Early Caregiving Adversity Differentially Shapes Behavioral Sensitivity to Reward and Risk During Decision-Making

Cognitive systems that track, update, and utilize information about reward (consequences) and risk (uncertainty) are critical for adaptive decision-making as well as everyday functioning and well-being. However, it remains unclear how individual differences in reward and risk sensitivity are independently shaped by environmental influences and give rise to decision-making. Here, we investigated the impact of early life experience-a potent sculptor of development-on behavioral sensitivity to reward and risk. We administered a widely used decision-making paradigm to 55 adolescents and young adults who were exposed to early deprivation in the form of early institutional (orphanage) care (a type of early life adversity) and 81 comparison individuals who were reared by their biological parents and did not experience institutional care. Leveraging random coefficient regression and computational models, we observed that previously institutionalized individuals displayed general reward hyposensitivity, contributing to a decreased propensity to make decisions that stood to earn relatively large rewards relative to comparison individuals. By contrast, group differences in risk sensitivity were selectively observed on loss, but not gain, trials. These results are the first to independently and explicitly link early experiences to reward and risk sensitivity during decision-making. As such, they lay the groundwork for therapeutic efforts to identify and treat adversity-exposed individuals at risk for psychiatric disorders characterized by aberrant decision-making processes.