In the search for the neural substrates of depression, some recent work has suggested
that the disruption of reward processing occurs as part of the essential pathophysiology
of the disorder. Depression has long been conceptualized as a disorder of dysregulated
positive affect and unusual reward processing (
1
), and affective neuroscience findings have begun to support this perspective. Research
on reward represents a shift away from a focus primarily on aspects of depression
related to negative affect and threat processing. More important, this research direction
could offer the potential to develop treatments that target reward-related circuits
and thereby offer hope to those who exhibit dysfunction in those circuits.To read this article in full you will need to make a payment
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References
- Neural systems of positive affect: Relevance to understanding child and adolescent depression?.Dev Psychopathol. 2005; 17: 827-850
- The symptomatic expression of major depressive disorder in adolescents and young adults.J Abnorm Psychol. 2003; 112: 244-252
- The role of dopamine in the pathophysiology of depression.Arch Gen Psychiatry. 2007; 64: 327-337
- The mesolimbic dopamine reward circuit in depression.Biol Psychiatry. 2006; 59: 1151-1159
- Alterations in reward-related decision making in boys with recent and future depression.Biol Psychiatry. 2007; 61: 633-639
- Emotional information processing in first and recurrent major depressive episodes.J Psychiatr Res. 2004; 38: 475-484
- The emergence of depression in adolescence: Development of the prefrontal cortex and the representation of reward.Neurosci Biobehav Rev. 2008; 32: 1-19
- Age-related changes in midbrain dopaminergic regulation of the human reward system.Proc Natl Acad Sci U S A. 2008; 105: 15106-15111
- Life events and depression in adolescence: Relationship loss as a prospective risk factor for first onset of major depressive disorder.J Abnorm Psychol. 1999; 108: 606-614
- Antidepressant effects assessed using behavior maintained under a differential-reinforcement-of-low-rate (DRL) operant schedule.Neurosci Biobehav Rev. 2005; 29: 785-798
- Deep brain stimulation to reward circuitry alleviates anhedonia in refractory major depression.Neuropsychopharmacology. 2008; 33: 368-377
Article info
Publication history
Accepted:
May 5,
2009
Received:
May 4,
2009
Identification
Copyright
© 2009 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.