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Vural G, Katruss N, Soutschek A. Pre-supplementary motor area strengthens reward sensitivity in intertemporal choice. Neuroimage 2024; 299:120838. [PMID: 39241899 DOI: 10.1016/j.neuroimage.2024.120838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Revised: 09/03/2024] [Accepted: 09/04/2024] [Indexed: 09/09/2024] Open
Abstract
Previous investigations on the causal neural mechanisms underlying intertemporal decision making focused on the dorsolateral prefrontal cortex as neural substrate of cognitive control. However, little is known, about the causal contributions of further parts of the frontoparietal control network to delaying gratification, including the pre-supplementary motor area (pre-SMA) and posterior parietal cortex (PPC). Conflicting previous evidence related pre-SMA and PPC either to evidence accumulation processes, choice biases, or response caution. To disentangle between these alternatives, we combined drift diffusion models of decision making with online transcranial magnetic stimulation (TMS) over pre-SMA and PPC during an intertemporal decision task. While we observed no robust effects of PPC TMS, perturbation of pre-SMA activity reduced preferences for larger over smaller rewards. A drift diffusion model of decision making suggests that pre-SMA increases the weight assigned to reward magnitudes during the evidence accumulation process without affecting choice biases or response caution. Taken together, the current findings reveal the computational role of the pre-SMA in value-based decision making, showing that pre-SMA promotes choices of larger, costly rewards by strengthening the sensitivity to reward magnitudes.
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Affiliation(s)
- Gizem Vural
- Department for Psychology, Ludwig-Maximilians-Universität Munich, Munich, Germany
| | - Natasha Katruss
- Department for Psychology, Ludwig-Maximilians-Universität Munich, Munich, Germany
| | - Alexander Soutschek
- Department for Psychology, Ludwig-Maximilians-Universität Munich, Munich, Germany.
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Varma MM, Zhen S, Yu R. Not all discounts are created equal: Regional activity and brain networks in temporal and effort discounting. Neuroimage 2023; 280:120363. [PMID: 37673412 DOI: 10.1016/j.neuroimage.2023.120363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 08/31/2023] [Accepted: 09/03/2023] [Indexed: 09/08/2023] Open
Abstract
Reward outcomes associated with costs like time delay and effort investment are generally discounted in decision-making. Standard economic models predict rewards associated with different types of costs are devalued in a similar manner. However, our review of rodent lesion studies indicated partial dissociations between brain regions supporting temporal- and effort-based decision-making. Another debate is whether options involving low and high costs are processed in different brain substrates (dual-system) or in the same regions (single-system). This research addressed these issues using coordinate-based, connectivity-based, and activation network-based meta-analyses to identify overlapping and separable neural systems supporting temporal (39 studies) and effort (20 studies) discounting. Coordinate-based activation likelihood estimation and resting-state connectivity analyses showed immediate-small reward and delayed-large reward choices engaged distinct regions with unique connectivity profiles, but their activation network mapping was found to engage the default mode network. For effort discounting, salience and sensorimotor networks supported low-effort choices, while the frontoparietal network supported high-effort choices. There was little overlap between the temporal and effort networks. Our findings underscore the importance of differentiating different types of costs in decision-making and understanding discounting at both regional and network levels.
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Affiliation(s)
- Mohith M Varma
- Department of Management, Marketing, and Information Systems, Hong Kong Baptist University, Hong Kong, China
| | - Shanshan Zhen
- Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, China.
| | - Rongjun Yu
- Department of Management, Marketing, and Information Systems, Hong Kong Baptist University, Hong Kong, China.
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Ikegami M, Sorama M. Differential Neural Correlates in the Prefrontal Cortex during a Delay Discounting Task in Healthy Adults: An fNIRS Study. Brain Sci 2023; 13:brainsci13050758. [PMID: 37239230 DOI: 10.3390/brainsci13050758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 04/29/2023] [Accepted: 05/01/2023] [Indexed: 05/28/2023] Open
Abstract
The phenomenon of future rewards being devalued as a function of delay is referred to as delay discounting (DD). It is considered a measure of impulsivity, and steep DD characterizes psychiatric problems such as addictive disorders and attention deficit/hyperactivity disorder. This preliminarily study examined prefrontal hemodynamic activity using functional near-infrared spectroscopy (fNIRS) in healthy young adults performing a DD task. Prefrontal activity during a DD task with hypothetical monetary rewards was measured in 20 participants. A discounting rate (k-value) in the DD task was determined on the basis of a hyperbolic function. To validate the k-value, a DD questionnaire and the Barratt impulsiveness scale (BIS) were administered after fNIRS. The DD task induced a significant increase in oxygenated hemoglobin (oxy-Hb) concentration bilaterally in the frontal pole and dorsolateral prefrontal cortex (PFC) compared with a control task. Significant positive correlations were detected between left PFC activity and discounting parameters. Right frontal pole activity, however, showed significantly negative correlation with motor impulsivity as a BIS subscore. These results suggest that left and right PFCs have differential contributions when performing the DD task. The present findings suggest the idea that fNIRS measurement of prefrontal hemodynamic activity can be useful for understanding the neural mechanisms underlying DD and is applicable for assessing PFC function among psychiatric patients with impulsivity-related problems.
