The brain's response to reward anticipation and depression in adolescence: Dimensionality, specificity, and longitudinal predictions in a community-based sample

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • King's College London (KCL)
  • Service Hospitalier Frederic Joliot
  • Université Paris-Saclay
  • Université Paris Cité
  • Hospital Group Nord-Essonne
  • French Alternative Energies and Atomic Energy Commission (CEA)
  • Tampere University Hospital
  • University of Montreal
  • Heidelberg University 
  • University of Hamburg
  • Charité – Universitätsmedizin Berlin
  • Trinity College Dublin
  • Medical Research Council (MRC)
  • University of Vermont
  • University of Nottingham
  • Physikalisch-Technische Bundesanstalt
  • University of Toronto
  • TUD Dresden University of Technology

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-oxygenlevel- 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, lowmood, 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.

Details

Original languageEnglish
Pages (from-to)1215-1223
Number of pages9
JournalAmerican Journal of Psychiatry
Volume172
Issue number12
Publication statusPublished - 1 Dec 2015
Peer-reviewedYes

External IDs

PubMed 26085042
ORCID /0000-0001-5398-5569/work/161890809
ORCID /0000-0001-5099-0274/work/161891487

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