Grogan · eLife 2020 · within-subject ON/OFF medication study · n=?

Dopamine promotes instrumental motivation, but reduces reward-related vigour.

Cited 42 times in the scientific literature.

Level 3 - non-randomized controlled study

Mechanistic within-subject (ON/OFF medication) comparative study in a patient cohort.

PubMed 33001026 · doi:10.7554/eLife.58321 · record verified 2026-08-26

What was done

Parkinson's disease (PD) patients performed a rewarded saccade task while ON and OFF dopaminergic medication to contrast two forms of motivation: performance-contingent (instrumental) rewards versus guaranteed (non-contingent) rewards. Response vigour was quantified via peak saccadic velocity residuals.

What was found

When tested ON dopamine, PD patients exhibited greater response vigour for contingent rewards. Conversely, when tested OFF medication, patients showed greater vigour for guaranteed rewards. The abstract reports no numerical values, effect sizes, or statistical metrics.

Why it matters

These findings suggest that reward expectation and reward contingency operate through distinct motivational circuits that are differentially modulated by dopamine. This challenges existing theories that high tonic dopamine universally amplifies reward-driven vigour.

Limits

The abstract does not state the sample size, patient characteristics, or whether the ON/OFF testing order was randomized. Generalizability to healthy populations or somatic motor actions beyond saccades remains unestablished.

Cited by