Association between Reward Sensitivity and Smoking Status in Major Depressive Disorder

Chronic nicotine use has been linked to increased sensitivity to nondrug rewards as well as improvement in mood among individuals with depression, and these effects have been hypothesized to be mediated through alternations in striatal dopamine activity. Similarly, chronic nicotine use is hypothesized to influence the mechanisms by which healthy and depressed individuals learn about rewards in their environment. However, the specific behavioral and neural mechanisms by which nicotine influences the learning process is poorly understood. Here, we use a probabilistic learning task, functional magnetic resonance imaging and neurocomputational analyses, to show that chronic smoking is associated with higher reward sensitivity, along with lower learning rate and striatal prediction error signal. Further, we show that these effects do not differ between individuals with and without major depressive disorder (MDD). In addition, a negative correlation between reward sensitivity and striatal prediction error signal was found among smokers, consistent with the suggestion that enhanced tonic dopamine associated with increased reward sensitivity leads to an attenuation of phasic dopamine activity necessary for updating of reward value during learning.