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Chunk #46 — Conclusions

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Adolescent development of the reward system.
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This review began with the following question: is the dopamine system hypo- or hyper-responsive to rewards during adolescence? The investigations described in this review provide unequivocal evidence that the reward system undergoes massive changes during adolescence. Further, they show strong support for the hypothesis that the dopamine system is hyper-responsive, or over-engaged, in response to rewards during adolescence. While initial neuroimaging work (Bjork et al., 2004) seemed to provide support for hypo-responsive reward system hypothesis, numerous studies since have instead yielded data that provide support for an overactive reward system during adolescence. As such, the field seems to be converging on this latter conclusion (Casey et al., 2008; Steinberg, 2008; Ernst et al., 2009; Somerville et al., 2009). However, subtle nuances in experimental manipulation, interpretation and environmental context have significant effects on this generalization. As best illustrated in recent work by Geier et al. (2009), different aspects of reward are paralleled by distinct neural sensitivity in adolescence, such that initial presentation of a reward-predicting cue does not lead to similar hyperactivity as the anticipation of upcoming reward. In our own