The DOI matches its Crossref record; 49 of the 52 references it cites were found in a registry or an index.
Development and validation of the Dimensional Anhedonia Rating Scale (DARS) in a community sample and individuals with major depression
Abstract
Anhedonia, a core symptom of Major Depressive Disorder (MDD), is predictive of antidepressant non-response. In contrast to the definition of anhedonia as a "loss of pleasure", neuropsychological studies provide evidence for multiple facets of hedonic function. The aim of the current study was to develop and validate the Dimensional Anhedonia Rating Scale (DARS), a dynamic scale that measures desire, motivation, effort and consummatory pleasure across hedonic domains. Following item selection procedures and reliability testing using data from community participants (N=229) (Study 1), the 17-item scale was validated in an online study with community participants (N=150) (Study 2). The DARS was also validated in unipolar or bipolar depressed patients (n=52) and controls (n=50) (Study 3). Principal components analysis of the 17-item DARS revealed a 4-component structure mapping onto the domains of anhedonia: hobbies, food/drink, social activities, and sensory experience. Reliability of the DARS subscales was high across studies (Cronbach's α=0.75-0.92). The DARS also demonstrated good convergent and divergent validity. Hierarchical regression analysis revealed the DARS showed additional utility over the Snaith-Hamilton Pleasure Scale (SHAPS) in predicting reward function and distinguishing MDD subgroups. These studies provide support for the reliability and validity of the DARS.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“In patients with MDD/bipolar depressive episodes, the DARS showed excellent internal consistency (Cronbach’s α = 0.96), convergent validity with another anhedonia scale (r = − 0.79), moderate correlation with a depression measure (r = − 0.37), and was able to distinguish MDD from healthy controls [49].”
From Patient-reported outcome measures for life engagement in mental health: a systematic review (2022) · cites this paper as [49]
In the citing paper
“The DARS [49] measures desire/interest, motivation, effort, and pleasure “right now”.”
From Patient-reported outcome measures for life engagement in mental health: a systematic review (2022) · cites this paper as [49]
Citations
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
Hamilton, M. (1960) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.23.1.56 · Cited by 32,817
Discovering Statistics Using SPSS
Field, A. P., & Miles, J. N. V. (2000) · Medical Entomology and Zoology · Cited by 28,269
(1998) · The Journal of Clinical Psychiatry · Cited by 19,139
Applied Multivariate Statistics for the Social Sciences
Stevens, J. P. (2012) · Routledge eBooks · doi:10.4324/9780203843130 · Cited by 10,652
Costello, A. B., & Osborne, J. (2005) · University of Massachusetts Amherst · doi:10.7275/jyj1-4868 · Cited by 10,297
Carver, C. S., & White, T. L. (1994) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.67.2.319 · Cited by 7,306
The mini international neuropsychiatric interview
Lecrubier, Y., Sheehan, D. V., Hergueta, T., & Weiller, E. (1998) · European Psychiatry · doi:10.1016/s0924-9338(99)80239-9 · Cited by 5,899
Factor Retention Decisions in Exploratory Factor Analysis: a Tutorial on Parallel Analysis
Hayton, J. C., Allen, D. G., & Scarpello, V. (2004) · Organizational Research Methods · doi:10.1177/1094428104263675 · Cited by 3,104
(2002) · Cited by 2,645
Research works printed but not linked: 1
- Currey, 2002, Five-item rheumatology attitudes index (RAI): disadvantages of a single positively worded item, Arthritis Rheumatol., 46, S239
Cited by
Sorted by citations
Items 201–273 of 273
Marazziti, D., & Mucci, F. (2019) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.726867804.793557955
Sullivan‐Toole, H., Feng, S., Carlton, C. N., Ghane, M., Olino, T. M., Allen, I. C., & Richey, J. A. (2022) · Research Square · doi:10.21203/rs.3.rs-1612429/v1
(2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.002.0006
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.003.0005
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.005.0001
Continuing the Journey After Treatment
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.003.0008
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.003.0004
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.005.0002
(2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.002.0004
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.003.0006
Introductory Information for Therapists
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.003.0001
Behavioral Science and Neuroscience Identify Targets for Treatment of Anhedonia
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.003.0002
General Treatment Format and Guiding Therapy Principles
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.003.0003
(2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.002.0007
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.003.0007
Abouzaid, A. M. G., & Abdelhamid, H. G. (2023) · Sohag University International Journal of Educational Research (SUIJER) /Sohag University International Journal of Educational Research (SUIJER) · doi:10.21608/suijer.2023.305894 · Cited by 1
“, 2006) and Dimensional Anhedonia Rating Scale (Rizvi et al., 2015).”
