Related Experiment Video
Updated: May 7, 2026

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
Anhedonia Relates to Increased Psychomotor Retardation Using an Instrumental Handwriting-Based Measure
Riley E Maher1, David M Klemballa1, Sebastian Walther2
1Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL USA.
Abstract:
Psychomotor retardation (PmR) is a clinically important but understudied feature of depression. Available studies of PmR in depression have also been limited by the reliance on self-report and observation. Instrumental measures, which have been used to assess motor symptoms in neurological disorders, exhibit greater precision and sensitivity than self-report measures and can provide vital information in the clinical presentation. Hence, the present study sought to examine (a) whether depression (diagnosis and/or symptoms) is abnormally associated with an instrumental-based indictaor of PmR, velocity scaling (VS), a behavioral metric that reflects the ability to increase rate of movement across longer versus shorter distances, and (b) the reliability (internal consistency) of VS. A large sample of healthy controls (n = 85) and those with lifetime MDD (n = 146), completed a handwriting task on a tablet. VS was quantified as a slope of change in velocity from 1 to 4 cm hand-drawn loops, with steeper slopes indicating less PmR. Whereas VS did not differ between groups, lower VS was significantly negatively related to greater anhedonia across participants, even after covarying for overall depression severity. VS scores also exhibited excellent internal consistency. The handwriting task is a reliable and brief measure that can be completed in only a few minutes and could be a feasible way to assess for PmR in clinical settings. Future studies are needed to determine the temporal relation between VS and anhedonia.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s10862-025-10249-1.
Insights
Psychomotor retardation (PmR) in depression is better assessed using instrumental measures like velocity scaling (VS) from handwriting. Lower VS correlated with anhedonia, suggesting a link beyond overall depression severity.
Area of Science:
- Neuroscience
- Psychiatry
- Behavioral Science
Background:
- Psychomotor retardation (PmR) is a significant but under-researched aspect of depression.
- Current assessment methods for PmR in depression rely on subjective self-report and observation, lacking precision.
- Instrumental measures offer greater sensitivity for motor symptoms, similar to their use in neurological disorders.
Purpose of the Study:
- To investigate the association between depression and velocity scaling (VS), an instrumental measure of PmR.
- To assess the reliability of VS as a measure of psychomotor function.
- To explore the relationship between VS and anhedonia in individuals with and without Major Depressive Disorder (MDD).
Main Methods:
- A handwriting task using a tablet was administered to healthy controls (n=85) and individuals with lifetime MDD (n=146).
- Velocity scaling (VS) was quantified by analyzing the slope of velocity change during hand-drawn loops (1-4 cm).
- Internal consistency of VS scores was evaluated.
Main Results:
- No significant difference in VS was found between healthy controls and individuals with MDD.
- Lower VS scores were significantly and negatively correlated with higher levels of anhedonia, independent of overall depression severity.
- VS demonstrated excellent internal consistency, indicating high reliability.
Conclusions:
- Handwriting analysis provides a reliable and brief instrumental measure for assessing psychomotor retardation (PmR).
- Velocity scaling (VS) shows a significant negative correlation with anhedonia in depression.
- This handwriting-based approach may offer a feasible method for evaluating PmR in clinical settings, warranting further research into its temporal relationship with anhedonia.
Related Concept Videos
Negative and Cognitive Symptoms of Schizophrenia
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....

