Aberrant striatal responses to reward anticipation have been observed in schizophrenia. However, it is unclear whether these dysfunctions predate the onset of psychosis, and whether reward anticipation is impaired in individuals at clinical high risk for schizophrenia (CHR). To examine the neural correlates of monetary anticipation in the prodromal phase of schizophrenia, we performed a whole-brain meta-analysis of thirteen functional neuroimaging studies that compared reward anticipation signals between CHR individuals and healthy controls (HC). Three databases (PubMed, Web of Science, and ScienceDirect) were systematically searched from 1 January 2000 to 1 May 2022. Thirteen whole-brain functional magnetic resonance imaging (fMRI) studies including 318 CHR subjects and 426 HC were identified through comprehensive literature searches. Relative to HC, CHR subjects showed increased brain responses in the medial prefrontal cortex (mPFC) and anterior cingulate cortex (ACC), and decreased activation in the mesolimbic circuit, including the putamen, parahippocampal gyrus, insula, cerebellum, and supramarginal gyrus, during reward anticipation. Our findings in the CHR group confirmed the existence of abnormal motivational-related activation during reward anticipation, thus demonstrating the pathophysiological characteristics of the risk populations. These results have the potential to lead to the early identification and more accurate prediction of subsequent psychosis, as well as a deeper understanding of the neurobiology of high-risk state of psychotic disorder.
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