Impaired Expected Value Computations in Schizophrenia Are Associated With a Reduced Ability to Integrate Reward Probability and Magnitude of Recent Outcomes

Autor: Jaime K. Brown, James M. Gold, Elliot C. Brown, James A. Waltz, Michael J. Frank, Dennis Hernaus
Přispěvatelé: Psychiatrie & Neuropsychologie, RS: MHeNs - R2 - Mental Health
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Anhedonia
Dopamine
Neuropsychological Tests
Expected value
DECISION-MAKING
NEGATIVE SYMPTOMS
Choice Behavior
0302 clinical medicine
DEFICITS
Healthy volunteers
Reinforcement learning
PERSPECTIVE
05 social sciences
DEPRESSION
ORBITOFRONTAL CORTEX
Basal ganglia
Female
Schizophrenic Psychology
medicine.symptom
Psychology
Hybrid model
Cognitive psychology
Adult
Cognitive Neuroscience
Reward value
Motivational deficit
Stimulus (physiology)
050105 experimental psychology
Article
03 medical and health sciences
Reward
medicine
Humans
0501 psychology and cognitive sciences
Radiology
Nuclear Medicine and imaging

Scale for the Assessment of Negative Symptoms
Biological Psychiatry
Probability
Motivation
PERFORMANCE
030227 psychiatry
AMYGDALA
Schizophrenia
Orbitofrontal cortex
PREDICTION ERROR
Neurology (clinical)
030217 neurology & neurosurgery
Zdroj: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 4(3), 280-290. Elsevier
ISSN: 2451-9022
DOI: 10.1016/j.bpsc.2018.11.011
Popis: BackgroundMotivational deficits in people with schizophrenia (PSZ) are associated with an inability to integrate the magnitude and probability of previous outcomes. The mechanisms that underlie probability-magnitude integration deficits, however, are poorly understood. We hypothesized that increased reliance on “value-less” stimulus-response associations, in lieu of expected value (EV)-based learning, could drive probability-magnitude integration deficits in PSZ with motivational deficits.MethodsHealthy volunteers (n= 38) and PSZ (n=49) completed a reinforcement learning paradigm consisting of four stimulus pairs. Reward magnitude (3/2/1/0 points) and probability (90%/80%/20%/10%) together determined each stimulus’ EV. Following a learning phase, new and familiar stimulus pairings were presented. Participants were asked to select stimuli with the highest reward value.ResultsPSZ with high motivational deficits made increasingly less optimal choices as the difference in reward value (probability*magnitude) between two competing stimuli increased. Using a previously-validated computational hybrid model, PSZ relied less on EV (“Q-learning”) and more on stimulus-response learning (“actor-critic”), which correlated with SANS motivational deficit severity. PSZ specifically failed to represent reward magnitude, consistent with model demonstrations showing that response tendencies in the actor-critic were preferentially driven by reward probability. ConclusionsProbability-magnitude deficits in PSZ with motivational deficits arise from underutilization of EV in favor of reliance on value-less stimulus-response associations. Consistent with previous work and confirmed by our computational hybrid framework, probability-magnitude integration deficits were driven specifically by a failure to represent reward magnitude. This work reconfirms the importance of decreased Q-learning/increased actor-critic-type learning as an explanatory framework for a range of EV deficits in PSZ.
Databáze: OpenAIRE