Evidence map›Paper›PMID 33758684›Full record

ArticleClinical psychological science : a journal of the Association for Psychological Science2020

Effort, avolition and motivational experience in schizophrenia: Analysis of behavioral and neuroimaging data with relationships to daily motivational experience.

Adam J Culbreth, Erin K Moran, Sri Kandala, Andrew Westbrook, Deanna M Barch

Open access · greenAbstract read
In one paragraph

Article in Clinical psychological science : a journal of the Association for Psychological Science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. MIDnight for the Monetary Incentive Delay Task as an Endophenotype?Biological psychiatry global open science · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Anhedonia in Depressive Disorder and Schizophrenia: An Overview of Causes, Diagnosis, and Treatment.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  12. Passive sensing of anhedonia and amotivation in a transdiagnostic sample.Journal of psychopathology and clinical science · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Generalized Encoding of the Relative Subjective Value of Cognitive Effort in the Dorsal ACC.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Adam J CulbrethDepartment of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO 63130.
Erin K MoranDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110.
Sri KandalaDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110.
Andrew WestbrookDepartment of Cognitive, Linguistics, and Psychological Sciences, Brown University, Providence, RI 02906.
Deanna M BarchDepartment of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO 63130.
Washington University in St. Louis · USRadboud University Nijmegen · NL

Funding

Schizophrenia, Prefrontal Cortex, and Emotion RegulationR01MH066031 · NIMH · WASHINGTON UNIVERSITY · PI BARCH, DEANNA · 2004 to 2014
$4.1M
Cognitive Effort Avoidance in Psychotic DisordersF31MH113275 · NIMH · WASHINGTON UNIVERSITY · PI CULBRETH, ADAM J. · 2017 to 2017
$41k
NIMH NIH HHS F31 MH113275NIMH NIH HHS R01 MH066031
6 · The paper itself

Abstract

Recent research suggests that schizophrenia is associated with reduced effort allocation. We examined willingness to expend effort, neural correlates of effort allocation, and the relationship of effort to daily motivational experience in schizophrenia. We recruited 28 individuals with schizophrenia and 30 controls to perform an effort task during fMRI. Individuals with schizophrenia also completed an ecological momentary assessment (EMA) protocol. Individuals with schizophrenia with high negative symptoms were less willing to expend effort for rewards. Daily EMA assessments of motivation were positively associated with effort allocation at a trend-level. Individuals with schizophrenia and controls displayed similar increases in BOLD activation in frontal, cingulate, parietal, and insular regions during effort-based decision-making. However, negative symptoms were associated with reduced BOLD activation in bilateral ventral striatum. These results replicate previous reports of reduced effort allocation in schizophrenia patients with severe negative symptoms, and provide evidence for the role of ventral striatum in effort impairments.

Identifiers

PMID33758684
PMCPMC7983405
OpenAlexW2949823766

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.