2015
DOI: 10.1007/7854_2015_385
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Motivational Deficits in Schizophrenia and the Representation of Expected Value

Abstract: Motivational deficits (avolition and anhedonia) have historically been considered important negative symptoms of schizophrenia. Numerous studies have attempted to identify the neural substrates of avolition and anhedonia in schizophrenia, but these studies have not produced much agreement. Deficits in various aspects of reinforcement processing have been observed in individuals with schizophrenia, but it is not exactly clear which of these deficits actually engender motivational impairments in SZ. The purpose … Show more

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Cited by 65 publications
(50 citation statements)
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“…[35][36][37] However, problems in schizophrenia arise on tasks such as PRL tasks, in which participants are required to learn complex (eg, probabilistic) reinforcement contingencies by maintaining and updating representations of the stimulus and action values over time. Our findings are consistent with recent proposals [1][2][3][4] that individuals with schizophrenia have a deficit in the ability to use feedback valence and prediction errors to update value representations and guide choice. These proposals are supported by recent fMRI findings 4,8 that poor PRL performance in schizophrenia is associated with disturbances that extend beyond the striatum to cognitive control network regions, including dorsolateral prefrontal cortex, anterior cingulate cortex, and dorsal parietal cortex.…”
Section: F Reddy Et Alsupporting
confidence: 82%
“…[35][36][37] However, problems in schizophrenia arise on tasks such as PRL tasks, in which participants are required to learn complex (eg, probabilistic) reinforcement contingencies by maintaining and updating representations of the stimulus and action values over time. Our findings are consistent with recent proposals [1][2][3][4] that individuals with schizophrenia have a deficit in the ability to use feedback valence and prediction errors to update value representations and guide choice. These proposals are supported by recent fMRI findings 4,8 that poor PRL performance in schizophrenia is associated with disturbances that extend beyond the striatum to cognitive control network regions, including dorsolateral prefrontal cortex, anterior cingulate cortex, and dorsal parietal cortex.…”
Section: F Reddy Et Alsupporting
confidence: 82%
“…In primates, considerable evidence accumulated in the past 15 years indicates that these operations involve the orbitofrontal cortex (OFC). In humans, OFC neurodegeneration or dysfunction is associated with abnormal decision making (Barch et al, 2016;Bechara et al, 1994;Camille et al, 2011;Fellows, 2011;Hodges, 2001;Rahman et al, 1999;Waltz and Gold, 2016;Yu et al, 2018). Furthermore, neural signals recorded in OFC during choices correlate with subjective values (Arana et al, 2003;Chaudhry et al, 2009;Gottfried et al, 2003;Hare et al, 2008;Howard et al, 2015;Howard and Kahnt, 2017;Klein-Flugge et al, 2013;Peters and Buchel, 2009).…”
Section: Introductionmentioning
confidence: 99%
“…For example, it could emerge from abnormal representations of the expected value of actions, or from disrupted signaling of mismatches between expected and obtained outcomes, reward prediction errors (RPEs) (2-3). Reinforcement learning is powerful framework for quantifying and linking such mechanisms to underlying biology (4).…”
Section: Introductionmentioning
confidence: 99%