| Literature DB >> 35046026 |
Alex Lloyd1, Ryan Thomas McKay2, Nicholas Furl2.
Abstract
Adverse childhood experiences (ACEs) are extreme stressors that lead to negative psychosocial outcomes in adulthood. Nonhuman animals explore less after exposure to early stress. Therefore, in this preregistered study, we hypothesized that reduced exploration following ACEs would also be evident in human adults. Further, we predicted that adults with ACEs, in a foraging task, would adopt a decision-making policy that relies on the most-recent reward feedback, a rational strategy for unstable environments. We analyzed data from 145 adult participants, 47 with four or more ACEs and 98 with fewer than four ACEs. In the foraging task, participants evaluated the trade-off between exploiting a known patch with diminishing rewards and exploring a novel one with a fresh distribution of rewards. Using computational modeling, we quantified the degree to which participants' decisions weighted recent feedback. As predicted, participants with ACEs explored less. However, contrary to our hypothesis, they underweighted recent feedback. These unexpected findings indicate that early adversity may dampen reward sensitivity. Our results may help to identify cognitive mechanisms that link childhood trauma to the onset of psychopathology.Entities:
Keywords: adverse childhood experiences; exploration; learning; reward; trauma
Mesh:
Year: 2022 PMID: 35046026 PMCID: PMC8794829 DOI: 10.1073/pnas.2109373119
Source DB: PubMed Journal: Proc Natl Acad Sci U S A ISSN: 0027-8424 Impact factor: 12.779
Fig. 1.Violin and boxplots demonstrating the leaving thresholds for each environment. The central line in each boxplot refers to the mean. Upper and Lower lines reflect the upper and lower quartiles, respectively. Black dots identify outliers that are greater than 1.5 times the interquartile range from the upper and lower quartiles. Horizontal green bars indicate the optimal leaving thresholds for each environment. Higher leaving threshold indicates more exploration and less exploitation.
Fig. 2.Violin plot demonstrating the difference in mean learning rate (y-axis) between the two environments (x-axis) for both the high-ACE and low-ACE groups. The central line in each boxplot refers to the mean. Upper and Lower lines reflect the upper and lower quartiles, respectively.
Fig. 3.Apples accumulated in each environment by ACE group. The central line in each boxplot refers to the mean. Lines above and below the mean reflect the upper and lower quartiles, respectively.
Prevalence of each ACE in the current sample
| ACE | Percentage of total sample |
| Threatening events | |
| Emotional abuse | 44.08 |
| Physical abuse | 30.26 |
| Sexual abuse | 36.25 |
| Neglect | |
| Emotional neglect | 44.08 |
| Physical neglect | 14.47 |
| Family adversity | |
| Divorce | 35.52 |
| Witnessing domestic abuse | 15.13 |
| Substance abuse within the household | 20.39 |
| Mental illness within the household | 35.52 |
| Incarcerated relative | 7.24 |
Fig. 4.Outline of the patch-foraging paradigm. The leftmost screen is presented to participants when they first enter the environment. They decide between staying or leaving the current patch. If participants choose to stay (Top screen), they are presented with the number of apples they have harvested and their cumulative score. They are then returned to the patch to decide whether to stay or leave. If participants choose to leave (Bottom screen), they wait for an environment-specific interval before reaching the new patch.