Decision value signals in the ventromedial prefrontal cortex and motivational and hedonic symptoms across mood and psychotic disorders

Deficits in motivation and pleasure are common across many psychiatric disorders, and manifest as symptoms of amotivation and anhedonia, which are prominent features of both mood and psychotic disorders. Here we provide evidence for an association between neural value signals and symptoms of amotiva...

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Main Authors: Min K. Souther, Daniel H. Wolf, Rebecca Kazinka, Sangil Lee, Kosha Ruparel, Mark A. Elliott, Anna Xu, Matthew Cieslak, Greer Prettyman, Theodore D. Satterthwaite, Joseph W. Kable
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:NeuroImage: Clinical
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158222002923
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author Min K. Souther
Daniel H. Wolf
Rebecca Kazinka
Sangil Lee
Kosha Ruparel
Mark A. Elliott
Anna Xu
Matthew Cieslak
Greer Prettyman
Theodore D. Satterthwaite
Joseph W. Kable
author_facet Min K. Souther
Daniel H. Wolf
Rebecca Kazinka
Sangil Lee
Kosha Ruparel
Mark A. Elliott
Anna Xu
Matthew Cieslak
Greer Prettyman
Theodore D. Satterthwaite
Joseph W. Kable
author_sort Min K. Souther
collection DOAJ
description Deficits in motivation and pleasure are common across many psychiatric disorders, and manifest as symptoms of amotivation and anhedonia, which are prominent features of both mood and psychotic disorders. Here we provide evidence for an association between neural value signals and symptoms of amotivation and anhedonia across adults with major depression, bipolar disorder, schizophrenia, or no psychiatric diagnosis. We found that value signals in the ventromedial prefrontal cortex (vmPFC) during intertemporal decision-making were dampened in individuals with greater motivational and hedonic deficits, after accounting for primary diagnosis. This relationship remained significant while controlling for diagnosis-specific symptoms of mood and psychosis, such as depression as well as positive and negative symptoms. Our results demonstrate that dysfunction in the vmPFC during value-based decision-making is specifically linked to motivational and hedonic impairments. These findings provide a quantitative neural target for the potential development of novel treatments for amotivation and anhedonia.
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spelling doaj.art-e3a3326fccb3418a9b4633a58dec274e2022-12-22T04:30:10ZengElsevierNeuroImage: Clinical2213-15822022-01-0136103227Decision value signals in the ventromedial prefrontal cortex and motivational and hedonic symptoms across mood and psychotic disordersMin K. Souther0Daniel H. Wolf1Rebecca Kazinka2Sangil Lee3Kosha Ruparel4Mark A. Elliott5Anna Xu6Matthew Cieslak7Greer Prettyman8Theodore D. Satterthwaite9Joseph W. Kable10Department of Psychology, University of Pennsylvania, US; Corresponding author at: Department of Psychology, University of Pennsylvania, 3700 Hamilton Walk, Philadelphia, PA 19104, USDepartment of Psychiatry, Perelman School of Medicine, USDepartment of Psychology, University of Pennsylvania, US; Department of Psychiatry, University of Minnesota, USDepartment of Psychology, University of Pennsylvania, USDepartment of Psychiatry, Perelman School of Medicine, USDepartment of Radiology, University of Pennsylvania, USDepartment of Psychiatry, Perelman School of Medicine, USDepartment of Psychiatry, Perelman School of Medicine, USDepartment of Psychiatry, Perelman School of Medicine, USDepartment of Psychiatry, Perelman School of Medicine, US; Penn-CHOP Lifespan Brain Institute, USDepartment of Psychology, University of Pennsylvania, USDeficits in motivation and pleasure are common across many psychiatric disorders, and manifest as symptoms of amotivation and anhedonia, which are prominent features of both mood and psychotic disorders. Here we provide evidence for an association between neural value signals and symptoms of amotivation and anhedonia across adults with major depression, bipolar disorder, schizophrenia, or no psychiatric diagnosis. We found that value signals in the ventromedial prefrontal cortex (vmPFC) during intertemporal decision-making were dampened in individuals with greater motivational and hedonic deficits, after accounting for primary diagnosis. This relationship remained significant while controlling for diagnosis-specific symptoms of mood and psychosis, such as depression as well as positive and negative symptoms. Our results demonstrate that dysfunction in the vmPFC during value-based decision-making is specifically linked to motivational and hedonic impairments. These findings provide a quantitative neural target for the potential development of novel treatments for amotivation and anhedonia.http://www.sciencedirect.com/science/article/pii/S2213158222002923AnhedoniaDepressionBipolar disorderSchizophreniaVentromedial prefrontal cortexfMRI
spellingShingle Min K. Souther
Daniel H. Wolf
Rebecca Kazinka
Sangil Lee
Kosha Ruparel
Mark A. Elliott
Anna Xu
Matthew Cieslak
Greer Prettyman
Theodore D. Satterthwaite
Joseph W. Kable
Decision value signals in the ventromedial prefrontal cortex and motivational and hedonic symptoms across mood and psychotic disorders
NeuroImage: Clinical
Anhedonia
Depression
Bipolar disorder
Schizophrenia
Ventromedial prefrontal cortex
fMRI
title Decision value signals in the ventromedial prefrontal cortex and motivational and hedonic symptoms across mood and psychotic disorders
title_full Decision value signals in the ventromedial prefrontal cortex and motivational and hedonic symptoms across mood and psychotic disorders
title_fullStr Decision value signals in the ventromedial prefrontal cortex and motivational and hedonic symptoms across mood and psychotic disorders
title_full_unstemmed Decision value signals in the ventromedial prefrontal cortex and motivational and hedonic symptoms across mood and psychotic disorders
title_short Decision value signals in the ventromedial prefrontal cortex and motivational and hedonic symptoms across mood and psychotic disorders
title_sort decision value signals in the ventromedial prefrontal cortex and motivational and hedonic symptoms across mood and psychotic disorders
topic Anhedonia
Depression
Bipolar disorder
Schizophrenia
Ventromedial prefrontal cortex
fMRI
url http://www.sciencedirect.com/science/article/pii/S2213158222002923
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