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Updated: Oct 6, 2025

An Electrophysiology Protocol to Measure Reward Anticipation and Processing in Children
Published on: October 4, 2018
Reward Processing in Children With Psychotic-Like Experiences.
Jasmine Harju-Seppänen1,2, Haritz Irizar2,3, Elvira Bramon2
1Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Children with psychotic-like experiences (PLEs) do not show altered striatal reward processing. This finding suggests a developmental delay model may explain PLEs in youth, rather than immediate reward pathway dysfunction.
Area of Science:
- Neuroscience
- Developmental Psychology
- Psychiatry
Background:
- Striatal reward pathway alterations are linked to psychosis in adults.
- These changes are hypothesized to stem from childhood adversity and genetic risk, leading to stress hyper-responsivity.
- Understanding these alterations in children with psychotic-like experiences (PLEs) is crucial for explaining childhood hallucinations and delusions.
Purpose of the Study:
- To investigate the association between PLEs and reward-related activation in the nucleus accumbens (NAcc) in children.
- To determine if PLEs and associated distress correlate with altered striatal reward processing during anticipation and outcome phases.
Main Methods:
- Utilized functional MRI data from 6718 children (aged 9-10) from the Adolescent Brain Cognitive Development (ABCD) study.
- Employed the Monetary Incentive Delay (MID) task to assess reward processing.
- Applied mixed-effects linear regression models, controlling for demographic and clinical variables.
Main Results:
- No reliable association was found between PLEs and alterations in striatal reward processing during anticipation or outcome.
- This suggests that early-appearing PLEs may not be directly linked to immediate striatal reward pathway dysfunction.
Conclusions:
- The findings do not support a direct link between PLEs and altered striatal reward processing in 9-10-year-old children.
- A developmental delay model is proposed as a potential explanation for the emergence of PLEs at this developmental stage.
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