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Affiliation(s)
- Masanaga Ikegami
- Department of Psychology, Asahikawa Medical University, Asahikawa 078-8510, Japan
| | - Michiko Sorama
- Department of Psychology, Kyoto Notre Dame University, Kyoto 606-0847, Japan
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Zhang Q, Wang S, Zhu Q, Yan J, Zhang T, Zhang J, Jin Z, Li L. The brain stimulation of DLPFC regulates choice preference in intertemporal choice self-other differences. Behav Brain Res 2023; 440:114265. [PMID: 36549573 DOI: 10.1016/j.bbr.2022.114265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 12/08/2022] [Accepted: 12/14/2022] [Indexed: 12/24/2022]
Abstract
Intertemporal choice requires to make decision by evaluating the value of two options consisting of different times and benefits. The dorsolateral prefrontal cortex (DLPFC) is a key brain region for modulating intertemporal choice. The aim of this study is to investigate the effect of non-invasive brain stimulation over DLPFC on intertemporal choice behavior for self and others. We used transcranial direct current stimulation (tDCS) and continuous theta burst stimulation (cTBS) to stimulate bilateral DLPFC in two experiments respectively. After stimulation, subjects made a choice between a Smaller-Sooner (SS) reward and a Larger-Later (LL) reward in intertemporal choice task. The results showed that cTBS stimulation on the left DLPFC reduced the choice preference for SS reward when individuals made choices for themselves. The cTBS stimulation caused preference difference between choosing for self and parents. But tDCS stimulation had no effect on regulating choice preference. In addition, subjects preferred SS reward for self than strangers. Time-types and monetary difference of rewards affected the choice preference. The presence of immediate time increased the choice preference of SS reward. As the monetary difference increased, the choice proportion of SS reward decreased. Our study demonstrates that brain stimulation on the left DLPFC can regulate choice preference behavior in intertemporal choice.
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Affiliation(s)
- Qiuzhu Zhang
- MOE Key Lab for Neuroinformation, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Psychiatry and Psychology, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054, China
| | - Song Wang
- MOE Key Lab for Neuroinformation, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Psychiatry and Psychology, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054, China
| | - Qian Zhu
- MOE Key Lab for Neuroinformation, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Psychiatry and Psychology, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054, China
| | - Jing Yan
- MOE Key Lab for Neuroinformation, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Psychiatry and Psychology, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054, China
| | - Tingting Zhang
- MOE Key Lab for Neuroinformation, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Psychiatry and Psychology, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054, China
| | - Junjun Zhang
- MOE Key Lab for Neuroinformation, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Psychiatry and Psychology, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054, China
| | - Zhenlan Jin
- MOE Key Lab for Neuroinformation, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Psychiatry and Psychology, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054, China.
| | - Ling Li
- MOE Key Lab for Neuroinformation, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, Center for Psychiatry and Psychology, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054, China.
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Pei Y, Yu J, Zhao L. The effects of materialism and ego depletion on intertemporal choice: An event-related potential study. Front Psychol 2022; 13:1051405. [PMID: 36562050 PMCID: PMC9765891 DOI: 10.3389/fpsyg.2022.1051405] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 11/14/2022] [Indexed: 12/12/2022] Open
Abstract
Objective The study aims to promote human beings to make scientific and reasonable decisions for the long-term and beautiful future. Methods We designed two experiments to explore the influence of materialism and ego depletion from the perspective of behavioral decision-making and neural mechanism. Results In Experiment 1, there was asymmetry in intertemporal choice between gain and loss situations. In the gain situation, high materialism were more likely to choose the later and larger option (LL). However, in a loss situation, we found a reverse sign effect, and the proportion of subjects choosing sooner and smaller options (SS) increased. In Experiment 2, in the gain situation, after adding the low ego depletion task, there was a marginal significant difference between high and low materialism in the percentage of choosing LL options, F(1, 40) = 3.37, P = 0.07, η2 = 0.08; After adding the high ego depletion task, the percentage of choosing LL options was no difference, F(1, 40) = 1.42, P > 0.05. In the loss situation, whether in the high ego depletion task [F(1, 40) = 2.25, P > 0.05) or in the low ego depletion task [F(1, 40) = 1.44, P > 0.05), there was no difference between high and low materialism in the percentage of choosing LL options, and they both tended to choose SS options. The EEG study showed that in high materialism, there was a significant difference between the high and low ego depletion conditions, and the N1 amplitude induced under the low ego depletion condition was larger than that under the high ego depletion condition. However, there was no significant difference in N1 amplitude between the high and low ego depletion conditions in the low materialism. The amplitude of P2 evoked in the loss situation was larger than that in the gain situation. Conclusion In conclusion, Materialism dominated people's intertemporal choices, and ego depletion affected the intertemporal choice to a certain extent by influencing the subjects' thinking activities. The COVID-19 epidemic maybe affected intertemporal choice indirectly by acting on materialistic values and subjects' emotions.
