Objective. Neurobehavioural research on the role of impulsivity in gambling disorder (GD) has produced heterogeneous findings. Impulsivity is, however, a multifaceted construct, with different experimental tasks measuring different sub-processes, such as response inhibition and distractor interference. Little is known about the neurochemistry of inhibition and interference in GD.Methods. We investigated response inhibition with the Stop Signal Task (SST) and distractor interference with the Eriksen Flanker Task, and related task performance to metabolite levels in individuals with and without GD. We employed magnetic resonance spectroscopy (MRS) to record glutamate-glutamine (Glx/Cr) and inhibitory, γ-aminobutyric acid (GABA+/Cr) levels in the dorsal ACC (dACC), right dorsolateral prefrontal cortex (dlPFC), and an occipital control voxel.Results. We found slower processing of complex stimuli in the Flanker task in GD (p < .001, η 2 p = .78), while no group differences were identified in SST performance. Levels of dACC Glx/Cr and frequency of incongruent errors were correlated positively in GD only (r = .92, p = .001). Similarly, larger positive correlations were found for those with GD rather than non-GD between dACC GABA+/Cr and SST Go error response times (z = 2.83, p = .004) as well as between dACC Glx/Cr and frequency of Go errors (z = 2.23, p = .03), hinting towards a general Glx-related error processing deficit in GD across impulsivity tasks. Further, both groups expressed equivalent positive correlations between post-error slowing and Glx/Cr in the right dlPFC (GD: r = .74, p = .02; non-GD: r = .71, p = .01).
Conclusion.Distractor interference and response inhibition impairments in GD are reflected in dACC baseline metabolite levels and error processing deficits in GD.