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      Toward an objective characterization of an anhedonic phenotype: a signal-detection approach.

      Biological Psychiatry
      Adolescent, Adult, Affective Symptoms, diagnosis, psychology, Analysis of Variance, Bias (Epidemiology), Character, Depressive Disorder, Expressed Emotion, physiology, Female, Humans, Male, Motivation, Personality Inventory, Phenotype, Probability, Psychiatric Status Rating Scales, Reaction Time, Reinforcement (Psychology), Reinforcement Schedule, Statistics as Topic

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          Abstract

          Difficulties in defining and characterizing phenotypes has hindered progress in psychiatric genetics and clinical neuroscience. Decreased approach-related behavior and anhedonia (lack of responsiveness to pleasure) are considered cardinal features of depression, but few studies have used laboratory-based measures to objectively characterize these constructs. To assess hedonic capacity in relation to depressive, particularly anhedonic, symptoms, 62 participants completed a signal-detection task based on a differential reinforcement schedule. Anhedonia was operationalized as decreased reward responsiveness. Unequal frequency of reward between two correct responses produced a response bias (i.e., a systematic preference to identify the stimulus paired with the more frequent reward). Subjects with elevated depressive symptoms (Beck Depression Inventory scores >/= 16) failed to show a response bias. Impaired reward responsiveness predicted higher anhedonic symptoms 1 month later, after controlling for general negative affectivity. Impaired tendency to modulate behavior as a function of prior reinforcement might underline diminished hedonic capacity in depression. When applied to a clinical population, objective assessments of participants' propensity to modulate behavior as a function of reward might provide a powerful tool for improving the phenotypic definition of depression and thus offer a reliable behavioral screening approach for neuroscience studies of depression.

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