Semmelweis University, Department of Psychiatry and Psychotherapy, Budapest, Hungary.
Schizophr Res. 2011 Apr;127(1-3):131-6. doi: 10.1016/j.schres.2010.07.028. Epub 2010 Aug 25.
Previous studies investigating feedback-driven reinforcement learning in patients with schizophrenia have provided mixed results. In this study, we explored the clinical predictors of reward and punishment learning using a probabilistic classification learning task. Patients with schizophrenia (n=40) performed similarly to healthy controls (n=30) on the classification learning task. However, more severe negative and general symptoms were associated with lower reward-learning performance, whereas poorer general psychosocial functioning was correlated with both lower reward- and punishment-learning performances. Multiple linear regression analyses indicated that general psychosocial functioning was the only significant predictor of reinforcement learning performance when education, antipsychotic dose, and positive, negative and general symptoms were included in the analysis. These results suggest a close relationship between reinforcement learning and general psychosocial functioning in schizophrenia.
先前研究调查了精神分裂症患者的反馈驱动强化学习,结果喜忧参半。本研究使用概率分类学习任务,探索了奖励和惩罚学习的临床预测因子。精神分裂症患者(n=40)在分类学习任务中的表现与健康对照组(n=30)相似。然而,更严重的阴性和一般症状与较低的奖励学习表现相关,而较差的一般心理社会功能与较低的奖励和惩罚学习表现均相关。多元线性回归分析表明,当将教育、抗精神病药剂量以及阳性、阴性和一般症状纳入分析时,一般心理社会功能是强化学习表现的唯一显著预测因子。这些结果表明,精神分裂症的强化学习与一般心理社会功能密切相关。