# The anhedonia paradox in extreme sports: evidence of dopaminergic dysregulation and addiction-like reward mechanisms

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- Page title: The anhedonia paradox in extreme sports: evidence of dopaminergic dysregulation and addiction-like reward mechanisms | WCP 2026 Summary

> The poster presents a study protocol designed to test whether higher levels of anhedonia predict the initiation and escalation of extreme sports participation;…

This page was translated automatically from Turkish. [Read the original](https://alisanburak.com/wcp-2026-posterler/ev0818)

Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0818

E-PosterBağımlılıkProspektif boylamsal kohort (çalışma protokolü)

# The anhedonia paradox in extreme sports: evidence of dopaminergic dysregulation and addiction-like reward mechanisms

THE ANHEDONIA PARADOX IN EXTREME SPORTS: EVIDENCE FOR DOPAMINERGIC DYSREGULATION AND ADDICTION-LIKE REWARD MECHANISMS

Sunan: Rina Kim

Ülke: United States of America

Kurum: Brookdale Hospital Medical Center (One Brooklyn Health)

The poster presents a study protocol designed to test whether higher levels of anhedonia predict the initiation and escalation of extreme sports participation; it does not yet contain any collected data or findings.

The aim is to investigate whether anhedonia predicts extreme sports participation as a compensatory reward-seeking behavior similar to the self-medication pattern observed in substance use disorders. The theoretical framework is based on Reward Deficiency Syndrome (RDS) and blunted reward processing in hypodopaminergic states. The planned design is a prospective longitudinal cohort study that will follow 200 young adults aged 18 to 30 with varying baseline levels of anhedonia over 24 months. Anhedonia will be assessed using the Snaith–Hamilton Pleasure Scale (SHAPS) and the Temporal Experience of Pleasure Scale (TEPS), which distinguishes between deficits in anticipatory and consummatory pleasure. The initiation and escalation of extreme sports participation will be tracked through quarterly surveys, and sensation seeking will be measured using the Zuckerman Sensation Seeking Scale. Analyses will use a Cox proportional hazards model for time to initiation and structural equation modeling for mediation analyses. The poster reports no findings; the authors merely hypothesize that individuals with higher baseline anhedonia will be more likely to begin participating in extreme sports (hazard ratio greater than 1.5) and that this relationship will be mediated by reduced striatal activation during reward anticipation. In the discussion, the authors highlight a tension: while anhedonia impairs effort-based reward seeking, extreme sports require substantial effort and offer delayed, uncertain rewards, with skiers reporting lower happiness during the activity and pleasure emerging only retrospectively. According to the authors, whereas gambling, gaming, and substances provide rapid, repeated dopaminergic reinforcement, extreme sports lack this temporal compression, and motivation may be non-hedonic in nature (flow, mastery, meaning).

[Orijinal postere git](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/472)

Bu çalışmaya nasıl atıf yapılır?

APA 7: Kim, R. (2026, September 23-26). The anhedonia paradox in extreme sports: evidence for dopaminergic dysregulation and addiction-like reward mechanisms [E-poster]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/472

Vancouver: Kim R. The anhedonia paradox in extreme sports: evidence for dopaminergic dysregulation and addiction-like reward mechanisms [e-poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/472

Yazar adları ve başlık biçimi kongre sisteminden otomatik oluşturulmuştur; kullanmadan önce orijinal posterle karşılaştırın.

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