Reconceptualizing anhedonia: novel perspectives on balancing the pleasure networks in the human brain

Anhedonia, the lack of pleasure, has been shown to be a critical feature of a range of psychiatric disorders. Yet, it is currently measured primarily through subjective self-reports and as such has been difficult to submit to rigorous scientific analysis. New insights from affective neuroscience hol...

Full description

Bibliographic Details
Main Authors: Thomsen, K, Whybrow, P, Kringelbach, M
Format: Journal article
Language:English
Published: Frontiers Media SA 2015
_version_ 1797104770403532800
author Thomsen, K
Whybrow, P
Kringelbach, M
author_facet Thomsen, K
Whybrow, P
Kringelbach, M
author_sort Thomsen, K
collection OXFORD
description Anhedonia, the lack of pleasure, has been shown to be a critical feature of a range of psychiatric disorders. Yet, it is currently measured primarily through subjective self-reports and as such has been difficult to submit to rigorous scientific analysis. New insights from affective neuroscience hold considerable promise in improving our understanding of anhedonia and for providing useful objective behavioral measures to complement traditional self-report measures, potentially leading to better diagnoses and novel treatments. Here, we review the state-of-the-art of hedonia research and specifically the established mechanisms of wanting, liking, and learning. Based on this framework we propose to conceptualize anhedonia as impairments in some or all of these processes, thereby departing from the longstanding view of anhedonia as solely reduced subjective experience of pleasure. We discuss how deficits in each of the reward components can lead to different expressions, or subtypes, of anhedonia affording novel ways of measurement. Specifically, we review evidence suggesting that patients suffering from depression and schizophrenia show impairments in wanting and learning, while some aspects of conscious liking seem surprisingly intact. Furthermore, the evidence suggests that anhedonia is heterogeneous across psychiatric disorders, depending on which parts of the pleasure networks are most affected. This in turn has implications for diagnosis and treatment of anhedonia.
first_indexed 2024-03-07T06:38:12Z
format Journal article
id oxford-uuid:f860b7c0-14f9-4aab-95ac-35b3e8abc1ca
institution University of Oxford
language English
last_indexed 2024-03-07T06:38:12Z
publishDate 2015
publisher Frontiers Media SA
record_format dspace
spelling oxford-uuid:f860b7c0-14f9-4aab-95ac-35b3e8abc1ca2022-03-27T12:49:48ZReconceptualizing anhedonia: novel perspectives on balancing the pleasure networks in the human brainJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f860b7c0-14f9-4aab-95ac-35b3e8abc1caEnglishSymplectic Elements at OxfordFrontiers Media SA2015Thomsen, KWhybrow, PKringelbach, MAnhedonia, the lack of pleasure, has been shown to be a critical feature of a range of psychiatric disorders. Yet, it is currently measured primarily through subjective self-reports and as such has been difficult to submit to rigorous scientific analysis. New insights from affective neuroscience hold considerable promise in improving our understanding of anhedonia and for providing useful objective behavioral measures to complement traditional self-report measures, potentially leading to better diagnoses and novel treatments. Here, we review the state-of-the-art of hedonia research and specifically the established mechanisms of wanting, liking, and learning. Based on this framework we propose to conceptualize anhedonia as impairments in some or all of these processes, thereby departing from the longstanding view of anhedonia as solely reduced subjective experience of pleasure. We discuss how deficits in each of the reward components can lead to different expressions, or subtypes, of anhedonia affording novel ways of measurement. Specifically, we review evidence suggesting that patients suffering from depression and schizophrenia show impairments in wanting and learning, while some aspects of conscious liking seem surprisingly intact. Furthermore, the evidence suggests that anhedonia is heterogeneous across psychiatric disorders, depending on which parts of the pleasure networks are most affected. This in turn has implications for diagnosis and treatment of anhedonia.
spellingShingle Thomsen, K
Whybrow, P
Kringelbach, M
Reconceptualizing anhedonia: novel perspectives on balancing the pleasure networks in the human brain
title Reconceptualizing anhedonia: novel perspectives on balancing the pleasure networks in the human brain
title_full Reconceptualizing anhedonia: novel perspectives on balancing the pleasure networks in the human brain
title_fullStr Reconceptualizing anhedonia: novel perspectives on balancing the pleasure networks in the human brain
title_full_unstemmed Reconceptualizing anhedonia: novel perspectives on balancing the pleasure networks in the human brain
title_short Reconceptualizing anhedonia: novel perspectives on balancing the pleasure networks in the human brain
title_sort reconceptualizing anhedonia novel perspectives on balancing the pleasure networks in the human brain
work_keys_str_mv AT thomsenk reconceptualizinganhedonianovelperspectivesonbalancingthepleasurenetworksinthehumanbrain
AT whybrowp reconceptualizinganhedonianovelperspectivesonbalancingthepleasurenetworksinthehumanbrain
AT kringelbachm reconceptualizinganhedonianovelperspectivesonbalancingthepleasurenetworksinthehumanbrain