Abnormal social reward responses in anorexia nervosa: an fMRI study
Open accessAbstract
Patients with anorexia nervosa (AN) display impaired social interactions, implicated in the development and prognosis of the disorder. Importantly, social behavior is modulated by reward-based processes, and dysfunctional at-brain-level reward responses have been involved in AN neurobiological models. However, no prior evidence exists of whether these neural alterations would be equally present in social contexts. In this study, we conducted a cross-sectional social-judgment functional magnetic resonance imaging (fMRI) study of 20 restrictive-subtype AN patients and 20 matched healthy controls. Brain activity during acceptance and rejection was investigated and correlated with severity measures (Eating Disorder Inventory -EDI-2) and with personality traits of interest known to modulate social behavior (The Sensitivity to Punishment and Sensitivity to Reward Questionnaire). Patients showed hypoactivation of the dorsomedial prefrontal cortex (DMPFC) during social acceptance and hyperactivation of visual areas during social rejection. Ventral striatum activation during rejection was positively correlated in patients with clinical severity scores. During acceptance, activation of the frontal opercula-anterior insula and dorsomedial/dorsolateral prefrontal cortices was differentially associated with reward sensitivity between groups. These results suggest an abnormal motivational drive for social stimuli, and involve overlapping social cognition and reward systems leading to a disruption of adaptive responses in the processing of social reward. The specific association of reward-related regions with clinical and psychometric measures suggests the putative involvement of reward structures in the maintenance of pathological behaviors in AN.
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At the neural level, areas of hypo- and hyperactivation have been identified in response to positive and negative social exchanges, respectively, in eating disorders.
“Evidence from behavioral studies suggests women with AN avoid looking at the faces and eyes of others and find them less rewarding compared to non-eating disorder controls (100), while at the neural level, areas of hypo- and hyperactivation have been identified in response to positive and negative social exchanges, respectively (101, 102).”
From A transdiagnostic perspective on social anhedonia (2019) · cites this paper as [102]
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Neuroimaging and Eating Disorders
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Neuroimaging and Eating Disorders
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- Authors
- Via, E., Soriano-Mas, C., Sánchez, I., Forcano, L., Harrison, B. J., Davey, C. G., Pujol, J., Martínez-Zalacaín, I., Menchón, J. M., Fernández-Aranda, F., & Cardoner, N.
- Affiliations
- The University of Melbourne (AU)
- Bellvitge University Hospital (ES)
- Instituto de Salud Carlos III (ES)
- Centro de Investigación Biomédica en Red de Salud Mental (ES)
- ORCID
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-07-21
- Volume
- 10
- Issue
- 7
- Pages
- e0133539
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4510264
- OpenAlex
- W991942487
- Cited by
- 56
- References
- 90
- Citations by year
- 2025: 5 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 7 · 2018: 4 · 2017: 8 · 2016: 9 · 2015: 1
- FWCI
- 9.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RECERCAT (Consorci de Serveis Universitaris de Catalunya) (publishedVersion, other-oa)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Repositori digital de la UPF (Universitat Pompeu Fabra) (submittedVersion, cc-by)
- Funders
- Centro de Investigación Biomédica en Red de Salud Mental
- Medical Research Council
- National Health and Medical Research Council (628509, 1061757)
- Instituto de Salud Carlos III (PI11/, PI14/, PI11/210, CP10/00604)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- anorexia nervosa, social reward, social acceptance, social rejection, social judgment, dorsomedial prefrontal cortex, ventral striatum, reward sensitivity, punishment sensitivity, anterior insula, social cognition, eating disorder severity
- MeSH terms
- Adolescent, Adult, Anorexia Nervosa, Brain, Female, Humans, Magnetic Resonance Imaging, Middle Aged, Reward, Social Behavior, Case-Control Studies
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