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Schmidt C, Gleesborg C, Schmidt H, Kvamme TL, Voon V, Møller A. Neural fingerprints of gambling disorder using diffusion tensor imaging. Psychiatry Res Neuroimaging 2023; 333:111657. [PMID: 37354808 DOI: 10.1016/j.pscychresns.2023.111657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 03/24/2023] [Accepted: 04/26/2023] [Indexed: 06/26/2023]
Abstract
Gambling disorder (GD) is a behavioral addiction associated with personal, social and occupational consequences. Thus, examining GD's clinical relationship with its neural substrates is critical. We compared neural fingerprints using diffusion tensor imaging (DTI) in GD subjects undergoing treatment relative to healthy volunteers (HV). Fifty-three (25 GD, 28 age-matched HV) males were scanned with structural magnetic resonance imaging (MRI) and DTI. We applied probabilistic tractography based on DTI scanning data, preprocessed and analyzed using permutation testing of individual connectivity weights between regions for group comparison. Permutation-based comparisons between group-averaged connectomes highlighted significant structural differences. The GD group demonstrated increased connectivity, and striatal network reorganisation, contrasted by reduced connectivity within and to frontal lobe nodes. Modularity analysis revealed that the GD group had fewer hubs integrating information across the brain. We highlight GD neural changes involved in controlling risk-seeking behaviors. The observed striatal restructuring converges with previous research, and the increased connectivity affects subnetworks highly active in gambling situations, although these findings are not significant when correcting for multiple comparisons. Modularity analysis underlines that, despite connectivity increases, the GD connectome loses hubs, impeding its neuronal network coherence. Together, these results demonstrate the feasibility of using whole-brain computational modeling in assessing GD.
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Affiliation(s)
- Casper Schmidt
- Department of Communication and Psychology, Aalborg University, Rendsburggade 14, 9000 Aalborg, Denmark; Center of Functionally Integrative Neuroscience/MINDLab, Danish Neuroscience Center, Aarhus University Hospital, Nørrebrogade 44, Building 1A, 8000, Aarhus C, Denmark; Department of Nuclear Medicine & PET-Centre, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Indgang J, Plan 2, J220, 8200 Aarhus N, Denmark; Department of Psychiatry, University of Cambridge, Herchel Smith Building for Brain & Mind Sciences, Forvie Site, Robinson Way, Cambridge, CB2 0SZ, United Kingdom.
| | - Carsten Gleesborg
- Center of Functionally Integrative Neuroscience/MINDLab, Danish Neuroscience Center, Aarhus University Hospital, Nørrebrogade 44, Building 1A, 8000, Aarhus C, Denmark; Department of Nuclear Medicine & PET-Centre, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Indgang J, Plan 2, J220, 8200 Aarhus N, Denmark
| | - Hema Schmidt
- Center of Functionally Integrative Neuroscience/MINDLab, Danish Neuroscience Center, Aarhus University Hospital, Nørrebrogade 44, Building 1A, 8000, Aarhus C, Denmark; Department of Nuclear Medicine & PET-Centre, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Indgang J, Plan 2, J220, 8200 Aarhus N, Denmark
| | - Timo L Kvamme
- Center of Functionally Integrative Neuroscience/MINDLab, Danish Neuroscience Center, Aarhus University Hospital, Nørrebrogade 44, Building 1A, 8000, Aarhus C, Denmark
| | - Valerie Voon
- Department of Psychiatry, University of Cambridge, Herchel Smith Building for Brain & Mind Sciences, Forvie Site, Robinson Way, Cambridge, CB2 0SZ, United Kingdom; Behavioral and Clinical Neurosciences Institute, Department of Psychology, University of Cambridge, Downing Street, Cambridge, CB2 3EB, United Kingdom; Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge Rd, Fulbourn, Cambridge, CB21 5HH, United Kingdom.
