Feedback-related Negativity Amplitude Research Articles

Distinct neural dynamics of the observed ostracism effect in decision-making under risk and ambiguity.

Observational ostracism, as a form of social exclusion, can significantly affect human behavior. However, the effects of observed ostracism on risky and ambiguous decision-making and the underlying neural mechanisms remain unclear. This event-related potential study investigated these issues by involving participants in a wheel-of- fortune task, considering observed ostracism and inclusion contexts. The results showed that the cue-P3 component was more enhanced during the choice phase for risky decisions than for ambiguous decisions in the observed inclusion contexts but not in the observed ostracism contexts. During the outcome evaluation phase, feedback-related negativity amplitudes following both risky and ambiguous decisions were higher in the no-gain condition than in the gain condition in the observed inclusion context. In contrast, this effect was only observed following risky decisions in the observed ostracism context. The feedback-P3 component did not exhibit an observed ostracism effect in risky and ambiguous decision-making tasks. Risk levels further modulated the cue-P3 and feedback-related negativity components, while ambiguity levels further modulated the feedback-P3 components. These findings demonstrate a neural dissociation between risk and ambiguity decision-making during observed ostracism that unfolds from the choice phase to the outcome evaluation phase.

Exploration of the influence of the quantification method and reference scheme on feedback-related negativity and standardized measurement error of feedback-related negativity amplitudes in a trust game

Various approaches have been taken over the years to quantify event-related potential (ERP) responses and these approaches may vary in their utility connecting empirical research and scientific claims. In this work we compared different quantification methods as well as the influence of three reference methods (linked mastoids, average reference, and current source density) on the resulting ERP amplitude. We use the experimental effects and effect sizes (Cohen's d) to evaluate the different methodological variants and we calculate intraclass correlation coefficients (ICC). In addition, the bootstrapped standard error of the means (SME, Luck et al., 2021), which was recently suggested as a quality criterion for ERP research, is used for this purpose. Our example for an ERP is the feedback-related negativity (FRN) to feedback about trustee behavior in a trust game with participants in the trustor position. We found that the quantification methods concerning the FRN influenced the absolute value of condition effects in the experimental paradigm. Yet, the patterns of effects were detected by all chosen methods, except for the ‘individual difference wave’-based peak window approach. In addition, our findings stress the importance of checking the reference electrodes concerning effects of the experimental conditions. Furthermore, interactions of topographical distribution and reference choice should be considered. Finally, we were able to show that the SME is lower for more datapoints that are given in the quantification period of the FRN, and higher for more negative FRN amplitudes. These biases may lead to divergence of SME and effect size detection. Therefore, if the SME was used to compare different processing choices one should consider controlling for these important aspects of the data and possibly include other quality criteria like effect sizes.

Neural Correlates of Anhedonia in Major Depressive Disorder: Insights from Concurrent Analysis of Feedback-Related Negativity and Stimulus-Preceding Negativity.

Anhedonia, a core symptom of major depressive disorder (MDD), is explored in this study, focusing on the neural underpinnings through the examination of two event-related potential (ERP) components: feedback-related negativity (FRN) and stimulus-preceding negativity (SPN). This cross-sectional study was conducted in China from March 2022 to March 2023. It involved 35 MDD patients and 31 healthy controls (HC) participating in a modified 2-door task with simultaneous EEG recordings. Depression severity and anhedonia were assessed using the Hamilton Depression Scale (HAMD) and the Temporal Experience of Pleasure Scale (TEPS-CV), respectively. FRN and SPN metrics, along with correlations with each other and clinical assessments, were examined. In comparison to the HC group, the MDD group exhibited significantly lower scores in TEPS-CV (t = 2.854, p = 0.006) and its subscales (t = -3.596, p = 0.001 and t = 2.434, p = 0.018, respectively), along with consistently reduced amplitudes of FRN (F 1.64= 4.726, p = 0.033) and SPN (F 1.64= 4.195, p = 0.045) across all conditions. Limited correlations were observed between ERP metrics and clinical indicators, except for positive correlations between FRN amplitudes (loss minus win) and HAMD scores (r = 0.392, p = 0.020), and SPN amplitudes after losing (SPN-L) and TEPS-CV consumption subscale scores (r = 0.357, p = 0.035). Notably, while the HC group displayed no significant FRN-SPN correlations, the MDD group exhibited positive FRN-SPN correlations under distinct conditions (r = 0.376, p = 0.026 and r = 0.355, p = 0.037, respectively). Our data reveal subjective and objective anhedonia in both consumption and anticipation, suggesting a shared impairment in reward feedback processing and anticipatory neural mechanisms in individuals with MDD. These findings deepen our understanding of anhedonia's neural foundations and may guide targeted interventions for this core symptom.

