Skip to main content
Research Trends

State Anhedonia and Suicidal Ideation in Adolescents

The Role of Loss of Interest in Friends

Published Online:https://doi.org/10.1027/0227-5910/a000712

Abstract.Background: Recent work suggests that state anhedonia and its social aspect of loss of interest in people was an important predictor of suicidal ideation in adults. Aim: The current study investigated the relationship between state anhedonia, trait anhedonia, suicidal ideation, and suicide attempts in adolescents. Method: State anhedonia was assessed using the anhedonia subscale from the Child Mood and Feelings Questionnaire, while trait social anhedonia was assessed using the Adolescent Anticipatory and Consummatory Interpersonal Pleasure Scale and the Temporal Experience of Pleasure Scale. Results: Results indicated that state anhedonia was associated with suicidal ideation but not associated with past suicide attempts after controlling for depressive symptoms. Academic stressful events moderated the relationship between state anhedonia and suicidal ideation. Symptom-level analyses revealed that loss of interest in friends was most highly predictive of suicidal ideation compared with the other anhedonia components. Limitations: The current investigation was limited by its reliance on student samples and data from a single time point. Conclusion: The current study indicated that state anhedonia and its social component may be more informative of near-term suicidal ideation than trait anhedonia in adolescents.

References

  • Auerbach, R. P., Millner, A. J., Stewart, J. G., & Esposito, E. C. (2015). Identifying differences between depressed adolescent suicide ideators and attempters. Journal of Affective Disorders, 186, 127–133. 10.1016/j.jad.2015.06.031 First citation in articleCrossref MedlineGoogle Scholar

  • Brausch, A. M., & Gutierrez, P. M. (2010). Differences in non-suicidal self-injury and suicide attempts in adolescents. Journal of Youth and Adolescence, 39(3), 233–242. 10.1007/s10964-009-9482-0 First citation in articleCrossref MedlineGoogle Scholar

  • Brent, D. (2018). Commentary: A time to reap and a time to sow: reducing the adolescent suicide rate now and in the future: Commentary on Cha et al. (2018). Journal of Child Psychology and Psychiatry, 59(4), 483–485. 10.1111/jcpp.12903 First citation in articleCrossref MedlineGoogle Scholar

  • Cha, C. B., Franz, P. J., Guzman, E. M., Glenn, C. R., Kleiman, E. M., & Nock, M. K. (2018). Annual Research Review: Suicide among youth – epidemiology, (potential) etiology, and treatment. Journal of Child Psychology and Psychiatry, 59(4), 460–482. 10.1111/jcpp.12831 First citation in articleCrossref MedlineGoogle Scholar

  • Chabrol, H., Rodgers, R., & Rousseau, A. (2007). Relations between suicidal ideation and dimensions of depressive symptoms in high-school students. Journal of Adolescence, 30(4), 587–600. 10.1016/j.adolescence.2006.07.003 First citation in articleCrossref MedlineGoogle Scholar

  • Chan, R. C. K., Wang, Y., Huang, J., Shi, Y. F., Wang, Y., Hong, X. H., & Kring, A. M. (2010). Anticipatory and consummatory components of the experience of pleasure in schizophrenia: Cross-cultural validation and extension. Psychiatry Research, 175(1-2), 181–183. 10.1016/j.psychres.2009.01.020 First citation in articleCrossref MedlineGoogle Scholar

  • Chen, R. S., An, J., & Ou, J. J. (2018). Suicidal behaviour among children and adolescents in China. Lancet Child & Adolescent Health, 2(8), 551–553. 10.1016/S2352-4642(18)​30170-6 First citation in articleCrossref MedlineGoogle Scholar

  • Chen, C., Greenberger, E., Farruggia, S., Bush, K., & Dong, Q. (2003). Beyond parents and peers: The role of important non-parental adults (VIPS) in adolescent development in China and the United States. Psychology in Schools, 40(1), 35–50. 10.1002/pits.10068 First citation in articleCrossrefGoogle Scholar

  • Cheng, F. G. L. S. P. (2009). Reliability and validity of the Mood and Feelings Questionnaire in Chinese adolescents. Chinese Journal of Clinical Psychology, 17(4), 440–442. First citation in articleGoogle Scholar

  • Daghigh, A., Daghigh, V., Niazi, M., & Nadorff, M. R. (2019). The association between anhedonia, suicide ideation, and suicide attempts: A replication in a Persian student sample. Suicide and Life-Threatening Behavior, 49(3), 678–683. ​10.1111/sltb.12469 First citation in articleCrossref MedlineGoogle Scholar

  • Davey, C. G., Yucel, M., & Allen, N. B. (2008). The emergence of depression in adolescence: Development of the prefrontal cortex and the representation of reward. Neuroscience & Biobehavioral Reviews, 32(1), 1–19. 10.1016/j.neubiorev.​2007.04.016 First citation in articleCrossref MedlineGoogle Scholar

  • Diler, R. S., Daviss, W. B., Lopez, A., Axelson, D., Iyengar, S., & Birmaher, B. (2007). Differentiating major depressive disorder in youths with attention deficit hyperactivity disorder. Journal of Affective Disorders, 102(1-3), 125–130. ​10.1016/j.jad.2007.01.002 First citation in articleCrossref MedlineGoogle Scholar

