Markers of anhedonia were assessed in recently withdrawn opiate dependent patients.
Patients reported reduced positive affect on Snaith–Hamilton Pleasure Scale (LowPA).
Affect-modulated startle to pleasant images was blunted in patients reporting LowPA.
Patients had reduced activation of prefrontal cortex to food/social reward cues.
Multimodal approach, translational neuroimaging suggest anhedonia in early recovery.