Evidence map›Paper›PMID 41779312›Full record

ArticleAnnals of biomedical engineering2026

A Mechanistic Understanding of the Different Factors Affecting Adaptation and Flexibility During Probabilistic Reversal Learning: A Neurocomputational Study on Patients with Parkinson's Disease and Control Subjects.

Giulia Piermaria, Silvana Pelle, Alessio Zizzi, Carola Cosentino, Susanna Mezzarobba, Giovanna Calandra-Buonaura, Luisa Sambati, Federica Scarpellini, Elisa Pelosin, Mauro Ursino

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Article in Annals of biomedical engineering, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Giulia PiermariaDepartment of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna - Area di Campus Cesena, Via Dell'Università 50, 47521, Cesena, FC, Italy.ORCID http://orcid.org/0009-0002-2981-7164
Silvana PelleDepartment of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna - Area di Campus Cesena, Via Dell'Università 50, 47521, Cesena, FC, Italy.ORCID http://orcid.org/0009-0009-8656-3659
Alessio ZizziDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Health, University of Genoa, 16132, Genoa, Italy.ORCID http://orcid.org/0009-0004-5772-6731
Carola CosentinoDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Health, University of Genoa, 16132, Genoa, Italy.ORCID http://orcid.org/0000-0001-6009-4350
Susanna MezzarobbaDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Health, University of Genoa, 16132, Genoa, Italy.ORCID http://orcid.org/0000-0002-2576-4491
Giovanna Calandra-BuonauraDepartment of Biomedical and NeuroMotor Sciences, Alma Mater Studiorum -University of Bologna, 40100, Bologna, Italy.ORCID http://orcid.org/0000-0002-9447-3532
Luisa SambatiIRCCS, Istituto delle Scienze Neurologiche di Bologna, 40100, Bologna, Italy.ORCID http://orcid.org/0000-0002-5939-7933
Federica ScarpelliniDepartment of Biomedical and NeuroMotor Sciences, Alma Mater Studiorum -University of Bologna, 40100, Bologna, Italy.ORCID http://orcid.org/0009-0000-9755-5309
Elisa PelosinDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Health, University of Genoa, 16132, Genoa, Italy.ORCID http://orcid.org/0000-0002-9880-2241
Mauro UrsinoDepartment of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna - Area di Campus Cesena, Via Dell'Università 50, 47521, Cesena, FC, Italy. mauro.ursino@unibo.it.ORCID http://orcid.org/0000-0002-0911-0308

Funding

Ministero dell'Istruzione, dell'Università e della Ricerca 1553 11.10.2022Ministero dell'Istruzione, dell'Università e della Ricerca 2022LLCH97
6 · The paper itself

Abstract

purposeReinforcement learning with reversal is a paradigm frequently employed in neuropsychology to assess the adaptive capacity and flexibility in individuals in non-stationary environments. Each single behavior, however, depends on the superimposition of multiple factors, which are still not completely understood.

methodsWe optimize a neurocomputational model of the Basal Ganglia to simulate the behavior of 18 patients with Parkinson's disease (both ON and OFF medication) and 14 control subjects during a two-choice probabilistic reversal learning task (with 80-20% reward probabilities). The individual behavior (in terms of the cumulative number of correct responses during a 40-trials direct phase and a 40-trial reversal phase) is reproduced by fitting a few model parameters for each individual, representing the tonic dopamine level, Hebbian learning, and the exploratory attitude (noise level).

resultsResults show that very different responses can be explained quite well, ascribing them to the varying combination of the aforementioned individual factors. The tonic dopamine level is significantly different for patients in ON and OFF medication, while the other parameters were not statistically different. A regression analysis reveals that the value of the Hebbian learning rate is correlated with the subject's sensitivity to punishments. In contrast, the noise standard deviation is correlated with exploration, i.e., the tendency to modify the choice even after a reward.

conclusionThe results provide a mechanistic explanation of the various factors that affect adaptation and flexibility in reinforcement learning, representing a first step toward characterizing and understanding the diverse behaviors on an individual basis.

Indexed as

Adaptation, PhysiologicalBasal GangliaModels, NeurologicalParkinson DiseaseReversal LearningAgedCognitive FlexibilityComputer SimulationDopamineFemaleHumansMaleMiddle AgedReinforcement Machine LearningDopamineBasal GangliaDopamineON–OFF Levodopa medicationParkinson’s diseaseReinforcement learningReversal learning

Identifiers

PMID41779312
PMCPMC13522018

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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.