Cited by 213Substance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesNeurotransmitter Receptor Influence on Behavior

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Anhedonia in substance use disorders: A systematic review of its nature, course and clinical correlates

Garfield, Joshua B B, Lubman, Dan I, Yücel, Murat·2014·Australian & New Zealand Journal of Psychiatry

DOI 10.1177/0004867413508455

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Abstract

OBJECTIVE: There is growing evidence that anhedonia is a commonly experienced symptom among substance-using populations. This systematic review synthesises findings across a range of substances to address questions regarding the time course of anhedonia, how anhedonia relates to other symptoms of substance dependence and whether it is similarly prevalent across all addictive drugs. METHOD: A literature search was conducted on PubMed, PsycINFO and MEDLINE, yielding 32 studies that used self-report measures of anhedonia among participants with a history of a substance abuse, dependence or long-term daily use of addictive substances. RESULTS: Findings from these studies indicate that anhedonia (1) is elevated in samples dependent on a range of substances; (2) typically appears as a consequence of substance abuse or dependence, and diminishes with abstinence; and (3) predicts increased drug cravings and the likelihood of relapse in those attempting abstinence. CONCLUSIONS: The common experience of anhedonia in substance-dependent populations, and its relationship to relapse, emphasises the importance of developing therapeutic interventions that specifically target anhedonia in the treatment of all substance use disorders.

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Levels of Analysis and Etiology
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Ongoing and Future Research Directions
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Preface
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Impaired Physicians
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Index
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Authors: Garfield, J. B. B., Lubman, D. I., & Yücel, M.
Affiliations: Eastern Health (AU)
Monash University (AU)
ORCID: Garfield, Joshua B B
Lubman, Dan I
Yücel, Murat
Venue: Australian & New Zealand Journal of Psychiatry
Publisher: SAGE Publications
Published: 2013-11-22
Volume: 48
Issue: 1
Pages: 36-51
ISSN: 0004-8674 (ISSN-L)
1440-1614
DOI: 10.1177/0004867413508455
OpenAlex: W2148297013
Cited by: 213
References: 61
Citations by year: 2026: 17 · 2025: 27 · 2024: 11 · 2023: 22 · 2022: 11 · 2021: 18 · 2020: 58 · 2019: 13 · 2018: 14 · 2017: 3 · 2016: 12 · 2015: 6 · 2013: 1
FWCI: 0.75
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Australian & New Zealand Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords: anhedonia, substance use disorders, substance dependence, abstinence, relapse, drug craving, drugs of abuse, therapeutic interventions
MeSH terms: Humans, Substance-Related Disorders, Anhedonia

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Anhedonia in substance use disorders: A systematic review of its nature, course and clinical correlates

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