中国临床心理学杂志

病理性赌徒决策缺陷的内在机制研究综述

作者：罗秋铃¹ 魏晓波¹ 2 陆夏平¹ 3 曲琛¹

单位：1. 华南师范大学心理应用研究中心广州 510631
2. 西藏大学师范学院拉萨 850000
3. 北京师范大学认知神经科学与学习国家重点实验室北京 100875

分类号：R395.2

出版年,卷(期):页码：2013,21(5):719-722

摘要：

病理性赌博是一种决策障碍。决策缺陷作为病理性赌博的一个显著特征对赌博行为的发展起着重要作用。病理性赌徒冒险、冲动和过分自信的决策缺陷行为受到个人控制感、奖惩敏感性、反馈加工方式以及个性特征等心理因素的影响。病理性赌徒在决策过程中的生理指标和激素水平与正常人存在显著差异,前额叶皮层的激活水平也存在异常,这些生理功能的变化与病理性赌徒决策缺陷有密切关系。未来研究要关注于实验控制的规范化和真实化以及研究内容的系统化和深入化。

Pathological gambling is a kind of decision-making deficits. Decision-making deficits, as a significant characteristic of pathological gambling, have great effect on the development of addictive gambling. Pathological gamblers are prone to make risky, impulsive and overconfident decisions, which are always biased by psychological factors such as sensitivity of rewards and punishments, personal control, feedback processing and personal characteristic. Physical index(e.g.blood presure and heart rate) and hormone reactivity(e.g. cortisol and dopamine) are different between pathological gamblers and normal decision makers. Moreover, pathological gamblers have been found to have abnormal prefrontal cortices activity during decision making. The review concluded with a discussion regarding the new developments in the research of neurobiological gambling. We expect that future studies will obtain further insight into the mechanisms of decision-making deficits in pathological gamblers.

基金项目：

国家自然科学基金青年项目(31000504);国家基础科学人才培养基金(J1210024,J1310031)

