抑郁症快感缺失的社会心理特征及其干预策略研究进展
Research Progress on the Psychosocial Characteristics and Intervention Strategies of Anhedonia in Depression
DOI: 10.12677/ap.2025.1511572, PDF,   
作者: 茹杨骅：浙江大学医学院附属第一医院精神卫生科，浙江 杭州；嵊州市第五人民医院精神科，浙江 绍兴；周锋平：嵊州市第五人民医院精神科，浙江 绍兴；陆邵佳*：浙江大学医学院附属第一医院精神卫生科，浙江 杭州
关键词: 快感缺失；抑郁症；临床心理学特征；Anhedonia； Major Depressive Disorder； Clinical Psychological Features
摘要: 快感缺失(anhedonia)是指患者对日常活动的愉悦体验能力持续减退，是抑郁症(MDD)的核心症状之一。快感缺失的病理机制复杂，但长期以来，对于抑郁症快感缺失的研究多聚焦于多巴胺奖赏通路异常。然而，近年来大量研究证据表明，社会心理因素不仅独立影响快感缺失的形成，更与神经生物学机制有着复杂的联系。因此深入研究抑郁症的快感缺失症状和社会心理因素的关系，对了解抑郁症患者快感缺失的形成、提升患者的治疗效果乃至提高患者的生活质量具有极为重要的意义。本文旨在对社会心理因素在抑郁症快感缺失中的研究进展进行综述，为日后研究提供新的方向。
Abstract: Anhedonia, defined as a persistent reduction in the capacity to experience pleasure from normally rewarding activities, is a core symptom of major depressive disorder (MDD). Although the pathophysiology of anhedonia is complex, research has long centered on dopaminergic reward pathway dysfunction. In recent years, however, a growing body of evidence has highlighted the significant role of psychosocial factors, which not only independently influence the development and maintenance of anhedonia but also interact dynamically with neurobiological mechanisms. Understanding the interplay between psychosocial determinants and anhedonia is therefore crucial for elucidating its underlying mechanisms, optimizing therapeutic interventions, and improving the overall quality of life among individuals with MDD. This review provides a comprehensive overview of current research progress on the psychosocial features of anhedonia in depression and discusses emerging directions for prevention and intervention strategies.
文章引用：茹杨骅, 周锋平, 陆邵佳 (2025). 抑郁症快感缺失的社会心理特征及其干预策略研究进展. 心理学进展, 15(11), 10-18. https://doi.org/10.12677/ap.2025.1511572

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