ISSN 1671-3710
CN 11-4766/R
主办:中国科学院心理研究所
出版:科学出版社

心理科学进展 ›› 2010, Vol. 18 ›› Issue (2): 271-281.

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抑郁症的内表现型:快感缺失及其测量方法

刘文华; 陈楚侨; 黄敏儿   

  1. 广州医学院人文社会科学学院应用心理学系, 广州 510182
  • 收稿日期:2009-10-30 修回日期:1900-01-01 出版日期:2010-02-15 发布日期:2010-02-15
  • 通讯作者: 陈楚侨

Endophenotype of Depression: Anhedonia and Its Measurements

LIU Wen-Hua; CHAN Raymond C. K.; HUANG Min-Er   

  1. Department of Applied Psychology, Faculty of Humanities and Social Sciences, Guangzhou Medical College, Guangzhou 510182, China
  • Received:2009-10-30 Revised:1900-01-01 Online:2010-02-15 Published:2010-02-15
  • Contact: CHAN Raymond C. K

摘要: 快感缺失, 指的是体验快乐的能力下降, 广泛出现在抑郁症中, 但同时也是其他如精神分裂症的重要症状。虽然快感缺失在精神病理学上非常重要, 但较少受到研究重视。文章探讨了抑郁症和快感缺失的关系以及快感缺失个体的大脑奖励系统受损的神经机制, 同时介绍了快感缺失可以进一步区分为期待性和消费性两种损害类型以及研究所用的主客观测量方法。指出快感缺失作为抑郁症最有可能的内表现型及其对疾病发展的作用, 需要进一步研究深入。

关键词: 快感缺失, 抑郁症, 神经基础, 大脑奖励系统, 测量

Abstract: Anhedonia is defined as the diminished capacity to experience pleasure, which is widely recognized to occur in depression, and is a prominent feature that is involved in several types of psychiatric disorders and maladaptive behaviors. Although anhedonia is regarded as an important symptom in psychopathology, it has received relatively little attention. To better understand the role of anhedonia in depression, this paper reviews the relationship between depression and anhedonia, and the neural substrates of anhedonia linked to a dysfunction of the dopaminergic reward system. It also highlights two facets of hedonic capacity (anticipatory and consummatory pleasure) and addresses some measurement issues of anhedonia. Further research is needed to be conducted in the near future to explore whether anhedonia might be the most possible endophenotype of depression and the role in development of depression.

Key words: anhedonia, depression, neural substrate, brain reward system, measurement