MethodResultInfluentialOguchi, M., Furukawa, E., Nagahama, N., Perera, K. D., & Tripp, G. (2023) · medRxiv · doi:10.1101/2023.07.21.23292991
ปัจจัยคัดสรรที่มีความสัมพันธ์กับภาวะสิ้นยินดีของผู้ป่วยโรคซึมเศร้า เขตภาคใต้
อาแว, ว. (2017) · Chula Digiverse · doi:10.58837/chula.the.2017.1112
(2023) · Al-Maǧallaẗ Al-Dawliyyaẗ Lil Buḥūṯ wa Al-Dirāsāt fi Al-Tarbiyyaẗ Al-H̲āṣaẗ · doi:10.21608/adba.2023.324391
(2023) · Al-Maǧallaẗ Al-Dawliyyaẗ Lil Buḥūṯ wa Al-Dirāsāt fi Al-Tarbiyyaẗ Al-H̲āṣaẗ · doi:10.21608/adba.2023.324400
A common alteration in effort-based decision-making in apathy, anhedonia, and late circadian rhythm
Mehrhof, S. Z., & Nord, C. L. (2025) · eLife · doi:10.31234/osf.io/z69w4
Mobile Cognitive Interventions in Mental Disorders
Blomberg, M. (2024) · eDiss (Georg-August-Universität Göttingen) · doi:10.53846/goediss-10652
Both neuropsychiatric symptoms and circadian rhythm alter effort-based decision-makingPreprint
Mehrhof, S. Z., & Nord, C. L. (2024) · eLife · doi:10.7554/elife.96803.2 · Cited by 1
A common alteration in effort-based decision-making in apathy, anhedonia, and late circadian rhythmPreprint
Mehrhof, S. Z., & Nord, C. L. (2024) · eLife · doi:10.7554/elife.96803.3 · Cited by 1
Craske, M. G., Dour, H. J., Treanor, M., & Meuret, A. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197548523.005.0003
The Effectiveness of an Imagery-Based Behavioral Activation Intervention for Depressive Symptoms
Yun, S., & Shim, E. (2024) · Korean Journal of Stress Research · doi:10.17547/kjsr.2024.32.4.204
Die ICD-11, Research Domain Criteria (RDoC) und Hierarchical Taxonomy of Psychopathology (HiToP)
Walter, H. (2024) · Springer eBooks · doi:10.1007/978-3-662-67687-5_3
Anhedonia as a Transdiagnostic Symptom Across Psychological Disorders: A Network Approach
Guineau, M. G., Ikani, N., Rinck, M., Collard, R. M., van Eijndhoven, P., Tendolkar, I., Schene, A. H., Becker, E. S., & Vrijsen, J. N. (2025) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.25023012
Wang, S.-W., Mi, W., Hao, X.-N., Liu, X., Wen, X., Zhao, M., Jiang, H., Wang, W., Li, T., Tan, Z.-L., et al. (2025) · Depression and Anxiety · doi:10.1155/da/6130764 · Cited by 2
“…only used the MADRS anhedonia factor score to assess anhedonia symptoms, we used the second-generation scales, DARS to speci fi cally probe the different anhedonia subdomains, including anticipatory versus consummatory anhedonia, which allowed for more accurate results in the current study [34].”
