Dubuson Macha, Noël Xavier, Kornreich Charles, Hanak Catherine, Saeremans Mélanie, Campanella Salvatore
Laboratoire de Psychologie Médicale et d'Addictologie, Faculty of Medicine, Université Libre de Bruxelles (ULB), CHU Brugmann, Psychiatry Institute, 4 Place Vangehuchten, ULB Neuroscience Institute (UNI), 1020 Brussels, Belgium.
Haute Ecole Provinciale de Namur, 5000 Namur, Belgium.
Biology (Basel). 2023 Apr 24;12(5):643. doi: 10.3390/biology12050643.
(1) Background: Inhibitory and rewarding processes that mediate attentional biases to addiction-related cues may slightly differ between patients suffering from alcohol use (AUD) or gambling (GD) disorder. (2) Methods: 23 AUD inpatients, 19 GD patients, and 22 healthy controls performed four separate Go/NoGo tasks, in, respectively, an alcohol, gambling, food, and neutral long-lasting cueing context during the recording of event-related potentials (ERPs). (3) Results: AUD patients showed a poorer inhibitory performance than controls (slower response latencies, lower N2d, and delayed P3d components). In addition, AUD patients showed a preserved inhibitory performance in the alcohol-related context (but a more disrupted one in the food-related context), while GD patients showed a specific inhibitory deficit in the game-related context, both indexed by N2d amplitude modulations. (4) Conclusions: Despite sharing common addiction-related mechanisms, AUD and GD patients showed different patterns of response to (non-)rewarding cues that should be taken into account in the therapeutic context.
(1) 背景:介导对成瘾相关线索的注意偏向的抑制和奖赏过程,在患有酒精使用障碍(AUD)或赌博障碍(GD)的患者中可能略有不同。(2) 方法:23名AUD住院患者、19名GD患者和22名健康对照在记录事件相关电位(ERP)期间,分别在酒精、赌博、食物和中性长时提示情境下执行四项单独的Go/NoGo任务。(3) 结果:AUD患者的抑制表现比对照组差(反应潜伏期更长、N2d更低、P3d成分延迟)。此外,AUD患者在与酒精相关的情境中表现出保留的抑制能力(但在与食物相关的情境中受到更大干扰),而GD患者在与游戏相关的情境中表现出特定的抑制缺陷,两者均由N2d振幅调制来衡量。(4) 结论:尽管AUD和GD患者共享与成瘾相关的共同机制,但他们对(非)奖赏线索表现出不同的反应模式,在治疗背景中应予以考虑。