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.

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.