Mapping the relationship between anxiety, anhedonia, and depression
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Introduction Anxiety and depression are often comorbid conditions, but there is uncertainty as to how this comorbidity develops. Thus, in three studies, we attempted to discern whether anhedonia may be a key linking factor between anxiety and depression.Methods Three studies asked participants about their symptoms of anxiety and depression: in Study 1, 109 participants completed measures of anxiety, depression, activity avoidance, and perceived enjoyability and importance of avoided activities; in Study 2, 747 participants completed measures of anhedonia, anxiety, depression, and defensiveness; in Study 3, 216 participants completed measures assessing the same constructs as in Study 2 at four time-points (ranging 11 months in span).Results In Study 1, symptoms of anxiety and depression were positively related only in individuals who relinquished potential enjoyment due to their anxiety-related avoidance; in Study 2, the indirect effect of anhedonia helped explained how anxiety symptoms imparted risk onto depressive symptoms; and in Study 3, anxiety led to anhedonia and then depression over time and anhedonia led to anxiety and then depression at both 5 and 11 months.Limitations The manuscript is limited by the use of a student sample in study 2, cross-sectional methods in studies 1 and 2, and reliance on self-ratings.Conclusions Anxiety may devolve into depression through anhedonia, such that anxious individuals begin to lose pleasure in anxiety-provoking activities, which results in the development of other depressive symptoms.
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Anxiety can give rise to depression specifically when anxious avoidance leads individuals to abandon positive experiences and develop social anhedonia.
“anxiety can give rise to depression specifically when anxious avoidance leads individuals to abandon positive experiences and develop social anhedonia—a common correlate of diminished connectedness (Winer et al., 2017).”
From Enhancing social connectedness in anxiety and depression through amplification of positivity: Preliminary treatment outcomes and process of change (2020) · cites this paper as Winer et al., 2017
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Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works
(2013) · Cited by 44,563 · see citing works
Principles and Practice of Structural Equation Modeling
Tabri, N., & Elliott, C. M. (2012) · Canadian Graduate Journal of Sociology and Criminology · doi:10.15353/cgjsc.v1i1.3787 · Cited by 39,065 · see citing works
(1998) · Cited by 36,049 · see citing works
Beck, A. T., Steer, R. A., & Brown, G. (2011) · PsycTESTS Dataset · doi:10.1037/t00742-000 · Cited by 7,535 · see citing works
Toward a consensual structure of mood.
Watson, D., & Tellegen, A. (1985) · Psychological bulletin · doi:10.1037/0033-2909.98.2.219 · Cited by 5,362 · see citing works
Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications.
Clark, L. A., & Watson, D. (1991) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.100.3.316 · Cited by 4,602 · see citing works
Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications
Clark, L. A., & Watson, D. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.3.316 · Cited by 4,601 · see citing works
Rush, A. J., Trivedi, M. H., Ibrahim, H. M., Carmody, T. J., Arnow, B., Klein, D. N., Markowitz, J. C., Ninan, P. T., Kornstein, S., Manber, R., et al. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01866-8 · Cited by 3,829 · see citing works
Instructional manipulation checks: Detecting satisficing to increase statistical power
Oppenheimer, D. M., Meyvis, T., & Davidenko, N. (2009) · Journal of Experimental Social Psychology · doi:10.1016/j.jesp.2009.03.009 · Cited by 3,493 · see citing works
Short, homogeneous versions of the Marlow-Crowne Social Desirability Scale
Strahan, R. F., & Gerbasi, K. C. (1972) · Journal of Clinical Psychology · doi:10.1002/1097-4679(197204)28:2 · Cited by 1,652 · see citing works
Comorbidity: a network perspective
Cramer, A. O. J., Waldorp, L. J., van der Maas, H. L. J., & Borsboom, D. (2010) · Behavioral and Brain Sciences · doi:10.1017/s0140525x09991567 · Cited by 1,575 · see citing works
Comorbidity of anxiety and unipolar mood disorders
Mineka, S., Watson, D., & Clark, L. A. (1998) · Annual Review of Psychology · doi:10.1146/annurev.psych.49.1.377 · Cited by 1,573 · see citing works
Toward a consensual structure of mood
Watson, D., & Tellegen, A. (1985) · Psychological Bulletin · doi:10.1037//0033-2909.98.2.219 · Cited by 1,170 · see citing works
Using Mechanical Turk to Study Clinical Populations
Shapiro, D. N., Chandler, J., & Mueller, P. A. (2013) · Clinical Psychological Science · doi:10.1177/2167702612469015 · Cited by 1,139 · see citing works
Conducting Clinical Research Using Crowdsourced Convenience Samples
Chandler, J., & Shapiro, D. (2016) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-021815-093623 · Cited by 1,072 · see citing works
A functional analysis of depression.
