Evidence map›Paper›PMID 39779457›Full record

ArticleSchizophrenia bulletin2025

Blunted Ventral Striatal Reactivity to Social Reward Is Associated with More Severe Motivation and Pleasure Deficits in Psychosis.

Alexander J Shackman, Jason F Smith, Ryan D Orth, Christina L G Savage, Paige R Didier, Julie M McCarthy, Melanie E Bennett, Jack J Blanchard

Abstract read
In one paragraph

Article in Schizophrenia bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Alexander J ShackmanDepartment of Psychology, University of Maryland, College Park, MD 20742, United States.ORCID 0000-0002-3629-4704
Jason F SmithDepartment of Psychology, University of Maryland, College Park, MD 20742, United States.
Ryan D OrthDepartment of Psychology, University of Maryland, College Park, MD 20742, United States.ORCID 0000-0001-7611-5806
Christina L G SavageDepartment of Psychology, University of Maryland, College Park, MD 20742, United States.
Paige R DidierDepartment of Psychology, University of Maryland, College Park, MD 20742, United States.
Julie M McCarthyDivision of Psychotic Disorders, McLean Hospital, Belmont, MA 02478, United States.
Melanie E BennettDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21201, United States.
Jack J BlanchardDepartment of Psychology, University of Maryland, College Park, MD 20742, United States.

Funding

Using Theory- and Data-Driven Neurocomputational Approaches and Digital Phenotyping to Understand RDoC Acute and Potential ThreatR01MH131264 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI ALEXANDER JOSEPH SHACKMAN · 2022 to 2026
$3.9M
Using Multimodal Neuroimaging and Real-World Experience Sampling to Understand Negative Affect and Paranoid Ideation in PsychosisR01MH121409 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI BLANCHARD, JACK J., SHACKMAN, ALEXANDER JOSEPH · 2020 to 2024
$3.7M
Using Computational Neuroimaging and Extended Smartphone Assessment to Understand the Pathways Linking Threat-Related Brain Circuits to Alcohol Misuse Across AdulthoodR01AA030042 · NIAAA · UNIV OF MARYLAND, COLLEGE PARK · PI ALEXANDER JOSEPH SHACKMAN · 2023 to 2026
$2.5M
Understanding Social Affiliative Deficits in PsychopathologyR01MH110462 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI BLANCHARD, JACK J. · 2016 to 2019
$2.3M
Explicit, Vicarious and Internalized Racial Discrimination on Daily Associations and Long-Term Health Trajectories among Filipino, Korean, and Indian AmericansR01AA031261 · NIAAA · UNIV OF MARYLAND, COLLEGE PARK · PI Derek K Iwamoto · 2024 to 2026
$1.7M
Improving Treatment Engagement in Individuals with Co-occurring Substance Use and Psychosis: A Telemedicine Family-Based ApproachK23DA050808 · NIDA · MCLEAN HOSPITAL · PI MCCARTHY, JULIE M. · 2020 to 2024
$918k
Individual Differences in Social AffiliationF31MH102870 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI MCCARTHY, JULIE M. · 2014 to 2015
$65k
NIAAA NIH HHS R01 AA030042NIAAA NIH HHS R01 AA031261NIDA NIH HHS K23 DA050808NIH HHS AA030042NIH HHS AA031261NIH HHS DA050808NIH HHS MH102870NIH HHS MH110462NIH HHS MH121409NIH HHS MH131264NIMH NIH HHS F31 MH102870NIMH NIH HHS R01 MH110462NIMH NIH HHS R01 MH121409NIMH NIH HHS R01 MH131264
6 · The paper itself

Abstract

background and hypothesisAmong individuals living with psychotic disorders, social impairment is common, debilitating, and challenging to treat. While the roots of this impairment are undoubtedly complex, converging lines of evidence suggest that social motivation and pleasure (MAP) deficits play a central role. Yet most neuroimaging studies have focused on monetary rewards, precluding decisive inferences. STUDY

designHere we leveraged parallel social and monetary incentive delay functional magnetic resonance imaging paradigms to test whether blunted reactivity to social incentives in the ventral striatum-a key component of the distributed neural circuit mediating appetitive motivation and hedonic pleasure-is associated with more severe MAP symptoms in a transdiagnostic adult sample enriched for psychosis. To maximize ecological validity and translational relevance, we capitalized on naturalistic audiovisual clips of an established social partner expressing positive feedback. STUDY

resultsAlthough both paradigms robustly engaged the ventral striatum, only reactivity to social incentives was associated with clinician-rated MAP deficits. This association remained significant when controlling for other symptoms, binary diagnostic status, or striatal reactivity to monetary incentives. Follow-up analyses suggested that this association predominantly reflects diminished activation during the presentation of social reward.

conclusionsThese observations provide a neurobiologically grounded framework for conceptualizing the social-anhedonia symptoms and social impairments that characterize many individuals living with psychotic disorders and underscore the need to develop targeted intervention strategies.

Indexed as

AnhedoniaMotivationPleasurePsychotic DisordersRewardSchizophreniaVentral StriatumAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedYoung AdultfMRIincentive delay paradigmnegative symptomspsychosis/psychotic spectrumschizophreniasocial anhedonia/avolition

Identifiers

PMID39779457
PMCPMC12597510

What OpenQuestion holds

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Registered trials

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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.