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Open Access

Social anhedonia and depressive symptoms in patients with acute schizophrenia

  • VP Kontaxakis1,
  • KT Kollias1,
  • BJ Havaki-Kontaxaki1,
  • SS Stamouli1 and
  • GN Christodoulou1
Annals of General Hospital Psychiatry20032(Suppl 1):S110

Received: 1 November 2003

Published: 23 December 2003


Depressive SymptomSchizophreniaDepression ScaleSchizophrenic PatientItem Score


Social anhedonia (SA) represents a defect in the ability to experience interpersonal pleasure. It is impaired in both schizophrenia and depression. The aim of this study is to evaluate the association of SA to depressive symptoms in a sample of acute schizophrenic patients.

Material and Methods

Seventy-one schizophrenic patients (45 men, 26 women) with a mean age of 30.2 (± 8.5) years, consecutively admitted at Eginition Hospital, Athens, were included in the study. Patients were assessed on admission using the Revised Social Anhedonia Scale (rSAS) and the Calgary Depression Scale for Schizophrenia (CDSS). For the statistical evaluation Spearman's product moment correlations were carried out.


SA ratings did correlate with total CDSS score (r = 0.29, p = 0.02). Regarding depressive symptoms, there were significant correlations between rSAS score and the CDSS item scores of self-depreciation (r = 0.36, p = 0.004), pathological guilt (r = 0.40, p = 0.001), early wakening (r = 2.70, p = 0.03), suicidal thoughts (r = 0.31, p = 0.01), observed depression (r = 0.32, p = 0.01).


There is an association between SA and several depressive symptoms in patients with acute schizophrenia.

Authors’ Affiliations

Department of Psychiatry, University of Athens, Eginition Hospital, Athens, Greece


© The Author(s) 2003