A meta-analysis of self-reported anticipatory and consummatory pleasure in the schizophrenia-spectrum

Visser, Katherine Frost; Chapman, Hannah C.; Ruiz, Iván Alemán; Raugh, Ian M.; Strauss, Gregory P.

doi:10.1016/j.jpsychires.2019.11.007

Cited by 35 publications

(41 citation statements)

References 73 publications

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“…Empirical evidence over the past two decades yields a different and more nuanced account ( Strauss et al, 2014 , 2016 ). While findings from clinical interviews ( Kirkpatrick et al, 2011 ; Strauss and Gold, 2012 ; Strauss et al, 2012a ) and retrospective self-report questionnaires (meta-analysis by Visser et al, 2020 ) indicate that people with schizophrenia experience less consummatory pleasure, laboratory-based results often contradict this pattern (review by Kring and Moran, 2008 ). When exposed to putatively pleasant stimuli during laboratory-based assessments, people with and without schizophrenia report comparable levels of positive affect ( Cohen and Minor, 2010 ; Llerena et al, 2012 ).…”

Section: Modeling Motivation and Pleasure Deficits In Schizophrenia: ...mentioning

confidence: 99%

“…These beliefs are similar to dispositional optimism (or rather pessimism) in their future orientation, but low expectancy beliefs are more situationally specific, whereas optimistic/pessimistic beliefs reflect generalized expectations across contexts ( Kube et al, 2018 ). Findings from a recent meta-analysis indicate that people across the schizophrenia spectrum self-report lower levels of anticipatory pleasure beliefs ( Visser et al, 2020 ). Prior research links low expectations of future pleasure with amotivation in schizophrenia ( Da Silva et al, 2017 ).…”

Section: Psychological Dimensions Relevant To Amotivation and Anhedoniamentioning

confidence: 99%

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Psychological Dimensions Relevant to Motivation and Pleasure in Schizophrenia

Abram

Weittenhiller

Bertrand

et al. 2022

Front. Behav. Neurosci.

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Motivation and pleasure deficits are common in schizophrenia, strongly linked with poorer functioning, and may reflect underlying alterations in brain functions governing reward processing and goal pursuit. While there is extensive research examining cognitive and reward mechanisms related to these deficits in schizophrenia, less attention has been paid to psychological characteristics that contribute to resilience against, or risk for, motivation and pleasure impairment. For example, psychological tendencies involving positive future expectancies (e.g., optimism) and effective affect management (e.g., reappraisal, mindfulness) are associated with aspects of reward anticipation and evaluation that optimally guide goal-directed behavior. Conversely, maladaptive thinking patterns (e.g., defeatist performance beliefs, asocial beliefs) and tendencies that amplify negative cognitions (e.g., rumination), may divert cognitive resources away from goal pursuit or reduce willingness to exert effort. Additionally, aspects of sociality, including the propensity to experience social connection as positive reinforcement may be particularly relevant for pursuing social goals. In the current review, we discuss the roles of several psychological characteristics with respect to motivation and pleasure in schizophrenia. We argue that individual variation in these psychological dimensions is relevant to the study of motivation and reward processing in schizophrenia, including interactions between these psychological dimensions and more well-characterized cognitive and reward processing contributors to motivation. We close by emphasizing the value of considering a broad set of modulating factors when studying motivation and pleasure functions in schizophrenia.

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Section: Modeling Motivation and Pleasure Deficits In Schizophrenia: ...mentioning

confidence: 99%

Section: Psychological Dimensions Relevant To Amotivation and Anhedoniamentioning

confidence: 99%

Psychological Dimensions Relevant to Motivation and Pleasure in Schizophrenia

Abram

Weittenhiller

Bertrand

et al. 2022

Front. Behav. Neurosci.

View full text Add to dashboard Cite

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“…This affirmation is important given that TEPS scores have been reported to differ between clinical and non-clinical groups and appear to be differentially affected across clinical groups (e.g. impaired anticipatory pleasure and consummatory pleasure in MDD [32], but bias toward impairment in anticipatory pleasure in schizophrenia [20,[29][30][31]). Furthermore, recent studies employing reward task-choice behavioral analyses have suggested that there may be distinct clinically important motivation impairments in relation to anhedonia in patients with schizophrenia, bipolar disorder, and MDD [65,66].…”

Section: Discussionmentioning

confidence: 85%

“…With respect to sex differences in anhedonia [34,35], some researchers have reported that men are more likely to experience anhedonia than women [67]. Indeed, a meta-analysis indicated that, compared to females, males with schizophrenia spectrum disorders report lower anticipatory pleasure and consummatory pleasure, as measured by the TEPS [30]. Overall, affirmation of measurement invariance provides a premise for probing differences in anhedonia pattern between males and females.…”

Section: Discussionmentioning

confidence: 98%

“…Interestingly, impairments in consummatory pleasure and anticipatory pleasure appear to be distinguishable and distinct across different psychiatric disorders. Schizophrenics have been found to have reduced anticipatory pleasure, compared to healthy controls, but an intact capacity for consummatory pleasure [20,29,30], whereas patients with obsessive-compulsive disorder have reduced consummatory pleasure with intact anticipatory pleasure [31], and patients with MDD have reduced anticipatory and consummatory pleasure [32].…”

