Evidence map›Paper›PMID 37995926›Full record

ArticleJournal of affective disorders2024

Anhedonia in adolescents at transdiagnostic familial risk for severe mental illness: Clustering by symptoms and mechanisms of association with behavior.

T Gupta, K L Eckstrand, C J Lenniger, G L Haas, J S Silk, N D Ryan, M L Phillips, L E Flores, D A Pizzagalli, E E Forbes

Abstract read
In one paragraph

Article in Journal of affective disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

T GuptaUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, USA. Electronic address: Guptat3@upmc.edu.
K L EckstrandUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, USA.
C J LennigerUniversity of Pittsburgh, Department of Psychology, Pittsburgh, PA, USA.
G L HaasUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, USA; University of Pittsburgh, Department of Psychology, Pittsburgh, PA, USA; VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
J S SilkUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, USA; University of Pittsburgh, Department of Psychology, Pittsburgh, PA, USA.
N D RyanUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, USA.
M L PhillipsUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, USA.
L E FloresQueens University, Department of Psychology, Kingston, Ontario, CA, USA.
D A PizzagalliHarvard Medical School and McLean Hospital, Department of Psychiatry, Boston, MA, USA.
E E ForbesUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, USA; University of Pittsburgh, Department of Psychology, Pittsburgh, PA, USA; University of Pittsburgh, Department of Pediatrics, Pittsburgh, PA, USA; University of Pittsburgh, Department of Clinical and Translational Science, Pittsburgh, PA, USA.

Funding

Neuroimaging Studies of Reward Processing in DepressionR37MH068376 · NIMH · UNIVERSITY OF CALIFORNIA-IRVINE · PI Diego A Pizzagalli · 2016 to 2026
$7.4M
CLINICAL RESEARCH TRAINING FOR PSYCHOLOGISTST32MH018269 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MICHELE D LEVINE · 1986 to 2026
$6.3M
Development of Anhedonia in High-Risk AdolescentsR01MH104418 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FORBES, ERIKA E · 2015 to 2020
$3.1M
Social-Affective Vulnerability to Suicidality among LGBTQ Young Adults: Proximal and Distal FactorsR01MH124900 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FORBES, ERIKA E, SILK, JENNIFER S · 2021 to 2024
$2.9M
Neural circuitry underlying emotional abuse and depression in sexual minority youthK23MH128728 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KRISTEN ECKSTRAND · 2022 to 2026
$940k
NIMH NIH HHS K23 MH128728NIMH NIH HHS R01 MH104418NIMH NIH HHS R01 MH124900NIMH NIH HHS R37 MH068376NIMH NIH HHS T32 MH018269
6 · The paper itself

Abstract

backgroundAnhedonia is a transdiagnostic symptom of severe mental illness (SMI) and emerges during adolescence. Possible subphenotypes and neural mechanisms of anhedonia in adolescents at risk for SMI are understudied.

methodsAdolescents at familial risk for SMI (N = 81) completed anhedonia (e.g., consummatory, anticipatory, social), demographic, and clinical measures and one year prior, a subsample (N = 46) completed fMRI scanning during a monetary reward task. Profiles were identified using k-means clustering of anhedonia type and differences in demographics, suicidal ideation, impulsivity, and emotional processes were examined. Moderation analyses were conducted to investigate whether levels of brain activation of reward regions moderated the relationships between anhedonia type and behaviors.

resultsTwo-clusters emerged: a high anhedonia profile (high-anhedonia), characterized by high levels of all types of anhedonia, (N = 32) and a low anhedonia profile (low-anhedonia), characterized by low levels of anhedonia types (N = 49). Adolescents in the high-anhedonia profile reported more suicidal ideation and negative affect, and less positive affect and desire for emotional closeness than low-anhedonia profile. Furthermore, more suicidal ideation, less positive affect, and less desire for emotional closeness differentiated the familial high-risk, high-anhedonia profile adolescents from the familial high-risk, low-anhedonia profile adolescents. Across anhedonia profiles, moderation analyses revealed that adolescents with high dmPFC neural activation in response to reward had positive relationships between social, anticipatory, and consummatory anhedonia and suicidal ideation. LIMITATIONS: Small subsample with fMRI data.

conclusionProfiles of anhedonia emerge transdiagnostically and vary on clinical features. Anhedonia severity and activation in frontostriatal reward areas have value for clinically important outcomes such as suicidal ideation.

Indexed as

AnhedoniaMental DisordersAdolescentBrainCluster AnalysisGenetic Predisposition to DiseaseHumansAnhedoniaClustersRewardSevere mental illnessSMITransdiagnostic risk

Identifiers

PMID37995926
PMCPMC10843785

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.