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Affiliation(s)
- Yingying Pei
- Department of Psychology, School of Education Science, Liaocheng University, Liaocheng, China
| | - Junjian Yu
- School of Psychology, Shandong Normal University, Jinan, China
| | - Lijun Zhao
- Department of Psychology, School of Education Science, Liaocheng University, Liaocheng, China,*Correspondence: Lijun Zhao,
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Eckstrand KL, Silk JS, Nance M, Wallace ML, Buckley N, Lindenmuth M, Flores L, Alarcón G, Quevedo K, Phillips ML, Lenniger CJ, Sammon MM, Brostowin A, Ryan N, Jones N, Forbes EE. Medial Prefrontal Cortex Activity to Reward Outcome Moderates the Association Between Victimization Due to Sexual Orientation and Depression in Youth. BIOLOGICAL PSYCHIATRY. COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2022; 7:1289-1297. [PMID: 36064188 PMCID: PMC9842132 DOI: 10.1016/j.bpsc.2022.08.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 08/15/2022] [Accepted: 08/16/2022] [Indexed: 01/19/2023]
Abstract
BACKGROUND Sexual minority youth (SMY) are 3 times more likely to experience depression than heterosexual peers. Minority stress theory posits that this association is explained by sexual orientation victimization, which acts as a stressor to impact depression. For those vulnerable to the effects of stress, victimization may worsen depression by altering activity in neural reward systems. This study examines whether neural reward systems moderate the influence of sexual orientation victimization, a common and distressing experience in SMY, on depression. METHODS A total of 81 participants ages 15 to 22 years (41% SMY, 52% marginalized race) reported sexual orientation victimization, depression severity, and anhedonia severity, and underwent a monetary reward functional magnetic resonance imaging task. Significant activation to reward > neutral outcome (pfamilywise error < .05) was determined within a meta-analytically derived Neurosynth reward mask. A univariate linear model examined the impact of reward activation and identity on victimization-depression relationships. RESULTS SMY reported higher depression (p < .001), anhedonia (p = .03), and orientation victimization (p < .001) than heterosexual youth. The bilateral ventral striatum, medial prefrontal cortex (mPFC), anterior cingulate cortex, and right orbitofrontal cortex were significantly active to reward. mPFC activation moderated associations between sexual orientation victimization and depression (p = .03), with higher depression severity observed in those with a combination of higher mPFC activation and greater orientation victimization. CONCLUSIONS Sexual orientation victimization was related to depression but only in the context of higher mPFC activation, a pattern observed in depressed youth. These novel results provide evidence for neural reward sensitivity as a vulnerability factor for depression in SMY, suggesting mechanisms for disparities, and are a first step toward a clinical neuroscience understanding of minority stress in SMY.
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Affiliation(s)
| | - Jennifer S. Silk
- Department of Psychology, University of Pittsburgh, Pittsburgh, PA
| | - Melissa Nance
- Department of Psychology, University of Missouri St. Louis, St. Louis, MO
| | | | - Nicole Buckley
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA
| | | | - Luis Flores
- Department of Psychology, Queen’s University, Kingston, Ontario, Canada
| | - Gabriela Alarcón
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA
| | - Karina Quevedo
- Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN
| | - Mary L. Phillips
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA
| | | | - M. McLean Sammon
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA
| | - Alyssa Brostowin
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA
| | - Neal Ryan
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA
| | - Neil Jones
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA
| | - Erika E. Forbes
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA,Department of Psychology, University of Pittsburgh, Pittsburgh, PA
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7
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Cui L, Ye M, Sun L, Zhang S, He G. Common and Distinct Neural Correlates of Intertemporal and Risky Decision-Making: Meta-Analytical Evidence for the Dual-System Theory. Neurosci Biobehav Rev 2022; 141:104851. [PMID: 36058404 DOI: 10.1016/j.neubiorev.2022.104851] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 08/20/2022] [Accepted: 08/27/2022] [Indexed: 10/14/2022]
Abstract
The relationship between intertemporal and risky decision-making has received considerable attention in decision research. Single-process theories suggest that choices involving delay and risk are simply two manifestations of the same psychological mechanism, which implies similar patterns of neural activation. Conversely, the dual-system theory suggests that delayed and risky choices are two contrasting types of processes, which implies distinct brain networks. How these two types of choices relate to each other remains unclear. The current study addressed this issue by performing a meta-analysis of 28 intertemporal decision-making studies (862 subjects) and 51 risky decision-making studies (1539 subjects). We found no common area activated in the conjunction analysis of the delayed and risky rewards. Based on the contrast analysis, delayed rewards were associated with stronger activation in the left dorsal insula, while risky rewards were associated with activation in the bilateral ventral striatum and the right anterior insula. The results align with the dual-system theory with separate neural networks for delayed and risky rewards.
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Affiliation(s)
- Lidan Cui
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou 310028, China; College of Computer Science and Technology, Zhejiang University, Hangzhou 310027, China
| | - Meng Ye
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou 310028, China
| | - Lingyun Sun
- College of Computer Science and Technology, Zhejiang University, Hangzhou 310027, China
| | - Shunmin Zhang
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou 310028, China.
| | - Guibing He
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou 310028, China.
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Garofalo S, Degni LAE, Sellitto M, Braghittoni D, Starita F, Giovagnoli S, di Pellegrino G, Benassi M. Unifying Evidence on Delay Discounting: Open Task, Analysis Tutorial, and Normative Data from an Italian Sample. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042049. [PMID: 35206238 PMCID: PMC8872280 DOI: 10.3390/ijerph19042049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 01/27/2022] [Accepted: 02/09/2022] [Indexed: 12/04/2022]
Abstract
Despite the widespread use of the delay discounting task in clinical and non-clinical contexts, several task versions are available in the literature, making it hard to compare results across studies. Moreover, normative data are not available to evaluate individual performances. The present study aims to propose a unified version of the delay discounting task based on monetary rewards and it provides normative values built on an Italian sample of 357 healthy participants. The most used parameters in the literature to assess the delay discount rate were compared to find the most valid index to discriminate between normative data and a clinical population who typically present impulsivity issues, i.e., patients with a lesion to the medial orbitofrontal cortex (mOFC). In line with our hypothesis, mOFC patients showed higher delay discounting scores than the normative sample and the normative group. Based on this evidence, we propose that the task and indexes here provided can be used to identify extremely high (above the 90th percentile for hyperbolic k or below the 10th percentile for AUC) or low (below the 10th percentile for hyperbolic k or above the 90th percentile for AUC) delay discounting performances. The complete dataset, the R code used to perform all analyses, a free and modifiable version of the delay discounting task, as well as the R code that can be used to extract all indexes from such tasks and compare subjective performances with the normative data here presented are available as online materials.