Forys, B. J., Winstanley, C. A., & Todd, R. M. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.07.24.666659
“…Beck et al. (1996)) - a clinically validated and reliable (Richter et al., 1998) index of depression; the Dimensional Anhedonia Rating Scale (DARS; Rizvi et al. (2015)) - a reliable index of anhedonia, or impairments to one’s pleasure response, that has been validated in a variety of populations…”
Fatt, C. C., Foster, J. A., Mayes, T. L., Vasu, S., Sethuram, S., Trombello, J. M., Hughes, J. L., Greer, T. L., Cooper, C. M., Carmody, T. J., et al. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120149
Hu, R., Xie, Z., Li, J., Luo, H., Guo, Y., Tan, J., & Luo, Q. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07321-1
“…(CGI-S) [57], Self-report Quality of Life Measure for People with Schizophrenia (SQLS) [58], Personal and Social Performance Scale (PSP) [59], Treatment Emer-gent Symptom Scale (TESS) [60], Snaith-Hamilton Plea-sure Scale (SHAPS) [61], and Dimensional Anhedonia Rating Scale (DARS) [62].”
Psychometric properties and clinical specificity of the German Savoring Beliefs Inventory
Limpächer, C., & Hoyer, J. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.11.014
Blomberg, M., Zech, H., Kluge, M., Böhmert, N., Platte, H., & Brockmeyer, T. (2025) · JMIR mhealth and uhealth · doi:10.2196/69033
“Anhedonia predicts psychosocial functioning, depression severity, and treatment response [31, 32] and has been proposed as a potential target of change in approach-avoidance bias modification [23].”
French Validation of the Dimensional Anhedonia Rating Scale
Henriette, L., Sistiaga, S., Uyttersprot, A., Cassioli, F., Rossignol, M., & Bellaert, N. (2025) · European Journal of Psychology Open · doi:10.1024/2673-8627/a000090
Carstens, L., Popp, M., Keicher, C., Hertrampf, R., Weigner, D., Meiering, M. S., Luippold, G., Süßmuth, S. D., Beckmann, C. F., Wunder, A., et al. (2023) · Figshare · doi:10.6084/m9.figshare.24647212
Donegan, C. J., Daldegan‐Bueno, D., Sumner, R. L., Menkes, D., Evans, W. J., Hoeh, N. R., Sundram, F., Reynolds, L., Ponton, R., Cavadino, A., et al. (2023) · Figshare · doi:10.6084/m9.figshare.24257434
Carstens, L., Popp, M., Keicher, C., Hertrampf, R., Weigner, D., Meiering, M. S., Luippold, G., Süßmuth, S. D., Beckmann, C. F., Wunder, A., et al. (2024) · Figshare · doi:10.6084/m9.figshare.24647339
Noninvasive transcranial brain stimulation to treat cognitive aspects of other psychiatric diseases
Downar, J. (2025) · Handbook of behavioral neuroscience · doi:10.1016/b978-0-443-26602-7.00031-2
Shunsuke, K. U. G. A., Ishimura, M., Hagiwara, K., Watanabe, M., Shibamaru, N., Kawarada, Y., Hirai, T., Chen, C., & Nakagawa, S. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1711876
“These included the Dimensional Anhedonia Rating Scale (DARS) (17, 18).”
Rosenberg, B. M., Barnes‐Horowitz, N. M., Ngo, D., Park, J. W., Amran, O. H., West, A., Jiani, L. I., Yang, C., Cai, K. Y., Valles, T. E., et al. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121366
“The DARS is considered a valid and reliable measure of anhedonia symptoms common to MDD (Rizvi et al., 2015).”
