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Blunted Neural Response to Rewards as a Prospective Predictor of the Development of Depression in Adolescent Girls

Published on Dec 1, 2016in American Journal of Psychiatry13.655
· DOI :10.1176/appi.ajp.2016.15121524
Brady D. Nelson19
Estimated H-index: 19
,
Greg Perlman13
Estimated H-index: 13
+ 2 AuthorsGreg Hajcak66
Estimated H-index: 66
Sources
Abstract
Objective:A blunted neural response to rewards has recently emerged as a potential mechanistic biomarker of adolescent depression. The reward positivity, an event-related potential elicited by feedback indicating monetary gain relative to loss, has been associated with risk for depression. The authors examined whether the reward positivity prospectively predicted the development of depression 18 months later in a large community sample of adolescent girls.Method:The sample included 444 girls 13.5–15.5 years old with no lifetime history of a depressive disorder, along with a biological parent for each girl. At baseline, the adolescents’ reward positivity was measured using a monetary guessing task, their current depressive symptoms were assessed using a self-report questionnaire, and the adolescents’ and parents’ lifetime psychiatric histories were evaluated with diagnostic interviews. The same interview and questionnaire were administered to the adolescents again approximately 18 months later.Results:A bl...
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References21
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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. Adolesc...
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Depression is a significant public health problem, but its etiology and pathophysiology remain poorly understood. Such incomplete understanding likely arises from the fact that depression encompasses a heterogeneous set of disorders. To overcome these limitations, renewed interest in intermediate phenotypes (endophenotypes) has resurfaced, and anhedonia has emerged as one of the most promising endophenotypes of depression. Here, a heuristic model is presented postulating that anhedonia arises fr...
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Abstract Adolescence is a developmental period characterized by significant increases in the onset of depression, but also by increases in depressive symptoms, even among psychiatrically healthy youth. Disrupted reward function has been postulated as a critical factor in the development of depression, but it is still unclear which adolescents are particularly at risk for rising depressive symptoms. We provide a conceptual stance on gender, pubertal development, and reward type as potential moder...
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Context Deficits in reward processing and their neural correlates have been associated with major depression. However, it is unclear if these deficits precede the onset of depression or are a consequence of this disorder. Objective To determine whether anomalous neural processing of reward characterizes children at familial risk for depression in the absence of a personal history of diagnosable disorder. Design Comparison of neural activity among children at low and high risk for depression as t...
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Abstract Individual differences in reward responsiveness can be reliably measured at the neurophysiological level using the reward positivity (RewP) event-related potential (ERP). Alterations in reward responsiveness impact physical and psychological health. In particular, prior research indicates that a reduced RewP prospectively predicts depressive symptoms. However, it remains unclear whether RewP can be modified through intervention or prevention. The present study examined the effects of a ...
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