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Affiliation(s)
- Sara Garofalo
- Department of Psychology, University of Bologna, 47521 Cesena, Italy; (L.A.E.D.); (D.B.); (F.S.); (S.G.); (G.d.P.); (M.B.)
- Correspondence:
| | - Luigi A. E. Degni
- Department of Psychology, University of Bologna, 47521 Cesena, Italy; (L.A.E.D.); (D.B.); (F.S.); (S.G.); (G.d.P.); (M.B.)
| | - Manuela Sellitto
- Department of Comparative Psychology, Institute of Experimental Psychology, Heinrich-Heine University Düsseldorf, 40225 Düsseldorf, Germany;
| | - Davide Braghittoni
- Department of Psychology, University of Bologna, 47521 Cesena, Italy; (L.A.E.D.); (D.B.); (F.S.); (S.G.); (G.d.P.); (M.B.)
| | - Francesca Starita
- Department of Psychology, University of Bologna, 47521 Cesena, Italy; (L.A.E.D.); (D.B.); (F.S.); (S.G.); (G.d.P.); (M.B.)
| | - Sara Giovagnoli
- Department of Psychology, University of Bologna, 47521 Cesena, Italy; (L.A.E.D.); (D.B.); (F.S.); (S.G.); (G.d.P.); (M.B.)
| | - Giuseppe di Pellegrino
- Department of Psychology, University of Bologna, 47521 Cesena, Italy; (L.A.E.D.); (D.B.); (F.S.); (S.G.); (G.d.P.); (M.B.)
| | - Mariagrazia Benassi
- Department of Psychology, University of Bologna, 47521 Cesena, Italy; (L.A.E.D.); (D.B.); (F.S.); (S.G.); (G.d.P.); (M.B.)
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Zhou B, Chen Y, Zheng R, Jiang Y, Li S, Wei Y, Zhang M, Gao X, Wen B, Han S, Cheng J. Alterations of Static and Dynamic Functional Connectivity of the Nucleus Accumbens in Patients With Major Depressive Disorder. Front Psychiatry 2022; 13:877417. [PMID: 35615457 PMCID: PMC9124865 DOI: 10.3389/fpsyt.2022.877417] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Accepted: 03/30/2022] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Major depressive disorder (MDD) is associated with dysfunction of the reward system. As an important node in the reward system, the resting-state functional connectivity of the nucleus accumbens (NAc) is related to the etiology of MDD. However, an increasing number of recent studies propose that brain activity is dynamic over time, no study to date has examined whether the NAc dynamic functional connectivity (DFC) is changed in patients with MDD. Moreover, few studies have examined the impact of the clinical characteristics of patients with MDD. METHODS A total of 220 MDD patients and 159 healthy controls (HCs), group-matched for age, sex, and education level, underwent resting-state functional magnetic resonance imagining (rs-fMRI) scans. Seed-based resting-state functional connectivity (RSFC) and DFC of the NAc were conducted. Two sample t-tests were performed to alter RSFC/DFC of NAc. In addition, we examined the association between altered RSFC/DFC and depressive severity using Pearson correlation. Finally, we divided patients with MDD into different subgroups according to clinical characteristics and tested whether there were differences between the subgroups. RESULTS Compared with the HCs, MDD patients show reduced the NAc-based RSFC with the dorsolateral prefrontal cortex (DLPFC), hippocampus, middle temporal gyrus (MTG), inferior temporal gyrus (ITG), precuneus, and insula, and patients with MDD show reduced the NAc-based DFC with the DLPFC, ventromedial prefrontal cortex (VMPFC), ventrolateral prefrontal cortex (VLPFC), MTG, ITG, and insula. MDD severity was associated with RSFC between the NAc and precentral gyrus (r = 0.288, p = 0.002, uncorrected) and insula (r = 0.272, p = 0.003, uncorrected). CONCLUSION This study demonstrates abnormal RSFC and DFC between the NAc and distributed cerebral regions in MDD patients, characterized by decreased RSFC and DFC of the NAc connecting with the reward, executive, default-mode, and salience network. Our results expand previous descriptions of the NAc RSFC abnormalities in MDD, and the altered RSFC/DFC may reflect the disrupted function of the NAc.
