2017
DOI: 10.1038/srep44374
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Valuation in major depression is intact and stable in a non-learning environment

Abstract: The clinical diagnosis and symptoms of major depressive disorder (MDD) have been closely associated with impairments in reward processing. In particular, various studies have shown blunted neural and behavioral responses to the experience of reward in depression. However, little is known about whether depression affects individuals’ valuation of potential rewards during decision-making, independent from reward experience. To address this question, we used a gambling task and a model-based analytic approach to … Show more

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Cited by 27 publications
(33 citation statements)
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References 54 publications
(77 reference statements)
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“…Consistent with previous studies on decision-making about risky and ambiguous gambles (4,5,10,11), participants on average exhibited both risk aversion (vs. risk-neutrality: t(97) = -6.22, P = 1.27e-08; Fig. 3a) and ambiguity aversion (vs. ambiguity-neutrality: t(97) = 8.32, P = 5.63e-13; Fig.…”
Section: Main Textsupporting
confidence: 89%
“…Consistent with previous studies on decision-making about risky and ambiguous gambles (4,5,10,11), participants on average exhibited both risk aversion (vs. risk-neutrality: t(97) = -6.22, P = 1.27e-08; Fig. 3a) and ambiguity aversion (vs. ambiguity-neutrality: t(97) = 8.32, P = 5.63e-13; Fig.…”
Section: Main Textsupporting
confidence: 89%
“…Our results provide new evidence that depression-related reward learning deficits are highly context-dependent (35) , and suggest that the differences in learning rates associated with depressive symptoms may only arise in social contexts (5, 9) . Crucially, our results suggest that supposedly neutral aspects of the experimental setup (such as whether or not the task is done in the presence or absence of an experimenter), may affect the results and explain inconsistent findings (42) .…”
Section: Resultsmentioning
confidence: 55%
“…Because in the model, reward sensitivity could not be dissociated from stochasticity per se, this provides evidence for increased decision randomness in depression. In contrast, another recent study [ 157 ] that used a decision-making task, based only on explicitly shown, rather than learnt values, found no effect of depression on choice stochasticity. Overall it thus remains unclear whether the decision deficits reported in depression are truly deficits in the comparison process.…”
Section: Valuation and Decision-makingmentioning
confidence: 81%
“…Basic tests such as the sucrose liking test [ [154] , [155] ] show no difference between healthy controls and patients suffering from depression. Similarly, ratings of cartoon images with emotional content were found to be unchanged in depression [ 156 ] and a recent study deploying a computational model to assess valuation of gambles in the absence of learning found no difference between patients suffering from depression and controls [ 157 ]. By contrast, other studies have found reactions to emotional stimuli to appear blunted in depression.…”
Section: Valuation and Decision-makingmentioning
confidence: 99%
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