Perceived stress influences anhedonia and social functioning in a community sample enriched for psychosis-risk

Andrea Pelletier-Baldelli*, Gregory P. Strauss, Franchesca S. Kuhney, Charlotte Chun, Tina Gupta, Lauren M. Ellman, Jason Schiffman, Vijay A. Mittal

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Existing animal and human research support the causal role of stress in the emergence of anhedonia, and in turn, the influence of anhedonia in social functioning. However, this model has not been tested in relation to psychosis-risk; this literature gap is notable given that both anhedonia and declining social functioning represent key markers of risk of developing a psychotic disorder such as schizophrenia. The current research tested the evidence for this model using structural equation modeling in 240 individuals selected based on a range of psychosis-risk symptomatology from the general community. Results supported this model in comparison with alternative models, and additionally emphasized the direct role of perceived stress in social functioning outcomes. Findings suggest the clinical relevance of targeting early perceptions of stress in individuals meeting psychosis-risk self-report criteria in an effort to prevent subsequent anhedonia and declines in social functioning.

Original languageEnglish (US)
Pages (from-to)96-103
Number of pages8
JournalJournal of Psychiatric Research
Volume135
DOIs
StatePublished - Mar 2021

Keywords

  • Anhedonia
  • Perceived stress
  • Psychosis-risk
  • SEM
  • Social functioning

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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