How young people at risk for psychosis process reward and importance

Reward, Salience and Value Processing in Youths at Risk for Psychosis: The RSVP Study

NIH-funded research University of Maryland Baltimore · NIH-11266178

This project looks at how teens and young adults at high risk for psychosis respond to rewarding and neutral experiences to better understand problems like reduced pleasure and unusual beliefs.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Maryland Baltimore NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11266178 on NIH RePORTER

What this research studies

You would join a group of about 96 teens and young adults who are considered at clinical high risk for psychosis. Researchers will measure both adaptive salience (how you respond to genuinely rewarding events) and aberrant salience (when neutral events feel unusually important) using behavioral tasks and brain measures. Participants will have clinical follow-up visits over time so the team can link these measures to changes in negative and positive symptoms and daily functioning. Most participants will have minimal prior exposure to antipsychotic medications so the team can study early, evolving brain and behavioral changes.

Who could benefit from this research

Good fit: Ideal candidates are teens and young adults identified as being at clinical high risk for psychosis, especially those with minimal or no antipsychotic exposure.

Not a fit: People without signs of being at risk for psychosis, or those already diagnosed with a full psychotic disorder or on long-term antipsychotic treatment, are unlikely to benefit directly.

Why it matters

Potential benefit: If successful, this work could reveal early brain and behavioral signs that predict symptom changes and point to new targets for treatments to prevent or reduce psychosis-related problems.

How similar studies have performed: Prior studies in people with schizophrenia have linked altered salience processing to symptoms, but studying both adaptive and aberrant salience together in a large at-risk youth group is a new approach.

Where this research is happening

Baltimore, 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.
Conditions Chronic Disease
Last reviewed 2026-06-13 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.