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Dissociation of reward and effort sensitivity in methcathinone‐induced Parkinsonism
Authors:Trevor T‐J Chong  Valerie Bonnelle  Kai‐Riin Veromann  Julius Juurmaa  Pille Taba  Olivia Plant  Masud Husain
Institution:1. Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Victoria, Australia;2. Department of Experimental Psychology, University of Oxford, UK;3. Nuffield Department of Clinical Neurosciences, University of Oxford, UK;4. Department of Neurology and Neurosurgery, University of Tartu, Estonia
Abstract:Methcathinone‐induced Parkinsonism is a recently described extrapyramidal syndrome characterized by globus pallidus and substantia nigra lesions, which provides a unique model of basal ganglia dysfunction. We assessed motivated behaviour in this condition using a novel cost‐benefit decision‐making task, in which participants decided whether it was worth investing effort for reward. Patients showed a dissociation between reward and effort sensitivity, such that pallidonigral complex dysfunction caused them to become less sensitive to rewards, while normal sensitivity to effort costs was maintained.
Keywords:Parkinsonism  methcathinone  motivation  effort  reward
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