| | - Arne Møller
- Center of Functionally Integrative Neuroscience/MINDLab, Danish Neuroscience Center, Aarhus University Hospital, Nørrebrogade 44, Building 1A, 8000, Aarhus C, Denmark; Department of Nuclear Medicine & PET-Centre, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Indgang J, Plan 2, J220, 8200 Aarhus N, Denmark
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Ferrari-Toniolo S, Seak LCU, Schultz W. Risky choice: Probability weighting explains independence axiom violations in monkeys. JOURNAL OF RISK AND UNCERTAINTY 2022; 65:319-351. [PMID: 36654986 PMCID: PMC9840594 DOI: 10.1007/s11166-022-09388-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 06/02/2022] [Indexed: 06/17/2023]
Abstract
Expected Utility Theory (EUT) provides axioms for maximizing utility in risky choice. The Independence Axiom (IA) is its most demanding axiom: preferences between two options should not change when altering both options equally by mixing them with a common gamble. We tested common consequence (CC) and common ratio (CR) violations of the IA over several months in thousands of stochastic choices using a large variety of binary option sets. Three monkeys showed consistently few outright Preference Reversals (8%) but substantial graded Preference Changes (46%) between the initial preferred gamble and the corresponding altered gamble. Linear Discriminant Analysis (LDA) indicated that gamble probabilities predicted most Preference Changes in CC (72%) and CR (88%) tests. The Akaike Information Criterion indicated that probability weighting within Cumulative Prospect Theory (CPT) explained choices better than models using Expected Value (EV) or EUT. Fitting by utility and probability weighting functions of CPT resulted in nonlinear and non-parallel indifference curves (IC) in the Marschak-Machina triangle and suggested IA non-compliance of models using EV or EUT. Indeed, CPT models predicted Preference Changes better than EV and EUT models. Indifference points in out-of-sample tests were closer to CPT-estimated ICs than EV and EUT ICs. Finally, while the few outright Preference Reversals may reflect the long experience of our monkeys, their more graded Preference Changes corresponded to those reported for humans. In benefitting from the wide testing possibilities in monkeys, our stringent axiomatic tests contribute critical information about risky decision-making and serves as basis for investigating neuronal decision mechanisms. Supplementary information The online version contains supplementary material available at 10.1007/s11166-022-09388-7.
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Affiliation(s)
- Simone Ferrari-Toniolo
- Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, UK
| | - Leo Chi U Seak
- Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, UK
| | - Wolfram Schultz
- Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, UK
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Schulreich S, Gerhardt H, Meshi D, Heekeren HR. Fear-induced increases in loss aversion are linked to increased neural negative-value coding. Soc Cogn Affect Neurosci 2021; 15:661-670. [PMID: 32644143 PMCID: PMC7438956 DOI: 10.1093/scan/nsaa091] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 05/23/2020] [Accepted: 06/15/2020] [Indexed: 11/18/2022] Open
Abstract
Human decisions are often influenced by emotions. An economically relevant example is the role of fear in generating loss aversion. Previous research implicates the amygdala as a key brain structure in the experience of fear and loss aversion. The neural mechanism behind emotional influences on loss aversion is, however, unclear. To address this, we measured brain activation with functional magnetic resonance imaging (fMRI) while participants made decisions about monetary gambles after viewing fearful or neutral faces. We observed that loss aversion following the presentation of neutral faces was mainly predicted by greater deactivations for prospective losses (relative to activations for prospective gains) in several brain regions, including the amygdala. By contrast, increases in loss aversion following the presentation of fearful faces were mainly predicted by greater activations for prospective losses. These findings suggest a fear-induced shift from positive to negative value coding that reflects a context-dependent involvement of distinct valuation processes.
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Affiliation(s)
- Stefan Schulreich
- Department of Education and Psychology, Freie Universität Berlin, 14195 Berlin, Germany.,Center for Cognitive Neuroscience Berlin, Freie Universität Berlin, 14195 Berlin, Germany.,Faculty of Psychology and Human Movement Science, University of Hamburg, 20146 Hamburg, Germany
| | - Holger Gerhardt
- Department of Economics, University of Bonn, 53012 Bonn, Germany.,Center for Economics and Neuroscience, University of Bonn, 53012 Bonn, Germany
| | - Dar Meshi
- Department of Advertising and Public Relations, Michigan State University, East Lansing, MI 48824, USA
| | - Hauke R Heekeren
- Department of Education and Psychology, Freie Universität Berlin, 14195 Berlin, Germany.,Center for Cognitive Neuroscience Berlin, Freie Universität Berlin, 14195 Berlin, Germany
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Molins F, Serrano MÁ. Heart rate variability after vigorous physical exercise is positively related to loss aversion. ANXIETY STRESS AND COPING 2020; 34:308-319. [PMID: 33372543 DOI: 10.1080/10615806.2020.1865531] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND AND OBJECTIVES OF THE ARTICLE Loss aversion bias, whereby losses loom larger than gains, can be reduced by stress. At the same time, vigorous physical exercise is a powerful neuroendocrine stressor and heart rate variability (HRV) provides an objective measure of the actual exercise impact, relative to each individual physical condition. Our aim was to study whether vigorous exercise can influence loss aversion, considering HRV in this relation. We hypothesized that the lower HRV derived from vigorous exercise (i.e., when stressor produced the most impact) would predict a lower loss aversion. METHODS Two groups (Experimental, N = 37; Control, N = 39) completed a loss aversion task, but the experimental group was exposed to an acute physical stressor before. RESULTS Results revealed a significant group x HRV interaction. In the control group, HRV was not associated with loss aversion. Conversely, as hypothesized, the lower HRV levels derived from exercise were associated with a lesser loss aversion in the experimental group. CONCLUSIONS Results suggest that physiological changes from physical exercise could affect decision-making by reducing loss aversion.