Feedback processing in cognitive and motor tasks: A meta-analysis on the feedback-related negativity.

For motor learning, the processing of behavioral outcomes is of high significance. The feedback-related negativity (FRN) is an event-related potential, which is often described as a correlate of the reward prediction error in reinforcement learning. The number of studies examining the FRN in motor tasks is increasing. This meta-analysis summarizes the component in the motor domain and compares it to the cognitive domain. Therefore, a data set of a previous meta-analysis in the cognitive domain that comprised 47 studies was reanalyzed and compared to additional 25 studies of the motor domain. Further, a moderator analysis for the studies in the motor domain was conducted. The FRN amplitude was higher in the motor domain than in the cognitive domain. This might be related to a higher task complexity and a higher feedback ambiguity of motor tasks. The FRN latency was shorter in the motor domain than in the cognitive domain. Given that sensory information can be used as an external feedback predictor prior to the presentation of the final feedback, reward processing in the motor domain may have been faster and reduced the FRN latency. The moderator variable analysis revealed that the feedback modality influenced the FRN latency, with shorter FRN latencies after bimodal than after visual feedback. Processing of outcome feedback seems to share basic principles in both domains; however, differences exist and should be considered in FRN studies. Future research is motivated to scrutinize the effects of bimodal feedback and other moderators within the motor domain.

Neural abnormalities of reward processing in adolescents with bipolar disorders: An ERP study

Adolescent onset is common in bipolar disorders (BDs) and is associated with a worse illness course in adulthood. A model of BDs suggests that a dysregulated behavioral approach system (BAS), a neural system that mobilizes reward-seeking behavior, is at the root of BDs. Normative adolescence is often accompanied by dynamic changes to neural structures underlying the BAS and related cognitive processes. It is possible that adolescent-onset BDs is associated with abnormal BAS neurodevelopment. Consistently, the present study is the first to compare specific BAS-relevant anticipatory and consummatory reward processes as indexed by event-related potentials (ERPs) in adolescents with BDs and typically developing peers. Using a sample of 43 adolescents with BDs and 56 without psychopathology, we analyzed N1 and P3 responses to anticipatory cues and feedback-related negativity (FRN) and P3 responses to feedback stimuli during a monetary incentive delay (MID) task. Hierarchical linear models examined relationships between ERP amplitudes and diagnostic group, MID condition, sex, and age. During anticipation phase, adolescent boys with BDs exhibited significantly larger N1 amplitudes in loss than even or gain trials. During feedback phase, compared to their healthy peers, adolescents with BDs had smaller FRN amplitudes across all conditions. Additional effects involving age, sex and trial type were observed. The findings indicate subtle, non-ubiquitous BAS-relevant neural abnormalities involving early attentional processes during reward anticipation and reward learning following feedback in adolescents with BDs. Adolescents with BDs did not show overall hypersensitive neural responses to monetary reward anticipation or feedback observed in adults with BDs.

Feedback Related Negativity Amplitude is Greatest Following Deceptive Feedback in Autistic Adolescents.

The purpose of this study is to investigate if feedback related negativity (FRN) can capture instantaneous elevated emotional reactivity in autistic adolescents. A measurement of elevated reactivity could allow clinicians to better support autistic individuals without the need for self-reporting or verbal conveyance. The study investigated reactivity in 46 autistic adolescents (ages 12-21years) completing the Affective Posner Task which utilizes deceptive feedback to elicit distress presented as frustration. The FRN event-related potential (ERP) served as an instantaneous quantitative neural measurement of emotional reactivity. We compared deceptive and distressing feedback to both truthful but distressing feedback and truthful and non-distressing feedback using the FRN, response times in the successive trial, and Emotion Dysregulation Inventory (EDI) reactivity scores. Results revealed that FRN values were most negative to deceptive feedback as compared to truthful non-distressing feedback. Furthermore, distressing feedback led to faster response times in the successive trial on average. Lastly, participants with higher EDI reactivity scores had more negative FRN values for non-distressing truthful feedback compared to participants with lower reactivity scores. The FRN amplitude showed changes based on both frustration and reactivity. The findings of this investigation support using the FRN to better understand emotion regulation processes for autistic adolescents in future work. Furthermore, the change in FRN based on reactivity suggests the possible need to subgroup autistic adolescents based on reactivity and adjust interventions accordingly.

