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Neuroscience Review Links Prolonged Grief to Brain Reward Circuits

The UNSW-led synthesis reports persistent reward-circuit activity to loss reminders in a minority of bereaved people.

Overview

  • The review, published February 18 in Trends in Neurosciences, consolidates evidence from small fMRI grief‑provocation studies.
  • Findings highlight continued activation of the nucleus accumbens and orbitofrontal cortex, alongside emotion regions such as the amygdala and insula.
  • The pattern supports a craving-like response that may help explain persistent yearning beyond six months in roughly one in 20 bereaved individuals.
  • Neural signatures overlap with depression and PTSD, leaving uncertainty about PGD-specific changes and whether they are causes or results of the disorder.
  • The authors call for larger longitudinal cohorts and better identification of affected people so existing treatments can be delivered effectively.