Ferster, C. B. (1973) · American Psychologist · doi:10.1037/h0035605 · Cited by 918 · see citing works
Estimating and testing mediation and moderation in within-subject designs.
Judd, C. M., Kenny, D. A., & McClelland, G. H. (2001) · Psychological Methods · doi:10.1037/1082-989x.6.2.115 · Cited by 846 · see citing works
The labor economics of paid crowdsourcing
Horton, J. J., & Chilton, L. B. (2010) · ACM Conference on Electronic Commerce (EC) · doi:10.1145/1807342.1807376 · Cited by 618 · see citing works
The development of a short form of the Manifest Anxiety Scale.
Bendig, A. W. (1956) · Journal of Consulting Psychology · doi:10.1037/h0045580 · Cited by 456 · see citing works
Rush, A. J., Bernstein, I. H., Trivedi, M. H., Carmody, T. J., Wisniewski, S., Mundt, J. C., Shores-Wilson, K., Biggs, M. M., Woo, A., Nierenberg, A. A., et al. (2006) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.08.022 · Cited by 385 · see citing works
Winer, E. S., Cervone, D., Bryant, J., McKinney, C., Liu, R. T., & Nadorff, M. R. (2016) · Journal of Clinical Psychology · doi:10.1002/jclp.22298 · Cited by 260 · cited 3× · see citing works
“Increases in anhedonia may be uniquely associated with other symptoms of depression, as they have been found to predict suicidality and severe depressive symptoms (Winer et al., 2016c, 2014a).”
BackgroundMethodSelf-citationWiner, E. S., & Salem, T. (2015) · Psychological Bulletin · doi:10.1037/bul0000022 · Cited by 247 · see citing works
Self-citationBELZER, K., & SCHNEIER, F. R. (2004) · Journal of Psychiatric Practice · doi:10.1097/00131746-200409000-00003 · Cited by 235 · cited 1× · see citing works
“Symptoms of anxiety can predate symptoms of depression (Batterham et al., 2013; Belzer and Schneider, 2004; Frewen et al., 2012; Mineka et al., 1998).”
BackgroundShankman, S. A., & Klein, D. N. (2003) · Clinical Psychology Review · doi:10.1016/s0272-7358(03)00038-2 · Cited by 202 · see citing works
Carvalho, J. P., & Hopko, D. R. (2011) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2010.10.001 · Cited by 176 · see citing works
Anhedonia predicts suicidal ideation in a large psychiatric inpatient sample
Winer, E. S., Nadorff, M. R., Ellis, T. E., Allen, J. G., Herrera, S., & Salem, T. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.04.016 · Cited by 172 · see citing works
Self-citationMeasuring anhedonia: impaired ability to pursue, experience, and learn about reward
Thomsen, K. R. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01409 · Cited by 156 · see citing works
Avoidance mediates the relationship between anxiety and depression over a decade later
Jacobson, N. C., & Newman, M. G. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.03.007 · Cited by 149 · see citing works
Joiner, T. E., Brown, J. S., & Metalsky, G. I. (2003) · Psychiatry Research · doi:10.1016/s0165-1781(03)00131-8 · Cited by 115 · see citing works
Price, R. B., Rosen, D., Siegle, G. J., Ladouceur, C. D., Tang, K., Allen, K. B., Ryan, N. D., Dahl, R. E., Forbes, E. E., & Silk, J. S. (2016) · Journal of Abnormal Psychology · doi:10.1037/abn0000127 · Cited by 114 · see citing works
Frewen, P., Schmittmann, V. D., Bringmann, L. F., & Borsboom, D. (2013) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v4i0.20656 · Cited by 112 · see citing works
The Association between Anhedonia, Suicidal Ideation, and Suicide Attempts in a Large Student Sample
Winer, E. S., Drapeau, C. W., Veilleux, J. C., & Nadorff, M. R. (2015) · Archives of Suicide Research · doi:10.1080/13811118.2015.1025119 · Cited by 86 · see citing works
Self-citationDevelopment and validation of the Specific Loss of Interest and Pleasure Scale (SLIPS)
Winer, E. S., Veilleux, J. C., & Ginger, E. J. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.09.010 · Cited by 79 · see citing works
Self-citationANXIETY SYMPTOMS AS PRECURSORS OF MAJOR DEPRESSION AND SUICIDAL IDEATION
