Titre : | Elevated effort cost identified by computational modeling as a distinctive feature explaining multiple behaviors in patients with depression |
Auteurs : | Fabien Vinckier, Aut. ; Claire Jaffre, Aut. ; Claire GAUTHIER, Aut. ; Sarah Smadja, Aut. ; Pierre Abdel Ahad, Aut. ; Raphaël Le Bouc, Aut. ; Jean Daunizeau, Aut. ; Mylène Fefeu, Aut. ; Nicolas Borderies, Aut. ; Marion Plaze, Aut. ; Raphaël Gaillard, Aut. ; Mathias Pessiglione, Aut. |
Année de publication : | 2022 |
Illustration : | Fig. |
Note générale : | BIOLOGICAL PSYCHIATRY : COGNITIVE NEUROSCIENCE AND NEUROIMAGING, In Press, 8 August 2022 |
Langues: | Anglais |
Mots-clés : |
SANTEPSY COMPORTEMENT ; DECISION ; DEPRESSION ; MOTIVATION |
Résumé : |
Background : Motivational deficit is a core clinical manifestation of depression and a strong predictor of treatment failure. However, the underlying mechanisms, which cannot be accessed through questionnaire-based conventional scoring, remain largely unknown. According to decision theory, apathy could result either from biased subjective estimates (of action costs or outcomes) or from dysfunctional processes (in making decisions or allocating resources). Methods : Here, we combined a series of behavioral tasks with computational modeling to elucidate the motivational deficits of 35 patients with unipolar or bipolar depression under various treatments, compared to 35 matched healthy controls.
Results : The most striking feature, observed independently of medication across preference tasks (likeability ratings and binary decisions), performance tasks (physical and mental effort exertion) and instrumental learning tasks (updating choices to maximize outcomes), was an elevated sensitivity to effort cost. By contrast, sensitivity to action outcomes (reward and punishment) and task-specific processes were relatively spared. Conclusions : These results highlight effort cost as a critical dimension that might explain multiple behavioral changes in patients with depression. More generally, they validate a test battery for computational phenotyping of motivational states, which could orient toward specific medication or rehabilitation therapy, and thereby help pave the way to a more personalized medicine in psychiatry. [résumé d'éditeur] |
Notes de contenus : | Tabl. ; 57 réf. bibliogr. |
En ligne : | https://go.openathens.net/redirector/ghu-paris.fr?url=https://www.sciencedirect.com/science/article/pii/S2451902222001847 |
Service de l'auteur du GHU : |
Service Hospitalo-Universitaire (SHU) |