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Aberrant reward processes are implicated in HRB, and their underlying fronto-striatal networks are vulnerable to neurodevelopmental changes during adversity representing a promising candidate for understanding links between CSA and HRB. We examined whether fronto-striatal responses during reward anticipation and feedback (i) are altered in depressed adolescents with CSA compared to depressed, non-abused peers and (ii) moderate the relationship between CSA and HRB irrespective of depression. Forty-eight female adolescents {14 with CSA and depression [CSA\u2009+\u2009 major depressive disorder (MDD)]; 17 with MDD but no CSA (MDD); 17 healthy, non-abused controls} completed a monetary reward task during functional magnetic resonance imaging. No differences in fronto-striatal response to reward emerged between CSA\u2009+\u2009MDD and MDD. Critically, high left nucleus accumbens activation during reward anticipation was associated with greater HRB in CSA\u2009+\u2009MDD compared to MDD and controls. Low left putamen activation during reward feedback was associated with the absence of HRB in CSA\u2009+\u2009MDD compared to MDD. Striatal reward responses appear to play a key role in HRB for adolescents with CSA irrespective of depression, providing initial support for a CSA ecophenotype. Such information is pivotal to identify at-risk youth and prevent HRB in adolescents after CSA.<\/jats:p>","DOI":"10.1093\/scan\/nsac030","type":"journal-article","created":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T11:32:03Z","timestamp":1650367923000},"page":"1035-1043","source":"Crossref","is-referenced-by-count":11,"title":["Emerging ecophenotype: reward anticipation is linked to high-risk behaviours after sexual abuse"],"prefix":"10.1093","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2921-7564","authenticated-orcid":false,"given":"Pia","family":"Pechtel","sequence":"first","affiliation":[{"name":"Department of Psychology, College of Life and Environmental Sciences (CLES), University of Exeter , Exeter EX4 4QG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Harris","sequence":"additional","affiliation":[{"name":"Department of Psychology, College of Life and Environmental Sciences (CLES), University of Exeter , 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