Sustained consummatory reward processing deficits in remitted melancholic depression
Cheng, C., Liu, M., Zhou, Z., Wei, L., & Liu, Q. (2026) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2026.02.032
Bellaert, N., Cassioli, F., Crowley, M. J., Lim, Y. W., Rossignol, M., Deveney, C. M., & Tseng, W. (2026) · Psychophysiology · doi:10.1111/psyp.70260
“Alongside recent findings by Ohki et al. (2024), our results further suggest the potential clinical utility of the individual-specific GED component, Note: DARS scores were reverse-coded so that higher scores correspond to higher anhedonia.”
InfluentialWitkoś, J., Fusińska-Korpik, A., & Walczewski, K. (2026) · PLoS ONE · doi:10.1371/journal.pone.0344587
Magaraggia, I., Cesare, F. D., Alonso, J., Edgar, C. J., Heckman, P. R. A., Engler, J., Domingo, S. Z., Pani, L., & Schreiber, R. (2026) · Neuroscience Applied · doi:10.1016/j.nsa.2026.106996
Development and Validation of the Multidimensional Adolescent Anhedonia Scale
Grocott, B. B., Zareian, B., Hewitt, J. M. A., Ge, S. Y. J., Hewitt, P. L., Hong, S., Smith, M. M., Chi, X., & LeMoult, J. (2026) · Assessment · doi:10.1177/10731911261423154
“Excellent to acceptable internal consistency for the DARS total score and subscales was demonstrated across Subsamples A and B (DARS Total: α = .93–.93, DARS Social: α = .86–.86, DARS Hobbies: α = .90–.93, DARS Sensory: α = .93–.93, DARS Food/Drinks: α = .74–.79).”
InfluentialKoparal, B., Oruc, E. B., Musso, M., & Gao, K. (2026) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2026.104950
Xu, Y., Liu, W., Liu, L., Wang, C., Li, T., Yan, C., & Yang, X. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1706503
“More recently, the Dimensional Anhedonia Rating Scale was developed to assess four components of anhedonia (interest, motivation, effort, and pleasure) across multiple reward domains (Rizvi et al., 2015).”
Huang, S., Wang, Y., & Chen, H. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1780405
Piksa, M., Cieslik-Starkiewicz, A., & Ryguła, R. (2026) · Psychopharmacology · doi:10.1007/s00213-026-07060-5
From Neural Circuits to Behavior: Examining the Central Role of Anhedonia in Major Depression
Ghanayem, L. K., Kumar, P., & Rizvi, S. J. (2026) · Advances in experimental medicine and biology · doi:10.1007/978-981-95-6872-7_8
Self-citationIntegrating Positive Outcomes into Healthcare: Validation of the Pleasurable Affect Levels Scale
Long, P. A., Ritschl, V., & Stamm, T. (2026) · Patient Preference and Adherence · doi:10.2147/ppa.s594759
“Lastly, items 21–23 show promise as candidates for calculating a global score as they account for the most total variance and demonstrated the highest cross loadings.”
Zhou, C., Wu, M., Xiang, Y., & Itti, L. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.06.08.728970
“The Di-mensional Anhedonia Rating Scale (DARS; Rizvi et al. 2015), the Snaith-Hamilton Pleasure Scale (SHAPS), or the Temporal Experience of Pleasure Scale (TEPS) would have been more appropriate for isolating anhedonia; however, these instruments are not available in DAIC-WOZ.”
Napolitano, S. C., Kako, N., Krishnan, A., Carlton, C. N., Schiller, C. E., & Frӧhlich, F. (2026) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2026.101132
Carlton, C. N., Antezana, L., & Richey, J. A. (2026) · Brain and Behavior · doi:10.1002/brb3.71581
“Additionally, the sample was also in the high stress range per cutoffs on the PSS-10 (Cohen and Williamson 1988 ) and demonstrated less anhedonia as compared to depressed adult samples (Rizvi et al. 2015 ).”