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Affiliation(s)
- Bingqian Zhou
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Yuan Chen
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Ruiping Zheng
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Yu Jiang
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Shuying Li
- Department of Psychiatry, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Yarui Wei
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - MengZhe Zhang
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - XinYu Gao
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Baohong Wen
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Shaoqiang Han
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Jingliang Cheng
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
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10
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Bertocci MA, Chase HW, Graur S, Stiffler R, Edmiston EK, Coffman BA, Greenberg BD, Phillips ML. The impact of targeted cathodal transcranial direct current stimulation on reward circuitry and affect in Bipolar Disorder. Mol Psychiatry 2021; 26:4137-4145. [PMID: 31664174 PMCID: PMC7188575 DOI: 10.1038/s41380-019-0567-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Revised: 09/24/2019] [Accepted: 10/17/2019] [Indexed: 02/07/2023]
Abstract
Bipolar Disorder is costly and debilitating, and many treatments have side effects. Transcranial Direct Current Stimulation (tDCS) is a well-tolerated neuromodulation technique that may be a useful treatment for Bipolar Disorder if targeted to neural regions implicated in the disorder. One potential region is the left ventrolateral prefrontal cortex (vlPFC), which shows abnormally elevated activity during reward expectancy in individuals with Bipolar Disorder. We used a counterbalanced repeated measures design to assess the impact of cathodal (inhibitory) tDCS over the left vlPFC on reward circuitry activity, functional connectivity, and affect in adults with Bipolar Disorder, as a step toward developing novel interventions for individuals with the disorder. -1mA cathodal tDCS was administered over the left vlPFC versus a control region, left somatosensory cortex, concurrently with neuroimaging. Affect was assessed pre and post scan in remitted Bipolar Disorder (n = 27) and age/gender-matched healthy (n = 31) adults. Relative to cathodal tDCS over the left somatosensory cortex, cathodal tDCS over the left vlPFC lowered reward expectancy-related left ventral striatal activity (F(1,51) = 9.61, p = 0.003), and was associated with lower negative affect post scan, controlling for pre-scan negative affect, (F(1,49) = 5.57, p = 0.02) in all participants. Acute cathodal tDCS over the left vlPFC relative to the left somatosensory cortex reduces reward expectancy-related activity and negative affect post tDCS. Build on these findings, future studies can determine whether chronic cathodal tDCS over the left vlPFC has sustained effects on mood in individuals with Bipolar Disorder, to guide new treatment developments for the disorder.
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Affiliation(s)
- MA Bertocci
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - HW Chase
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - S Graur
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - R Stiffler
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - EK Edmiston
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - BA Coffman
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - BD Greenberg
- Department of Psychiatry, Brown University, Butler Hospital and Providence VA Medical Center, Providence, RI, USA
| | - ML Phillips
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
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11
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Chen Z, Becker B, Qin P, Lei W, Chen J, Liu P, Lin T, Zhang C, Zhang R, Wang M, Xu T, Yang Y, Feng P, Feng T. Neural networks during delay discounting as trans-disease marker: A meta-analytical review. J Psychiatr Res 2021; 139:62-70. [PMID: 34044265 DOI: 10.1016/j.jpsychires.2021.05.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 04/13/2021] [Accepted: 05/01/2021] [Indexed: 11/30/2022]
Abstract
Delay discounting reflects a devaluation of delayed long-term benefits but pursuing immediate rewards. Higher discounting rates (h-DR) are found ubiquitous in many diseases and unhealthy conditions, particularly in addiction disorder (AD), attention-deficit/hyperactivity disorder (ADHD), and obesity. Thus, h-DR was considered to be a common benchmark across many diseases facilitating to understand one disease to relevant others, which was called trans-disease process. However, the common and specific neural biomarkers associated with this process has not yet been studied well. We performed a voxel-wise task-related neuroimaging meta-analysis to clarify the neural pattern of trans-disease process across AD, ADHD and obesity. We recruited 19 eligible papers, including 9 AD papers (154 patients), 6 ADHD papers (106 patients) and 4 obesity studies (94 patients). Neuroimaging meta-analysis demonstrated the presence of neural biomarkers of trans-disease process: these patients showed inadequate brain response in caudate, ventromedial and dorsolateral prefrontal cortex (dlPFC) than do of healthy controls (HCs). Disease-specific neural patterns were also found, with prominent hypoactivation in parahippocampal-striatum network for AD, hyperactivation in dopamine-projection striatum network for ADHD and decreased activity in dorsal anterior cingulate cortex and dlPFC for obesity. This study provided robust evidence to reveal the neural substrates of trans-disease process, as well further promoted the triple brain network model in favor of the theoretical developments of these neuropsychiatric disorders.
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Affiliation(s)
- Zhiyi Chen
- Faculty of Psychology, Southwest University, Chongqing, China; Key Laboratory of Cognition and Personality, Ministry of Education, China
| | - Benjamin Becker
- The Clinical Hospital of the Chengdu Brain Science Institute, Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, Sichuan, China
| | - Pengmin Qin
- Center for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, School of Psychology, South China Normal University, Guangzhou, Guangdong, China
| | - Wei Lei
- Psychiatry Department, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
| | - Jing Chen
- Psychiatry Department, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
| | - Peiwei Liu
- Department of Psychology, University of Florida, Gainesville, USA
| | - Tian Lin
- Department of Psychology, University of Florida, Gainesville, USA
| | - Chenyan Zhang
- Cognitive Psychology Unit, The Institute of Psychology, Faculty of Social and Behavioural Sciences, Leiden University, Leiden, Netherlands
| | - Rong Zhang
- Faculty of Psychology, Southwest University, Chongqing, China
| | - Mengmeng Wang
- School of Business and Management, Shanghai International Studies University, China
| | - Ting Xu
- Faculty of Psychology, Southwest University, Chongqing, China
| | - Yaqi Yang
- Faculty of Psychology, Southwest University, Chongqing, China
| | - Pan Feng
- Faculty of Psychology, Southwest University, Chongqing, China; Key Laboratory of Cognition and Personality, Ministry of Education, China
| | - Tingyong Feng
- Faculty of Psychology, Southwest University, Chongqing, China; Key Laboratory of Cognition and Personality, Ministry of Education, China.
