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与赌博相关决策的转化模型

Translational Models of Gambling-Related Decision-Making.

作者信息

Winstanley Catharine A, Clark Luke

机构信息

Department of Psychology, University of British Columbia, Vancouver, Canada.

Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, Canada.

出版信息

Curr Top Behav Neurosci. 2016;28:93-120. doi: 10.1007/7854_2015_5014.

Abstract

Gambling is a harmless, recreational pastime that is ubiquitous across cultures. However, for some, gambling becomes a maladaptive and compulsive, and this syndrome is conceptualized as a behavioural addiction. Laboratory models that capture the key cognitive processes involved in gambling behaviour, and that can be translated across species, have the potential to make an important contribution to both decision neuroscience and the study of addictive disorders. The Iowa gambling task has been widely used to assess human decision-making under uncertainty, and this paradigm can be successfully modelled in rodents. Similar neurobiological processes underpin choice behaviour in humans and rats, and thus, a preference for the disadvantageous "high-risk, high-reward" options may reflect meaningful vulnerability for mental health problems. However, the choice behaviour operationalized by these tasks does not necessarily approximate the vulnerability to gambling disorder (GD) per se. We consider a number of psychological challenges that apply to modelling gambling in a translational way, and evaluate the success of the existing models. Heterogeneity in the structure of gambling games, as well as in the motivations of individuals with GD, is highlighted. The potential issues with extrapolating too directly from established animal models of drug dependency are discussed, as are the inherent difficulties in validating animal models of GD in the absence of any approved treatments for GD. Further advances in modelling the cognitive biases endemic in human decision-making, which appear to be exacerbated in GD, may be a promising line of research.

摘要

赌博是一种无害的娱乐消遣活动,在各种文化中都普遍存在。然而,对一些人来说,赌博变成了一种适应不良的强迫行为,这种综合征被概念化为一种行为成瘾。能够捕捉赌博行为中关键认知过程且可跨物种转化的实验室模型,有可能对决策神经科学和成瘾性障碍研究都做出重要贡献。爱荷华赌博任务已被广泛用于评估人类在不确定性下的决策,并且这种范式可以在啮齿动物中成功建模。人类和大鼠的选择行为背后存在相似的神经生物学过程,因此,对不利的“高风险、高回报”选项的偏好可能反映出心理健康问题的有意义的易感性。然而,这些任务所操作化的选择行为不一定等同于对赌博障碍(GD)本身的易感性。我们考虑了一些以转化方式对赌博进行建模时所面临的心理挑战,并评估了现有模型的成功程度。强调了赌博游戏结构以及GD患者动机方面的异质性。讨论了直接从已确立的药物依赖动物模型过度推断所存在的潜在问题,以及在没有任何已批准的GD治疗方法的情况下验证GD动物模型所固有的困难。对人类决策中普遍存在的认知偏差进行建模的进一步进展,这些偏差在GD中似乎会加剧,可能是一个有前景的研究方向。

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