Outcome Evaluation in Social Comparison: When You Deviate from Others.

Individuals often measure their performance through social comparison. With the increase in the deviation degree between the self and others, the outcome evaluation of individuals' abilities in the social comparison context is still unknown. In the current study, we used a two self-outcomes × three others' outcomes within-participant design to investigate the effect of the deviation degree of the self versus others in the social comparison context. Event-related potentials (ERPs) were measured while participants performed a three-person dot estimation task with two other people. When participants received positive results, the amplitudes of feedback-related negativity (FRN) and P300 showed a significant gradient change in the degree of deviation between the self and others (even win vs. better win vs. best win conditions). However, we did not find a similar progressive effect when participants received negative results (even loss vs. worse loss vs. worst loss conditions). These findings suggest that the deviation degree affects the primary and later processing stages of social comparison outcomes only when individuals received positive outcomes, which may reflect how people develop an empathic response to others. In contrast, people tended to avoid deeper social comparison that threatened their self-esteem when they received negative outcomes.

Learning new words via feedback-Association between feedback-locked ERPs and recall performance-An exploratory study.

Feedback learning is thought to involve the dopamine system and its projection sites in the basal ganglia and anterior cingulate cortex (ACC), regions associated with procedural learning. Under certain conditions, such as when feedback is delayed, feedback-locked activation is pronounced in the medial temporal lobe (MTL), which is associated with declarative learning. In event-related potential research, the feedback-related negativity (FRN) has been linked to immediate feedback processing, while the N170, possibly reflecting MTL activity, has been related to delayed feedback processing. In the current study, we performed an exploratory investigation on the relation between N170 and FRN amplitude and memory performance in a test for declarative memory (free recall), also exploring the role of feedback delay. To this end, we adapted a paradigm in which participants learned associations between non-objects and non-words with either immediate or delayed feedback, and added a subsequent free recall test. We indeed found that N170, but not FRN amplitudes, depended on later free recall performance, with smaller amplitudes for later remembered non-words. In an additional analysis with memory performance as dependent variable, the N170, but not the FRN amplitude predicted free recall, modulated by feedback timing and valence. This finding shows that the N170 reflects an important process during feedback processing, possibly related to expectations and their violation, but is distinct from the process reflected by the FRN.

How do decision makers evaluate advice from advisors with happy and angry expressions? A behavioural and ERP study

ABSTRACT In the process of decision-making based on conferring with advisors, people are sensitive to advisors’ emotional expressions. An advisor’s expression is considered a type of feedback. The quick detection of motivational or valence significance of feedback has been associated with feedback-related negativity (FRN). In this study, we investigated how decision makers evaluated advice that was distant from the original estimate provided by advisors with different emotional expressions based on behavioural, FRN, and P300 data. The results showed that participants were more likely to modify their initial estimates based on advice from advisors with happy expressions than from advisors with angry expressions, regardless of whether it was near-distance advice or far-distance advice. When facing far-distance advice, FRN amplitudes in angry-expression conditions were significantly larger than in happy-expression conditions. When facing near-distance advice, there was no significant difference in the FRN amplitude between happy- and angry-expression conditions. P300 amplitudes were larger in near-distance conditions than in far-distance conditions. These findings suggest that, as a type of feedback with social information, the advisor’s face will affect the decision maker’s evaluation of the advice, with a happy face of the advisor serving as correct feedback and an angry face serving as incorrect feedback.

Event-related potentials in response to early terminated and completed sequential decision-making

The process of outcome evaluation effectively navigates subsequent choices in humans. However, it is largely unclear how people evaluate decision outcomes in a sequential scenario, as well as the neural mechanisms underlying this process. To address this research gap, the study employed a sequential decision task in which participants were required to make a series of choices in each trial, with the option to terminate their choices. Based on participants' decisions, two outcome patterns were classified: the “reached” condition and the “unreached” condition, and the event-related potentials (ERPs) were recorded. Further, in the unreached condition, we investigated how the distance (i.e., the position interval between the actual outcome and potential outcome) modulated outcome evaluation. Behavioral data showed a higher emotion rating when people got a reward rather than a loss (i.e., the reached condition), while the opposite was true in the unreached condition. ERP results showed a larger feedback-related negativity (FRN), a smaller P3, and a larger late positive potential (LPP) when people got a loss compared to a reward. Importantly, a hierarchical processing pattern was found in the unreached condition: people processed separately the potential outcome and the distance at the early stage, manifested in the FRN amplitude; subsequently, the brain focused on the distance—a lower distance elicited an enhanced P3 amplitude. Finally, the potential outcome and distance were processed interactively in the LPP amplitude. Overall, these findings shed light on the neural underpinnings of outcome evaluation in sequential decision-making.

