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Freinhofer, D; Schwartenbeck, P; Thon, N; Aichhorn, W; Lenger, M; Wurst, FM; Kronbichler, M.
Loss, gain and choice difficulty in gambling patients: Neural and behavioural processes.
Addict Biol. 2024; 29(5):e13396 Doi: 10.1111/adb.13396 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Lenger Melanie
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Abstract:
Impaired decision-making is often displayed by individuals suffering from gambling disorder (GD). Since there are a variety of different phenomena influencing decision-making, we focused in this study on the effects of GD on neural and behavioural processes related to loss aversion and choice difficulty. Behavioural responses as well as brain images of 23 patients with GD and 20 controls were recorded while they completed a mixed gambles task, where they had to decide to either accept or reject gambles with different amounts of potential gain and loss. We found no behavioural loss aversion in either group and no group differences regarding loss and gain-related choice behaviour, but there was a weaker relation between choice difficulty and decision time in patients with GD. Similarly, we observed no group differences in processing of losses or gains, but choice difficulty was weaker associated with brain activity in the right anterior insula and anterior cingulate cortex in patients with GD. Our results showed for the first time the effects of GD on neural processes related to choice difficulty. In addition, our findings on choice difficulty give new insights on the psychopathology of GD and on neural processes related to impaired decision-making in GD.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Gambling - physiopathology, diagnostic imaging, psychology
Male - administration & dosage
Adult - administration & dosage
Choice Behavior - physiology
Magnetic Resonance Imaging - administration & dosage
Female - administration & dosage
Gyrus Cinguli - diagnostic imaging, physiopathology
Decision Making - physiology
Case-Control Studies - administration & dosage
Middle Aged - administration & dosage
Brain - diagnostic imaging, physiopathology
Brain Mapping - methods
Insular Cortex - diagnostic imaging
Young Adult - administration & dosage

Find related publications in this database (Keywords)
choice difficulty
decision-making
fMRI
gambling
loss aversion
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