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12
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Impulsivity traits and neurocognitive mechanisms conferring vulnerability to substance use disorders. Neuropharmacology 2020; 183:108402. [PMID: 33189766 DOI: 10.1016/j.neuropharm.2020.108402] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 10/30/2020] [Accepted: 11/10/2020] [Indexed: 01/11/2023]
Abstract
Impulsivity - the tendency to act without sufficient consideration of potential consequences in pursuit of short-term rewards - is a vulnerability marker for substance use disorders (SUD). Since impulsivity is a multifaceted construct, which encompasses trait-related characteristics and neurocognitive mechanisms, it is important to ascertain which of these aspects are significant contributors to SUD susceptibility. In this review, we discuss how different trait facets, cognitive processes and neuroimaging indices underpinning impulsivity contribute to the vulnerability to SUD. We reviewed studies that applied three different approaches that can shed light on the role of impulsivity as a precursor of substance use related problems (versus a consequence of drug effects): (1) longitudinal studies, (2) endophenotype studies including non-affected relatives of people with SUD, and (3) clinical reference groups-based comparisons, i.e., between substance use and behavioural addictive disorders. We found that, across different methodologies, the traits of non-planning impulsivity and affect-based impulsivity and the cognitive processes involved in reward-related valuation are consistent predictors of SUD vulnerability. These aspects are associated with the structure and function of the medial orbitofrontal-striatal system and hyperexcitability of dopamine receptors in this network. The field still needs more theory-driven, comprehensive studies that simultaneously assess the different aspects of impulsivity in relation to harmonised SUD-related outcomes. Furthermore, future studies should investigate the impact of impulsivity-related vulnerabilities on novel patterns of substance use such as new tobacco and cannabinoid products, and the moderating impact of changes in social norms and lifestyles on the link between impulsivity and SUD. This article is part of the special issue on 'Vulnerabilities to Substance Abuse'.
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Abstract
Most authors who discuss willpower assume that everyone knows what it is, but our assumptions differ to such an extent that we talk past each other. We agree that willpower is the psychological function that resists temptations - variously known as impulses, addictions, or bad habits; that it operates simultaneously with temptations, without prior commitment; and that use of it is limited by its cost, commonly called effort, as well as by the person's skill at executive functioning. However, accounts are usually not clear about how motivation functions during the application of willpower, or how motivation is related to effort. Some accounts depict willpower as the perceiving or formation of motivational contingencies that outweigh the temptation, and some depict it as a continuous use of mechanisms that interfere with re-weighing the temptation. Some others now suggest that impulse control can bypass motivation altogether, although they refer to this route as habit rather than willpower.It is argued here that willpower should be recognized as either or both of two distinct functions, which can be called resolve and suppression. Resolve is based on interpretation of a current choice as a test case for a broader set of future choices, which puts at stake more than the outcome of the current choice. Suppression is inhibiting valuation of (modulating) and/or keeping attention from (filtering) immediate alternatives to a current intention. Perception of current choices as test cases for broader outcomes may result in reliable preference for these outcomes, which is experienced as an effortless habit - a successful result of resolve, not an alternative method of self-control. Some possible brain imaging correlates are reviewed.
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Affiliation(s)
- George Ainslie
- Department of Veterans Affairs, Veterans Affairs Medical Center, Coatesville, PA19320; and School of Economics, University of Cape Town, Rondebosch 7710, South Africa. ; http://www.picoeconomics.org
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14
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Hamilton KR, Smith JF, Gonçalves SF, Nketia JA, Tasheuras ON, Yoon M, Rubia K, Chirles TJ, Lejuez CW, Shackman AJ. Striatal bases of temporal discounting in early adolescents. Neuropsychologia 2020; 144:107492. [PMID: 32437762 DOI: 10.1016/j.neuropsychologia.2020.107492] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Revised: 02/29/2020] [Accepted: 05/07/2020] [Indexed: 12/25/2022]
Abstract
Steeper rates of temporal discounting-the degree to which smaller-sooner (SS) rewards are preferred over larger-later (LL) ones-have been associated with impulsive and ill-advised behaviors in adolescence. Yet, the underlying neural systems remain poorly understood. Here we used a well-established temporal discounting paradigm and functional MRI (fMRI) to examine engagement of the striatum-including the caudate, putamen, and ventral striatum (VS)-in early adolescence (13-15 years; N = 27). Analyses provided evidence of enhanced activity in the caudate and VS during impulsive choice. Exploratory analyses revealed that trait impulsivity was associated with heightened putamen activity during impulsive choices. A more nuanced pattern was evident in the cortex, with the dorsolateral prefrontal cortex mirroring the putamen and posterior parietal cortex showing the reverse association. Taken together, these observations provide an important first glimpse at the distributed neural systems underlying economic choice and trait-like individual differences in impulsivity in the early years of adolescence, setting the stage for prospective-longitudinal and intervention research.