Feedback-related negativity in perfectionists: An index of performance outcome evaluation

It has been suggested that maladaptive perfectionists are more prone to concern over their performance outcomes than adaptive perfectionists. Performance outcome evaluation is reflected in the amplitude of feedback-related negativity (FRN) in brain electroencephalography (EEG). Hence, the amplitude of the FRN after receiving unfavorable feedback indicating a negative performance outcome may reflect personality characteristics. In other words, EEG could be a better marker of personality characteristics than self-report measures. However, the FRN component has not yet been investigated between different types of perfectionists. In the present study, group differences in the FRN were examined between two groups of adaptive and maladaptive perfectionists and a group of non-perfectionists during a monetary gambling task. We observed a larger FRN amplitude for adaptive perfectionists than for maladaptive perfectionists. This finding is consistent with previous reports that reward prediction error is reflected in the amplitude of the FRN. This difference in FRN could be interpreted as the pessimistic outcome expectation biases in maladaptive perfectionists.

Altered Feedback-Related Negativity in Mild Cognitive Impairment

Feedback-related negativity (FRN) is electrical brain activity related to the function of monitoring behavior and its outcome. FRN is generated by negative feedback input, such as punishment or monetary loss, and its potential is distributed maximally over the frontal-central part of the skull. Our previous study demonstrated that FRN latency was delayed and that the amplitude was increased in patients with mild Alzheimer's disease (AD). As mild cognitive impairment (MCI) is considered to be a prodromal stage of AD, we speculated that FRN would also be altered in MCI, as in AD. The aim of this study is to examine whether MCI patients showed changes in FRN during a gambling task. Thirteen MCI patients and thirteen age-matched healthy elderly individuals participated in a simple gambling task and underwent neuro-psychological assessments. The participants were asked to choose one out of two options and randomly received positive or negative feedback to their response. An EEG was recorded during the task, and FRN was obtained by subtracting the positive feedback-related activity from the negative feedback-related activity. The reaction time to probe stimuli was comparable in the two groups. The group comparisons revealed that the FRN amplitude was significantly larger for the MCI group than for the healthy elderly (F(1,24) = 6.4, ηp2 = 0.22, p = 0.019), but there was no group difference in the FRN latency. The FRN amplitude at the frontocentral electrode positively correlated with the mini-mental state examination score (Spearman's rhopartial = 0.41, p = 0.043). The finding of increased FRN amplitude in MCI was consistent with the previous finding in AD. Our findings indicate that monitoring dysfunction might also be involved in the prodromal stage of dementia.

The value of an action: Impact of motor behaviour on outcome processing and stimulus preference.

While influences of Pavlovian associations on instrumental behaviour are well established, we still do not know how motor actions affect the formation of Pavlovian associations. To address this question, we designed a task in which participants were presented with neutral stimuli, half of which were paired with an active response, half with a passive waiting period. Stimuli had an 80% chance of predicting either a monetary gain or loss. We compared the feedback-related negativity (FRN) in response to predictive stimuli and outcomes, as well as directed phase synchronization before and after outcome presentation between trials with versus without a motor response. We found a larger FRN amplitude in response to outcomes presented after a motor response (active trials). This effect was driven by a positive deflection in active reward trials, which was absent in passive reward trials. Connectivity analysis revealed that the motor action reversed the direction of the phase synchronization at the time of the feedback presentation: Top-down information flow during the outcome anticipation phase in active trials, but bottom-up information flow in passive trials. This main effect of action was mirrored in behavioural data showing that participants preferred stimuli associated with an active response. Our findings suggest an influence of neural systems that initiate motor actions on neural systems involved in reward processing. We suggest that motor actions might modulate the brain responses to feedback by affecting the dynamics of brain activity towards optimizing the processing of the resulting action outcome.