Batterham, P. J., Christensen, H. M., & Calear, A. L. (2013) · Depression and Anxiety · doi:10.1002/da.22066 · Cited by 78 · see citing works
Moitra, E., Herbert, J. D., & Forman, E. M. (2008) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2008.01.002 · Cited by 76 · see citing works
BROSSCHOT, J. F., de Ruiter, C., & Kindt, M. (1999) · Personality and Individual Differences · doi:10.1016/s0191-8869(98)00173-1 · Cited by 65 · see citing works
Frewen, P., Allen, S. L., Lanius, R. A., & Neufeld, R. W. J. (2011) · Assessment · doi:10.1177/1073191111418297 · Cited by 61 · see citing works
Does physical anhedonia play a role in depression? A 20-year longitudinal study
Shankman, S. A., Nelson, B. D., Harrow, M., & Faull, R. N. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.05.002 · Cited by 55 · see citing works
Jordan, D. G., Winer, E. S., Salem, T., & Kilgore, J. (2017) · Cognition & Emotion · doi:10.1080/02699931.2017.1289895 · Cited by 37 · see citing works
Self-citationBartoszek, G., & Winer, E. S. (2014) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2014.07.012 · Cited by 29 · see citing works
Self-citationNadorff, M. R., Salem, T., Winer, E. S., Lamis, D. A., Nazem, S., & Berman, M. E. (2014) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4288 · Cited by 27 · see citing works
Self-citationCurrent Issues in Repressive Coping and Health
Myers, L. B., Burns, J. W., Derakshan, N., Elfant, E., Eysenck, M. W., & Phipps, S. (2007) · Springer eBooks · doi:10.1007/978-0-387-29986-0_5 · Cited by 23 · see citing works
Anhedonia and Risk of Suicide: An Overview
Loas, G. (2014) · Springer eBooks · doi:10.1007/978-94-017-8610-2_11 · Cited by 15 · see citing works
Winer, E. S., Cervone, D., Newman, L. S., & Snodgrass, M. (2011) · Personality and Individual Differences · doi:10.1016/j.paid.2011.08.010 · Cited by 14 · see citing works
Self-citationWhen a Psychometric Advance Falls in the Forest
Clark, L. A. (2006) · Psychometrika · doi:10.1007/s11336-006-1500-5 · Cited by 11 · see citing works
Can We Bring about a Velvet Revolution in Psychological Measurement? a Rejoinder to Commentaries
Borsboom, D. (2006) · Psychometrika · doi:10.1007/s11336-006-1502-3 · Cited by 10 · see citing works
Emailing Workers Using PythonPreprint
Mueller, P. A., & Chandler, J. (2012) · SSRN Electronic Journal · doi:10.2139/ssrn.2100601 · Cited by 8 · see citing works
Flagged first, then by citations
1 of the 49 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Winer ES Drapeau CW Veilleux JC Nadorff MR 2016c The relationship between anhedonia, suicidal ideation, and suicide attempts in a large student sample Archives of Suicide Research 20 265 272 26214573
Cited by
Sorted by citations
Taylor, C. T., Pearlstein, S. L., Kakaria, S., Lyubomirsky, S., & Stein, M. B. (2020) · Cognitive Therapy and Research · doi:10.1007/s10608-020-10102-7 · Cited by 81 · see citing works
Garabiles, M. R., Lao, C. K., Yip, P. S. Y., Chan, E. W. W., Mordeno, I. G., & Hall, B. J. (2019) · Journal of Personality Assessment · doi:10.1080/00223891.2019.1644343 · Cited by 79 · see citing works
Understanding anxiety symptoms as aberrant defensive responding along the threat imminence continuum
Abend, R. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105305 · Cited by 80 · see citing works
Conceptualizing anhedonias and implications for depression treatments
Winer, E. S., Jordan, D. G., & Collins, A. C. (2019) · Psychology Research and Behavior Management · doi:10.2147/prbm.s159260 · Cited by 68 · see citing works
Self-citationReward-Related Neural Circuitry in Depressed and Anxious Adolescents: A Human Connectome Project
Auerbach, R. P., Pagliaccio, D., Hubbard, N. A., Frosch, I. R., Kremens, R., Cosby, E. A., Jones, R. J., Siless, V., Lo, N., Henin, A., et al. (2021) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2021.04.014 · Cited by 64 · see citing works
