Evidence map›Paper›PMID 40010688›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2025

Computational Phenotyping of Effort-Based Decision Making in Unmedicated Adults With Remitted Depression.

Manuel Kuhn, Emma H Palermo, Guillaume Pagnier, Jacob M Blank, David C Steinberger, Yinru Long, Genevieve Nowicki, Jessica A Cooper, Michael T Treadway, Michael J Frank and 1 more

Abstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Trial
  2. Effort, timing and choice: a refined rodent effort choice task with excellent sensitivity to dopamine modulators.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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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

11 authors.

Manuel KuhnCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts.
Emma H PalermoCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts.
Guillaume PagnierDepartment of Psychiatry, Harvard Medical School, Cambridge, Massachusetts; Carney Institute for Brain Science, Department of Cognitive and Psychological Sciences, Brown University, Providence, Rhode Island.
Jacob M BlankCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts.
David C SteinbergerCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts.
Yinru LongCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts.
Genevieve NowickiCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts.
Jessica A CooperDepartment of Psychology, Emory University, Atlanta, Georgia.
Michael T TreadwayDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Michael J FrankCarney Institute for Brain Science, Department of Cognitive and Psychological Sciences, Brown University, Providence, Rhode Island.
Diego A PizzagalliCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts. Electronic address: dap@mclean.harvard.edu.

Funding

Project 4_Bruchas : Circuit-level Approaches for Dissecting Approach/Avoidance Behaviors Mediated by Nociceptin Systems in MiceP50MH119467 · NIMH · MCLEAN HOSPITAL · PI PIZZAGALLI, DIEGO A · 2020 to 2024
$15.9M
Neuroimaging Studies of Reward Processing in DepressionR37MH068376 · NIMH · UNIVERSITY OF CALIFORNIA-IRVINE · PI Diego A Pizzagalli · 2016 to 2026
$7.4M
From stress to anhedonia: examining inflammation and altered glutamate function as distinct or common etiological pathwaysK01MH126308 · NIMH · EMORY UNIVERSITY · PI Jessica Cooper Robinson · 2022 to 2026
$900k
NIMH NIH HHS K01 MH126308NIMH NIH HHS P50 MH119467NIMH NIH HHS R37 MH068376Wellcome Trust
6 · The paper itself

Abstract

backgroundReduced motivation is a core feature of major depressive disorder (MDD). Yet, the extent to which this deficit persists in remitted MDD (rMDD) remains unclear. Here, we examined effort-based decision making as one aspect of amotivation in rMDD using computational phenotyping to characterize decision-making processes and strategies.

methodsUnmedicated adults with rMDD (n = 40) and healthy control (HC) participants (n = 68) completed the Effort Expenditure for Rewards Task. Repeated-measures analysis of variance and computational modeling-including hierarchical drift diffusion modeling and subjective value modeling-were applied to quantify decision-making dynamics in effort allocation across different reward magnitudes and probabilities.

resultsRelative to HC participants, participants with rMDD made overall fewer hard task choices, with an attenuated effect when accounting for anhedonia. However, specific to high reward, high probability conditions, participants with rMDD chose to expend effort more often than HC participants. This was supported by the drift diffusion model results revealing that participants with rMDD showed a drift rate biased toward selecting the easy task, counteracted by heightened influence of reward probability and magnitude. Probed with the subjective value model, this was not driven by group differences in decision strategies with respect to magnitude and probability information use.

conclusionsCollectively, these findings suggest that while individuals with rMDD exhibit persistent motivational deficits, they retain a heightened sensitivity to high-value rewards, requiring more substantial or certain rewards to engage in effortful tasks. This pattern may reflect impairments in reward processing and effort-cost computations, contributing to motivational dysfunction. Targeting reward sensitivity and effort allocation could be valuable for interventions aimed at preventing MDD relapse.

Indexed as

Decision MakingMajor Depressive DisorderMotivationAdultAnhedoniaFemaleHumansMaleMiddle AgedPhenotypeRewardYoung AdultAnhedoniaComputational phenotypingEffort-based decision makingRemitted depressionReward processing

Identifiers

PMID40010688
PMCPMC12169840

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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.