Prosociality moderates outcome evaluation in competition tasks

The current study investigated the effect of prosociality on outcome evaluation without involving social comparison and reward processing in face-to-face competition tasks. The results showed that when faced with medium and large outcome feedback, the feedback-related negativity (FRN) amplitude induced in high-prosocial individuals was significantly more negative than that of low-prosocial individuals. In addition, the P300 amplitude induced in high-prosocial individuals was smaller than that in low-prosocial individuals in the face of large outcome feedback; hence, the prosociality score was significantly correlated with FRN amplitude. However, there was no significant difference in FRN between high-and low-prosocial individuals in the face of small outcome feedback. It was concluded that individual prosocial traits can moderate outcome evaluation.

Bid outcome processing in Vickrey auctions: An ERP study.

Online retailers often sell products using a socially competitive second-price sealed-bid auction known as a Vickrey auction (VA), an incentivized demand-revealing mechanism used to elicit players' subjective values. The VA presents a situation of risky decision-making, which typically implements value processing and a loss aversion mechanism. Neural outcome processing of VA bids are not known; this study explores this for the first time using EEG. Twenty-eight healthy participants bid on household items against an anonymous, computerized opponent. Bid outcome event-related potentials were predicted to differentiate between three conditions: outbid (no-win), large margin win (bargain), and small margin win (snatch). Individual loss aversion values were evaluated in a separate behavioral experiment offering gains or losses of variable amounts but equal chances against an assured gain. Processing outcomes of VA bids were associated with a feedback-related negativity (FRN) potential with a spatial maximum at the vertex (251-271 ms), where bargain win trials resulted in greater FRN amplitudes than snatch win trials. Additionally, a P300 potential was sensitive to win versus no-win outcomes and to retail price. Individual loss aversion level did not correlate with the strength of FRN or P300. Results show that outcome processing in a VA is associated with FRN that differentiates between relatively advantageous and less advantageous gains, and a P300 that distinguishes between the more and less expensive auction items. Our findings pave the way to an objective exploration of economic decision-making and purchasing behavior involving a widely popular auction.

Dysregulated affective arousal regulates reward-based decision making in patients with schizophrenia: an integrated study

Schizophrenia is a chronic and severe mental disorder. Dysregulated decision-making and affective processing have been implicated in patients with schizophrenia (SZ) and have significant impacts on their cognitive and social functions. However, little is known about how affective arousal influences reward-based decision-making in SZ. Taking advantage of a two-choice probabilistic gambling task and utilizing three facial expressions as affective primes (i.e., neutral, angry, and happy conditions) in each trial, we investigated how affective arousal influences reward-related choice based on behavioral, model fitting, and feedback-related negativity (FRN) data in 38 SZ and 26 healthy controls (CTRL). We also correlated our measurements with patients’ symptom severity. Compared with the CTRL group, SZ expressed blunted responses to angry facial primes. They had lower total game scores and displayed more maladaptive choice strategies (i.e., less win-stay and more lose-shift) and errors in monitoring rewards. Model fitting results revealed that the SZ group had a higher learning rate and lower choice consistency, especially in the happy condition. Brain activity data further indicated that SZ had smaller amplitudes of FRN than their controls in the angry and happy conditions. Importantly, the SZ group exhibited attenuated affective influence on decision-making, and their impairments in decision-making were only correlated with their clinical symptoms in the angry condition. Our findings imply the affective processing is dysregulated in SZ and it is selectively involved in the regulation of choice strategies, choice behaviors, and FRN in SZ, which lead to impairments in reward-related decision-making, especially in the angry condition.

History of one\u2019s own performance modulates evaluative processing of another\u2019s action outcomes, but not vice versa

In action monitoring, i.e., evaluating an outcome of our behavior, a reward prediction error signal is calculated as the difference between actual and predicted outcomes and is used to adjust future behavior. Previous studies demonstrate that this signal, which is reflected by an event-related brain potential called feedback-related negativity (FRN), occurs in response to not only one's own outcomes, but also those of others. However, it is still unknown if predictions of different actors' performance interact with each other. Thus, we investigated how predictions from one’s own and another’s performance history affect each other by manipulating the task difficulty for participants themselves and their partners independently. Pairs of participants performed a time estimation task, randomly switching the roles of actor and observer from trial to trial. Results show that the history of the other’s performance did not modulate the amplitude of the FRN for the evaluation of one’s own outcomes. In contrast, the amplitude of the observer FRN for the other’s outcomes differed according to the frequency of one’s own action outcomes. In conclusion, the monitoring system tracks the histories of one’s own and observed outcomes separately and considers information related to one’s own action outcomes to be more important.

