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Influence of Reward and Punishment on Goal-directed and Habit Learning in Adolescent Anorexia Nervosa

奖惩对青少年神经性厌食症目标导向和习惯学习的影响

基本信息

批准号：
9899323
负责人：
CHRISTINA E WIERENGA
金额：
$ 23.63万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-04-01 至 2022-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9899323
关键词：
Adolescence Adolescent Age Anorexia Nervosa Arbitration Area Behavior Behavior Disorders Behavioral Behavioral Symptoms Binge Eating Biological Markers Chronic Clinical Cognition Cognitive Complex Compulsive Behavior Computer Models Corpus striatum structure Data Decision Making Development Diagnosis Diagnostic Dimensions Disease Eating Eating Disorders Ecological momentary assessment Equilibrium Etiology Female Adolescents Foundations Frequencies Future Goals Habits Heterogeneity Impulsivity Individual Intake Learning Link Longitudinal Studies MRI Scans Measures Medial Mediating Methodology Modeling Motor Neurites Neurobiology Outcome Participant Protocols documentation Psychological reinforcement Punishment Rest Rewards Scanning Structure Symptoms System Temperament Testing Time Ventral Striatum Weight base behavioral phenotyping density experience flexibility food restriction frontal lobe girls habit learning improved innovation neural correlate neural network neurodevelopment neuroimaging neuromechanism new therapeutic target novel precision medicine purge purging behavior putamen recruit therapy development

项目摘要

PROJECT SUMMARY/ABSTRACT Anorexia nervosa (AN) is a debilitating, often chronic, and sometimes fatal eating disorder (ED) that typically develops in adolescence. The etiology of AN is likely complex, yet remains unknown, and as a result, current treatments lack sufficient efficacy. Significant symptom heterogeneity exists, yet is not well captured by current diagnostic criteria. Thus, the identification of dimensional constructs underlying ED symptoms and their neural correlates is critical to improve our mechanistic understanding of ED and identify novel therapeutic targets to inform precision medicine. Behavioral symptoms of AN, such as food restriction (AN-R) and binge/purge episodes (AN-BP), arise from maladaptive decision-making. Decision-making is governed by two systems: 1) goal-directed learning reflects flexible and purposeful actions based on anticipated outcome, and 2) habit learning reflects automatic, efficient, and inflexible choices established by previous reinforcement. These learning systems are mediated by separate, yet overlapping, corticostriatal circuits and can be computationally modeled using a two-step sequential decision-making task. Difficulty arbitrating between these systems, resulting in an over-reliance on one strategy over the other, may contribute to divergent AN symptoms. This proposal tests the novel hypothesis that goal-directed and habit learning under conditions of reward and loss differs in AN and is uniquely associated with divergent symptoms and corticostriatal connectivity. Adolescent girls ages 14-17 with AN-R, AN-BP or who are healthy controls will undergo neuroimaging to assess resting state functional connectivity and microstructural integrity of corticostriatal networks, followed by performing the two-step learning task outside the scanner under conditions of reward and loss. For each participant, a weighting factor (ω), representing the relative balance between goal-directed and habit learning, will be calculated for gain and loss conditions. After scanning, AN participants will complete a 14-day ecological momentary assessment protocol to evaluate naturalistic, momentary experiences of ED symptoms. Aim 1 will determine the behavioral differences in goal-directed and habit learning under conditions of reward and punishment in individuals with AN- R, AN-BP and healthy controls. Aim 2 will examine the association of goal-directed and habit learning for reward and punishment with symptoms and real-world experiences in AN to determine whether learning differences contribute to divergent symptoms. Aim 3 will determine whether corticostriatal circuits associated with goal- directed and habit learning for reward and punishment differ by group and condition to inform neural mechanisms of altered reinforcement learning in AN. Data will support a future longitudinal R01 application to test a dimensional approach of behavioral phenotyping based on reinforcement learning in a wider spectrum of restricting and binge-type EDs to inform a neurodevelopmental model. Defining meaningful biomarkers in ED would be a major advance in the field, as it would allow the development of new treatment approaches to reduce poor outcome.

项目总结/文摘