Virginia Tech Carilion Research Institute, Roanoke, VA, USA.
Department of Electrical and Computer Engineering, Virginia Tech, Blacksburg, VA, USA.
Sci Rep. 2017 Mar 10;7:44374. doi: 10.1038/srep44374.
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 measure two types of individual sensitivity to reward values in participants with MDD: 'risk preference,' indicating how objective values are subjectively perceived, and 'inverse temperature,' determining the degree to which subjective value differences between options influence participants' choices. On both of these measures of value sensitivity, participants with MDD were comparable to non-psychiatric controls. In addition, both risk preference and inverse temperature were stable over four laboratory visits and comparable between the groups at each visit. Neither valuation measure varied with severity of clinical symptoms in MDD. These data suggest intact and stable value processing in MDD during risky decision-making.
重度抑郁症(MDD)的临床诊断和症状与奖励处理受损密切相关。特别是,许多研究表明,抑郁症患者对奖励的体验表现出神经和行为反应迟钝。然而,人们对于抑郁症是否会影响个体在决策过程中对潜在奖励的估值,而与奖励体验无关,则知之甚少。为了解决这个问题,我们使用了赌博任务和基于模型的分析方法来衡量 MDD 患者对奖励价值的两种个体敏感性:“风险偏好”,表示客观价值如何被主观感知,以及“逆温”,确定选项之间的主观价值差异影响参与者选择的程度。在这两个价值敏感性衡量标准上,MDD 患者与非精神科对照组相当。此外,风险偏好和逆温在四次实验室访问中均保持稳定,且在每次访问中两组之间均具有可比性。在 MDD 中,这两种估值衡量标准均与临床症状的严重程度无关。这些数据表明,在风险决策中,MDD 患者的价值处理是完整且稳定的。