title: Co-Occurring Depressive and Substance Use Disorders in Adolescents: An Examination of Reward Responsiveness During Treatment.
abstract: The goals of the present study were to examine: (a) putative dysfunctions in reward responsiveness in a sample of adolescents (n= 40) with co-occurring depressive and substance use disorders; (b) possible links between reward responsiveness and symptoms of depression, anhedonia, anxiety, and motivation for change in relation to alcohol and drug use; and (c) potential gender differences in findings. Before and after a 2-week residential treatment, adolescents completed self-report assessments of depression, anhedonia, anxiety symptoms, and motivation for change in relation to substance use. In addition, participants completed a computer-based Probabilistic Reward Task (PRT) to examine reward responsiveness (i.e., participants' ability to modulate behavior as a function of reinforcement history). Results indicated that depression and anhedonia symptoms decreased, and motivation for change in relation to drug use increased. Improved reward responsiveness over the course of residential treatment emerged in female, but not male, participants.
authors: Department of Psychiatry, Mclean Hospital, Harvard Medical School.
authors: Kathryn D
authors: KD
authors: Boger
authors: Department of Psychiatry, Mclean Hospital, Harvard Medical School.
authors: Randy P
authors: RP
authors: Auerbach
authors: Department of Psychiatry, Mclean Hospital, Harvard Medical School.
authors: Pia
authors: P
authors: Pechtel
authors: Department of Psychiatry, Mclean Hospital, Harvard Medical School.
authors: Alisa B
authors: AB
authors: Busch
authors: Department of Psychiatry, Mclean Hospital, Harvard Medical School.
authors: Shelly F
authors: SF
authors: Greenfield
authors: Department of Psychiatry, Mclean Hospital, Harvard Medical School.
authors: Diego A
authors: DA
authors: Pizzagalli
keywords: adolescent; depressive disorders; reward responsiveness; substance abuse