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      Learning and Choice in Mood Disorders: Searching for the Computational Parameters of Anhedonia

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          Abstract

          Computational approaches are increasingly being used to model behavioral and neural processes in mood and anxiety disorders. Here we explore the extent to which the parameters of popular learning and decision-making models are implicated in anhedonic symptoms of major depression. We first highlight the parameters of reinforcement learning that have been implicated in anhedonia, focusing, in particular, on the role that choice variability (i.e., “temperature”) may play in explaining heterogeneity across previous findings. We then turn to neuroimaging findings implicating attenuated ventral striatum response in anhedonic responses and discuss possible causes of the heterogeneity in the literature. Taken together, the reviewed findings highlight the potential of the computational approach in teasing apart the observed heterogeneity in both behavioral and functional imaging results. Nevertheless, considerable challenges remain, and we conclude with five unresolved questions that seek to address issues highlighted by the reviewed data.

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          Most cited references102

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          Advances in prospect theory: Cumulative representation of uncertainty

          Journal of Risk and Uncertainty, 5(4), 297-323
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            Reconsidering anhedonia in depression: lessons from translational neuroscience.

            Anhedonia is a core symptom of major depressive disorder (MDD), the neurobiological mechanisms of which remain poorly understood. Despite decades of speculation regarding the role of dopamine (DA) in anhedonic symptoms, empirical evidence has remained elusive, with frequent reports of contradictory findings. In the present review, we argue that this has resulted from an underspecified definition of anhedonia, which has failed to dissociate between consummatory and motivational aspects of reward behavior. Given substantial preclinical evidence that DA is involved primarily in motivational aspects of reward, we suggest that a refined definition of anhedonia that distinguishes between deficits in pleasure and motivation is essential for the purposes of identifying its neurobiological substrates. Moreover, bridging the gap between preclinical and clinical models of anhedonia may require moving away from the conceptualization of anhedonia as a steady-state, mood-like phenomena. Consequently, we introduce the term "decisional anhedonia" to address the influence of anhedonia on reward decision-making. These proposed modifications to the theoretical definition of anhedonia have implications for research, assessment and treatment of MDD. Copyright © 2010 Elsevier Ltd. All rights reserved.
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              Dissociation of reward anticipation and outcome with event-related fMRI.

              Reward processing involves both appetitive and consummatory phases. We sought to examine whether reward anticipation vs outcomes would recruit different regions of ventral forebrain circuitry using event-related fMRI. Nine healthy volunteers participated in a monetary incentive delays task in which they either responded to a cued target for monetary reward, responded to a cued target for no reward, or did not respond to a cued target during scanning. Multiple regression analyses indicated that while anticipation of reward vs non-reward activated foci in the ventral striatum, reward vs non-reward outcomes activated foci in the ventromedial frontal cortex. These findings suggest that reward anticipation and outcomes may differentially recruit distinct regions that lie along the trajectory of ascending dopamine projections.
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                Author and article information

                Journal
                101719151
                47223
                Comput Psychiatr
                Comput Psychiatr
                Computational psychiatry (Cambridge, Mass.)
                2379-6227
                27 January 2018
                29 December 2017
                2017
                02 February 2018
                : 1
                : 1
                : 208-233
                Affiliations
                [1 ]Institute of Cognitive Neuroscience, University College London, London, UK
                [2 ]Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
                Author notes
                Corresponding Author: Henry W. Chase henrywnchase@ 123456gmail.com
                Article
                EMS75606
                10.1162/CPSY_a_00009
                5796642
                29400358
                478bb8e2-625a-42b2-8edc-b816e01bf550

                Published under a Creative Commons Attribution 4.0 International (CC BY 4.0) license ( http://creativecommons.org/licenses/by/4.0/)

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                Categories
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                reinforcement learning,mood disorders,anxiety,decision making,computational psychiatry

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