Table 2.
Pre-treatment Neural Reward Processing Patterns Correlated with Irritability Symptom Improvement
| Contrast of Primary Interest | Brain Regions | Direction of Effects- For individuals showing irritability symptom relief, compared with individuals showing symptom maintenance or increase |
|---|---|---|
|
Neural Activation
Reward Anticipation |
||
| Slope X Reward Condition | Right ventromedial prefrontal cortex, bilateral precuneus (Figure 1, A.1) | Lower activation in no-reward trials |
| Right inferior parietal lobule (A.1) | Lower activation in reward trials Higher activation in no-reward trials |
|
| Reward Feedback | ||
| Slope X Performance |
Left dorsomedial and ventral prefrontal cortices, left insula, left cingulate gyrus; right anterior cingulate, right medial/superior frontal gyri; bilateral caudate (A.2) | Lower activation in miss (i.e., missed the target) trials |
|
Functional Connectivity
Reward Anticipation |
||
| Slope X Reward Condition | Left amygdala with right temporoparietal junction, right dorsal prefrontal cortex, bilateral precuneus (B.1) | Lower connectivity in reward trials Higher connectivity in no-reward trials |
| Right amygdala with right middle/superior frontal gyri (C.1) | Higher connectivity in reward trials Lower connectivity in no-reward trials |
|
| Reward Feedback | ||
| Slope X Reward Condition X Performance | Left amygdala with right temporoparietal junction, right inferior and superior parietal lobule, right postcentral gyrus (B.2) | Lower connectivity in miss trials when no reward was expected |
| Left Ventral Striatum with left temporoparietal junction, left inferior parietal lobule, left supramarginal gyrus, right cuneus, right superior parietal lobule (D.1) | Lower connectivity in miss trials when no reward was expected | |
| Right ventral striatum with bilateral precuneus, left dorsal prefrontal cortex, left superior parietal lobule/postcentral gyrus, left middle frontal/precentral gyri, left cingulate gyrus (E.1) | Lower connectivity in miss trials when no reward was expected | |
| Slope X Performance | Right amygdala with left inferior parietal lobule (C.2) | Lower connectivity in hit (i.e., hit the target) trials Higher connectivity in miss trials |
| Right ventral striatum with right dorsolateral prefrontal cortex (E.1) | Lower connectivity in miss trials | |
Reward anticipation and reward feedback, compared with task baseline.