changsha, Hunan, China,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Jie Fan
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China,Medical Psychological Institute of Central South University, Changsha, Hunan, China,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Xiongzhao Zhu
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China,Medical Psychological Institute of Central South University, Changsha, Hunan, China,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China,*Correspondence: Xiongzhao Zhu, ✉
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Kasyanov ED, Pinakhina DV, Rakitko AS, Vergasova EO, Yermakovich DP, Rukavishnikov GV, Malyshko LV, Popov YV, Kovalenko EV, Ilinskaya AY, Kim AA, Plotnikov NA, Neznanov NG, Ilinsky VV, Kibitov AO, Mazo GE. [Anhedonia in mood disorders and somatic diseases: results of exploratory Mendelian randomization analysis]. Zh Nevrol Psikhiatr Im S S Korsakova 2023; 123:65-73. [PMID: 37141131 DOI: 10.17116/jnevro202312304265] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
OBJECTIVE To conduct an exploratory Mendelian randomization analysis of the causal relationships of anhedonia with a wide range of psychiatric and somatic phenotypes based on the genetic data of participants in a population study. MATERIAL AND METHODS This cross-sectional study included 4520 participants, of which 50.4% (n=2280) were female. The mean age was 36.8 (S.D.=9.8) years. Participants were pheno-nailed based on the DSM-5 criteria for anhedonia in the framework of depression. An episode of anhedonia exceeding 2 weeks during life was reported by 57.6% (n=2604) of participants. A genome-wide association study (GWAS) of the anhedonia phenotype was performed, as well as a Mendelian randomization analysis using summary statistics of large-scale GWASs on psychiatric and somatic phenotypes. RESULTS The GWAS on anhedonia did not reveal the variants with genome-wide significant association (p<10-8). The most significant (p=9.71×10-7) was the variant rs296009 (chr5:168513184) in an intron of the slit guidance ligand 3 (SLIT3) gene. Using Mendelian randomization, nominally significant (p<0.05) causal associations of anhedonia with 24 phenotypes were identified, which can be divided into 5 main groups: psychiatric/neurological diseases, inflammatory diseases of the digestive system, respiratory diseases, oncological diseases and metabolic disorders. The most significant causal effects of anhedonia were found for breast cancer (p=0.0004, OR=0.9986, 95% confidence interval (CI) (0.9978-0.999)), minimal depression phenotype (p=0.009, OR=1.004, 95% CI (1.001-1.007)), as well as for apolipoprotein A (p=0.01, OR=0.973, 95% CI (0.952-0.993)) and respiratory diseases (p=0.01, OR=0.9988, 95% CI (0.9980-0.9997)). CONCLUSION The polygenic nature of anhedonia may cause the risks of comorbidity of this phenotype with a wide range of somatic diseases, as well as may be associated with mood disorders.
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Affiliation(s)
- E D Kasyanov
- Bekhterev National Medical Research Center for Psychiatry and Neurology, St. Petersburg, Russia
| | - D V Pinakhina
- Bekhterev National Medical Research Center for Psychiatry and Neurology, St. Petersburg, Russia
- ITMO University, St. Petersburg, Russia
| | - A S Rakitko
- Bekhterev National Medical Research Center for Psychiatry and Neurology, St. Petersburg, Russia
- Genotek Ltd., Moscow, Russia
| | | | | | - G V Rukavishnikov
- Bekhterev National Medical Research Center for Psychiatry and Neurology, St. Petersburg, Russia
| | - L V Malyshko
- Bekhterev National Medical Research Center for Psychiatry and Neurology, St. Petersburg, Russia
| | | | | | | | - A A Kim
- Genotek Ltd., Moscow, Russia
| | | | - N G Neznanov
- Bekhterev National Medical Research Center for Psychiatry and Neurology, St. Petersburg, Russia
- Pavlov First Saint-Petersburg State Medical University, St. Petersburg, Russia
| | - V V Ilinsky
- Bekhterev National Medical Research Center for Psychiatry and Neurology, St. Petersburg, Russia
- Genotek Ltd., Moscow, Russia
| | - A O Kibitov
- Bekhterev National Medical Research Center for Psychiatry and Neurology, St. Petersburg, Russia
| | - G E Mazo
- Bekhterev National Medical Research Center for Psychiatry and Neurology, St. Petersburg, Russia
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Du H, Xia J, Fan J, Gao F, Wang X, Han Y, Tan C, Zhu X. Spontaneous neural activity in the right fusiform gyrus and putamen is associated with consummatory anhedonia in obsessive compulsive disorder. Brain Imaging Behav 2022; 16:1708-1720. [DOI: 10.1007/s11682-021-00619-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2021] [Indexed: 11/28/2022]
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