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

@article{Garfield2014AnhedoniaIS,
  title={Anhedonia in substance use disorders: A systematic review of its nature, course and clinical correlates},
  author={Joshua B. B. Garfield and Daniel I Lubman and Murat Y{\"u}cel},
  journal={Australian \& New Zealand Journal of Psychiatry},
  year={2014},
  volume={48},
  pages={36 - 51}
}
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… 
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128 Citations
Highly Influential Citations
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Background Citations
22
Methods Citations
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Results Citations
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Evidence that anhedonia is a symptom of opioid dependence associated with recent use.
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TLDR
Anhedonia is associated with substance use disorders, and their severity is especially prominent in DUS with comorbid depression, and tends to impact DUS treatment outcome negatively.
Dynamic associations between opioid use and anhedonia: A longitudinal study in opioid dependence
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Changes in illicit opioid use predict self-reported anhedonia, suggesting a possible causal relationship whereby anhedania is likely to worsen with frequent drug use and diminish with prolonged abstinence, however, anhedonian does not appear to drive further drug use.
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TLDR
Repeated assessment of anhedonia early in treatment for OUD is recommended because it may be a unique predictor of dropout or nonresponse and a potential target for behavioral and/or pharmacological intervention.
Possible New Symptoms of Tobacco Withdrawal II: Anhedonia-A Systematic Review.
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Anticipatory anhedonia appears to be a symptom of tobacco withdrawal and should be added to tobacco withdrawal checklists and diagnostic criteria, and it is unclear if abstinence increases consummatory or reward learning-based anhedonian.
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Symptoms of anhedonia, not depression, predict the outcome of treatment of cocaine dependence.
Anhedonia Is Associated with Poorer Outcomes in Contingency Management for Cocaine Use Disorder.
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TLDR
The findings of this meta-analysis indicate that the severity of anhedonia may differ across disorders associated withAnhedonia, and this findings have implications for psychiatric taxonomy development, where dimensional approaches are gaining attention.
Anhedonia in clinical and non-clinical populations - An exploratory meta-analysis of studies using the Snaith-Hamilton Pleasure Scale
TLDR
The results indicate that the severity of anhedonia differs across disorders that have been associated with anhedonian symptoms, and may instead reflect a decrease in projected enjoyment of only a minority of life’s many rewards.
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References

SHOWING 1-10 OF 65 REFERENCES
Anhedonia and Substance Dependence: Clinical Correlates and Treatment Options
TLDR
Treating anhedonia in detoxified alcohol-dependent subjects could be critical in terms of relapse prevention strategies, given its strong relationship with craving.
Anhedonia and Substance-Related Symptoms in Detoxified Substance-Dependent Subjects: A Correlation Study
TLDR
The composite instrument employed for assessing anhedonia and hedonic capability was found to be sensitive enough to detect such a dimension in the population considered, with the single scales significantly interrelated.
The Assessment of Post-Detoxification Anhedonia: Influence of Clinical and Psychosocial Variables
TLDR
In a sample of 70 patients manifesting substance dependence without severe comorbidity, anhedonia appears as a psychopathological entity independent from other clinical and psychosocial features of treated addicts.
Predictors of psychosis severity in individuals with primary stimulant addictions.
Anhedonia associated with stimulant use and dependence in a population-based sample of American adults.
TLDR
Lifetime anhedonia was more prevalent among respondents who initiated use but did not eventually progress to dependence in comparison with individuals who never once used a stimulant drug, and was consistent across amphetamine- and cocaine-related outcomes.
Temperament and Character Inventory Dimensions and Anhedonia in Detoxified Substance-Dependent Subjects
TLDR
The possibility that difficulty in experiencing pleasure in psychiatric disorders can lead to the use of psychoactive substances in an attempt to decrease anhedonia, is extended to subjects without psychiatric disorders who may try substances to counterbalance a tonic state of anhedonian.
Effects of anhedonia on days to relapse among smokers with a history of depression: a brief report.
TLDR
Investigation of the relation between anhedonia and relapse latency among MDD history smokers following a brief smoking cessation workshop suggests thatAnhedonia may constitute a proximal risk factor identifying depressive history smokers more likely to relapse to smoking.
A longitudinal study of drug and alcohol use by psychosis-prone and impulsive-nonconforming individuals.
  • T. Kwapil
  • Psychology, Medicine
    Journal of abnormal psychology
  • 1996
TLDR
The rates of substance use and abuse are higher among psychotic patients and antisocial individuals than in the general population, and individuals who scored deviantly on both the Per-Mag and Noncon scales were at especially heightened risk for substance use disorders.
Alcohol Protracted Withdrawal Syndrome: The Role of Anhedonia
TLDR
The results of this study suggest the relevance of protracted withdrawal well beyond the limited period following the abrupt cessation of alcohol intake and the clinical dimension of anhedonia cannot be separated from the other behavioral symptoms of withdrawal.
Anhedonia and relapse in alcoholism
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