When Music Loses Its Pleasure: Hippocampal Cingulum White Matter as a Structural Mediator of Musical Reward Decline...

Individuals' ability to obtain pleasure from music, referred to as musical reward sensitivity, declines with age, yet the neural mechanisms underlying this decline remain unclear. In this study, we investigated musical reward sensitivity measured in 58 older adults and 131 young adults. Consistent with prior findings, young adults reported higher musical reward sensitivity than older adults (p < 0.05). To identify neuroanatomical predictors of musical reward sensitivity, we employed the elastic-net model to predict musical reward sensitivity using white matter microstructural properties and gray matter morphometric properties from the whole brain. In older adults, fractional anisotropy (FA) in the bilateral hippocampal cingulum (CGH) and external capsule (EC) reliably predicted individual differences in musical reward sensitivity. Moreover, FA in the right CGH significantly mediated the relationship between age and musical reward sensitivity in older adults. Notably, these associations were specific to musical reward sensitivity in older adults-that is, they did not replicate in young adults, and did not extend to general reward sensitivity. Together, these findings highlight the critical role of white matter integrity, particularly within the hippocampal-limbic pathways, in age-related changes in musical reward processing, and suggest a potential neurobiological target for interventions aimed at enhancing well-being in older adulthood.