دورية أكاديمية

Uncertainty of treatment efficacy moderates placebo effects on reinforcement learning.

التفاصيل البيبلوغرافية
العنوان: Uncertainty of treatment efficacy moderates placebo effects on reinforcement learning.
المؤلفون: Augustat N; Department of Psychology, University of Marburg, Marburg, Germany. nick.augustat@staff.uni-marburg.de., Endres D; Department of Psychology, University of Marburg, Marburg, Germany., Mueller EM; Department of Psychology, University of Marburg, Marburg, Germany.
المصدر: Scientific reports [Sci Rep] 2024 Jun 22; Vol. 14 (1), pp. 14421. Date of Electronic Publication: 2024 Jun 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Nature Publishing Group, copyright 2011-
مواضيع طبية MeSH: Placebo Effect* , Reinforcement, Psychology* , Reward*, Humans ; Male ; Uncertainty ; Female ; Adult ; Young Adult ; Learning ; Treatment Outcome ; Dopamine/metabolism ; Adolescent
مستخلص: The placebo-reward hypothesis postulates that positive effects of treatment expectations on health (i.e., placebo effects) and reward processing share common neural underpinnings. Moreover, experiments in humans and animals indicate that reward uncertainty increases striatal dopamine, which is presumably involved in placebo responses and reward learning. Therefore, treatment uncertainty analogously to reward uncertainty may affect updating from rewards after placebo treatment. Here, we address whether different degrees of uncertainty regarding the efficacy of a sham treatment affect reward sensitivity. In an online between-subjects experiment with N = 141 participants, we systematically varied the provided efficacy instructions before participants first received a sham treatment that consisted of listening to binaural beats and then performed a probabilistic reinforcement learning task. We fitted a Q-learning model including two different learning rates for positive (gain) and negative (loss) reward prediction errors and an inverse gain parameter to behavioral decision data in the reinforcement learning task. Our results yielded an inverted-U-relationship between provided treatment efficacy probability and learning rates for gain, such that higher levels of treatment uncertainty, rather than of expected net efficacy, affect presumably dopamine-related reward learning. These findings support the placebo-reward hypothesis and suggest harnessing uncertainty in placebo treatment for recovering reward learning capabilities.
(© 2024. The Author(s).)
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معلومات مُعتمدة: 422744262 Deutsche Forschungsgemeinschaft (DFG, German Research Foundation; project "TRR289 - Treatment Expectation"); 422744262 Deutsche Forschungsgemeinschaft (DFG, German Research Foundation; project "TRR289 - Treatment Expectation"); 422744262 Deutsche Forschungsgemeinschaft (DFG, German Research Foundation; project "TRR289 - Treatment Expectation"); 290878970-GRK 2271 Deutsche Forschungsgemeinschaft (DFG, German Research Foundation; project "GRK2271 - Breaking Expectations"); 290878970-GRK 2271 Deutsche Forschungsgemeinschaft (DFG, German Research Foundation; project "GRK2271 - Breaking Expectations"); 290878970-GRK 2271 Deutsche Forschungsgemeinschaft (DFG, German Research Foundation; project "GRK2271 - Breaking Expectations")
المشرفين على المادة: VTD58H1Z2X (Dopamine)
تواريخ الأحداث: Date Created: 20240622 Date Completed: 20240622 Latest Revision: 20240625
رمز التحديث: 20240625
مُعرف محوري في PubMed: PMC11193823
DOI: 10.1038/s41598-024-64240-z
PMID: 38909105
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-2322
DOI:10.1038/s41598-024-64240-z