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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.
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“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]
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Neuroscience of apathy and anhedonia: a transdiagnostic approach
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“…Scale (ACIPS) Gooding and Pflum, 2014 17-item, 6 point scale - only measures social anhedonia .86 Healthy controls Dimensional Anhedonia Rating Scale Rizvi et al, 2015 17-item, 5 point scale -evaluates interest, motivation, effort, and pleasure across domains 0.92-0.96 Community sample Healthy…”
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“The recently developed Dimensional Anhedonia Rating Scale could be suitable for this (Rizvi et al., 2015).”
MethodMental imagery as a “motivational amplifier” to promote activities
Renner, F., Murphy, F. C., Ji, J. L., Manly, T., & Holmes, E. A. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.02.002 · Cited by 229
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
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