Relationships between Recent Suicidal Ideation and Recent, State, Trait and Musical Anhedonias in Depression

Abstract

The aim of the study was to explore in depression the relationship between recent suicidal ideation and the different anhedonias taking into account the severity of depression. Recent studies have suggested that recent change of anhedonia and not state or trait anhedonia is associated with recent suicidal ideations even when the level of depression is controlled. Three samples were used (74 severe major depressives, 43 outpatients with somatic disorders presenting mild or moderate depression and 36 mild or moderate depressives hospitalized in the intensive coronary unit). Recent change of anhedonia was rated by the anhedonia subscale of the Beck Depression Inventory (BDI-II), state anhedonia by the Snaith–Hamilton Pleasure Scale (SHAPS), trait anhedonia by the TEPS (Temporal Experience of Pleasure Scale), musical anhedonia by the BMRQ (Barcelona Music Reward Questionnaire), social recent change of anhedonia by the SLIPS (Specific Loss of Interest and Pleasure Scale), the severity of depression by the BDI-II and the distinction between melancholic and non-melancholic was found using a subscale of the BDI-II. Bivariate and multivariate regression analyses were performed in each sample. In severe major depressives and, notably, in melancholia, recent suicidal ideation was associated with trait anhedonia; however, in mild or moderate depression, recent suicidal ideation was associated with recent change of anhedonia. Musical anhedonia and social recent change of anhedonia were not associated with recent suicidal ideation. Trait anhedonia could be, in severe depression, a strong predictor of recent suicidal ideation.

Suicidal Ideations in Major Depressed Subjects: Role of the Temporal Dynamics of Anhedonia

“…Table 1 presents the inclusion and exclusion criteria applied for the recruitment of these major depressed subjects. In addition, in this study, we only recruited major depressed subjects since the objective was to focus on this particular subpopulation where anhedonia complaints seem to play a central role in the occurrence of suicidal ideations [13][14][15]19]. Finally, Annex S1 (Supplementary Data) describes the outpatient recruitment procedure for the major depressed subjects included in this study.…”

“…However, despite the fact that anhedonia is a cardinal symptom of major depressive disorder [12], few studies have investigated the role played by this depressive symptom in the occurrence of suicidal ideations in major depressed subjects [13][14][15]. Moreover, unlike other specific subpopulations [16][17][18], the potential impact of the temporal dynamics of anhedonia (lifelong anhedonia and recent changes in anhedonia) on the risk of suicidal ideations has been few studied in major depressed subjects [19], which could limit the interpretation of most of the studies available in the literature. Thus, given these limited data, it seems necessary to carry out additional investigations to better understand the potential role played by the temporal dynamics of anhedonia (lifelong anhedonia and recent changes in anhedonia) in the occurrence of suicidal ideations in major depressed subjects.…”

“Help! I need some music!”: Analysing music discourse & depression on Reddit

“…Furthermore, Schrader (1997) [42] have shown significant correlations between general anhedonia and a risk of depression. Hein et al (2022) [43], further explored "the relationship between recent suicidal ideation and the different anhedonias", including musical. Indeed, based on previous works, it could be hypothesized that the inability to enjoy music anymore might be a marker of depression.…”

The relationship between disrupted anhedonia-related circuitry and suicidal ideation in major depressive disorder: A network-based analysis

“…Self-reported anhedonia is a reliable predictor of a worse long-term course of MDD across several prospective studies ( Morris et al, 2009 ). Notably, some studies suggested that state anhedonia in MDD represents a substantial predictor for suicide ideation (SI) ( Hein et al, 2022 , Hawes et al, 2018 , Loas et al, 2019 ). Anhedonia, as the psychological pain, is a fundamental factor associated with suicide risk concerning short-term fluctuations in SI ( Yang et al, 2020 , Liu et al, 2021 ).…”