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Enhancing Agency in Individuals with Depressive Symptoms: The Roles of Effort, Outcome Valence, and Its Underlying Cognitive Mechanisms and Neural Basis.

作者信息

Lin Jingyuan, Yang Xuemei, Li Hong, Lin Wuji, Zhang Jie, Lei Yi

机构信息

The Institute of Brain and Psychological Science, Sichuan Normal University, Chengdu, China.

College Students Mental Health Education Service Center, Sichuan Normal University, Chengdu, China.

出版信息

Depress Anxiety. 2024 Jun 27;2024:3135532. doi: 10.1155/2024/3135532. eCollection 2024.


DOI:10.1155/2024/3135532
PMID:40226720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11919012/
Abstract

BACKGROUND: Agency, a sense of control over one's actions and outcomes, is crucial for recovery from depressive symptoms. However, the mechanisms that enhance agency in individuals with depressive symptoms remain poorly understood. This study endeavors to elucidate these fundamental processes. MATERIALS AND METHODS: We recruited 52 participants exhibiting depressive symptoms to participate in a novel Judgment of Agency (JoA) task. This task was structured with a 3 (effort: high load, medium load, low load) × 2 (outcome: win, miss) within-subject design to assess the impact of effort and outcome valence on agency. Throughout the task, we utilized functional near-infrared spectroscopy (fNIRS) to explore the neural mechanisms underlying agency. Furthermore, we conducted a randomized, sham-controlled, pre-post-test trial involving intermittent theta-burst stimulation (iTBS) targeted at the left dorsolateral prefrontal cortex (DLPFC) to investigate its potential to enhance agency. Participants were randomly allocated to either an active iTBS group or a sham group, with each receiving a single session of stimulation (600 pulses). The JoA task was conducted both before and after the stimulation. RESULTS: Effort significantly influenced agency in individuals with depressive symptoms, with this effect being moderated by the outcomes' valences. Agency was positively correlated with self-efficacy ( = 0.28, < 0.05) when goals were achieved with effort, and with anxiety severity ( = 0.29, < 0.05) when goals were not achieved. Additionally, it was associated with the activation of several frontal brain regions (all values < 0.01), including the left DLPFC, right premotor and supplementary motor areas, and the left inferior frontal gyrus (IFG). Application of iTBS over the left DLPFC significantly enhanced self-attributed agency, particularly when the outcomes were achieved under conditions of low-load effort. CONCLUSIONS: Our study highlights the critical role of effort in enhancing agency for individuals with depressive symptoms, with iTBS applied to the left DLPFC showing potential to enhance agency postgoal achievement. Moreover, the activation of the left IFG and the presence of anxiety are associated with maladaptive self-attributed agency, offering potential targets for therapeutic intervention.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/dcddf6f42230/DA2024-3135532.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/ed490b7572a8/DA2024-3135532.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/30871c2a1736/DA2024-3135532.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/c791d952d357/DA2024-3135532.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/82481ffa5990/DA2024-3135532.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/afb06f509aec/DA2024-3135532.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/dcddf6f42230/DA2024-3135532.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/ed490b7572a8/DA2024-3135532.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/30871c2a1736/DA2024-3135532.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/c791d952d357/DA2024-3135532.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/82481ffa5990/DA2024-3135532.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/afb06f509aec/DA2024-3135532.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb22/11919012/dcddf6f42230/DA2024-3135532.006.jpg

相似文献

[1]
Enhancing Agency in Individuals with Depressive Symptoms: The Roles of Effort, Outcome Valence, and Its Underlying Cognitive Mechanisms and Neural Basis.

Depress Anxiety. 2024-6-27

[2]
Modulation of dorsolateral prefrontal cortex functional connectivity after intermittent theta-burst stimulation in depression: Combining findings from fNIRS and fMRI.

Neuroimage Clin. 2022

[3]
The cerebral and cognitive changes after intermittent theta burst stimulation (iTBS) treatment for depression: study protocol for a randomized double-blind sham-controlled trial.

Trials. 2024-11-11

[4]
Investigating the hemodynamic response to iTBS of the left DLPFC: A concurrent iTBS/fNIRS study.

Brain Stimul. 2025

[5]
Different activation in dorsolateral prefrontal cortex between anxious depression and non-anxious depression during an autobiographical memory task: A fNIRS study.

J Affect Disord. 2024-10-1

[6]
Self-criticism predicts antidepressant effects of intermittent theta-burst stimulation in Major Depressive Disorder.

J Affect Disord. 2025-3-1

[7]
Non-inferiority of intermittent theta burst stimulation over the left V vs. classical target for depression: A randomized, double-blind trial.

J Affect Disord. 2023-12-15

[8]
Intermittent theta burst to the left dorsolateral prefrontal cortex promoted decreased alcohol consumption and improved outcomes in those with alcohol use disorder: A randomized, double-blind, placebo-controlled clinical trial.

Drug Alcohol Depend. 2025-5-1

[9]
Impact of Intermittent Theta Burst Stimulation on Pain Relief and Brain Connectivity in Chronic Low Back Pain.

Eur J Pain. 2025-7

[10]
Twice-Daily Theta Burst Stimulation of the Dorsolateral Prefrontal Cortex Reduces Methamphetamine Craving: A Pilot Study.

Front Neurosci. 2020-3-25

本文引用的文献

[1]
Brain stimulation over the left DLPFC enhances motivation for effortful rewards in patients with major depressive disorder.

J Affect Disord. 2024-7-1

[2]
Non-invasive neuromodulation of the right temporoparietal junction using theta-burst stimulation in functional neurological disorder.

BMJ Neurol Open. 2024-2-14

[3]
Metacognition and sense of agency.

Cognition. 2023-12

[4]
Same but different: how agency modulates pain perception.

Trends Cogn Sci. 2023-7

[5]
Reward-related self-agency is disturbed in depression and anxiety.

PLoS One. 2023

[6]
Expending effort may share neural responses with reward and evokes high subjective satisfaction.

Biol Psychol. 2023-2

[7]
Social, affective, and non-motoric bodily cues to the Sense of Agency: A systematic review of the experience of control.

Neurosci Biobehav Rev. 2022-11

[8]
Characteristics of psychomotor retardation distinguishes patients with depression using multichannel near-infrared spectroscopy and finger tapping task.

J Affect Disord. 2022-12-1

[9]
The sense of agency for brain disorders: A comprehensive review and proposed framework.

Neurosci Biobehav Rev. 2022-8

[10]
Intermittent theta burst stimulation (iTBS) versus 10 Hz high-frequency repetitive transcranial magnetic stimulation (rTMS) to alleviate treatment-resistant unipolar depression: A randomized controlled trial (THETA-DEP).

Brain Stimul. 2022

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