Bodén, R., Bengtsson, J., Thörnblom, E., Struckmann, W., & Persson, J. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.04.053 · Cited by 62 · see citing works
Arnaldo, I., Corcoran, A. W., Friston, K. J., & Ramstead, M. J. D. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104590 · Cited by 56 · see citing works
The Effects of Anhedonia in Social Context
Barkus, E. (2021) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-021-00232-x · Cited by 54 · see citing works
The relationship between anxiety and depression under the pandemic: The role of life meaning
Shek, D. T. L., Chai, W. Y., & Tan, L.-D. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1059330 · Cited by 36 · see citing works
Reduced dorsal striatal gray matter volume predicts implicit suicidal ideation in adolescents
Ho, T. C., Cichocki, A. C., Gifuni, A. J., Catalina Camacho, M., Ordaz, S. J., Singh, M. K., & Gotlib, I. H. (2018) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsy089 · Cited by 48 · see citing works
Network analysis of anxiety and depression in the functionally impaired elderly
Yang, T., Guo, Z., Cao, X., Zhu, X., Zhou, Q., Li, X., Wang, H., Wang, X., Wu, L., Wu, S., et al. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1067646 · Cited by 51 · see citing works
Jordan, D. G., Collins, A. C., Dunaway, M. G., Kilgore, J., & Winer, E. S. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.23066 · Cited by 47 · see citing works
Self-citationThree-year prediction of depression and anxiety with a single self-rated health item
Östberg, D., & Nordin, S. (2022) · Journal of Mental Health · doi:10.1080/09638237.2021.2022610 · Cited by 45 · see citing works
Self-Referential Processing and Depression: A Systematic Review and Meta-Analysis
Collins, A. C., & Winer, E. S. (2023) · Clinical Psychological Science · doi:10.1177/21677026231190390 · Cited by 45 · see citing works
Self-citationAddressing anhedonia to increase depression treatment engagement
Khazanov, G. K., Forbes, C. N., Dunn, B. D., & Thase, M. E. (2021) · British Journal of Clinical Psychology · doi:10.1111/bjc.12335 · Cited by 44 · see citing works
The Impact of Loneliness on Outcomes of Pulmonary Rehabilitation in Patients with COPD
Reijnders, T., Schüler, M., Jelusic, D., Troosters, T., Janssens, W., Schultz, K., & von Leupoldt, A. (2018) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.1080/15412555.2018.1471128 · Cited by 44 · see citing works
Pornpattananangkul, N., Leibenluft, E., Pine, D. S., & Stringaris, A. K. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2019.0020 · Cited by 42 · see citing works
RetractedHe, Y., Wu, C., LeMoult, J., Huang, J., Zhao, Y., Liang, K., Chen, S., Wang, E., Huang, L., & Chi, X. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05449-6 · Cited by 45 · see citing works
Anhedonia in Anxiety Disorders
Taylor, C. T., Hoffman, S. N., & Khan, A. J. (2022) · Current Topics in Behavioral Neurosciences · doi:10.1007/7854_2022_319 · Cited by 45 · see citing works
Barthel, A. L., Pinaire, M. A., Curtiss, J. E., Baker, A. W., Brown, M. L., Hoeppner, S. S., Bui, E., Simon, N. M., & Hofmann, S. G. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.08.077 · Cited by 40 · see citing works
Taylor, C. T., Pearlstein, S. L., & Stein, M. B. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.01.041 · Cited by 38 · see citing works
Kim, J. H. J., Tsai, W., Kodish, T., Trung, L. T., Lau, A. S., & Weiss, B. (2019) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.109763 · Cited by 38 · see citing works
Yuan, L., Lu, L., Wang, X., Qu, M., Gao, Y.-Q., & Pan, B. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04638-7 · Cited by 32 · see citing works
Klotho Regulated by Estrogen Plays a Key Role in Sex Differences in Stress Resilience in Rats
Tan, Z.-N., Li, Y., Guan, Y., Iqbal, J., Wang, C., Yan, R., & Ma, X. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24021206 · Cited by 32 · see citing works
