# Impaired effort allocation in schizophrenia

## TL;DR

People with schizophrenia struggle to adjust their effort based on task difficulty and incentives, leading to lower overall performance.

## Contribution

The study identifies a specific deficit in dynamic cost/benefit decision-making in schizophrenia.

## Key findings

- Schizophrenia patients showed reduced adaptation to task difficulty and incentives compared to controls.
- Both groups adjusted effort with difficulty, but schizophrenia patients adapted less significantly.
- Schizophrenia patients exerted less effort above the required threshold, resulting in lower gains.

## Abstract

Effort allocation is a crucial component of amotivation in schizophrenia. This study investigates the hypothesis that schizophrenia is associated with impairments in dynamic cost/benefit decision-making processes.

We employed a modified version of the effort allocation task developed by Meyniel et al. (2013). Participants were asked to allocate effort during 30-s intervals to maximize their gains. We examined the effects of task difficulty and incentive levels on participants' effort allocation on a trial-by-trial basis.

Individuals with schizophrenia (N = 25) showed decreased capacity to adapt dynamically to task parameters, as compared to healthy controls (N = 25). (1) Both populations increased the duration of each effort based on difficulty. Only healthy controls decreased rest duration based on incentive. The magnitude of these adaptations was significantly decreased in people with schizophrenia (difficulty: d = 1.25, incentive: d = 0.91). (2) Both groups decreased effort re-initiations with increasing difficulty with significant differences in the magnitude of adaptation between groups. (3) Participants with schizophrenia spent less time exerting effort above the required threshold, resulting in lower overall gains compared to healthy controls (η2 = 0.17).

Individuals with schizophrenia exhibit a selective impairment in effort-cost decision-making. This deficit may contribute to maladaptive behavior patterns characterized by suboptimal effort allocation and reduced goal-direct activities.