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Anhedonia, apathy, pleasure, and effort-based decision-making in adult and adolescent cannabis users and controls

Skumlien, Martine; Mokrysz, Claire; Freeman, Tom P; Valton, Vincent; Wall, Matthew B; Bloomfield, Michael; Lees, Rachel; ... Lawn, Will; + view all (2022) Anhedonia, apathy, pleasure, and effort-based decision-making in adult and adolescent cannabis users and controls. International Journal of Neuropsychopharmacology , Article pyac056. 10.1093/ijnp/pyac056. (In press). Green open access

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Abstract

BACKGROUND: Cannabis use may be linked with anhedonia and apathy. However, previous studies have shown mixed results and few have examined the association between cannabis use and specific reward sub-processes. Adolescents may be more vulnerable to harmful effects of cannabis than adults. This study investigated (1) the association between non-acute cannabis use and apathy, anhedonia, pleasure, and effort-based decision-making for reward, and (2) whether these relationships were moderated by age-group. METHODS: We used data from the 'CannTeen' study. Participants were 274 adult (26-29 years) and adolescent (16-17 years) cannabis users (1-7 days/week use in the past three months), and gender- and age-matched controls. Anhedonia was measured with the Snaith-Hamilton Pleasure Scale (n=274), and apathy was measured with the Apathy Evaluation Scale (n=215). Effort-based decision-making for reward was measured with the Physical Effort task (n=139), and subjective wanting and liking of rewards was measured with the novel Real Reward Pleasure task (n=137). RESULTS: Controls had higher levels of anhedonia than cannabis users (F1,258=5.35, p=.02, ηp2=.02). There were no other significant effects of User-Group and no significant User-Group*Age-Group interactions. Null findings were supported by post hoc Bayesian analyses. CONCLUSION: Our results suggest that cannabis use at a frequency of three to four days per week is not associated with apathy, effort-based decision-making for reward, reward wanting, or reward liking in adults or adolescents. Cannabis users had lower anhedonia than controls, albeit at a small effect size. These findings are not consistent with the hypothesis that non-acute cannabis use is associated with amotivation.

Type: Article
Title: Anhedonia, apathy, pleasure, and effort-based decision-making in adult and adolescent cannabis users and controls
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/ijnp/pyac056
Publisher version: https://doi.org/10.1093/ijnp/pyac056
Language: English
Additional information: © The Author(s) 2022. Published by Oxford University Press on behalf of CINP. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: adolescent, cannabis, effort, motivation, reward
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10154730
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