Literature DB >> 26085042

The Brain's Response to Reward Anticipation and Depression in Adolescence: Dimensionality, Specificity, and Longitudinal Predictions in a Community-Based Sample.

Argyris Stringaris1, Pablo Vidal-Ribas Belil1, Eric Artiges1, Hervé Lemaitre1, Fanny Gollier-Briant1, Selina Wolke1, Hélène Vulser1, Ruben Miranda1, Jani Penttilä1, Maren Struve1, Tahmine Fadai1, Viola Kappel1, Yvonne Grimmer1, Robert Goodman1, Luise Poustka1, Patricia Conrod1, Anna Cattrell1, Tobias Banaschewski1, Arun L W Bokde1, Uli Bromberg1, Christian Büchel1, Herta Flor1, Vincent Frouin1, Juergen Gallinat1, Hugh Garavan1, Penny Gowland1, Andreas Heinz1, Bernd Ittermann1, Frauke Nees1, Dimitri Papadopoulos1, Tomas Paus1, Michael N Smolka1, Henrik Walter1, Rob Whelan1, Jean-Luc Martinot1, Gunter Schumann1, Marie-Laure Paillère-Martinot1.   

Abstract

OBJECTIVE: The authors examined whether alterations in the brain's reward network operate as a mechanism across the spectrum of risk for depression. They then tested whether these alterations are specific to anhedonia as compared with low mood and whether they are predictive of depressive outcomes.
METHOD: Functional MRI was used to collect blood-oxygen-level-dependent (BOLD) responses to anticipation of reward in the monetary incentive task in 1,576 adolescents in a community-based sample. Adolescents with current subthreshold depression and clinical depression were compared with matched healthy subjects. In addition, BOLD responses were compared across adolescents with anhedonia, low mood, or both symptoms, cross-sectionally and longitudinally.
RESULTS: Activity in the ventral striatum was reduced in participants with subthreshold and clinical depression relative to healthy comparison subjects. Low ventral striatum activation predicted transition to subthreshold or clinical depression in previously healthy adolescents at 2-year follow-up. Brain responses during reward anticipation decreased in a graded manner between healthy adolescents, adolescents with current or future subthreshold depression, and adolescents with current or future clinical depression. Low ventral striatum activity was associated with anhedonia but not low mood; however, the combined presence of both symptoms showed the strongest reductions in the ventral striatum in all analyses.
CONCLUSIONS: The findings suggest that reduced striatal activation operates as a mechanism across the risk spectrum for depression. It is associated with anhedonia in healthy adolescents and is a behavioral indicator of positive valence systems, consistent with predictions based on the Research Domain Criteria.

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Year:  2015        PMID: 26085042     DOI: 10.1176/appi.ajp.2015.14101298

Source DB:  PubMed          Journal:  Am J Psychiatry        ISSN: 0002-953X            Impact factor:   18.112


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