Using latent profile analyses to classify subjects with anhedonia based on reward-related measures obtained in the FAST-MAS study.

BACKGROUND: Growing evidence indicates that anhedonia is a multifaceted construct. This study examined the possibility of identifying subgroups of people with anhedonia using multiple reward-related measures to provide greater understanding the Research Domain Criteria's Positive Valence Systems Domain and pathways for developing treatments. METHODS: Latent profile analysis of baseline data from a study that examined the effects of a novel kappa opioid receptor (KOR) antagonist drug on measures and biomarkers associated with anhedonia was used to identify subgroups. Measures included ventral striatal activation during the Monetary Incentive Delay task, response bias in the Probabilistic Reward Task, reward valuation scores from the Effort-Expenditure for Rewards Task, and scores from reward-related self-report measures. RESULTS: Two subgroups were identified, which differed on self-report measures of reward. Participants in the subgroup reporting more anhedonia also reported more depression and had greater illness severity and functional impairments. Graphs of change with treatment showed a trend for the less severe subgroup to demonstrate higher response to KOR antagonist treatment on the neuroimaging measure, probabilistic reward task, and ratings of functioning; the subgroup with greater severity showed a trend for higher treatment response on reward-related self-report measures. LIMITATIONS: The main limitations include the small sample size and exploratory nature of analyses. CONCLUSIONS: Evidence of possible dissociation between self-reported measures of anhedonia and other measures with respect to treatment response emerged. These results highlight the importance for future research to consider severity of self-reported reward-related deficits and how the relationship across measurement methods may vary with severity.

Enduring effects of early-life adversity on reward processes: A systematic review and meta-analysis of animal studies.

Two-thirds of individuals experience adversity during childhood such as neglect, abuse or highly-stressful events. Early-life adversity (ELA) increases the life-long risk of developing mood and substance use disorders. Reward-related deficits has emerged as a key endophenotype of such psychiatric disorders. Animal models are invaluable for studying how ELA leads to reward deficits. However, the existing literature is heterogenous with difficult to reconcile findings. To create an overview, we conducted a systematic review containing multiple meta-analyses regarding the effects of ELA on reward processes overall and on specific aspects of reward processing in animal models. A comprehensive search identified 120 studies. Most studies omitted key details resulting in unclear risk of bias. Overall meta-analysis showed that ELA significantly reduced reward behaviors (SMD: -0.42 [-0.60; -0.24]). The magnitude of ELA effects significantly increased with longer exposure. When reward domains were analyzed separately, ELA only significantly dampened reward responsiveness (SMD: -0.525[-0.786; -0.264]) and social reward processing (SMD: -0.374 [-0.663; -0.084]), suggesting that ELA might lead to deficits in specific reward domains.

Neural Dynamic Responses of Monetary and Social Reward Processes in Adolescents.

Adolescence is an essential developmental period characterized by reward-related processes. The current study investigated the development of monetary and social reward processes in adolescents compared with that in children and adults; furthermore, it assessed whether adolescents had different levels of sensitivity to various types of rewards. Two adapted incentive delay tasks were employed for each participant, and event-related potentials (ERPs) were recorded. The behavioral results showed that both monetary and social rewards could motivate response speed, and participants were more accurate under the monetary reward condition than under the social reward condition. The behavioral performances of individuals increased with age. For the ERP data, the cue-P3, target-P2, target-P3 and feedback-related negativity (FRN) components were investigated to identify reward motivation, emotional arousal, attention allocation and feedback processing. Children and adolescents showed higher motivation (larger cue-P3) to rewards than adults. Adolescents showed larger emotional responses to rewards; that is, they had larger target-P2 amplitudes than adults and shorter target-P2 latencies than children. Children showed stronger emotional reactivity for monetary rewards than for social rewards. All age groups had stronger attentional control (larger target-P3) under the monetary reward condition than under the social reward condition. The present study sheds light on the neurodevelopment of reward processes in children, adolescents and adults and shows that various reward process stages demonstrate different age-related and reward-type-related characteristics.