Section: Introductionmentioning

confidence: 99%

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Factor structure and sex invariance of the temporal experience of pleasure scale (TEPS) in Chinese university students and clinical population

et al. 2021

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Background A motivation dimension of the core psychiatric symptom anhedonia additional has been suggested. The Temporal Experience of Pleasure Scale (TEPS) has been reported to assess anticipatory and consummatory pleasure separately in multiple factor-structure models. This study explored the factor structure of a Chinese version of the 18-item TEPS and further explored the measurement invariance of the TEPS across sex and clinical status (non-clinical, psychiatric). Methods Best-fit factor structure of the TEPS was examined in a non-clinical cohort of 7410 undergraduates, randomized into sample 1 (N = 3755) for exploratory factor analysis (EFA) and sample 2 (N = 3663) for confirmatory factor analysis (CFA). Additionally, serial CFA was conducted to evaluate measurement invariance across sex and between clinical (N = 313) and non-clinical (N = 341) samples. Results EFA supported a new four-factor structure with a motivation component, based on the original two-factor model (consummatory pleasure with/without motivation drive, anticipatory pleasure with/without motivation drive). CFA confirmed the four-factor model as the best-fit structure and revealed a second-order hierarchy in non-clinical and clinical samples. Full scalar invariance was observed across clinical and non-clinical samples and across sex in the clinical sample; only partial scalar invariance was observed across sex in the non-clinical sample. Conclusions A four-factor structured TEPS can assess motivation-driving dimensions of anticipatory and consummatory pleasure, consistent with the recently advanced multidimensional structure of anhedonia. CFA and measurement invariance results support application of the TEPS for assessing motivation aspects of anhedonia.

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Emotional Experience of People With Schizophrenia and People at Risk for Psychosis

Riehle,

Straková,

Lincoln

2024

JAMA Psychiatry

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ImportancePsychotic symptoms are associated with subjective reports of aberrant emotion, such as excessive fear or anhedonia, but whether these aberrations reflect aberrant emotional experience of normative stimuli is uncertain both for individuals with schizophrenia and those at risk for psychosis.ObjectiveTo provide a meta-analysis of study samples of emotional experience in individuals with schizophrenia and those at risk for psychosis as assessed in laboratory-based emotion-induction studies.Data SourcesMEDLINE and PsycINFO databases were searched for articles published from January 1986 and Google Scholar citations of a relevant earlier meta-analysis until August 2022. Reference lists were manually searched for additional studies.Study SelectionIncluded studies measured positive or negative emotional experience in response to standardized emotionally evocative stimuli and compared participants diagnosed with schizophrenia or participants at risk for psychosis with healthy controls.Data Extraction and SynthesisThe meta-analysis was registered with PROSPERO and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines. Data were extracted by 2 independent coders, and random-effects analyses were conducted.Main Outcomes and MeasuresOutcomes were 3 scales of emotional experience (unipolar positive emotion, unipolar negative emotion, bipolar valence), analyzed separately for pleasant, neutral, and unpleasant stimuli. A meta-analysis was conducted for differences between the 2 clinical groups combined and controls. Subgroup differences (schizophrenia vs at risk) and the influence of several other variables were tested in moderator analyses.ResultsThis systematic review and meta-analysis included data from 111 studies and 6913 participants (schizophrenia: 2848 [41.2%]; at risk: 877 [12.7%]; healthy controls: 3188 [46.1%]). Compared with controls, people with schizophrenia and those at risk for psychosis experienced pleasant stimuli as less positive (unipolar positive: standardized mean difference [SMD] Hedges g = −0.19; P =.001; bipolar valence: SMD Hedges g = −0.28; P &lt;.001) and more negative (Hedges g = 0.52; P &lt;.001), neutral stimuli as more negative (Hedges g = 0.55; P &lt;.001), and unpleasant stimuli as both more positive (unipolar positive: SMD Hedges g = 0.23; P =.005; bipolar valence: Hedges g = 0.12; P =.01) and more negative (Hedges g = 0.22; P &lt;.001). Moderator analyses indicated a less aberrant emotional experience for odors than for visual stimuli (unipolar negative, pleasant z score = −2.97; P =.003; unipolar negative, neutral z score = −2.70; P =.007), an association between higher negative symptoms and diminished positive emotion for pleasant stimuli in schizophrenia (z score = −2.98; P =.003), and that subgroup differences were limited to neutral stimuli.Conclusions and RelevanceResults suggest a pattern of aberrant emotional experience of normative stimuli in schizophrenia and that this already was observable before disorder onset. In particular, the aberrant experience of pleasant stimuli needs to be considered as an intervention target.

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A meta-analysis of self-reported anticipatory and consummatory pleasure in the schizophrenia-spectrum

Cited by 35 publications

References 73 publications

Psychological Dimensions Relevant to Motivation and Pleasure in Schizophrenia

Psychological Dimensions Relevant to Motivation and Pleasure in Schizophrenia

Factor structure and sex invariance of the temporal experience of pleasure scale (TEPS) in Chinese university students and clinical population

Emotional Experience of People With Schizophrenia and People at Risk for Psychosis

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