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Autonomic responses during Gambling: the Effect of Outcome Type and Sex in a large community sample of young adults
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research, County of Västmanland. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social medicine/CHAP.ORCID iD: 0000-0002-8884-2872
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research, County of Västmanland.ORCID iD: 0000-0001-7787-2956
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research, County of Västmanland.ORCID iD: 0000-0001-9927-2660
Univ Lyon, Lyon Neurosci Res Ctr, PSYR2 Team, INSERM,U1028,CNRS,UMR5292, Lyon, France..
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2023 (English)In: Journal of Gambling Studies, ISSN 1050-5350, E-ISSN 1573-3602, Vol. 39, no 1, p. 159-182Article in journal (Refereed) Published
Abstract [en]

Psychological theories consider autonomic arousal to be a reinforcer for problem gambling. Structural characteristics such as near-misses, which are non-win events that come close to a real win, have been shown to elicit win-like responses while increasing motivation and gambling persistence. This study investigated the autonomic and subjective responses of young adults to different gambling outcomes. This study also investigated sex differences in autonomic and subjective responses to different gambling outcomes. Participants from Sweden (n = 270) performed a computerized slot machine task that produced wins, near-misses (before and after payline) and full-misses. Phasic measurements of heart rate (HR) and skin conductance responses (SCR) were recorded during gambling performance and ratings of perceived chance of winning, pleasure and motivation to play were collected following each gambling outcome. Autonomic responses differed across slot machine outcomes as indicated by HR and SCR. Compared with other gambling outcomes, near-misses elicited the largest HR accelerations, and they also elicited larger HR decelerations and SCRs relative to full-misses. Near-misses before and after payline elicited differential psychophysiological responses and subjective reports, suggesting different emotional processing of near-miss subtypes. Females showed increased SCRs and motivation following win outcomes compared with males. In conclusion, wins, near-misses and full-misses generate differential physiological and subjective responses among young adults. Autonomic responses to wins differed between male and female players, emphasizing the need to consider sex differences when investigating the role of autonomic arousal in gambling.

Place, publisher, year, edition, pages
Springer Nature, 2023. Vol. 39, no 1, p. 159-182
Keywords [en]
Gambling, Near-miss, Autonomic responses, Sex differences, Skin conductance, Heart rate
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-501585DOI: 10.1007/s10899-022-10118-6ISI: 000781229100001PubMedID: 35397748OAI: oai:DiVA.org:uu-501585DiVA, id: diva2:1756604
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018 - 01127Available from: 2023-05-12 Created: 2023-05-12 Last updated: 2025-03-25Bibliographically approved
In thesis
1. Autonomic responses and decision-making during gambling: Gene-environment interactions and translational perspectives
Open this publication in new window or tab >>Autonomic responses and decision-making during gambling: Gene-environment interactions and translational perspectives
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis investigated autonomic responses and decision-making during two gambling tasks in a population of young adults. The included papers specifically addressed: 1) autonomic responses and subjective perceptions of slot machine outcomes, with a focus on the effects of near-misses; 2) decision-making strategies in human and animal gambling tasks; and 3) differential autonomic responsivity during gambling and decision-making as a function of polymorphic variants of the dopamine D2 receptor (Taq1A and C957T), including potential influences of prior gambling exposure and sex.  

The four papers were based on data from an experimental study conducted at Västmanland Hospital in Västerås, Sweden. Participants (n = 270) completed two gambling tasks—a slot machine gambling task and the Iowa Gambling Task (IGT)—while their heart rate (HR) and skin conductance responses (SCR) were simultaneously recorded. Saliva samples were collected for DNA extraction. Additionally, Paper II included comparisons with adult outbred male Lister Hooded rats (N = 72) performing the rat Gambling Task (rGT).

Findings from Paper I contribute to the existing literature on the near-miss effect in gambling, demonstrating heightened autonomic responses to these structural features, along with distinct subjective perceptions of affect, motivation, and perceived chances of winning across different near-miss subtypes. Furthermore, females exhibited stronger responses to winning outcomes compared to males.

Comparisons of decision-making strategies in the IGT and rGT in Paper II revealed that human performance was characterized by exploration and learning over time, whereas rats displayed relatively stable preferences for advantageous choices throughout the task. Procedural differences in task protocols suggest that these models are suited to examining distinct aspects of decision-making.

Papers III and IV provide preliminary evidence that polymorphic variants of the D2 dopamine receptor are associated with differential autonomic sensitivity to slot machine gambling cues and rewards, as well as anticipatory responses linked to implicit guidance during decision-making under uncertainty. These relationships were further influenced by prior gambling exposure and sex, suggesting potential differential susceptibility to gambling stimuli.

In conclusion, near-misses should be considered in gambling regulation policies aimed at harm prevention. Translational inferences from both human and animal studies require careful methodological considerations and to what degree they capture similar psychological constructs that are relevant to real-world gambling behaviors. Furthermore, potential gene-environment interactions between genetic predispositions and gambling exposure in shaping emotional responses and decision-making warrant further investigation in well-powered studies.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2025. p. 101
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 2140
Keywords
Gambling, autonomic nervous system, heart rate, skin conductance, near-miss, deci-sion-making, DRD2, ANKK1
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-553305 (URN)978-91-513-2445-6 (ISBN)
Public defence
2025-05-16, Aulan, Ingång 21, Västmanlands sjukhus, Västerås, 09:00 (Swedish)
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Supervisors
Available from: 2025-04-23 Created: 2025-03-25 Last updated: 2025-04-23

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Hultman, CathrineVadlin, SofiaRehn, MattiasNilsson, Kent W.Åslund, Cecilia

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