Collins, A. C., Lass, A. N. S., Jordan, D. G., & Winer, E. S. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23158 · Cited by 31 · see citing works
Self-citationSzczęśniak, M., Falewicz, A., Strochalska, K., & Rybarski, R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19106065 · Cited by 33 · see citing works
Ebrahim, A. H., Dhahi, A., Husain, M. A., & Jahrami, H. (2021) · Sultan Qaboos University medical journal · doi:10.18295/squmj.6.2021.081 · Cited by 31 · see citing works
Xie, J., Fang, P., Zhang, Z., Luo, R., & Dai, B. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.644882 · Cited by 27 · see citing works
Neural signatures of saliency-mapping in anhedonia: A narrative review
Pisoni, A., Davis, S. W., & Smoski, M. J. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.114123 · Cited by 25 · see citing works
Galea, M., Park, T., & Hegadoren, K. (2022) · Journal of Neonatal Nursing · doi:10.1016/j.jnn.2021.10.002 · Cited by 23 · see citing works
Vos, L. M. W., Nieto, I., Amanvermez, Y., Smeets, T., & Everaert, J. (2025) · Clinical Psychology Review · doi:10.1016/j.cpr.2025.102552 · Cited by 22 · see citing works
Takubo, Y., Tsujino, N., Aikawa, Y., Fukiya, K., Iwai, M., Uchino, T., Ito, M., Akiba, Y., Mizuno, M., & Nemoto, T. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-021-04331-1 · Cited by 23 · see citing works
Bryant, J. S., Gallagher, M. R., Collins, A. C., & Winer, E. S. (2022) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2022.101830 · Cited by 22 · see citing works
Self-citationDepression, anxiety, and burnout in academia: topic modeling of PubMed abstracts
Lezhnina, O. (2023) · Frontiers in Research Metrics and Analytics · doi:10.3389/frma.2023.1271385 · Cited by 24 · see citing works
Borgonetti, V., Les, F., López, V., & Galeotti, N. (2020) · Pharmaceuticals · doi:10.3390/ph13120472 · Cited by 21 · see citing works
Sydnor, V. J., Larsen, B., Kohler, C. G., Crow, A. J. D., Rush, S., Calkins, M. E., Gur, R. C., Gur, R. E., Ruparel, K., Kable, J. W., et al. (2021) · Molecular Psychiatry · doi:10.1038/s41380-020-00986-y · Cited by 21 · see citing works
Reward Processes in Extinction Learning and Applications to Exposure Therapy
Rosenberg, B. M., Barnes‐Horowitz, N. M., Zbozinek, T. D., & Craske, M. G. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2024.102911 · Cited by 21 · see citing works
Borgonetti, V., Governa, P., Biagi, M., & Galeotti, N. (2020) · Nutrients · doi:10.3390/nu12061803 · Cited by 22 · see citing works
Ribeiro, A. C. R., Hawkins, E., Jahr, F. M., McClay, J. L., & Deshpande, L. S. (2021) · NeuroToxicology · doi:10.1016/j.neuro.2022.03.011 · Cited by 19 · see citing works
Zhang, C., Li, R., Zhang, W., Tao, Y., Liu, X., & Lv, Y. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06931-z · Cited by 17 · see citing works
Fox, J., Erlandsson, L., & Shiel, A. (2019) · Occupational Therapy in Mental Health · doi:10.1080/0164212x.2018.1516172 · Cited by 13 · see citing works
Yu, F., Fang, H., Zhang, J., Wang, Z., Ai, H., Kwok, V. P. Y., Fang, Y., Guo, Y., Wang, X., Zhu, C., et al. (2022) · Depression and Anxiety · doi:10.1002/da.23292 · Cited by 16 · see citing works
Swales, D. A., Fiacco, S., Andersen, E., Cooper, J. A., Treadway, M. T., Xia, K., Schiller, C. E., Girdler, S. S., & Dichter, G. S. (2023) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2023.106339 · Cited by 15 · see citing works
Sanna, M. D., Quattrone, A., & Galeotti, N. (2018) · Neuropharmacology · doi:10.1016/j.neuropharm.2018.04.001 · Cited by 15 · see citing works
Shin, H., & Park, C. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1401142 · Cited by 14 · see citing works
Bolstad, C. J., Moak, R., Brown, C. J., Kennedy, R., & Buys, D. R. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17165745 · Cited by 14 · see citing works
