Skip to main content
. Author manuscript; available in PMC: 2020 May 20.
Published in final edited form as: Personal Disord. 2018 Aug 6;9(6):497–509. doi: 10.1037/per0000308

Table 1.

Summary of Findings of Reward and Loss Processing in Antisocial Behavior/Psychopathy in Community and Clinical Samples

Study Sample Measure Task/Reward Type/Phase Reward contrast Results Loss contrast Results Summary
Community/Healthy samples
Bjork, Chen, & Hommer, 2012 n = 31 (18M) Self-Report PPI Modified MID (response-dependent and response-independent) Reward Reward > Neutral All Trials: N/A N/A PPI scores positively linked to VS, dorsal ACC, and mesial PFC activity during reward anticipation. Activation for PPI-IA but not PPI-FD mirrored findings for PPI-total.
Monetary Anticipation PPI total: ↑ VS and dorsal ACC
Response-dependent:
PPI total: ↑ right VS (r = .38, p < .05) and left VS (r = .52, p < .01)
PPI-IA: ↑ right VS and dorsal ACC
PPI-FD: ns
Response-independent:
PPI total: ↑ left VS (r = .31, p < .10; trend); ↑ mesial PFC (r = .65, p < .001)
Buckholtz et al., 2010 n= 24 (8M) Self-Report PPI MID Reward Reward Anticipation > Neutral PPI-IA: ↑ right VS (r = .63, p = .001) N/A N/A PPI-IA linked to increased VS activity during reward anticipation. Remained significant when controlling for impulsivity.
Monetary Anticipation and receipt Reward Receipt > Neutral PPI-FD: ns
PPI-IA: ns
PPI-FD: ns
Carré, Hyde, Neumann, Viding, & Hariri, 2013 n = 171 (68 M) Self-Report SRP-SF Card guessing game Reward Reward > Loss SRP-Lifestyle: ↓ left VS (ß = −.24, p < .05) N/A N/A Lifestyle facet of psychopathy related to decreased VS activity to reward. Antisocial facet of psychopathy related to increased VS activity to reward, but not when controlling for impulsivity
Monetary Blocked design SRP-Antisocial: ↑ left VS (ß =.24, p < .05)
Reward > Loss, controlling for impulsivity SRP-Lifestyle: ↓ left VS and (trend) right VS
SRP-Antisocial: ↑ left VS (trend)
Reward > Loss, gender analyses Men: ns
Women: SRP-Affective: ↑ right VS, B = .014 (006), p = .015; SRP-Lifestyle: ↓ right VS (trend), B = −009 (.005), p = .06, and left VS, B = −.010 (.005), p = .03.
Inpatient/Incarcerated samples
Geurts et al., 2016 Total n = 34 (34M) Interview MID Reward Reward Anticipation > No Reward Anticipation Psychopaths + Controls high on IA vs. Controls low on IA: ↑ VS (T = 3.30, p = .011 small volume; T = 5.31, p = .049 whole brain) N/A N/A PPI-IA related to increased VS activity during reward anticipation, independent of criminality. Psychopaths had increased VS–dmPFC functional connectivity vs. Controls.
Incarcerated psychopaths (n = 14) PCL-R Monetary Anticipation Psychopaths vs. Controls high on IA: ns High PPI-FD controls had greater periaqueductal gray activity during reward anticipation vs. psychopaths.
Healthy controls (n = 20) Self-Report PPI: IA and FD scales Group × Reward expectancy interaction in the periaqueductal gray driven by greater reward reactivity in high FD controls compared with the psychopath group
Gregory et al., 2015 Total n = 50 (50M) Interview Probabilistic response reversal Reward and Loss Reward > Punished reversal error APD + P vs. APD-P: ↓ right STG extending to anterior MTG (Z = 3.68, p = .039) Punished reversal error > Reward APD + P vs. APD-P: ↑ PCC, precuneus (Z = 3.84, p = .001) and right anterior insula (Z = 3.16, p = .044) Offenders with APD and psychopathy had increased activation in cingulate, insula and precuneus to loss, and decreased STG activation to rewards. PCL-R scores positively correlated with posterior cingulate reactivity during punished reversal errors
Violent offenders with APD and psychopathy (n = 12) SCID-II Points Receipt APD + P vs. Controls: ↓ right STG extending to anterior MTG (Z = 3.76. p = .019) APD + P vs. Controls: ↑ PCC and precuneus (Z = 3.47, p = .011)
Violent offenders with APD only (n = 20) PCL-R APD-P vs. Controls: ns APD-P vs. Controls: ns
Healthy nonoffender controls (n = 18) APD-P: ↑ PCC and STG APD-P: ns
Controls: ↑ PCC and STG Controls: ↑ inferior parietal lobe
APD + P: ns APD + P: ↑ inferior parietal lobe and PCC
Pujara et al., 2014 Prison inmates n = 41: 18 psychopaths and 23 nonps ychopaths (41M) Interview Probabilistic slot machine game Reward and Loss Reward > Neutral Between groups: ns Loss > Neutral Between groups: ns Psychopathy severity related to increased VS activity to Reward > Loss, driven mainly by negative correlation to Loss > Neutral
PCL-R Monetary Receipt Reward > Loss Within groups: Within groups:
Nonpsychopaths: ns Nonpsychopaths: ns
Psychopaths: ns Psychopaths: ↓ VS (r = −.61, p = .007)
Within groups:
Nonpsychopaths: ns
Psychopaths: ↑ left VS (r = .74, p = .0004)
Völlm et al., 2010 Total n = 57 (57M) Interview Reward receipt task Reward Reward > No reward APD vs. Controls: increased in right OFC (Z =3.38) and pregenual cortex (Z = 3.31) p < .001 uncorrected N/A Offenders with APD had increased right OFC and pregenual cortex activity to rewards compared with controls
Incarcerated offenders with APD (n = 25) SCID-II Monetary Blocked design Main effect of the task was not significant in hypothesized reward-related brain regions.
Healthy Controls (n = 32)

Note. M_ male; ACC _ anterior cingulate cortex; APD _ antisocial personality disorder; dmPFC _ dorsomedial prefrontal cortex; FD _ fearless dominance; IA _ impulsive-antisocial; MID _monetary incentive delay task; MTG _ middle temporal gyrus; OFC _ orbitofrontal cortex; PCC _ posterior cingulate cortex; PCL-R _ Psychopathy Checklist–Revised; PPI _ Psychopathic Personality Inventory; PFC _ prefrontal cortex; SCID-II _ Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition; SRP-SF _ Self-Report of Psychopathy–Short Form; SRP-Affective _ Self-Report of Psychopathy Affective Facet; SRP-Antisocial _ Self-Report of Psychopathy Antisocial Facet; SRP-Lifestyle _ Self-Report of Psychopathy Lifestyle Facet; STG _ superior temporal gyrus; VS _ ventral striatum.