Sakshi Rajesh
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sakshirajesh.bsky.social
Sakshi Rajesh
@sakshirajesh.bsky.social
👤 DPhil (PhD) student in Psychiatry at the University of Oxford • she/her

🔎 Anhedonia, Depression, & Social Anxiety • Children and Young People • Longitudinal, Network, Qualitative methods

https://www.psych.ox.ac.uk/team/sakshi-rajesh
Incredibly grateful for all co-authors: Sverre Urnes Johnson, Asle Hoffart, Eleanor Leigh, and @omidvebrahimi.bsky.social! ⭐

@topicgroup.bsky.social @edgelab.bsky.social

(10/10)
October 31, 2025 at 4:11 PM
Takeaways:

🔸Given its cross-cluster relations, anhedonia may be conceptualised as a transdiagnostic symptom across depression and social anxiety.
🔸Early interventions may need strategies addressing both anticipatory and consummatory anhedonia.

Pending: longitudinal + clinical replications

(9/10)
October 31, 2025 at 4:11 PM
The most central nodes in the network were low mood, worthlessness/guilt, and avoiding embarrassment.

The nodes that showed the strongest cross-cluster associations were avoiding being centre of attention, both anhedonia nodes, and worthlessness/guilt.

(8/10)
October 31, 2025 at 4:11 PM
Within social anxiety nodes:

Anticipatory anhedonia was related to avoiding being centre of attention and less fear of embarrassment.

Consummatory anhedonia was related to all three of the social anxiety symptoms.

(7/10)
October 31, 2025 at 4:11 PM
Within depression nodes:

Anticipatory anhedonia was related to low mood and suicidal ideation.

Consummatory anhedonia was related to worthlessness/guilt, suicidal ideation, concentration problems, and sleep problems.

(6/10)
October 31, 2025 at 4:11 PM
Anticipatory anhedonia and consummatory anhedonia showed differential associations with depression and social anxiety nodes.

(5/10)
October 31, 2025 at 4:11 PM
To better understand how depression symptoms, social anxiety symptoms, and anhedonia dimensions relate, we conducted a network analysis (Gaussian Graphical Model) of 672 university students aged 19–24 years, using cross-sectional data from the CIPA Study (www.cipastudy.com/the-cipa-study).

(4/10)
October 31, 2025 at 4:11 PM
However, we lack a precise understanding of how specific dimensions of anhedonia—anticipatory (reduced 'wanting') and consummatory (reduced 'liking')—relate to symptoms of these conditions.

It can be helpful to disentangle these, as this may help refine early interventional strategies.

(3/10)
October 31, 2025 at 4:11 PM
Anhedonia (loss of pleasure) is a symptom often observed in depression and social anxiety, two conditions that are common, emerge early in life, and significantly impact young people—especially university students.

(2/10)
October 31, 2025 at 4:11 PM
Could I be added please? Thanks!
November 16, 2024 at 8:05 AM