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- Article] Modafinil increases reward salience in a slot machine game in low and high impulsivity pathological gamblers
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DocNo of ILP: 414
Doc. Type: Article
Title: Modafinil increases reward salience in a slot machine game in low and high impulsivity pathological gamblers
Authors: Smart, K; Desmond, RC; Poulos, CX; Zack, M
Full Name of Authors: Smart, Kelly; Desmond, Renee C.; Poulos, Constantine X.; Zack, Martin
Keywords by Author: Modafinil; Pathological gambling; Dopamine; Reward; Salience
Keywords Plus: PLACEBO-CONTROLLED TRIAL; GAMBLING BEHAVIOR; DECISION-MAKING; DOUBLE-BLIND; DOPAMINE; DISORDERS; HYPERSENSITIVITY; METHYLPHENIDATE; COMORBIDITY; DEPRESSION
Abstract: This study examined the effects of modafinil (200 mg) on slot machine betting profiles from a previous sample of low and high impulsivity (LI/HI) pathological gamblers (10/Group; Zack and Poulos, 2009). Hierarchical regression assessed the prospective relationship between Payoff and Bet Size on consecutive trials, along with moderating effects of Group, Cumulative Winnings (low/high) and Phase of game (early/late) under drug and placebo. Y intercepts for the simple regressions of Bet Size on Payoff indexed overall motivation to bet. Under placebo, both groups gauged their bets less closely to the preceding Payoff as trials continued when Winnings were low but not high. Under modafinil, both groups gauged their bets more closely to the preceding Payoff when Winnings were low but gauged their bets less closely to the previous Payoff when Winnings were high. The tendency to gauge bets closely to the previous Payoff coincided with a bias toward low overall Bet Size, and modafinil accentuated this relationship, in LI but not HI subjects. Results suggest that modafinil increases the salience of environmental rewards, leading to more tightly calibrated responses to individual rewards when resources are low, but progressively loosens reward-response calibration when resources are high. Increased relative impact of phasic vs. tonic dopamine signals may account for patterns seen at low vs. high Winnings, respectively, under the drug. Clinically, modafinil may deter pathological gamblers from chasing losses but also encourage them to continue betting rather than quit while they are ahead. Whether low-dose modafinil confers more uniform benefits deserves investigation. (C) 2013 Elsevier Ltd. All rights reserved.
Cate of OECD: Basic medicine
Year of Publication: 2013
Business Area: game
Detail Business: game
Country: England
Study Area: terminal, slot machine, gambler, dopamine, drug, depression
Name of Journal: NEUROPHARMACOLOGY
Language: English
Country of Authors: [Smart, Kelly; Desmond, Renee C.; Zack, Martin] Ctr Addict & Mental Hlth, Toronto, ON M5S 2S1, Canada; [Smart, Kelly; Zack, Martin] Univ Toronto, Dept Pharmacol & Toxicol, Toronto, ON M5S 1A8, Canada; [Poulos, Constantine X.] Univ Toronto, Dept Psychol, Toronto, ON M5S 3G3, Canada
Press Adress: Zack, M (reprint author), Ctr Addict & Mental Hlth, 33 Russell St, Toronto, ON M5S 2S1, Canada.
Email Address: martin.zack@camh.ca
Citaion:
Funding: Ontario Problem Gambling Research Centre
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Number of Citaion: 50
Publication: PERGAMON-ELSEVIER SCIENCE LTD
City of Publication: OXFORD
Address of Publication: THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND
ISSN: 0028-3908
29-Character Source Abbreviation: NEUROPHARMACOLOGY
ISO Source Abbreviation: Neuropharmacology
Volume: 73
Version:
Start of File: 66
End of File: 74
DOI: 10.1016/j.neuropharm.2013.05.015
Number of Pages: 9
Web of Science Category: Neurosciences; Pharmacology & Pharmacy
Subject Category: Neurosciences & Neurology; Pharmacology & Pharmacy
Document Delivery Number: 229AD
Unique Article Identifier: WOS:000325233300008
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