Zhong, R., Li, Z., Chen, Q., Zhang, H., Zhang, X., & Lin, W. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04154-0 · Cited by 13 · see citing works
Salem, T., Winer, E. S., Jordan, D. G., & Dorr, M. M. (2019) · Cognitive Therapy and Research · doi:10.1007/s10608-019-10027-w · Cited by 14 · see citing works
Self-citationNetwork structure of anticipatory pleasure and risk features: Evidence from a large college sample
Zhang, R., Wang, Y., Yang, Z., Li, Y., Wang, Y., Cheung, E. F. C., Shum, D., Yang, T., Barkus, E., & Chan, R. C. K. (2019) · PsyCh Journal · doi:10.1002/pchj.331 · Cited by 12 · see citing works
Assessing the joint effects of brain aging and gut microbiota on the risks of psychiatric disorders
Zhang, H., Liu, L., Cheng, S., Jia, Y., Wen, Y. F., Yang, X., Meng, P., Li, C., Pan, C., Chen, Y., et al. (2022) · Brain Imaging and Behavior · doi:10.1007/s11682-022-00630-z · Cited by 13 · see citing works
When hope springs a leak: Aversion to positivity as a key to understanding depressed persons
Gallagher, M. R., Salem, T., & Winer, E. S. (2023) · Current Psychology · doi:10.1007/s12144-023-04917-2 · Cited by 12 · see citing works
Self-citationHirdes, J. P., Morris, J. N., Perlman, C. M., Saari, M., Betini, G. S., Franco, M., van Hout, H. P. J., Stewart, S. L., & Ferris, J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.787463 · Cited by 11 · see citing works
Network analysis of depression and anxiety symptoms in Chinese rheumatoid arthritis patients
Zhang, L., Zhu, W., & Wu, B. (2023) · PeerJ · doi:10.7717/peerj.16356 · Cited by 10 · see citing works
Calafiore, C., Collins, A. C., Miller, J. A. M., Watson, J. C., & Winer, E. S. (2023) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2023.100702 · Cited by 10 · see citing works
Self-citationFrom anxiety to depression: A longitudinal investigation into the role of anhedonia
Collins, A. C., Gallagher, M. R., Calafiore, C., Jordan, D. G., & Winer, E. S. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.03.074 · Cited by 12 · see citing works
Self-citationHyldelund, N. B., Byrne, D. V., Chan, R. C. K., & Andersen, B. V. (2022) · Foods · doi:10.3390/foods11223659 · Cited by 10 · see citing works
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Calafiore, C., Collins, A. C., Bartoszek, G., & Winer, E. S. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.08.031 · Cited by 9 · see citing works
Self-citationKoszalinski, R. S., Heidel, R. E., & McCarthy, J. (2019) · Nursing and Health Sciences · doi:10.1111/nhs.12664 · Cited by 9 · see citing works
Positive Affect Treatment for Depression, Anxiety, and Low Positive Affect
Meuret, A. E., Rosenfield, D., Wang, E., Hough, C. M., Ritz, T., & Craske, M. G. (2026) · JAMA Network Open · doi:10.1001/jamanetworkopen.2026.7403 · Cited by 9 · see citing works
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Collins, A. C., & Winer, E. S. (2022) · doi:10.31219/osf.io/u7fw5 · Cited by 8 · see citing works
Self-citationGallagher, M. R., Collins, A. C., Lekkas, D., Nemesure, M. D., Griffin, T. Z., Price, G. D., Heinz, M. V., Pillai, A., Nepal, S. K., Mackin, D. M., et al. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.11.059 · Cited by 8 · see citing works
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Brian, K., & Stella, M. (2023) · Physica A Statistical Mechanics and its Applications · doi:10.1016/j.physa.2023.129074 · Cited by 7 · see citing works
Rosenberg, B. M., Young, K. S., Nusslock, R., Zinbarg, R. E., & Craske, M. G. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2024.102880 · Cited by 7 · see citing works
Gebregziabher, N. K., Netsereab, T. B., Alazar, F., Fessaha, Y. G., Sium, A. H., & Ghebrehiwet, N. K. (2025) · International Journal of Women s Health · doi:10.2147/ijwh.s487258 · Cited by 7 · see citing works
Yang, Y., & Ma, Z. (2025) · International Journal of Social Psychiatry · doi:10.1177/00207640251370514 · Cited by 6 · see citing works
