Cue‐induced effects on decision‐making distinguish subjects with gambling disorder from healthy controls

dc.contributor.authorGenauck, Alexander
dc.contributor.authorAndrejevic, Milan
dc.contributor.authorBrehm, Katharina
dc.contributor.authorMatthis, Caroline
dc.contributor.authorHeinz, Andreas
dc.contributor.authorWeinreich, André
dc.contributor.authorKathmann, Norbert
dc.contributor.authorRomanczuk‐Seiferth, Nina
dc.date.accessioned2020-10-30T09:55:37Z
dc.date.available2020-10-30T09:55:37Z
dc.date.issued2019-11-12
dc.date.updated2020-10-12T09:54:26Z
dc.description.abstractWhile an increased impact of cues on decision‐making has been associated with substance dependence, it is yet unclear whether this is also a phenotype of non‐substance‐related addictive disorders, such as gambling disorder (GD). To better understand the basic mechanisms of impaired decision‐making in addiction, we investigated whether cue‐induced changes in decision‐making could distinguish GD from healthy control (HC) subjects. We expected that cue‐induced changes in gamble acceptance and specifically in loss aversion would distinguish GD from HC subjects. Thirty GD subjects and 30 matched HC subjects completed a mixed gambles task where gambling and other emotional cues were shown in the background. We used machine learning to carve out the importance of cue dependency of decision‐making and of loss aversion for distinguishing GD from HC subjects. Cross‐validated classification yielded an area under the receiver operating curve (AUC‐ROC) of 68.9% (p = .002). Applying the classifier to an independent sample yielded an AUC‐ROC of 65.0% (p = .047). As expected, the classifier used cue‐induced changes in gamble acceptance to distinguish GD from HC. Especially, increased gambling during the presentation of gambling cues characterized GD subjects. However, cue‐induced changes in loss aversion were irrelevant for distinguishing GD from HC subjects. To our knowledge, this is the first study to investigate the classificatory power of addiction‐relevant behavioral task parameters when distinguishing GD from HC subjects. The results indicate that cue‐induced changes in decision‐making are a characteristic feature of addictive disorders, independent of a substance of abuseen
dc.description.sponsorshipDFG, 103586207, GRK 1589: Sensory Computation in Neural Systemsen
dc.identifier.eissn1369-1600
dc.identifier.issn1355-6215
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/11812
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-10702
dc.language.isoenen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subject.ddc610 Medizin und Gesundheitde
dc.subject.otherdecision‐makingen
dc.subject.othergambling disorderen
dc.subject.otherloss aversionen
dc.subject.otherPavlovian‐to‐instrumental transferen
dc.titleCue‐induced effects on decision‐making distinguish subjects with gambling disorder from healthy controlsen
dc.typeArticleen
dc.type.versionpublishedVersionen
dcterms.bibliographicCitation.articlenumbere12841en
dcterms.bibliographicCitation.doi10.1111/adb.12841en
dcterms.bibliographicCitation.issue6en
dcterms.bibliographicCitation.journaltitleAddiction Biologyen
dcterms.bibliographicCitation.originalpublishernameWileyen
dcterms.bibliographicCitation.originalpublisherplaceOxford [u.a.]en
dcterms.bibliographicCitation.volume25en
tub.accessrights.dnbfreeen
tub.affiliationFak. 4 Elektrotechnik und Informatik::Inst. Softwaretechnik und Theoretische Informatik::FG Neuronale Informationsverarbeitungde
tub.affiliation.facultyFak. 4 Elektrotechnik und Informatikde
tub.affiliation.groupFG Neuronale Informationsverarbeitungde
tub.affiliation.instituteInst. Softwaretechnik und Theoretische Informatikde
tub.publisher.universityorinstitutionTechnische Universität Berlinen

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