Decision making measured by the Iowa Gambling Task in alcohol use disorder and gambling disorder: a systematic review and meta-analysis

Kovács, Ildikó; Richman, Mara J.; Janka, Zoltán; Maráz, Anikó; Andó, Bálint

doi:10.1016/j.drugalcdep.2017.09.023

Cited by 107 publications

(72 citation statements)

References 73 publications

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“…The brain correlates of decision‐making deficits have also been identified (Le Berre et al., ), suggesting that IGT‐reduced performance is strongly correlated with gray matter loss in ventromedial prefrontal cortex, dorsal anterior cingulate cortex, and right hippocampus in SAUD. Two recent meta‐analyses (Kovács et al., ; Stephan et al., ), reviewing IGT results in alcohol use disorders, confirmed this general trend by concluding that, while some contradictory results have been reported (Zorlu et al., ), SAUD is associated with significantly reduced IGT net score. However, several concerns still remain about the empirical and clinical significance of such a deficit.…”

mentioning

confidence: 87%

Clinical Usefulness of the Iowa Gambling Task in Severe Alcohol Use Disorders: Link with Relapse and Cognitive‐Physiological Deficits

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Lannoy

Dormal

et al. 2018

Alcoholism Clin & Exp Res

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mentioning

confidence: 87%

Clinical Usefulness of the Iowa Gambling Task in Severe Alcohol Use Disorders: Link with Relapse and Cognitive‐Physiological Deficits

Maurage

Lannoy

Dormal

et al. 2018

Alcoholism Clin & Exp Res

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“…Indeed, impulsivity, sensation seeking, risktaking propensity, and depression have been found to modify decision making and risk processing in AUD (Kamarajan et al, 2015;Proudfit, 2015;Proudfit et al, 2015;Santesso & Segalowitz, 2009). Impulsive decision making in AUD (Camchong, Endres, & Fein, 2014;Kovács, Richman, Janka, Maraz, & Andó, 2017) has been inferred from the positive relationship between risky choices in experimental tasks and alcohol consumption (e.g., Bechara et al, 2001;Bjork et al, 2004;Euser et al, 2011). Courtney et al (2012) identified impulsive risky decisions (in delay discounting and other experimental tasks) as major predictors of alcohol use in a community sample of problem drinkers (see also Mitchell, Fields, D'Esposito, & Boettiger, 2005 for abstinent AUD), with risky decisions varying with alcohol addiction severity and trait impulsivity (Mitchell et al, 2005).…”

Section: Erps As Indices Of Decisionmaking Processesmentioning

confidence: 99%

Decision‐ and feedback‐related brain potentials reveal risk processing mechanisms in patients with alcohol use disorder

et al. 2019

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Individuals with alcohol use disorder (AUD) are aware of the risks of alcohol abuse yet continue risky drinking. Research indicates that dysfunctional decision processes and trait variables such as impulsivity contribute to this awareness‐behavior discrepancy. The present study focused on decision‐related versus feedback‐related processes as potential contributors to decision making in AUD by examining the relationship between decision choices and decision‐ and feedback‐related ERP phenomena in the balloon analogue risk task (BART). N = 39 AUD and n = 35 healthy comparison participants (HC) performed the BART modified for EEG assessment. In each of 100 runs, participants made a series of choices about whether to pump up a virtual balloon, which popped pseudorandomly, ending the run. Alternatively, participants ended the run by pressing a “cash‐out” button. Each pump not producing a pop provided .05 €; popping resulted in loss of the run’s accumulated gain. Groups made similar choices, though AUD responded more slowly. The decision P3 200‒400 ms after decision prompt (balloon) was larger in AUD than in HC, and decision P3 enhancement on high‐risk trials predicted choices to pump. Feedback‐related negativity (FRN) after loss (relative to cash out) feedback was smaller in AUD than in HC, suggesting indifference to negative feedback. In AUD, high impulsivity was associated with risk‐modulated decision P3 but not FRN. Results indicate atypical decision‐ and feedback‐related processes that could contribute to difficulties in engaging with daily challenges effectively.

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“…Drug addiction encapsulates a constellation of behavioral alterations including impairments in executive functioning. Indeed, perturbations in cost‐benefit decision making have been canonically linked with multiple addictive disorders including addiction to cocaine, heroin, amphetamine, and alcohol, in addition to gambling disorder and polysubstance use . Impairments in decision making are associated with relapse following abstinence from drugs, and the failure to acquire the optimal strategy during laboratory tests such as the Iowa Gambling Task (IGT) has been associated with dropout from treatment .…”

Section: Introductionmentioning

confidence: 99%

Impaired decision making following escalation of cocaine self‐administration predicts vulnerability to relapse in rats

et al. 2019

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Impairments in cost-benefit decision making represent a cardinal feature of drug addiction. However, whether these alterations predate drug exposure, thereby contributing to facilitating loss of control over drug intake, or alternatively arise as a result of drug use and subsequently confer vulnerability to relapse has yet to be determined.Male Sprague-Dawley rats were trained to self-administer (SA) cocaine during 19 daily long-access (12-h) sessions; conditions reliably shown to promote escalation.One week after cocaine SA, rats underwent an extinction/relapse test immediately followed by conditioned stimuli-, stress-, and drug-primed reinstatement challenges.The influence of escalated cocaine intake on decision making was measured over time by four test sessions of a rodent analogue of the Iowa Gambling Task (rGT), once prior to cocaine exposure and then 1 day, 1 week, and 1 month after the last SA session. Substantial individual variability was observed in the influence of escalated cocaineSA on decision-making performance. A subset of rats displayed pronounced deficits, while others showed unaffected or even improved performance on the rat Gambling Task (rGT) 24 hours after the last SA session. When challenged with a relapse test after 1 week of forced abstinence, animals that showed impaired decision making following SA displayed an increased propensity to respond for cocaine under extinction.These data suggest that decision-making deficits in individuals with drug addiction are not antecedent to-but arise as a consequence of-drug exposure. Moreover, these data indicate that susceptibility to the deleterious effects of drugs on decision making confers vulnerability toward relapse.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Decision making measured by the Iowa Gambling Task in alcohol use disorder and gambling disorder: a systematic review and meta-analysis

Cited by 107 publications

References 73 publications

Clinical Usefulness of the Iowa Gambling Task in Severe Alcohol Use Disorders: Link with Relapse and Cognitive‐Physiological Deficits

Clinical Usefulness of the Iowa Gambling Task in Severe Alcohol Use Disorders: Link with Relapse and Cognitive‐Physiological Deficits

Decision‐ and feedback‐related brain potentials reveal risk processing mechanisms in patients with alcohol use disorder

Impaired decision making following escalation of cocaine self‐administration predicts vulnerability to relapse in rats

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