Dampened motivation in schizophrenia: evidence from a novel effort-based decision-making task in social scenarios.

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Title: Dampened motivation in schizophrenia: evidence from a novel effort-based decision-making task in social scenarios.
Authors: Shao, Yu-Xin (AUTHOR), Wang, Ling-Ling (AUTHOR), Zhou, Han-Yu (AUTHOR), Yi, Zheng-Hui (AUTHOR), Liu, Shuai (AUTHOR), Yan, Chao (AUTHOR)
Source: European Archives of Psychiatry & Clinical Neuroscience. Sep2024, Vol. 274 Issue 6, p1447-1459. 13p.
Subjects: Reward (Psychology), Employment interviewing, People with schizophrenia, Social skills, Job offers
Abstract: Apathy represents a significant manifestation of negative symptoms within individuals diagnosed with schizophrenia (SCZ) and exerts a profound impact on their social relationships. However, the specific implications of this motivational deficit in social scenarios have yet to be fully elucidated. The present study aimed to examine effort-based decision-making in social scenarios and its relation to apathy symptoms in SCZ patients. We initially recruited a group of 50 healthy participants (16 males) to assess the validity of the paradigm. Subsequently, we recruited 45 individuals diagnosed with SCZ (24 males) and 49 demographically-matched healthy controls (HC, 25 males) for the main study. The Mock Job Interview Task was developed to measure effort-based decision-making in social scenarios. The proportion of hard-task choice and a range of subjective ratings were obtained to examine potential between-group differences. SCZ patients were less likely than HC to choose the hard task with strict interviewers, and this group difference was significant when the hard-task reward value was medium and high. More severe apathy symptoms were significantly correlated with an overall reduced likelihood of making a hard-task choice. When dividing the jobs into two categories based on the levels of social engagement needed, SCZ patients were less willing to expend effort to pursue a potential offer for jobs requiring higher social engagement. Our findings indicated impaired effort-based decision-making in SCZ can be generalized from the monetary/nonsocial to a more ecologically social dimension. Our findings affirm the critical role of aberrant effort allocation on negative symptoms, and may facilitate the development of targeted clinical interventions. [ABSTRACT FROM AUTHOR]
Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Dampened motivation in schizophrenia: evidence from a novel effort-based decision-making task in social scenarios.
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  Data: <searchLink fieldCode="AR" term="%22Shao%2C+Yu-Xin%22">Shao, Yu-Xin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Ling-Ling%22">Wang, Ling-Ling</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhou%2C+Han-Yu%22">Zhou, Han-Yu</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yi%2C+Zheng-Hui%22">Yi, Zheng-Hui</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liu%2C+Shuai%22">Liu, Shuai</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yan%2C+Chao%22">Yan, Chao</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Archives+of+Psychiatry+%26+Clinical+Neuroscience%22">European Archives of Psychiatry & Clinical Neuroscience</searchLink>. Sep2024, Vol. 274 Issue 6, p1447-1459. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Reward+%28Psychology%29%22">Reward (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Employment+interviewing%22">Employment interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+schizophrenia%22">People with schizophrenia</searchLink><br /><searchLink fieldCode="DE" term="%22Social+skills%22">Social skills</searchLink><br /><searchLink fieldCode="DE" term="%22Job+offers%22">Job offers</searchLink>
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  Data: Apathy represents a significant manifestation of negative symptoms within individuals diagnosed with schizophrenia (SCZ) and exerts a profound impact on their social relationships. However, the specific implications of this motivational deficit in social scenarios have yet to be fully elucidated. The present study aimed to examine effort-based decision-making in social scenarios and its relation to apathy symptoms in SCZ patients. We initially recruited a group of 50 healthy participants (16 males) to assess the validity of the paradigm. Subsequently, we recruited 45 individuals diagnosed with SCZ (24 males) and 49 demographically-matched healthy controls (HC, 25 males) for the main study. The Mock Job Interview Task was developed to measure effort-based decision-making in social scenarios. The proportion of hard-task choice and a range of subjective ratings were obtained to examine potential between-group differences. SCZ patients were less likely than HC to choose the hard task with strict interviewers, and this group difference was significant when the hard-task reward value was medium and high. More severe apathy symptoms were significantly correlated with an overall reduced likelihood of making a hard-task choice. When dividing the jobs into two categories based on the levels of social engagement needed, SCZ patients were less willing to expend effort to pursue a potential offer for jobs requiring higher social engagement. Our findings indicated impaired effort-based decision-making in SCZ can be generalized from the monetary/nonsocial to a more ecologically social dimension. Our findings affirm the critical role of aberrant effort allocation on negative symptoms, and may facilitate the development of targeted clinical interventions. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              M: 09
              Text: Sep2024
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