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Affiliation(s)
- Francisco Molins
- Department of Psychobiology, Universitat de València, Valencia, Spain
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Zhao WJ, Walasek L, Bhatia S. Psychological mechanisms of loss aversion: A drift-diffusion decomposition. Cogn Psychol 2020; 123:101331. [PMID: 32777328 DOI: 10.1016/j.cogpsych.2020.101331] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Revised: 07/07/2020] [Accepted: 07/16/2020] [Indexed: 12/20/2022]
Abstract
Decision makers often reject mixed gambles offering equal probabilities of a larger gain and a smaller loss. This important phenomenon, referred to as loss aversion, is typically explained by prospect theory, which proposes that decision makers give losses higher utility weights than gains. In this paper we consider alternative psychological mechanisms capable of explaining loss aversion, such as a fixed utility bias favoring rejection, as well as a bias favoring rejection prior to gamble valuation. We use a drift diffusion model of decision making to conceptually distinguish, formally define, and empirically measure these mechanisms. In two preregistered experiments, we show that the pre-valuation bias provides a very large contribution to model fits, predicts key response time patterns, reflects prior expectations regarding gamble desirability, and can be manipulated independently of the valuation process. Our results indicate that loss aversion is the result of multiple different psychological mechanisms, and that the pre-valuation bias is a fundamental determinant of this well-known behavioral tendency. These results have important implications for how we model behavior in risky choice tasks, and how we interpret its relationship with various psychological, clinical, and neurobiological variables.
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Optogenetic Dissection of Temporal Dynamics of Amygdala-Striatal Interplay during Risk/Reward Decision Making. eNeuro 2018; 5:eN-NWR-0422-18. [PMID: 30627636 PMCID: PMC6325538 DOI: 10.1523/eneuro.0422-18.2018] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Accepted: 11/02/2018] [Indexed: 12/21/2022] Open
Abstract
Decision making often requires weighing costs and benefits of different options that vary in terms of reward magnitude and uncertainty. Previous studies using pharmacological inactivations have shown that the basolateral amygdala (BLA) to nucleus accumbens (NAc) pathway promotes choice towards larger/riskier rewards. Neural activity in BLA and NAc shows distinct, phasic changes in firing prior to choice and following action outcomes, yet, how these temporally-discrete patterns of activity within BLA→NAc circuitry influence choice is unclear. We assessed how optogenetic silencing of BLA terminals in the NAc altered action selection during probabilistic decision making. Rats received intra-BLA infusions of viruses encoding the inhibitory opsin eArchT and were well trained on a probabilistic discounting task, where they chose between smaller/certain rewards and larger rewards delivered in a probabilistic manner, with the odds of obtaining the larger reward changing over a session (50–12.5%). During testing, activity of BLA→NAc inputs were suppressed with 4- to 7-s pulses of light delivered via optic fibers into the NAc during discrete task events: prior to choice or after choice outcomes. Inhibition prior to choice reduced selection of the preferred option, suggesting that during deliberation, BLA→NAc activity biases choice towards preferred rewards. Inhibition during reward omissions increased risky choice during the low-probability block, indicating that activity after non-rewarded actions serves to modify subsequent choice. In contrast, silencing during rewarded outcomes did not reliably affect choice. These data demonstrate how patterns of activity in BLA→NAc circuitry convey different types of information that guide action selection in situations involving reward uncertainty.