Kuan, C., Liu, Q., Xu, G., Zhou, H., Nie, J.-H., & Yan, C. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1337847 · Cited by 7 · see citing works
Two‐stage reinforcement learning task predicts psychological traits
Treviño, M., Castiello, S., de la Torre-Valdovinos, B., Osuna-Carrasco, L. P., y León, R. M., & Arias-Carrión, Ó. (2023) · PsyCh Journal · doi:10.1002/pchj.633 · Cited by 6 · see citing works
Barnes‐Horowitz, N. M., Echiverri-Cohen, A. M., Ruiz, J., Zbozinek, T. D., Kim, R., Treanor, M., Rosenfield, D., Ritz, T., Meuret, A. E., & Craske, M. G. (2023) · Journal of Experimental Psychopathology · doi:10.1177/20438087231161188 · Cited by 6 · see citing works
Gallagher, M. R., Collins, A. C., Anduze, S. L., & Winer, E. S. (2025) · PLoS ONE · doi:10.1371/journal.pone.0320052 · Cited by 5 · see citing works
Self-citationKale, H. P., Cambron‐Mellott, M. J., Drissen, T., Perkowski, K., King-Concialdi, K., & Jha, M. K. (2025) · The International Journal of Neuropsychopharmacology · doi:10.1093/ijnp/pyaf048 · Cited by 6 · see citing works
Alrehaili, S., Afifi, A. A., Algheshairy, R. M., Bushnaq, T., Alharbi, T. A. F., & Alharbi, H. F. (2024) · Frontiers in Nutrition · doi:10.3389/fnut.2024.1445125 · Cited by 5 · see citing works
Song, J. G., Kwon, O., Hwang, E. M., Kim, H. W., & Park, J. (2022) · Behavioural Brain Research · doi:10.1016/j.bbr.2022.113841 · Cited by 5 · see citing works
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Kim, H. J. J., Zagzoog, A., Ceni, C., Ferrisi, R., Janz, N., & Laprairie, R. B. (2023) · Brain Sciences · doi:10.3390/brainsci13020314 · Cited by 4 · see citing works
Zhou, C., Zhang, Z., Wilson, A., Xu, H., Xie, Z., & Wang, Y. (2025) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2025.112109 · Cited by 4 · see citing works
Daneshvar, S., Zeraatpisheh, Z., & Jobson, L. (2025) · Current Psychology · doi:10.1007/s12144-025-07810-2 · Cited by 4 · see citing works
Mittmann, G., Thomas, M. F., & Steiner‐Hofbauer, V. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116736 · Cited by 4 · see citing works
Li, J., Fang, D., Zhang, J., Zhang, H., Wang, Z., & Zhang, H. (2025) · Biological Psychology · doi:10.1016/j.biopsycho.2025.109132 · Cited by 4 · see citing works
Sahni, A., Frey, A.-L., & McCabe, C. (2025) · Psychological Medicine · doi:10.1017/s0033291725102523 · Cited by 4 · see citing works
Oh, D., & Na, H. (2024) · International Journal of Mental Health Nursing · doi:10.1111/inm.13392 · Cited by 4 · see citing works
Rukavishnikov, G. V., Kasyanov, E. D., Shishkovskaia, T. I., Olychik, I. V., Незнанов, Н. Г., Kibitov, A. O., & Mazo, G. E. (2023) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro202312311285 · Cited by 4 · see citing works
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Sargisson, R. J., Li, F., Lobo, D. A., & Roche, M. (2019) · International Journal of Psychology & Behavior Analysis · doi:10.15344/2455-3867/2019/164 · Cited by 4 · see citing works
Behavioral anhedonia in Major Depressive Disorder (MDD)
Wardani, I. A. K., & Lesmana, C. B. J. (2024) · International journal of health & medical sciences · doi:10.21744/ijhms.v7n2.2277 · Cited by 3 · see citing works
Kestler‐Peleg, M. (2022) · Feminism & Psychology · doi:10.1177/09593535221130698 · Cited by 3 · see citing works
The Conundrum of Antidepressant-Induced Anhedonia: A Blended Patient–Psychologist Perspective
Adams, N. N. (2025) · Journal of Patient Experience · doi:10.1177/23743735251346666 · Cited by 2 · see citing works
Liu, H., Ni, Y., Xie, H., Xie, Y., Fan, C., Li, Y., Shen, W., Zhai, H., Jiang, C., Wu, J., et al. (2025) · BMC Psychology · doi:10.1186/s40359-025-03105-0 · Cited by 2 · see citing works
Happy or not? An investigative study on well-being and anhedonia in everyday life
Merklein, S. A., Peterburs, J., & Mundorf, A. (2025) · PLoS ONE · doi:10.1371/journal.pone.0331769 · Cited by 2 · see citing works
