Table 1.
Current challenges in research on the pathological mechanisms of anhedonia in major depressive disorder (MDD)
Challenges | Potential solutions |
Competing definitions for anhedonia in schizophrenia and MDD | New clinical terminology should be introduced in future versions of the diagnostic systems to facilitate identifying deficits in different aspects of reward processing in the anhedonia domain of MDD. |
The weak temporal correlation and operability between reward processing and MDD | Improving the evaluation of reward processing in MDD and optimising study design to solve the problem are necessary. |
Lack of specific assessment tools for anhedonia in MDD | The current commonly used anhedonia assessment tools have several limitations. The recently developed Dimensional Anhedonia Rating Scale can comprehensively reflect anhedonia features in patients with MDD; as an ideal tool, it needs to be optimised in the future for a wider population. |