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Neural Basis of Anhedonia and Amotivation in Patients with Schizophrenia: The role of Reward System

机译:精神分裂症患者的快感和运动障碍的神经基础:奖励系统的作用

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摘要

Anhedonia, the inability to feel pleasure, and amotivation, the lack of motivation, are two prominent negative symptoms of schizophrenia, which contribute to the poor social and occupational behaviors in the patients. Recently growing evidence shows that anhedonia and amotivation are tied together, but have distinct neural correlates. It is important to note that both of these symptoms may derive from deficient functioning of the reward network. A further analysis into the neuroimaging findings of schizophrenia shows that the neural correlates overlap in the reward network including the ventral striatum, anterior cingulate cortex and orbitofrontal cortex. Other neuroimaging studies have demonstrated the involvement of the default mode network in anhedonia. The identification of a specific deficit in hedonic and motivational capacity may help to elucidate the mechanisms behind social functioning deficits in schizophrenia, and may also lead to more targeted treatment of negative symptoms.
机译:精神分裂症的两个明显的消极症状是无力的快感,缺乏愉悦感,缺乏上进心和缺乏动力,这是导致患者不良的社会和职业行为的原因。最近越来越多的证据表明,快感缺乏症和无意识情绪是相互关联的,但具有明显的神经相关性。重要的是要注意,这两种症状都可能源于奖励网络功能不足。对精神分裂症神经影像学发现的进一步分析表明,神经相关性在包括腹侧纹状体,前扣带回皮层和眶额皮层在内的奖励网络中重叠。其他神经影像学研究已经证明默认模式网络参与了快感不足。确定享乐和动机能力的特定缺陷可能有助于阐明精神分裂症的社会功能缺陷背后的机制,并且还可能导致对阴性症状进行更有针对性的治疗。

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