Department of Psychology, Sapienza University of Rome, Rome, Italy; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Department of Psychology, Sapienza University of Rome, Rome, Italy.
Int J Psychophysiol. 2023 Apr;186:1-9. doi: 10.1016/j.ijpsycho.2023.01.010. Epub 2023 Feb 3.
Deficits in motivational functioning including impairments in reward learning or reward sensitivity are common in psychiatric disorders characterized by anhedonia. Recently, anhedonic symptoms have been exacerbated by the pandemic caused by the Coronavirus disease 2019 (COVID-19) in the general population. The present study examined the putative associations between loss of smell (anosmia) and taste (ageusia) sensitivity, irrespective of COVID-19 infection, and anhedonia, measured by a signal-detection task probing the ability to modify behavior as a function of rewards (Probabilistic Reward Task; PRT). Tonic heart rate variability (HRV) was included in the model, due to its association with both smell and taste sensitivity as well as motivational functioning. The sample included 114 healthy individuals (81 females; mean age 22.2 years), who underwent a laboratory session in which dispositional traits, resting HRV and PRT performance were assessed, followed by a 4-days ecological momentary assessment to obtain daily measures of anosmia and ageusia. Lower levels of tonic HRV and lower momentary levels of smell and taste sensitivity were associated with impaired reward responsiveness and ability to shape future behavioral choices based on prior reinforcement experiences. Overall, the current results provide initial correlational evidence that could be fruitfully used to inform future experimental investigations aimed at elucidating the disruptive worldwide mental health consequences triggered by the pandemic.
动机功能缺陷,包括在奖励学习或奖励敏感性方面的损伤,在以快感缺失为特征的精神障碍中很常见。最近,在 2019 年冠状病毒病(COVID-19)大流行期间,快感缺失症状在普通人群中加剧。本研究检查了嗅觉(嗅觉丧失)和味觉(味觉丧失)敏感性丧失,不论是否 COVID-19 感染,与快感缺失之间的潜在关联,快感缺失通过探测行为随奖励而变化的能力的信号检测任务来测量(概率奖励任务;PRT)。由于其与嗅觉和味觉敏感性以及动机功能有关,因此在模型中纳入了静息心率变异性(HRV)。该样本包括 114 名健康个体(81 名女性;平均年龄 22.2 岁),他们接受了实验室测试,评估了特质、静息 HRV 和 PRT 表现,随后进行了为期 4 天的生态瞬时评估,以获得每日的嗅觉丧失和味觉丧失测量值。静息心率变异性较低,嗅觉和味觉敏感性的瞬间水平较低,与奖励反应能力受损以及根据先前强化经验塑造未来行为选择的能力受损有关。总的来说,目前的结果提供了初步的相关证据,可以很好地用于为未来旨在阐明大流行引发的全球破坏性心理健康后果的实验研究提供信息。