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Affiliation(s)
| | | | | | | | | | - Mark Yoon
- University of Maryland, College Park, MD, USA
| | | | | | - Carl W Lejuez
- Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, Lawrence, KS, USA
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15
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Geng Z, Wu X, Wang L, Zhou S, Tian Y, Wang K, Wei L. Reduced delayed reward selection by Alzheimer’s disease and mild cognitive impairment patients during intertemporal decision-making. J Clin Exp Neuropsychol 2020; 42:298-306. [PMID: 31914851 DOI: 10.1080/13803395.2020.1711873] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Zhi Geng
- Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China
- Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, China
| | - Xingqi Wu
- Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China
- Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, China
| | - Lu Wang
- Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China
- Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, China
| | - Shanshan Zhou
- Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China
- Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, China
- Collaborative Innovation Centre of Neuropsychiatric Disorders and Mental Health, Hefei, China
| | - Yanghua Tian
- Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China
- Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, China
- Collaborative Innovation Centre of Neuropsychiatric Disorders and Mental Health, Hefei, China
| | - Kai Wang
- Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China
- Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, China
- Collaborative Innovation Centre of Neuropsychiatric Disorders and Mental Health, Hefei, China
| | - Ling Wei
- Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China
- Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, China
- Collaborative Innovation Centre of Neuropsychiatric Disorders and Mental Health, Hefei, China
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Eckstrand KL, Forbes EE, Bertocci MA, Chase HW, Greenberg T, Lockovich J, Stiffler R, Aslam HA, Graur S, Bebko G, Phillips ML. Anhedonia Reduction and the Association Between Left Ventral Striatal Reward Response and 6-Month Improvement in Life Satisfaction Among Young Adults. JAMA Psychiatry 2019; 76:958-965. [PMID: 31066876 PMCID: PMC6506875 DOI: 10.1001/jamapsychiatry.2019.0864] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
IMPORTANCE Anhedonia is a symptom of multiple psychiatric conditions in young adults that is associated with poorer mental health and psychosocial function and abnormal ventral striatum reward processing. Aberrant function of neural reward circuitry is well documented in anhedonia and other psychiatric disorders. Longitudinal studies to identify potential biomarkers associated with a reduction in anhedonia are necessary for the development of novel treatment targets. OBJECTIVE To identify neural reward-processing factors associated with improved psychiatric symptoms and psychosocial function in a naturalistic, observational context. DESIGN, SETTING, AND PARTICIPANTS A longitudinal cohort follow-up study was conducted from March 1, 2014, to June 5, 2018, at the University of Pittsburgh Medical Center after baseline functional magnetic resonance imaging in 52 participants between the ages of 18 and 25 years who were experiencing psychological distress. MAIN OUTCOMES AND MEASURES Participants were evaluated at baseline and 6 months. At baseline, participants underwent functional magnetic resonance imaging during a card-guessing monetary reward task. Participants completed measures of affective symptoms and psychosocial function at each visit. Neural activation during reward prediction error (RPE), a measure of reward learning, was determined using Statistical Parametric Mapping software. Neural reward regions with significant RPE activation were entered as regions associated with future symptoms in multiple linear regression models. RESULTS A total of 52 young adults (42 women and 10 men; mean [SD] age, 21.4 [2.2] years) completed the study. Greater RPE activation in the left ventral striatum was associated with a decrease in anhedonia symptoms during a 6-month period (β = -6.152; 95% CI, -11.870 to -0.433; P = .04). The decrease in anhedonia between baseline and 6 months mediated the association between left ventral striatum activation to RPE and improvement in life satisfaction between baseline and 6 months (total [c path] association: β = 0.245; P = .01; direct [c' path] association: β = 0.133; P = .16; and indirect [ab path] association: 95% CI, 0.026-0.262). Results were not associated with psychotropic medication use. CONCLUSIONS AND RELEVANCE Greater left ventral striatum responsiveness to RPE may serve as a biomarker or potential target for novel treatments to improve the severity of anhedonia, overall mental health, and psychosocial function.
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Affiliation(s)
| | - Erika E. Forbes
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Michele A. Bertocci
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Henry W. Chase
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Tsafrir Greenberg
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Jeanette Lockovich
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Ricki Stiffler
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Haris A. Aslam
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Simona Graur
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Genna Bebko
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Mary L. Phillips
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
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17
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In search of a definition of reinforcer value: Some successes and failures of the multiplicative hyperbolic model. Behav Processes 2019; 167:103884. [PMID: 31288069 DOI: 10.1016/j.beproc.2019.06.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 05/31/2019] [Accepted: 06/07/2019] [Indexed: 11/20/2022]
Abstract
The concept of 'value' has enjoyed a central position in many theoretical accounts of choice behaviour. Several definitions of 'value' are contrasted in this paper, and one particular approach is defended, whereby value is defined as a dimensionless intervening variable. This definition is a cornerstone of the multiplicative hyperbolic model of choice (MHM), which was proposed twenty years ago as a modification of Mazur's (1987) hyperbolic model of delay discounting. This paper reviews some of the merits and shortcomings of MHM, and suggests some ways in which MHM might be extended and improved. A formal link between 'value' and the related concept of 'response strength' is suggested, and revisions of the model are proposed which may enable it to accommodate several behavioural phenomena not considered in the original formulation. Broadening the scope of MHM comes at the cost of adding to its burden of free parameters, and it is emphasised that addition of any new parameters needs empirical justification. The status of value as a dimensionless intervening variable is upheld; however it is noted that a growing body of empirical evidence for links between neurobiological phenomena and value suggests that interpretation of value as a hypothetical construct may be warranted.
