Anhedonia in depression: biological mechanisms and computational models

被引:109
作者
Cooper, Jessica A. [1 ]
Arulpragasam, Amanda R. [1 ]
Treadway, Michael T. [1 ,2 ]
机构
[1] Emory Univ, Dept Psychol, Atlanta, GA 30322 USA
[2] Emory Univ, Dept Psychiat, Emory Sch Med, Atlanta, GA 30322 USA
基金
美国国家卫生研究院; 美国国家科学基金会;
关键词
DECISION-MAKING; MAJOR DEPRESSION; INTERFERON-ALPHA; DOPAMINERGIC MECHANISMS; INDIVIDUAL-DIFFERENCES; MESOLIMBIC DOPAMINE; REMITTED DEPRESSION; REWARD; DISORDER; INFLAMMATION;
D O I
10.1016/j.cobeha.2018.01.024
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Anhedonia is a severe condition that describes a near-complete absence of enjoyment, motivation, and interest. A core feature of depression, clinical manifestations of anhedonia can include deficits in experiencing pleasure, approach-related motivated behavior, and learning how to match expectations to the environment. To date, the precise neurobiological mechanisms of anhedonia in major depression are still poorly understood. We have previously argued that contradictory findings and the inability to identify specific neurobiological substrates for anhedonic symptoms may result from sample heterogeneity, suboptimal methods of assessment, and the challenge of dissociating between different components of anhedonia. Recently, however, computational advances to the operationalization of psychiatric symptoms have enhanced the ability to evaluate the neurobiology of constituent elements of this symptom domain. In this paper, we review (1) advances in behavioral and computational methods of assessing reward processing and motivation and (2) the development of new self-report, neurological, and biological methods of subtyping that may be useful in future pursuits to expand our understanding of the neurobiology of anhedonia in depression.
引用
收藏
页码:128 / 135
页数:8
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