Abstract
Ventral striatum (VS) is a critical brain region for reinforcement learning and motivation, and VS hypofunction is implicated in psychiatric disorders including schizophrenia. Providing rewards or performance feedback has been shown to activate VS. Intrinsically motivated subjects performing challenging cognitive tasks are likely to engage reinforcement circuitry even in the absence of external feedback or incentives. However, such intrinsic reinforcement responses have received little attention, have not been examined in relation to behavioral performance, and have not been evaluated for impairment in neuropsychiatric disorders such as schizophrenia. Here we used fMRI to examine a challenging “old” vs. “new” visual recognition task in healthy subjects and patients with schizophrenia. Targets were unique fractal stimuli previously presented as salient distractors in a visual oddball task, producing incidental memory encoding. Based on the prediction error theory of reinforcement learning, we hypothesized that correct target recognition would activate VS in controls, and that this activation would be greater in subjects with lower expectation of responding correctly as indexed by a more conservative response bias. We also predicted these effects would be reduced in patients with schizophrenia. Consistent with these predictions, controls activated VS and other reinforcement processing regions during correct recognition, with greater VS activation in those with a more conservative response bias. Patients did not show either effect, with significant group differences suggesting hyporesponsivity in patients to internally generated feedback. These findings highlight the importance of accounting for intrinsic motivation and reward when studying cognitive tasks, and add to growing evidence of reward circuit dysfunction in schizophrenia that may impact cognition and function.
Highlights
Any account of cognition is incomplete without integrating the influence of emotion and motivation
While most fMRI studies focusing on ventral striatum (VS) have examined responses to explicit delivery of reinforcers such as money, VS activation has been reported in response to purely cognitive feedback such as information reflecting performance accuracy (Rodriguez et al, 2006; Tricomi and Fiez, 2008)
Our results confirm earlier reports that VS and anterior caudate respond preferentially to successful recognition. We extend this finding beyond prior literature by identifying a relationship of VS activation to response bias, and by demonstrating a deficit in these responses in patients with schizophrenia
Summary
Any account of cognition is incomplete without integrating the influence of emotion and motivation. Interactions between cognition, emotion, and motivation have attracted increasing research, both in healthy individuals and patients with psychiatric disorders such as schizophrenia (Barch, 2005; Phelps, 2006; Satterthwaite et al, 2009, 2010; Duckworth et al, 2011; Murty et al, 2011). Rather than reflecting reward value per se, VS fMRI responses have been shown to reflect positive prediction errors that occur when outcomes are better than expected (McClure et al, 2003; Schultz, 2010). VS may be a critical hub for motivation–cognition interactions, especially when cognitive performance can generate positive outcomes
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