PMID- 32757373 OWN - NLM STAT- MEDLINE DCOM- 20211101 LR - 20211101 IS - 1369-1600 (Electronic) IS - 1355-6215 (Linking) VI - 26 IP - 3 DP - 2021 May TI - Neural correlates of cue-induced changes in decision-making distinguish subjects with gambling disorder from healthy controls. PG - e12951 LID - 10.1111/adb.12951 [doi] AB - In addiction, there are few human studies on the neural basis of cue-induced changes in value-based decision making (Pavlovian-to-instrumental transfer, PIT). It is especially unclear whether neural alterations related to PIT are due to the physiological effects of substance abuse or rather related to learning processes and/or other etiological factors related to addiction. We have thus investigated whether neural activation patterns during a PIT task help to distinguish subjects with gambling disorder (GD), a nonsubstance-based addiction, from healthy controls (HCs). Thirty GD and 30 HC subjects completed an affective decision-making task in a functional magnetic resonance imaging (fMRI) scanner. Gambling-associated and other emotional cues were shown in the background during the task. Data collection and feature modeling focused on a network of nucleus accumbens (NAcc), amygdala, and orbitofrontal cortex (OFC) (derived from PIT and substance use disorder [SUD] studies). We built and tested a linear classifier based on these multivariate neural PIT signatures. GD subjects showed stronger PIT than HC subjects. Classification based on neural PIT signatures yielded a significant area under the receiver operating curve (AUC-ROC) (0.70, p = 0.013). GD subjects showed stronger PIT-related functional connectivity between NAcc and amygdala elicited by gambling cues, as well as between amygdala and OFC elicited by negative and positive cues. HC and GD subjects were thus distinguishable by PIT-related neural signatures including amygdala-NAcc-OFC functional connectivity. Neural PIT alterations in addictive disorders might not depend on the physiological effect of a substance of abuse but on related learning processes or even innate neural traits. CI - (c) 2020 The Authors. Addiction Biology published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction. FAU - Genauck, Alexander AU - Genauck A AUID- ORCID: 0000-0002-9159-0709 AD - Department of Psychiatry and Psychotherapy, Charite-Universitatsmedizin Berlin, Berlin, Germany. AD - Bernstein Center for Computational Neuroscience Berlin, Berlin, Germany. FAU - Matthis, Caroline AU - Matthis C AD - Bernstein Center for Computational Neuroscience Berlin, Berlin, Germany. AD - Institute of Software Engineering and Theoretical Computer Science, Neural Information Processing, Technische Universitat Berlin, Berlin, Germany. FAU - Andrejevic, Milan AU - Andrejevic M AD - Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia. FAU - Ballon, Lukas AU - Ballon L AD - Department of Psychiatry and Psychotherapy, Charite-Universitatsmedizin Berlin, Berlin, Germany. FAU - Chiarello, Francesca AU - Chiarello F AD - Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy. FAU - Duecker, Katharina AU - Duecker K AD - Department of Psychology, Carl-von-Ossietzky Universitat Oldenburg, Oldenburg, Germany. FAU - Heinz, Andreas AU - Heinz A AD - Department of Psychiatry and Psychotherapy, Charite-Universitatsmedizin Berlin, Berlin, Germany. FAU - Kathmann, Norbert AU - Kathmann N AD - Department of Psychology, Humboldt-Universitat zu Berlin, Berlin, Germany. FAU - Romanczuk-Seiferth, Nina AU - Romanczuk-Seiferth N AD - Department of Psychiatry and Psychotherapy, Charite-Universitatsmedizin Berlin, Berlin, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200805 PL - United States TA - Addict Biol JT - Addiction biology JID - 9604935 SB - IM MH - Adult MH - Behavior, Addictive/*psychology MH - Brain/*physiopathology MH - Case-Control Studies MH - Cues MH - *Decision Making MH - Female MH - Gambling/*psychology MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Male OTO - NOTNLM OT - Pavlovian-to-instrumental transfer OT - decision making OT - fMRI OT - gambling disorder EDAT- 2020/08/07 06:00 MHDA- 2021/11/03 06:00 CRDT- 2020/08/07 06:00 PHST- 2020/07/05 00:00 [revised] PHST- 2019/11/06 00:00 [received] PHST- 2020/07/20 00:00 [accepted] PHST- 2020/08/07 06:00 [pubmed] PHST- 2021/11/03 06:00 [medline] PHST- 2020/08/07 06:00 [entrez] AID - 10.1111/adb.12951 [doi] PST - ppublish SO - Addict Biol. 2021 May;26(3):e12951. doi: 10.1111/adb.12951. Epub 2020 Aug 5.