Gupta, T., Lenniger, C. J., Seah, T. H. S., & Forbes, E. E. (2025) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000445 · Cited by 2 · see citing works
Tao, Y., Guo, S., Lu, X., Niu, H., & Liu, X. (2026) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2026.103159 · Cited by 2 · see citing works
Linking Social Anxiety and Depression: The Role of Metacognitive Beliefs and Anhedonia
Hermann, E. J., Rai, A., Tewari, A., Kopyto, S., Castellanos, K., & Barahmand, U. (2022) · Current Psychiatry Research and Reviews · doi:10.2174/2666082219666221028102903 · Cited by 3 · see citing works
Reddy, A., Bertocci, M. A., Gupta, T., Eckstrand, K., Rengasamy, M. L., & Forbes, E. E. (2025) · Journal of Mood and Anxiety Disorders · doi:10.1016/j.xjmad.2025.100116 · Cited by 3 · see citing works
Apostol, O. A., Cioca, I. E., Morcov, M.-V., Sporea, C., Morcov, C. G., Pellegrini, A. M., & Bordea, E.-N. (2025) · Psychiatry International · doi:10.3390/psychiatryint6020043 · Cited by 2 · see citing works
Psychological Adjustment Among Chinese International Students During COVID-19: A Network AnalysisPreprint
Bi, K., Jiang, Q., & Chen, S. (2021) · doi:10.31234/osf.io/y9svn · Cited by 2 · see citing works
Wei, L., Lv, Y., Peng, D., Liang, M., Jiang, D., Gan, X., Deng, J., He, X., Ni, X., & Hu, C. (2025) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2025.110274 · Cited by 1 · see citing works
Prizeman, K., & McCabe, C. (2025) · British Journal of Clinical Psychology · doi:10.1111/bjc.70008 · Cited by 1 · see citing works
Temporal Predictions from Anhedonia To Anxiety in Adolescents with Major Depressive Disorder
Lee, Y. D., Towbin, K. E., Pine, D. S., Stringaris, A. K., & Kircanski, K. (2025) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-025-01362-6 · Cited by 1 · see citing works
Bernier, V., Mungo, A., Point, C., Wacquier, B., Loas, G., & Hein, M. (2025) · Medicina · doi:10.3390/medicina61122125 · Cited by 1 · see citing works
Fatt, C. C., Minhajuddin, A., Goodman, L. C., Vasu, S., Mayes, T. L., Sethuram, S., Trombello, J. M., Hughes, J. L., Greer, T. L., Foster, J. A., et al. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.12.023 · Cited by 1 · see citing works
Huang, W., Duan, N., Ji, Y., Qian, R. L., Zheng, H., Wang, K., Zu, M., & Tian, Y. (2026) · Neuropsychobiology · doi:10.1159/000550252 · Cited by 1 · see citing works
Kong, L., Deng, Z., Ji, E., Zheng, X., Wang, W., Nie, Z., Ma, S., Zhou, E., Gong, Q., Liu, Z., et al. (2026) · BMC Psychiatry · doi:10.1186/s12888-026-07826-3 · Cited by 1 · see citing works
Uribe, S., Corner, S. E., Anderson, C., Wahl, H., & Meuret, A. E. (2026) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2026.102110 · Cited by 1 · see citing works
- Authors
- Winer, E. S., Bryant, J., Bartoszek, G., Rojas, E., Nadorff, M. R., & Kilgore, J.
- Affiliations
- Mississippi State University (US)
- University of Illinois Chicago (US)
- Baylor College of Medicine (US)
- Corresponding author
- Winer, E. Samuel
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2017-10
- Volume
- 221
- Pages
- 289-296
- ISSN
- 0165-0327 (ISSN-L)
- PMC
- PMC6080718
- OpenAlex
- W2626719695
- Cited by
- 124
- References
- 49
- Citations by year
- 2026: 14 · 2025: 27 · 2024: 12 · 2023: 18 · 2022: 16 · 2021: 15 · 2020: 10 · 2019: 9 · 2018: 3
- FWCI
- 7.78
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R15MH101573)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- anxiety, anhedonia, depression, comorbid depression and anxiety, activity avoidance, defensiveness, temporal dynamics of symptoms, loss of pleasure
- MeSH terms
- Adult, Anxiety Disorders, Cross-Sectional Studies, Depressive Disorder, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Students, Comorbidity, Uncertainty, Young Adult, Anhedonia
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