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Anhedonia, i.e., reduced positive mood and decreased sensitivity to rewards, is observed in many psychiatric illnesses, particularly depression and anxiety disorders. Untreated anhedonia predicts worse clinical outcomes and poorer response to treatment, yet cognitive behavioral treatment approaches to target anhedonia are fraught with poor patient compliance in real-life settings. The proposed study aims to address this gap by 1) testing the usefulness of a non-invasive, computationally informed, cognitive training in boosting reward sensitivity and reducing anhedonia in depressed and anxious patients, and 2) delineating the neurocomputational mechanisms of change associated with such intervention. In other words, can we train the brain to obtain rewards and boost positive mood among depressed and anxious individuals? This project will help to develop a computational training protocol aimed at reducing anhedonia and improving existing interventions for psychiatric conditions characterized by reward processing deficits. Long-term goals include expanding this framework to a broader range of appetitive and social stimuli to develop precise cognitive training tools to treat anhedonia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High Reward - High Variance | Experimental |
| |
| High Reward - Low Variance | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High Reward - High Variance | Behavioral | Computerized reward learning task designed to increase reward responsiveness |
|
| Measure | Description | Time Frame |
|---|---|---|
| Reward Maximization | Individually fitted computational parameter of reward maximization strategy during the reward learning task | Change between Pre-Training and Post-Training Assessments (about 20 min) |
| Positive Affect | State positive affect measured with the Positive and Negative Affect Schedule (PANAS) | Change between Pre-Training and Post-Training Assessments (about 20 min) |
| Neural Tracking of Reward Expectation | Neural activity, i.e., blood oxygen level dependent (BOLD) response, in the striatum and medial prefrontal cortex correlating with participants' trial-level model-based reward expectations and associated prediction errors during the Reward Learning Task | Change between Pre-Training and Post-Training Assessments (about 20 min) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UCSD Center for Functional Magnetic Resonance Imaging | La Jolla | California | 92093 | United States |
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| ID | Term |
|---|---|
| D059445 | Anhedonia |
| D003863 | Depression |
| ID | Term |
|---|---|
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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| High Reward - Low Variance | Behavioral | Computerized reward learning task designed to have minimal effect on reward responsiveness |
|
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |