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Associations between cognitive and physical effort-based decision-making in people with schizophrenia and healthy controls

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    Adam J. Culbreth
    Correspondence
    Corresponding author: Adam Culbreth, Ph.D. Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland, School of Medicine, Baltimore, Maryland, Phone: 410-402-7619,
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    # these authors made equivalent contributions to this manuscript
    Affiliations
    Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland, School of Medicine, Baltimore, Maryland, 21201
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    Sally D. Dershwitz
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    # these authors made equivalent contributions to this manuscript
    Affiliations
    Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO 63130
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  • Deanna M. Barch
    Affiliations
    Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO 63130

    Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110

    Department of Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110
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  • Erin K. Moran
    Affiliations
    Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110
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Published:February 14, 2023DOI:https://doi.org/10.1016/j.bpsc.2023.02.003

      Abstract:

      Background

      Effort can take a variety of forms including physical (e.g., button-pressing) and cognitive (e.g., working memory tasks). Few studies have examined whether individual differences in willingness to expend are similar or different across modalities.

      Methods

      We recruited 30 individuals with schizophrenia and 44 healthy controls to complete two effort-cost decision-making (ECDM) tasks, the effort expenditure for rewards task (EEfRT: physical effort) and the cognitive effort-discounting task (COGED: cognitive effort).

      Results

      Willingness to expend cognitive and physical effort was positively associated for both those with schizophrenia and controls. Further, we found that individual differences in motivation and pleasure (MAP) dimension of negative symptoms modulated the association between physical and cognitive effort. Specifically, participants with lower MAP scores, irrespective of group status, showed a stronger associations between task measures of cognitive and physical ECDM.

      Conclusions

      These results suggest a generalized deficit across effort modalities in those with schizophrenia. Further, reductions in motivation and pleasure may impact ECDM in a domain-general manner.

      Keywords

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