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18
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de Oliveira L, Portugal LCL, Pereira M, Chase HW, Bertocci M, Stiffler R, Greenberg T, Bebko G, Lockovich J, Aslam H, Mourao-Miranda J, Phillips ML. Predicting Bipolar Disorder Risk Factors in Distressed Young Adults From Patterns of Brain Activation to Reward: A Machine Learning Approach. BIOLOGICAL PSYCHIATRY: COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2019; 4:726-733. [PMID: 31201147 PMCID: PMC6682607 DOI: 10.1016/j.bpsc.2019.04.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Revised: 04/08/2019] [Accepted: 04/09/2019] [Indexed: 01/09/2023]
Abstract
Background The aim of this study was to apply multivariate pattern recognition to predict the severity of behavioral traits and symptoms associated with risk for bipolar spectrum disorder from patterns of whole-brain activation during reward expectancy to facilitate the identification of individual-level neural biomarkers of bipolar disorder risk. Methods We acquired functional neuroimaging data from two independent samples of transdiagnostically recruited adults (18–25 years of age; n = 56, mean age 21.9 ± 2.2 years, 42 women; n = 36, mean age 21.2 ± 2.2 years, 24 women) during reward expectancy task performance. Pattern recognition model performance in each sample was measured using correlation and mean squared error between actual and whole-brain activation–predicted scores on behavioral traits and symptoms. Results In the first sample, the model significantly predicted severity of a specific hypo/mania-related symptom, heightened energy, measured by the energy manic subdomain of the Mood Spectrum Structured Interviews (r = .42, p = .001; mean squared error = 9.93, p = .001). The region with the highest contribution to the model was the left ventrolateral prefrontal cortex. Results were confirmed in the second sample (r = .33, p = .01; mean squared error = 8.61, p = .01), in which the severity of this symptom was predicted using a bilateral ventrolateral prefrontal cortical mask (r = .33, p = .009, mean squared error = 9.37, p = .04). Conclusions The severity of a specific hypo/mania-related symptom was predicted from patterns of whole-brain activation in two independent samples. Given that emerging manic symptoms predispose to bipolar disorders, these findings could provide neural biomarkers to aid early identification of individual-level bipolar disorder risk in young adults.
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Affiliation(s)
- Leticia de Oliveira
- Centre for Medical Image Computing, Department of Computer Science, London, United Kingdom; Department of Physiology and Pharmacology, Federal Fluminense University, Niterói, Brazil.
| | - Liana C L Portugal
- Centre for Medical Image Computing, Department of Computer Science, London, United Kingdom; Department of Physiology and Pharmacology, Federal Fluminense University, Niterói, Brazil
| | - Mirtes Pereira
- Department of Physiology and Pharmacology, Federal Fluminense University, Niterói, Brazil
| | - Henry W Chase
- Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Michele Bertocci
- Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Richelle Stiffler
- Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Tsafrir Greenberg
- Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Genna Bebko
- Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Jeanette Lockovich
- Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Haris Aslam
- Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Janaina Mourao-Miranda
- Centre for Medical Image Computing, Department of Computer Science, London, United Kingdom
| | - Mary L Phillips
- Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, Pennsylvania
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Hafeman DM, Chase HW, Monk K, Bonar L, Hickey MB, McCaffrey A, Graur S, Manelis A, Ladouceur CD, Merranko J, Axelson DA, Goldstein BI, Goldstein TR, Birmaher B, Phillips ML. Intrinsic functional connectivity correlates of person-level risk for bipolar disorder in offspring of affected parents. Neuropsychopharmacology 2019; 44:629-634. [PMID: 30410014 PMCID: PMC6333834 DOI: 10.1038/s41386-018-0264-9] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Revised: 10/05/2018] [Accepted: 10/28/2018] [Indexed: 12/31/2022]
Abstract
Offspring of parents with bipolar disorder (OBP) are at increased risk to develop bipolar disorder (BD). Alterations in resting-state functional connectivity (rsFC) have been identified in OBP; however, replication has been limited and correlation with person-level risk is unknown. A recent study found reduced rsFC between left inferior frontal gyrus (IFG) and clusters in the left insula (LINS), lentiform nucleus (LENT), and midcingulate cortex (MCING) in OBP (Roberts et al. 2017); here, we aim to extend these findings to at-risk youth. We scanned a subset of the Pittsburgh Bipolar Offspring Study, a longitudinal study of OBP and community controls. Twenty-four OBP, 20 offspring of control parents with non-bipolar psychopathology (OCP), and 27 healthy controls (HC) had acceptable rsFC data. After preprocessing steps, we assessed group differences in seed-based rsFC between the IFG and target clusters (LINS, LENT, MCING) using multivariate regression. Next, we tested whether rsFC correlated with person-level risk score and with other dimensional measures. We did not find group differences in rsFC between IFG and target regions. Within OBP, risk score negatively correlated with IFG-LINS rsFC (p = 0.002). Across groups, mood lability correlated negatively with rsFC between IFG and target regions (p = 0.0002), due to negative correlation with IFG-LINS (p = 0.0003) and IFG-MCING (p = 0.001) rsFC. While group-level differences were not replicated, IFG-LINS rsFC was negatively correlated with a person-level risk score in OBP and with mood lability (a predictor of BD) across the sample. Thus, IFG-LINS rsFC might constitute a risk marker, within OBP, for the development of BD.
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Affiliation(s)
- Danella M. Hafeman
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - Henry W. Chase
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - Kelly Monk
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - Lisa Bonar
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - Mary Beth Hickey
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - Alicia McCaffrey
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - Simona Graur
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - Anna Manelis
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - Cecile D. Ladouceur
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - John Merranko
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - David A. Axelson
- 0000 0004 0392 3476grid.240344.5Nationwide Children’s Hospital and The Ohio State University, Columbus, OH USA
| | - Benjamin I. Goldstein
- 0000 0001 2157 2938grid.17063.33Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada
| | - Tina R. Goldstein
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - Boris Birmaher
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
| | - Mary L. Phillips
- 0000 0004 1936 9000grid.21925.3dUniversity of Pittsburgh, 3811O Hara St, Pittsburgh, PA 15213 USA
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