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Amotivation is associated with smaller ventral striatum volumes in older patients with schizophrenia

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Motivational deficits are prevalent in patients with schizophrenia, persist despite antipsychotic treatment, and predict long‐term outcomes. Evidence suggests that patients with greater amotivation have smaller ventral striatum (VS) volumes. We… Click to show full abstract

Motivational deficits are prevalent in patients with schizophrenia, persist despite antipsychotic treatment, and predict long‐term outcomes. Evidence suggests that patients with greater amotivation have smaller ventral striatum (VS) volumes. We wished to replicate this finding in a sample of older, chronically medicated patients with schizophrenia. Using structural imaging and positron emission tomography, we examined whether amotivation uniquely predicted VS volumes beyond the effects of striatal dopamine D2/3 receptor (D2/3R) blockade by antipsychotics.

Keywords: striatum volumes; ventral striatum; patients schizophrenia; smaller ventral; amotivation

Journal Title: International Journal of Geriatric Psychiatry
Year Published: 2018

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