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Margittai Z, Nave G, Van Wingerden M, Schnitzler A, Schwabe L, Kalenscher T. Combined Effects of Glucocorticoid and Noradrenergic Activity on Loss Aversion. Neuropsychopharmacology 2018; 43:334-341. [PMID: 28409566 PMCID: PMC5729575 DOI: 10.1038/npp.2017.75] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2017] [Revised: 03/21/2017] [Accepted: 04/04/2017] [Indexed: 01/15/2023]
Abstract
Loss aversion is a well-known behavioral regularity in financial decision making, describing humans' tendency to overweigh losses compared to gains of the same amount. Recent research indicates that stress and associated hormonal changes affect loss aversion, yet the underlying neuroendocrine mechanisms are still poorly understood. Here, we investigated the causal influence of two major stress neuromodulators, cortisol and noradrenaline, on loss aversion during financial decision making. In a double-blind, placebo-controlled between-subject design, we orally administered either the α2-adrenergic antagonist yohimbine (increasing noradrenergic stimulation), hydrocortisone, both substances, or a placebo to healthy young men. We tested the treatments' influence on a financial decision-making task measuring loss aversion and risk attitude. We found that both drugs combined, relative to either drug by itself, reduced loss aversion in the absence of an effect on risk attitude or choice consistency. Our data suggest that concurrent glucocorticoid and noradrenergic activity prompts an alignment of reward- with loss-sensitivity, and thus diminishes loss aversion. Our results have implications for the understanding of the susceptibility to biases in decision making.
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Affiliation(s)
- Zsofia Margittai
- Comparative Psychology, Heinrich Heine University, Düsseldorf, Germany
| | - Gideon Nave
- Department of Marketing, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA
| | | | - Alfons Schnitzler
- Institute of Clinical Neuroscience and Medical Psychology, Heinrich Heine University, Düsseldorf, Germany
| | - Lars Schwabe
- Department of Cognitive Psychology, Institute of Psychology, University of Hamburg, Hamburg, Germany
| | - Tobias Kalenscher
- Comparative Psychology, Heinrich Heine University, Düsseldorf, Germany
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Montazeribarforoushi S, Keshavarzsaleh A, Ramsøy TZ. On the hierarchy of choice: An applied neuroscience perspective on the AIDA model. COGENT PSYCHOLOGY 2017. [DOI: 10.1080/23311908.2017.1363343] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- Saba Montazeribarforoushi
- Department of Genetic and Molecular Biology, University of Malaya (UM), Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
| | - Abolfazl Keshavarzsaleh
- Department of Genetic and Molecular Biology, University of Malaya (UM), Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
- Faculty of Business and Law, High Impact Research Center (HIR), University of Malaya, Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia
| | - Thomas Zoëga Ramsøy
- Center for Behavioral Innovation, Ahlgade 33, 1, Holbæk 4300, Denmark
- Singularity University, NASA Ames Research Park Building 20 S. Akron Rd., Moffett Field, CA 94035, USA
- Neurons Inc Ahlgade 33, 1, 4300 Holbæk, Denmark
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Aberrant neural signatures of decision-making: Pathological gamblers display cortico-striatal hypersensitivity to extreme gambles. Neuroimage 2016; 128:342-352. [PMID: 26780575 DOI: 10.1016/j.neuroimage.2016.01.002] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Revised: 12/31/2015] [Accepted: 01/02/2016] [Indexed: 11/20/2022] Open
Abstract
Pathological gambling is an addictive disorder characterized by an irresistible urge to gamble despite severe consequences. One of the hallmarks of pathological gambling is maladaptive and highly risky decision-making, which has been linked to dysregulation of reward-related brain regions such as the ventral striatum. However, previous studies have produced contradictory results regarding the implication of this network, revealing either hypo- or hypersensitivity to monetary gains and losses. One possible explanation is that the gambling brain might be misrepresenting the benefits and costs when weighting the potential outcomes, and not the gains and losses per se. To address this issue, we investigated whether pathological gambling is associated with abnormal brain activity during decisions that weight the utility of possible gains against possible losses. Pathological gamblers and healthy human subjects underwent functional magnetic resonance imaging while they accepted or rejected mixed gain/loss gambles with fifty-fifty chances of winning or losing. Contrary to healthy individuals, gamblers showed a U-shaped response profile reflecting hypersensitivity to the most appetitive and most aversive bets in an executive cortico-striatal network including the dorsolateral prefrontal cortex and caudate nucleus. This network is concerned with the evaluation of action-outcome contingencies, monitoring recent actions and anticipating their consequences. The dysregulation of this specific network, especially for extreme bets with large potentials consequences, offers a novel understanding of the neural basis of pathological gambling in terms of deficient associations between gambling actions and their financial impact.
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