Anhedonia reflects impairment in making relative value judgments between positive and neutral stimuli in schizophrenia
| Autor: | Katherine Frost Visser, Robert W. Buchanan, William R. Keller, Gregory P. Strauss, James M. Gold |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Anhedonia media_common.quotation_subject Emotions Choice Behavior behavioral disciplines and activities Pleasure Arousal Judgment 03 medical and health sciences 0302 clinical medicine medicine Humans Cognitive Dysfunction Valence (psychology) Biological Psychiatry media_common Relative value Middle Aged 030227 psychiatry Psychiatry and Mental health Psychotic Disorders Positive emotion Schizophrenia Mental representation Female medicine.symptom Psychology psychological phenomena and processes 030217 neurology & neurosurgery Cognitive psychology |
| Zdroj: | Schizophrenia Research. 197:156-161 |
| ISSN: | 0920-9964 |
| DOI: | 10.1016/j.schres.2018.02.016 |
| Popis: | Anhedonia (i.e., diminished capacity to experience pleasure) has traditionally been viewed as a core symptom of schizophrenia (SZ). However, modern laboratory-based studies suggest that this definition may be incorrect, as hedonic capacity may be intact. Alternative conceptualizations have proposed that anhedonia may reflect an impairment in generating mental representations of affective value that are needed to guide decision-making and initiate motivated behavior. The current study evaluated this hypothesis in 42 outpatients with SZ and 19 healthy controls (CN) who completed two tasks: (a) an emotional experience task that required them to indicate how positive, negative, and calm/excited they felt in response to a single emotional or neutral photograph; (b) a relative value judgment task where they selected which of 2 photographs they preferred. Results indicated that SZ and CN reported similar levels of positive emotion and arousal in response to emotional and neutral stimuli; however, SZ reported higher negative affect for neutral and pleasant stimuli than CN. In the relative value judgment task, CN displayed clear preference for stimuli differing in valence; however, SZ showed less distinct preferences for positive over neutral stimuli. Findings suggest that although in-the-moment experiences of positive emotion to singular stimuli may be intact in SZ, the ability to make relative value judgments that are needed to guide decision-making is impaired. Original conceptualizations of anhedonia as a diminished capacity for pleasure in SZ may be inaccurate; anhedonia may more accurately reflect a deficit in relative value judgment that results from impaired value representation. |
| Databáze: | OpenAIRE |
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