  • Dillon, D. G., Holmes, A. J., Birk, J. L., Brooks, N., Lyons-Ruth, K., & Pizzagalli, D. A. (2009). Childhood adversity is associated with left basal ganglia dysfunction during reward anticipation in adulthood. Biological Psychiatry, 66(3), 206–213. 10.1016/j.biopsych.2009.02.019 First citation in articleCrossref MedlineGoogle Scholar

  • Ducasse, D., Loas, G., Dassa, D., Gramaglia, C., Zeppegno, P., Guillaume, S., & Courtet, P. (2018). Anhedonia is associated with suicidal ideation independently of depression: A meta-analysis. Depression and Anxiety, 35(5), 382–392. 10.1002/da.22709 First citation in articleCrossref MedlineGoogle Scholar

  • Fonseca-Pedrero, E., Gooding, D. C., Ortuno-Sierra, J., Pflum, M., Paino, M., & Muniz, J. (2016). Classifying risk status of non-clinical adolescents using psychometric indicators for psychosis spectrum disorders. Psychiatry Research, 243, 246–254. 10.1016/j.psychres.2016.06.049 First citation in articleCrossref MedlineGoogle Scholar

  • Furrer, C. J. (2010). Capturing the friendship context with a collective property: Friendship group engagement vs. disaffection. Journal of Adolescence, 33(6), 853–867. 10.1016/j.adolescence.2010.07.003 First citation in articleCrossref MedlineGoogle Scholar

  • Gooding, D. C., Chan, R. C. K., Zhou, H. Y., Li, Z., & Cheung, E. F. C. (2017). The indirect assessment of social anhedonia in Chinese adolescents: Preliminary findings. Psychiatry Research, 257, 418–423. 10.1016/j.psychres.2017.08.007 First citation in articleCrossref MedlineGoogle Scholar

  • Gooding, D. C., Pflum, M. J., Fonseca-Pedero, E., & Paino, M. (2016). Assessing social anhedonia in adolescence: The ACIPS-A in a community sample. European Psychiatry, 37, 49–55. 10.1016/j.eurpsy.2016.05.012 First citation in articleCrossref MedlineGoogle Scholar

  • Hammerton, G., Zammit, S., Potter, R., Thapar, A., & Collishaw, S. (2014). Validation of a composite of suicide items from the Mood and Feelings Questionnaire (MFQ) in offspring of recurrently depressed parents. Psychiatry Research, 216(1), 82–88. 10.1016/j.psychres.2014.01.040 First citation in articleCrossref MedlineGoogle Scholar

  • Hawes, M., Galynker, I., Barzilay, S., & Yaseen, Z. S. (2018). Anhedonia and suicidal thoughts and behaviors in psychiatric outpatients: The role of acuity. Depression and Anxiety, 35(12), 1218–1227. 10.1002/da.22814 First citation in articleCrossref MedlineGoogle Scholar

  • Joiner, T. E., Brown, J. S., & Metalsky, G. I. (2003). A test of the tripartite model's prediction of anhedonia's specificity to depression: Patients with major depression versus patients with schizophrenia. Psychiatry Research, 119(3), 243–250. First citation in articleCrossref MedlineGoogle Scholar

  • Liu, X. C., Liu, L. Q., Yang, J., Chai, F. X., Wang, A. Z., & Sun, L. M. (1997). Development and psychometric reliability and validity of Adolescent Self-Rating Life Events Checklist. Chinese Journal of Clinical Psychology, 5, 34–36. First citation in articleGoogle Scholar

  • Loas, G. (1996). Vulnerability to depression: A model centered on anhedonia. Journal of Affective Disorders, 41(1), 39–53. 10.1016/0165-0327(96)00065-1 First citation in articleCrossref MedlineGoogle Scholar

  • Loas, G. (2007). Anhedonia and suicide: A 6.5-yr. follow-up study of patients hospitalised for a suicide attempt. Psychological Reports, 100(1), 183–190. 10.2466/pr0.100.1.183-190 First citation in articleCrossref MedlineGoogle Scholar

  • Loas, G. (2014). Anhedonia and risk of suicide: An overview. In M. Ritsner (Ed.), Anhedonia: A comprehensive handbook volume II: Neuropsychiatric and physical disorders (pp. 247–253). Dordrecht, The Netherlands: Springer. First citation in articleGoogle Scholar

  • Loas, G., Lefebvre, G., Rotsaert, M., & Englert, Y. (2018). Relationships between anhedonia, suicidal ideation and suicide attempts in a large sample of physicians. PLoS One, 13(3), e0193619. 10.1371/journal.pone.0193619 First citation in articleCrossref MedlineGoogle Scholar

  • Loas, G., Solibieda, A., Rotsaert, M., & Englert, Y. (2019). Suicidal ideations among medical students: The role of anhedonia and type D personality. PLoS One, 14(6), e0217841. 10.1371/journal.pone.0217841 First citation in articleCrossref MedlineGoogle Scholar

