Journal
JOURNAL OF ABNORMAL PSYCHOLOGY
Volume 129, Issue 4, Pages 331-342Publisher
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/abn0000499
Keywords
anhedonia; transdiagnostic; emotion-behavior decoupling; mental disorders
Funding
- National Science Fund China [H15031, 81571317]
- National Key Research and Development Programme [2016YFC0906402]
- Beijing Municipal Science & Technology Commission Grant [Z161100000216138]
- Beijing Training Project for the Leading Talents in Science and Technology [Z151100000315020]
- Natural Science Foundation of Shandong Province [ZR2017LC023]
- CAS Key Laboratory of Mental Health, Institute of Psychology
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Failure in translating emotional salience into effortful behavior is thought to be a core feature of anhedonia and avolition in individuals with schizophrenia (SCZ), but little is known about emotionbehavior coupling in individuals with bipolar disorder (13D) and major depressive disorder (MDD). In this study, we compared emotion-behavior correspondence in participants with SCZ, BD, and MDD. Forty-two participants with SCZ, 44 participants with MDD, 43 participants with BD. and 43 healthy controls were recruited. A computerized anticipatory and consummatory pleasure task was used to evaluate emotion-behavior correspondence. Clinical ratings of negative symptoms and self-report anhedonia questionnaires were also administered. We found that participants with SCZ, MDD, and BD exhibited different levels of negative symptoms and self-reported anhedonia, as well as emotion-behavior decoupling. In SCZ participants, both desirable and undesirable images elicited lower correspondence between self-reported liking and behavior. In MDD and BD participants, undesirable images elicited lower emotion-behavior correspondence under both direct stimulus presentation and representation conditions, whereas deficits in emotion-behavior coupling under desirable conditions were only observed when stimuli were present. Taken together, emotion- behavior decoupling showed both common and unique patterns in participants with SCZ, MDD, and BD, and showed some associations with negative symptoms and anhedonia across the combined clinical sample. This finding may be helpful for early identification and the development of novel interventions for different psychiatric diagnoses.
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