作者简介：

参考文献：

1 Potenza MN, Steinberg MA, McLaughlin SD, et al. Illegalbehaviors in problem gambling: analysis of data from agambling helpline. J Am Acad Psychiatry Law, 2000, 28(4):389-403
2 李仁军，刘炳伦，边延艳. 病理性赌博的研究进展. 精神医学杂志，2008，21(4)：314-316
3 Labudda K, Wolf OT, Markowitsch HJ, et al. Decisionmaking and neuroendocrine responses in pathological gam-blers. Psychiatry research, 2007, 153(3): 233-243
4 梁三才，游旭群. 网络成瘾者情感决策能力的对照研究.中国临床心理学杂志，2010，18(5)：597-599
5 Goudriaan AE, Oosterlaan J, de Beurs E, et al. Decisionmaking in pathological gambling: A comparison betweenpathological gamblers, alcohol dependents, persons withTourette syndrome, and normal controls. Cognitive BrainResearch, 2005, 23(1): 137-151
6 Cavedini P, Riboldi G, Keller R, et al. Frontal lobe dysfun-ction in pathological gambling patients. Biological Psychia-try, 2002, 51(4): 334-341
7 Lakey CE, Goodie AS, Campbell WK. Frequent card play-ing and pathological gambling: The utility of the Georgiagambling task and Iowa gambling task for predicting patho-logy. Journal of Gambling Studies, 2007, 23(3): 285-297
8 Petry NM. Substance abuse, pathological gambling, and im-pulsiveness. Drug and Alcohol Dependence, 2001, 63(1):29-38
9 李欣华，郑涌. 人格与病理性赌博研究述评. 心理科学进展，2008，16(5)：740-744
10 佟月华，王敏，宋尚桂. 成瘾人群的延迟折扣. 中国临床心理学杂志，2012，20(5)：670-673
11 Goudriaan AE, Oosterlaan J, De Beurs E, et al. Neurocogn-itive functions in pathological gambling: A comparison withalcohol dependence, Tourette syndrome and normal controls.Addiction, 2006, 101(4): 534-547
12 Camchong J, Goodie AS, McDowell JE, et al. A cognitiveneuroscience approach to studying the role of overconfid-ence in problem gambling. Journal of Gambling Studies,2007, 23(2): 185-199
13 Thanos PK, Volkow ND, Freimuth P, et al. Overexpressionof dopamine D2 receptors reduces alcohol self-administra-tion. J Neurochem, 2001, 78(5): 1094-1013
14 Reuter J, Raedler T, Rose M, et al. Pathological gamblingis linked to reduced activation of the mesolimbic rewardsystem. Nature neuroscience, 2005, 8(2): 147-148
15 de Ruiter MB, Veltman DJ, Goudriaan AE, et al. Responseperseveration and ventral prefrontal sensitivity to rewardand punishment in male problem gamblers and smokers.Neuropsychopharmacology, 2008, 34(4): 1027-1038
16 Goodie AS. The effects of control on betting: Paradoxicalbetting on items of high confidence with low value. Journalof Experimental Psychology: Learning, Memory, and Cogni-tion, 2003, 29(4): 598
17 Goodie AS. The role of perceived control and overconfid-ence in pathological gambling. Journal of Gambling Studies,2005, 21(4): 481-502
18 Fortune EE, Goodie AS. Cognitive distortions as a compo-nent and treatment focus of pathological gambling: A re-view. Psychology of Addictive Behaviors, 2012, 26(2): 298
19 Hudgens-Haney ME, Hamm JP, Goodie AS, et al. Neuralcorrelates of the impact of control on decision making inpathological gambling. Biological Psychology, 2012
20 Clark L, Lawrence AJ, Astley-Jones F, et al. Gamblingnear-misses enhance motivation to gamble and recruit win-related brain circuitry. Neuron, 2009, 61(3): 481-490
21 Brand M, Kalbe E, Labudda K, et al. Decision-making im-pairments in patients with pathological gambling. Psychia-try Research, 2005, 133(1): 91-99
22 Bagby RM, Vachon DD, Bulmash EL, et al. Pathologicalgambling and the five-factor model of personality. Person-ality and Individual Differences, 2007, 43(4): 873-880
23 Lakey CE, Campbell WK, Brown KW, et al. Dispositionalmindfulness as a predictor of the severity of gambling out-comes. Personality and Individual Differences, 2007, 43(7):1698-1710
24 Goudriaan AE, Oosterlaan J, de Beurs E, et al. Psychophy-siological determinants and concomitants of deficient deci-sion making in pathological gamblers. Drug and AlcoholDependence, 2006, 84(3): 231-239
25 Yucha C, Bernhard B, Prato C. Physiological effects of slotplay in women. Applied Psychophysiology and Biofeedback,2007, 32(3): 141-147
26 Franco C, Paris J, Wulfert E, et al. Male gamblers have significantly greater salivary cortisol before and after bettingon a horse race, than do female gamblers. Physiology andBehavior, 2010, 99(2): 225-229
27 严万森，李纾，隋南. 成瘾人群的决策障碍：研究范式与神经机制. 心理科学进展，2011，19(5)：652-663
28 Potenza MN, Steinberg MA, Skudlarski P, et al. Gamblingurges in pathological gambling: A functional magnetic reso-nance imaging study. Archives of General Psychiatry, 2003,60(8): 828
29 Potenza MN, Leung H-C, Blumberg HP, et al. An fMRIstroop task study of ventromedial prefrontal cortical funct-ion in pathological gamblers. American Journal of Psychia-try, 2003, 160(11): 1990-1994
30 Verdejo-García A, Bechara A, Recknor EC, et al. Execu-tive dysfunction in substance dependent individuals duringdrug use and abstinence: An examination of the behavioral,cognitive and emotional correlates of addiction. Journal ofthe International Neuropsychological Society, 2006, 12(3):405-415
31 Bechara A. Decision making, impulse control and loss ofwillpower to resist drugs: A neurocognitive perspective. Na-ture Neuroscience, 2005, 8(11): 1458-1463
32 Balodis IM, Kober H, Worhunsky PD, et al. Diminishedfrontostriatal activity during processing of monetary rewardsand losses in pathological gambling. Biological Psychiatry,2012
33 Vadhan NP, Hart CL, Haney M, et al. Decision-making inlong-term cocaine users: Effects of a cash monetary contin-gency on Gambling task performance. Drug and AlcoholDependence, 2009, 102(1-3): 95

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