The neural basis of prosocial effort-based decision making in older adults at risk for Alzheimer’s disease

Prosocial incentives may be an effective strategy for motivating effortful behavior in older adults at risk for Alzheimer's disease. Although APOE4 carriers show greater aversion to initiating effort, they exhibit heightened vigor when working for prosocial compared to self-oriented rewards. Leveraging prosocial motivation and its underlying neural circuitry may therefore represent a promising strategy to sustain goal-directed behavior and decision making, promote physical and cognitive activity, and support emotional and brain health in aging.

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Publication Details

Journal
medRxiv
Published
2026-01-13
DOI
https://doi.org/10.64898/2026.01.10.26343857
Primary Topic
Dementia and Cognitive Impairment Research
Type
article
Field-Weighted Citation Impact
0.00

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article

The neural basis of prosocial effort-based decision making in older adults at risk for Alzheimer’s disease

Maiya R. Geddes, Caitlin Walker, M. Catherine Bennett, Laurel S. Morris et al.
medRxiv
Dementia and Cognitive Impairment Research
article

The neural basis of prosocial effort-based decision making in older adults at risk for Alzheimer’s disease

Maiya R. Geddes, Caitlin Walker, M. Catherine Bennett, Laurel S. Morris, Garance Barnoin, R. Nathan Spreng, Sylvia Villeneuve, Judes Poirier, Jennifer Tremblay-Mercier
article en

Abstract

Prosocial incentives may be an effective strategy for motivating effortful behavior in older adults at risk for Alzheimer's disease. Although APOE4 carriers show greater aversion to initiating effort, they exhibit heightened vigor when working for prosocial compared to self-oriented rewards. Leveraging prosocial motivation and its underlying neural circuitry may therefore represent a promising strategy to sustain goal-directed behavior and decision making, promote physical and cognitive activity, and support emotional and brain health in aging.

medRxiv
Montreal Neurological Institute and Hospital (CA), Douglas Mental Health University Institute (CA), McGill University Health Centre (CA), University of Oxford (GB), Indiana University Bloomington (US), McGill Genome Centre (CA), McGill University (CA), Massachusetts Institute of Technology (US), Icahn School of Medicine at Mount Sinai (US)
McGill University, Fondation Brain Canada, Canadian Bee Research Fund, Government of Canada, Alzheimer Society, Canada First Research Excellence Fund, National Institutes of Health, Alzheimer Society Research Program, Health Canada, Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, Fonds de Recherche du Québec - Santé
Peace, Justice and strong institutions
Openalex Percentile: Top 89%
Dementia and Cognitive Impairment Research
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