Fontenelle, L. F. (2026) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2025.12.001
Hamers, S., Sinke, C., Schultz, N., & Krüger, T. H. C. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1824523
Gruzman, R., Hempel, M., Meiering, M. S., Weigner, D., Walters, C., Carstens, L., Keicher, C., Mennes, M., Beckmann, C. F., Popp, M., et al. (2026) · Neuropsychopharmacology · doi:10.1038/s41386-026-02521-z
Sözer, Ö. T. (2026) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.70104
Comparative efficacy of interventions for transdiagnostic anhedonia: a network meta-analysis
Wang, Y.-M., Chen, F., Hou, Y.-W., & Zhang, M. (2026) · Psychiatry Research · doi:10.1016/j.psychres.2026.117435
Tong, J., Zhang, J., Zhu, N., Li, X., Zhu, X., Xu, Y., Liu, M., Yuan, J., & Sun, X. (2026) · Future Pharmacology · doi:10.3390/futurepharmacol6030047
“Anhedonia was assessed with the Dimensional Anhedonia Rating Scale (DARS), a 17-item covering four domains [20].”
Psychometric Evaluation of the Dimensional Anhedonia Rating Scale (DARS)
Grant, P., Sanches, M., & George, T. P. (2026) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001894
Appelbaum, L. G., Stolz, L. A., Sun, Y., Kohn, J. N., Poorganji, M., Hadas, I., Bacio, B., Rodriguez, K., Boyd, E. C., Wiener, E., et al. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.122515
Pizzagalli, D. A., Treadway, M., Kangas, B. D., Romoli, B., Breton, J., Bruchas, M. R., Graybiel, A. M., Hueske, E., Prakash, N., Der‐Avakian, A., et al. (2026) · Molecular Psychiatry · doi:10.1038/s41380-026-03898-5 · Cited by 3
Liu, Y., Li, N., Yang, Q., Wang, S., Wang, G., & Feng, L. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1944154
Kaczmarek, E. S., Wong, S., Chisamore, N., Stern, M. A., Doyle, Z., Johnson, D. E., McIntyre, R. S., & Rosenblat, J. D. (2026) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2026.10.023
Digital Anhedonia Revisited: Reward Processing and Clinical Implications
Lakhan, S. E. (2026) · Cureus · doi:10.7759/cureus.118498
Design priorities for clinical trials of immunotherapy in psychiatry: What, how, and for whom?
Foley, É. M., Treadway, M. T., Miller, A. H., & Khandaker, G. M. (2026) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2026.107081
Wang, Q., Cui, Y., Yao, Z., Wu, Z., & Zhao, X. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.122670
Did I do that? Efficacy estimation distinguishes rumination and anhedonia symptomatology
Migó, M., Brown, V. M., Cooper, J. A., Ryan, J., Hitchcock, P., & Treadway, M. T. (2026) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2026.10.010
Metadata
- Authors
- Rizvi, S. J., Quilty, L. C., Sproule, B. A., Cyriac, A., Michael Bagby, R., & Kennedy, S. H.
- Affiliations
- University Health Network (CA)
- Centre for Addiction and Mental Health (CA)
- St. Michael's Hospital (CA)
- Corresponding author
- Rizvi, Sakina J.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2015-09
- Volume
- 229
- Issue
- 1-2
- Pages
- 109-119
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W1943465630
- Cited by
- 274
- References
- 52
- Citations by year
- 2026: 49 · 2025: 53 · 2024: 38 · 2023: 22 · 2022: 44 · 2021: 26 · 2020: 10 · 2019: 14 · 2018: 8 · 2017: 6 · 2016: 4
- FWCI
- 9.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ontario Problem Gambling Research Centre
- Department of Pharmaceutical Sciences, University of Toronto
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- anhedonia, major depressive disorder, desire, motivation, effort, consummatory pleasure, reward function, scale development, scale validation, bipolar depression, Snaith-Hamilton Pleasure Scale, antidepressant non-response
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Motivation, Residence Characteristics, Reward, Reproducibility of Results, Young Adult, Pleasure, Self Report, Anhedonia
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review