  • Nikolova, Y., Bogdan, R., & Pizzagalli, D. A. (2012). Perception of a naturalistic stressor interacts with 5-HTTLPR/rs25531 genotype and gender to impact reward responsiveness. Neuropsychobiology, 65(1), 45–54. 10.1159/000329105 First citation in articleCrossref MedlineGoogle Scholar

  • Nock, M. K., & Kazdin, A. E. (2002). Examination of affective, cognitive, and behavioral factors and suicide-related outcomes in children and young adolescents. Journal of Clinical Child & Adolescent Psychology, 31(1), 48–58. 10.1207/S15374424JCCP3101_07 First citation in articleCrossref MedlineGoogle Scholar

  • OECD. (2019). Health status – suicide rates – OECD data. Paris, France: Author. Retrieved from https://data.oecd.org/health​stat/suicide-rates.htm First citation in articleGoogle Scholar

  • Olino, T. M., Silk, J. S., Osterritter, C., & Forbes, E. E. (2015). Social reward in youth at risk for depression: A preliminary investigation of subjective and neural differences. Journal of Child and Adolescent Psychopharmacology, 25(9), 711–721. 10.1089/cap.2014.0165 First citation in articleCrossref MedlineGoogle Scholar

  • Pechtel, P., & Pizzagalli, D. A. (2013). Disrupted reinforcement learning and maladaptive behavior in women with a history of childhood sexual abuse: A high-density event-related potential study. JAMA Psychiatry, 70(5), 499–507. ​10.1001/jamapsychiatry.2013.728 First citation in articleCrossref MedlineGoogle Scholar

  • Pizzagalli, D. A. (2014). Depression, stress, and anhedonia: Toward a synthesis and integrated model. Annual Review of Clinical Psychology, 10, 393–423. 10.1146/annurev-clinpsy-​050212-185606 First citation in articleCrossref MedlineGoogle Scholar

  • Ritsner, M. S., & Ratner, Y. (2019). Predicting predischarge anhedonia among inpatients with schizophrenia and schizoaffective disorders: A large-scale analysis. Journal of Nervous and Mental Disease, 207(1), 12–21. 10.1097/NMD.00000000​00000923 First citation in articleCrossref MedlineGoogle Scholar

  • Rzepa, E., & McCabe, C. (2018). Dimensional anhedonia and the adolescent brain: Reward and aversion anticipation, effort and consummation. BJPsych Open, 5(6), e99. 10.1192/bjo.2019.68 First citation in articleCrossrefGoogle Scholar

  • Sheth, C., McGlade, E., & Yurgelun-Todd, D. (2017). Chronic stress in adolescents and its neurobiological and psychopathological consequences: An RDoC perspective. Chronic Stress, 1, 1–22. 10.1177/2470547017715645 First citation in articleCrossrefGoogle Scholar

  • Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E., Jr. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. 10.1037/a0018697 First citation in articleCrossref MedlineGoogle Scholar

  • Winer, E. S., Drapeau, C. W., Veilleux, J. C., & Nadorff, M. R. (2016). The association between anhedonia, suicidal ideation, and suicide attempts in a large student sample. Archives of Suicide Research, 20(2), 265–272. 10.1080/13811118.2015.1025119 First citation in articleCrossref MedlineGoogle Scholar

  • Winer, E. S., Nadorff, M. R., Ellis, T. E., Allen, J. G., Herrera, S., & Salem, T. (2014a). Anhedonia predicts suicidal ideation in a large psychiatric inpatient sample. Psychiatry Research, 218(1–2), 124–128. 10.1016/j.psychres.2014.04.016 First citation in articleCrossref MedlineGoogle Scholar

  • Winer, E. S., Veilleux, J. C., & Ginger, E. J. (2014b). Development and validation of the Specific Loss of Interest and Pleasure Scale (SLIPS). Journal of Affective Disorders, 152, 193–201. 10.1016/j.jad.2013.09.010 First citation in articleCrossref MedlineGoogle Scholar

  • Xie, P., Wu, K., Zheng, Y., Guo, Y., Yang, Y., He, J., & Peng, H. (2017). Prevalence of childhood trauma and correlations between childhood trauma, suicidal ideation, and social support in patients with depression, bipolar disorder, and schizophrenia in southern China. Journal of Affective Disorders, 228, 41–48. 10.1016/j.jad.2017.11.011 First citation in articleCrossref MedlineGoogle Scholar

  • Yang, X., Liu, S., Wang, D., Liu, G., & Harrison, P. (2019). Differential effects of state and trait social anhedonia on suicidal ideation at 3-months follow up. Journal of Affective Disorders, 262, 23–30. 10.1016/j.jad.2019.10.056 First citation in articleCrossref MedlineGoogle Scholar

  • Yen, S., Weinstock, L. M., Andover, M. S., Sheets, E. S., Selby, E. A., & Spirito, A. (2013). Prospective predictors of adolescent suicidality: 6-month post-hospitalization follow-up. Psychology Medicine, 43(5), 983–993. 10.1017/S0033291712001912 First citation in articleCrossref MedlineGoogle Scholar