Strategy Development and Feedback Processing During Complex Category Learning.

In this study, 38 young adults participated in a probabilistic A/B prototype category learning task under observational and feedback-based conditions. The study compared learning success (testing accuracy) and strategy use (multi-cue vs. single feature vs. random pattern) between training conditions. The feedback-related negativity (FRN) and P3a event related potentials were measured to explore the relationships between feedback processing and strategy use under a probabilistic paradigm. A greater number of participants were found to utilize an optimal, multi-cue strategy following feedback-based training than observational training, adding to the body of research suggesting that feedback can influence learning approach. There was a significant interaction between training phase and strategy on FRN amplitude. Specifically, participants who used a strategy in which category membership was determined by a single feature (single feature strategy) exhibited a significant decrease in FRN amplitude from early training to late training, perhaps due to reduced utilization of feedback or reduced prediction error. There were no significant main or interaction effects between valence, training phase, or strategy on P3a amplitude. Findings are consistent with prior research suggesting that learners vary in their approach to learning and that training method influences learning. Findings also suggest that measures of feedback processing during probabilistic category learning may reflect changes in feedback utilization and may further illuminate differences among individual learners.

Self–other discrepancies in electrophysiological response to outcome evaluation in the Balloon Analogue Risk Task

The topic of self-other differences in decision-making has gained considerable attention in recent years. Despite a broad range of behavior studies that have shown self-other discrepancy in decision-making, few neuroimaging studies with event-related potentials (ERPs) have directly compared decisions made for oneself with those made for others. It remains controversial whether self-other differences of outcome evaluations in gambling tasks can also be shown in brain potentials. In this study, we used event-related potentials with a Balloon Analogue Risk Task (BART) paradigm, a sequential, dynamic decision-making task to examine the effects of self-other differences on evaluation outcome in brain activity. Feedback Related Negativity (FRN) and P300 components were analyzed with respect to feedback valence (win vs. loss) and beneficiary (self vs. stranger). The ERP results showed that when making decisions for oneself, the negative outcome feedback evoked a larger P300 compared to making decisions for a stranger. However, there was no significant effect of self-other differences when the outcome feedback was positive. In contrast, regardless of whether the feedback was positive or negative, the FRN amplitude was insensitive to the self-other manipulation. Furthermore, we found that both components were modulated by the valence of the feedback. More pronounced FRN and P300 were induced when the feedback was negative, relative to when the feedback was positive. Our findings indicate that brain responses to outcome evaluation on the BART may be divided into an early semi-automatic processing stage and a later cognitive appraisal stage and that the self-other differences in sequential, dynamic decision-making tasks under uncertainty mainly affect the allocation of attention resources in the late cognitive processing stage.

Hypersensitivity to negative feedback during dynamic risky-decision making in major depressive disorder: An event-related potential study

BackgroundPatients with major depressive disorder (MDD) exhibit a diminished ability to think or concentrate, indecisiveness, and altered sensitivity to reward and punishment. These impairments can influence complex risk-related decision-making in dynamic environments. The neurophysiological mechanisms mediating MDD effects on decision-making behavior are not well understood. MethodsPatients with MDD (N=50) and healthy controls (HC, N=40) were enrolled. They completed a series of psychometric tests. Event-related potentials (ERPs) were recorded during the performance of a well-validated modified version of Balloon Analogue Risk Task (BART). ResultsBART behavior data were similar across the two groups except the MDD patients showed more stability of risk aversion. Neurophysiologically, BART losses generated larger P3 amplitudes than wins, and MDD patients had larger feedback-related negativity (FRN) components than HCs in response to negative feedback (losses). Greater FRN amplitudes in response to losses correlated with higher levels of depressiveness, psychological pain, and anhedonia. A longer FRN latency in MDD patients was associated with more severe suicidal ideation. LimitationsThe findings are based on cross-sectional data, which are not powerful enough to make causal inferences. ConclusionMDD patients exhibit enhanced FRNs in the frontocentral region after receiving negative feedback in a risky decision-making task. FRN magnitude is associated with depressive symptom severity. Punishment hypersensitivity may contribute to the maintenance of depressive symptoms in MDD patients, and FRN may be a useful index of such hypersensitivity.