Where Is the Pleasure in That? Low Hedonic Capacity Predicts Smoking Onset and Escalation

Audrain-McGovern, Janet; Rodriguez, Daniel; Leventhal, Adam M.; Cuevas, Jocelyn; Rodgers, Kelli; Sass, Joseph

doi:10.1093/ntr/nts017

Cited by 54 publications

(48 citation statements)

References 56 publications

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“…Anhedonic individuals require a higher threshold of reward stimulation to generate an affective response and therefore may be particularly motivated to seek out pharmacological rewards to satisfy the basic drive to experience pleasure, as evidenced by prior work linking anhedonia to subsequent tobacco smoking escalation [38]. The risk pathway from anhedonia to marijuana use may be incremental to risk of other drug use.…”

Section: Discussionmentioning

confidence: 99%

“…A priori covariates were selected based on their association with anhedonia or marijuana use in extant literature [36–38]. Time-invariant sociodemographic covariates included youth age, gender, race/ethnicity, and highest parental education level based on responses to investigator-defined forced-choice items at baseline (see response categories in Table 1).…”

Section: Methodsmentioning

confidence: 99%

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Associations between anhedonia and marijuana use escalation across mid‐adolescence

et al. 2017

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Background and aims Anhedonia—a transdiagnostic psychopathological trait indicative of inability to experience pleasure—could lead to and result from adolescent marijuana use, yet this notion has not been tested. This study aimed to estimate the association of: (1) anhedonia at age 14 with rate of change in marijuana use over an 18-month follow-up, and (2) marijuana use at age 14 with rate of change in anhedonia over follow-up. Secondary aims were to test whether gender, baseline marijuana use history, and peer marijuana use moderated these associations. Design Observational longitudinal cohort repeated measures design, with baseline (age 14), 6-month, 12-month, and 18-month follow-up assessments. Settings Ten public high schools in Los Angeles, CA, USA, 2013–2015. Participants Students (N=3,394; 53.5% female, Mean[SD] age at baseline=14.1[0.42]). Measurements Self-report level of anhedonia on the Snaith Hamilton Pleasure Scale and frequency of marijuana use in the past 30 days. Findings Parallel process latent growth curve models adjusting for confounders showed that baseline anhedonia level was positively associated with the rate of increase in marijuana use frequency across follow-ups (β[95%CI]=.115[.022, .252], P=.03). Baseline marijuana use frequency was not significantly related to the rate of change in anhedonia across follow-ups (β[95%CI]=−.015[−.350, .321], P=.93). The association of baseline anhedonia with faster marijuana use escalation was amplified amongst adolescents with (versus without) friends who used marijuana at baseline (β[95%CI]: .179[.043, .334] versus .064[−.071, .187], interaction P=.04) but did not differ by gender or baseline ever marijuana use. Conclusions In mid adolescence, anhedonia is associated with subsequent marijuana use escalation but marijuana use escalation does not appear to be associated with subsequent anhedonia.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Associations between anhedonia and marijuana use escalation across mid‐adolescence

et al. 2017

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“…Anhedonia is also often observed as a trait-like dimension with substantial inter-individual variation in the general population (Lyons et al, 1995; Meehl, 2001). Individual differences in anhedonia in general population samples are associated with risk of mood disorder (Loas, 1996), psychotic disorder (Kwapil, 1998), drug use disorder (Leventhal et al, 2010), tobacco use (Audrain-McGovern et al, 2012), physical inactivity (Leventhal, 2012), diabetes (Nefs et al, 2012), and cardiovascular disease (Davidson et al, 2010; Doyle, 2010). Hence, variation in anhedonia in the general population has scientific and applied relevance to identifying those at risk for a diverse number of mental and physical health outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, the scant published data available suggest that the experience of anhedonia is common in population samples of adolescents (Bennik, Nederhof, Ormel, & Oldehinkel, 2013; Sanchez-Garcia et al, 2014) and is associated with risk of psychopathology and substance use in general population samples (Audrain-McGovern et al, 2012; Thomas, 2011). If an adequately valid measure of anhedonia in a general population sample of adolescents could be identified, this tool could be applied in epidemiologic surveys on the nature, risk factors, and consequences of anhedonia in general population samples of adolescents.…”

Section: Introductionmentioning

confidence: 99%

Measuring Anhedonia in Adolescents: A Psychometric Analysis

Leventhal

Unger

Audrain-McGovern

et al. 2015

Journal of Personality Assessment

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Anhedonia—the reduced capacity to experience pleasure—is a trait implicated in mental and physical health. Yet, psychometric data on anhedonia measures in adolescents are absent. We conducted an in-depth psychometric analysis of the Snaith-Hamilton Pleasure Scale (SHAPS; Snaith et al., 1995)—a self-report measure of anticipated pleasure response to 14 pleasant experiences—in adolescents. Adolescents (N=585; M age=14.5) completed the SHAPS and other paper-and-pencil surveys. Item response theory models were used to evaluate the psychometric performance of each SHAPS item. Correlations of the SHAPS with other personality and psychopathology measures were calculated to evaluate construct validity. Results showed that: (1) certain items (e.g., reported pleasure from basic experiences like “seeing smiling faces” or “smelling flowers”) provided more information about latent anhedonia than others; and (2) SHAPS scales exhibited construct-consistent convergent and discriminant validity (i.e., stronger correlations with low positive affect constructs; weaker correlations with negative affect). Reporting diminished pleasure from basic pleasant experiences accurately indicates adolescent anhedonia, which is important for future scale development and understanding the phenomenology of anhedonia in teens. These data support using the SHAPS for assessing anhedonia in epidemiological research and school-based universal prevention programming in general adolescent populations.

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“…7 Similarly, Audrain-McGovern et al, in a community-based sample of 1,106 adolescents participating in an 18-month prospective longitudinal survey study of adolescent health behaviors, found that teens with higher anhedonia were more likely to initiate and escalate levels of smoking. 8 A case-control study found that inpatient adolescents with cannabis abuse ( n = 32) scored higher than controls ( n = 30) on anhedonia. 9 …”

mentioning

confidence: 99%

Substance misuse prevention: Addressing anhedonia

Sussman

Leventhal

2014

New Directions for Youth Development

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Anhedonia refers to the inability of experiencing pleasure in positive life events. It has been conceptualized as a stable yet malleable characteristic and is associated with hypoactivity in the mesolimbic and mesocortical dopaminergic systems. Very recently, it has been posited as an etiologic factor associated with drug addiction onset, escalation, and relapse. Prevention programming could be developed to counteract the harmful impact of anhedonia, so as to minimize its impact on drug misuse. Remedial efforts are those that either (1) permit the individual to tolerate low levels of pleasure without resorting to drug misuse or other maladaptive behaviors that may unhealthily besot pleasure (for example, through normalization, structuring time, or meditation) or (2) counteract anhedonia by enhancing ones capability to experience pleasure (for example, behavioral activation, positive psychology, pharmacotherapy, or pursuit of positive addictions). School‐based activities could be developed that can be completed by individuals, small workgroups, or the whole classroom. The concept of anhedonia is described in this chapter, and possible prevention strategies that might be utilized in schools as well as other contexts are discussed.

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Where Is the Pleasure in That? Low Hedonic Capacity Predicts Smoking Onset and Escalation

Cited by 54 publications

References 56 publications

Associations between anhedonia and marijuana use escalation across mid‐adolescence

Associations between anhedonia and marijuana use escalation across mid‐adolescence

Measuring Anhedonia in Adolescents: A Psychometric Analysis

Substance misuse prevention: Addressing anhedonia

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