Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Aging Research Centre, Stockholm, Sweden.
Center for Psychiatry Research, Region Stockholm, Stockholm, Sweden.
Sci Rep. 2023 Oct 27;13(1):18451. doi: 10.1038/s41598-023-45179-z.
Unavoidable stress can lead to perceived lack of control and learned helplessness, a risk factor for depression. Avoiding punishment and gaining rewards involve updating the values of actions based on experience. Such updating is however useful only if action values are sufficiently stable, something that a lack of control may impair. We examined whether self-reported stress uncontrollability during the first wave of the COVID-19 pandemic predicted impaired reward-learning. In a preregistered study during the first-wave of the COVID-19 pandemic, we used self-reported measures of depression, anxiety, uncontrollable stress, and COVID-19 risk from 427 online participants to predict performance in a three-armed-bandit probabilistic reward learning task. As hypothesised, uncontrollable stress predicted impaired learning, and a greater proportion of probabilistic errors following negative feedback for correct choices, an effect mediated by state anxiety. A parameter from the best-fitting hidden Markov model that estimates expected beliefs that the identity of the optimal choice will shift across images, mediated effects of state anxiety on probabilistic errors and learning deficits. Our findings show that following uncontrollable stress, anxiety promotes an overly volatile representation of the reward-structure of uncertain environments, impairing reward attainment, which is a potential path to anhedonia in depression.
不可避免的压力会导致人们感到无法控制和习得性无助,这是抑郁的一个风险因素。避免惩罚和获得奖励都涉及根据经验更新行为的价值。然而,只有当行动价值足够稳定时,这种更新才是有用的,而缺乏控制可能会损害这种稳定性。我们研究了 COVID-19 大流行第一波期间报告的压力不可控性是否会预测奖励学习受损。在 COVID-19 大流行第一波期间的一项预先注册研究中,我们使用了 427 名在线参与者的抑郁、焦虑、不可控压力和 COVID-19 风险的自我报告测量来预测他们在三臂赌博概率奖励学习任务中的表现。正如假设的那样,不可控压力预测了学习受损,以及在正确选择后负面反馈时出现更多的概率错误,这种效应是由状态焦虑介导的。最佳隐藏 Markov 模型的一个参数估计了对最优选择身份在图像之间变化的预期信念,该参数介导了状态焦虑对概率错误和学习缺陷的影响。我们的研究结果表明,在不可控压力之后,焦虑会促进对不确定环境奖励结构的过度不稳定的表示,从而损害奖励的获得,这是抑郁导致快感缺失的一个潜在途径。