Validation of the Snaith—Hamilton Pleasure Scale to assess anhedonia in patients with unipolar depression In Russia

Kasyanov E.D.; Rukavishnikov G.V.; Kibitov A.O.; Mazo G.E.

doi:https://doi.org/10.17116/jnevro2025125071110

Kasyanov E.D.

V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology

ORCID: 0000-0002-4658-2195

Rukavishnikov G.V.

V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology

ORCID: 0000-0002-5282-2036

Kibitov A.O.

V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology;
Academian I.P. Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia

ORCID: 0000-0002-8771-625X

Mazo G.E.

V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology

ORCID: 0000-0001-7036-5927

Validation of the Snaith—Hamilton Pleasure Scale to assess anhedonia in patients with unipolar depression In Russia

Authors:

Kasyanov E.D., Rukavishnikov G.V., Kibitov A.O., Mazo G.E.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2025;125(7): 110‑121

DOI: 10.17116/jnevro2025125071110

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To cite this article:

Kasyanov ED, Rukavishnikov GV, Kibitov AO, Mazo GE. Validation of the Snaith—Hamilton Pleasure Scale to assess anhedonia in patients with unipolar depression In Russia. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;125(7):110‑121. (In Russ.)
https://doi.org/10.17116/jnevro2025125071110

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)

Использование инфографики авторами научных работ

OBJECTIVE

To analyze the factor structure, internal consistency, convergent and discriminant validity, and the prognostic significance of the Snaith—Hamilton Pleasure Scale (SHAPS) in the Russian population of patients with monopolar depression.

MATERIAL AND METHODS

This multicenter cross-sectional study included patients with monopolar depression (age 18—74):those with a current depressive episode (n=242, 61.6% females) and those in remission (n=49, 73.5% females), as well as healthy subjects in the control group (n=324, 65.4% females). All participants underwent a structured interview to verify the clinical diagnosis and a psychometric examination. Data analysis was performed using the R programming language in RStudio version 4.4.0.

RESULTS

The analysis of the main components revealed the three-factor structure of SHAPS, reflecting sensory pleasure, social pleasure, and pleasure from daily activities. The internal consistency of the scale was good (Cronbach’s α=0.82 [95% CI 0.79—0.85]). SHAPS demonstrated high convergent and discriminant validity: patients with a current depressive episode had significantly higher scores compared to those in remission (6 [2.3—9] vs. 2 [0—3], p=2.2·10^–9) and healthy subjects (6 [2.3—9] vs. 0 [0—1], p=2.2·10^–16). The correlation analysis showed a moderate association with the Montgomery—Asberg Depression Rating Scale (ρ=0.31, p=9.2·10^–7), while the correlations with the scales measuring other latent constructs were not significant (p>0.05). The ROC analysis revealed the optimal cut-off values: ≥8 points to distinguish between the current depressive episode and remission, and ≥5.5 points to distinguish between the current depressive episode and the absence of the disease.

CONCLUSION

The study demonstrated for the first time the validity of the Russian-language version of SHAPS in a sample of patients with monopolar depression.

Keywords:

depression

anhedonia

psychometrics

factor analysis

ROC-curve

Authors:

Kasyanov E.D.

V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology

ORCID: 0000-0002-4658-2195

Rukavishnikov G.V.

V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology

ORCID: 0000-0002-5282-2036

Kibitov A.O.

V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology;
Academian I.P. Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia

ORCID: 0000-0002-8771-625X

Mazo G.E.

V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology

ORCID: 0000-0001-7036-5927

Received:

26.03.2025

Accepted:

09.04.2025

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