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Cited by 817Schizophrenia research and treatmentMental Health and PsychiatryNeurotransmitter Receptor Influence on Behavior

Anhedonia in schizophrenia: Distinctions between anticipatory and consummatory pleasure

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Gard, David E., Kring, Ann M., Gard, Marja Germans, Horan, William P., Green, Michael F.·2007·Schizophrenia Research
DOI 10.1016/j.schres.2007.03.008PMC PMC1986826
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Abstract

Research on anhedonia in schizophrenia has revealed mixed results, with patients reporting greater anhedonia than healthy controls on self-report measures and semi-structured interviews, but also reporting comparable experiences of positive emotions in response to pleasurable stimuli. Basic science points to the importance of distinguishing between anticipatory and consummatory (or in-the-moment) pleasure experiences, and this distinction may help to reconcile the mixed findings on anhedonia in schizophrenia. In two studies, we tested the hypothesis that anhedonia in schizophrenia reflects a deficit in anticipatory pleasure but not consummatory pleasure. In Study 1, we used experience sampling methodology to assess reported experiences of consummatory and anticipated pleasure among schizophrenia patients and controls. In Study 2, schizophrenia patients and controls completed a self-report trait measure of anticipatory and consummatory pleasure and interviews that assessed negative symptoms, including anhedonia, and community functioning. In both studies, we found evidence for an anticipatory but not a consummatory pleasure deficit in schizophrenia. In addition, anticipatory pleasure was related to clinical ratings of anhedonia and functional outcome. Clinical and research implications of these findings are discussed.

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  • Some studies found that individuals with schizophrenia are impaired during reward motivation and outcome, while others did not find a selective impairment in reward motivation.

    “Although some studies have found that individuals with schizophrenia are impaired during reward motivation and outcome [403-407], others have not found a selective impairment in reward motivation [386,408].”

    From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [404]

  • Patients with schizophrenia have intact in-the-moment (consummatory) positive emotions in response to events but display deficits in positively anticipating future events compared to healthy controls.

    “For example, in two studies (one using experience sampling methodology and the second employing cross-sectional questionnaires), Gard et al. (59) reported that patients with schizophrenia had intact in-the-moment (i.e., consummatory) positive emotions in response to events; however, they displayed deficits in positively anticipating future events when compared to healthy controls.”

    From A transdiagnostic perspective on social anhedonia (2019) · cites this paper as [59]

  • Patients with schizophrenia who have social anhedonia are less able to modulate positive emotions, anticipate future pleasure, or use previous positive experiences to motivate future behaviors.

    “Patients with schizophrenia who have social anhedonia are less able to modulate positive emotions (63), anticipate future pleasure (59), or use previous positive experiences to motivate future behaviors (63).”

    From A transdiagnostic perspective on social anhedonia (2019) · cites this paper as [59]

  • The psychosis continuum seems to be characterized by deficits in anticipatory but not consummatory systems, although not consistently, while PTSD, depression, and ASD reflect difficulties in both, and the picture for eating disorders appears complex with inconsistent findings reflecting symptom and etiological heterogeneity.

    “Broadly speaking, the psychosis continuum seems to be characterized by deficits in anticipatory but not consummatory systems (although not consistently) (59), while PTSD (121), depression (74), and ASD reflect difficulties in both and the picture for eating disorders appears to be complex with inconsistent findings reflecting symptom and etiological heterogeneity.”

    From A transdiagnostic perspective on social anhedonia (2019) · cites this paper as [59]

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Research works printed but not linked: 1

  1. Eckblad ML, Chapman LJ, Chapman JP, Mishlove M. The Revised Social Anhedonia Scale. 1982 unpublished test. [Google Scholar]

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Authors
Gard, D. E., Kring, A. M., Gard, M. G., Horan, W. P., & Green, M. F.
Affiliations
  • San Francisco State University (US)
  • University of California, Berkeley (US)
  • University of California, Los Angeles (US)
Corresponding author
Gard, David E.
ORCID
Venue
Schizophrenia Research
Publisher
Elsevier BV
Published
2007-07
Volume
93
Issue
1-3
Pages
253-260
ISSN
0920-9964 (ISSN-L)
DOI
10.1016/j.schres.2007.03.008
PMC
PMC1986826
OpenAlex
W2141680642
Cited by
817
References
42
Citations by year
2026: 33 · 2025: 35 · 2024: 36 · 2023: 39 · 2022: 40 · 2021: 45 · 2020: 40 · 2019: 51 · 2018: 50 · 2017: 42 · 2016: 56 · 2015: 66 · 2014: 71 · 2013: 47 · 2012: 38
FWCI
17.97
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Schizophrenia Research (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R01MH065707, R01MH043292, MH65707, MH 43292)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords
anhedonia, schizophrenia
MeSH terms
Activities of Daily Living, Adult, Affective Symptoms, Depression, Emotions, Female, Goals, Humans, Male, Middle Aged, Motivation, Prognosis, Psychiatric Status Rating Scales, Psychotic Disorders, Schizophrenia, Schizophrenic Psychology, Set, Psychology, Social Adjustment

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