How trauma therapy changes brain reward processing

The effects of trauma-focused psychotherapy on reward circuitry function and information encoding

NIH-funded research University of Texas at Austin · NIH-11249970

This project will see if cognitive processing therapy helps people with PTSD restore normal brain responses to rewards during learning.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Texas at Austin NIH-funded
Lab location1 site (Austin, United States)
Project IDNIH-11249970 on NIH RePORTER

What this research studies

You would receive a standard trauma-focused therapy called cognitive processing therapy (CPT) and complete computerized reward-learning tasks while having functional MRI scans before and after treatment. Researchers will use computer-based reinforcement-learning models to measure how your brain encodes reward information in regions like the ventromedial prefrontal cortex and ventral striatum. The team will compare brain signals when rewards appear with and without threat cues to mimic real-world PTSD triggers. The approach looks for changes in reward circuitry that might explain improvements in positive emotions after therapy.

Who could benefit from this research

Good fit: Adults with PTSD who report reduced positive emotions or interest and who can attend in-person therapy and MRI sessions are the ideal candidates.

Not a fit: People without PTSD, those who cannot safely undergo MRI (e.g., due to implanted metal or severe claustrophobia), or those unable to participate in CPT are unlikely to benefit from this specific project.

Why it matters

Potential benefit: If successful, this work could clarify how CPT improves diminished positive affect in PTSD and help guide more targeted treatments for anhedonia.

How similar studies have performed: Prior studies have found abnormal reward-circuit function in PTSD and preliminary data suggest CPT can change these signals, but applying reinforcement-learning models to track these changes in fMRI is a relatively new approach.

Where this research is happening

Austin, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.