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León JJ, Fernández-Martin P, González-Rodríguez A, Rodríguez-Herrera R, García-Pinteño J, Pérez-Fernández C, Sánchez-Kuhn A, Amaya-Pascasio L, Soto-Ontoso M, Martínez-Sánchez P, Sánchez-Santed F, Flores P. Decision-making and frontoparietal resting-state functional connectivity among impulsive-compulsive diagnoses. Insights from a Bayesian approach. Addict Behav 2023; 143:107683. [PMID: 36963236 DOI: 10.1016/j.addbeh.2023.107683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 02/20/2023] [Accepted: 02/24/2023] [Indexed: 03/13/2023]
Abstract
The Iowa Gambling Task (IGT) is one of the most widely used paradigms for assessing decision-making. An impairment in this process may be linked to several psychopathological disorders, such as obsessive-compulsive disorder (OCD), substance abuse disorder (SUD) or attention-deficit/hyperactivity disorder (ADHD), which could make it a good candidate for being consider a transdiagnostic domain. Resting-state functional connectivity (rsFC) has been proposed as a promising biomarker of decision-making. In this study, we aimed to identify idiosyncratic decision-making profiles among healthy people and impulsive-compulsive spectrum patients during the IGT, and to investigate the role of frontoparietal network (FPN) rsFC as a possible biomarker of different decision-making patterns. Using functional near-infrared spectroscopy (fNIRS), rsFC of 114 adults (34 controls; 25 OCD; 41 SUD; 14 ADHD) was obtained. Then, they completed the IGT. Hybrid clustering methods based on individual deck choices yielded three decision-makers subgroups. Cluster 1 (n = 27) showed a long-term advantageous strategy. Cluster 2 (n = 25) presented a maladaptive decision-making strategy. Cluster 3 (n = 62) did not develop a preference for any deck during the task. Interestingly, the proportion of participants in each cluster was not different between diagnostic groups. A Bayesian general linear model showed no credible differences in the IGT performance between diagnostic groups nor credible evidence to support the role of FPN rsFC as a biomarker of decision-making under the IGT context. This study highlights the importance of exploring in depth the behavioral and neurophysiological variables that may drive decision-making in clinical and healthy populations.
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Affiliation(s)
- J J León
- Department of Psychology, Faculty of Psychology, University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain; Health Research Centre (CEINSA), University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain.
| | - P Fernández-Martin
- Department of Psychology, Faculty of Psychology, University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain; Health Research Centre (CEINSA), University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain.
| | - A González-Rodríguez
- Department of Psychology, Faculty of Psychology, University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain; Health Research Centre (CEINSA), University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain.
| | - R Rodríguez-Herrera
- Department of Psychology, Faculty of Psychology, University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain; Health Research Centre (CEINSA), University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain.
| | - J García-Pinteño
- Department of Psychology, Faculty of Psychology, University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain; Health Research Centre (CEINSA), University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain.
| | - C Pérez-Fernández
- Department of Psychology, Faculty of Psychology, University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain; Health Research Centre (CEINSA), University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain.
| | - A Sánchez-Kuhn
- Department of Psychology, Faculty of Psychology, University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain; Health Research Centre (CEINSA), University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain.
| | - L Amaya-Pascasio
- Department of Neurology and Stroke Centre. Torrecárdenas University Hospital, Spain.
| | - M Soto-Ontoso
- Mental Health Departament. Torrecárdenas University Hospital, Spain.
| | - P Martínez-Sánchez
- Department of Neurology and Stroke Centre. Torrecárdenas University Hospital, Spain.
| | - F Sánchez-Santed
- Department of Psychology, Faculty of Psychology, University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain; Health Research Centre (CEINSA), University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain.
| | - P Flores
- Department of Psychology, Faculty of Psychology, University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain; Health Research Centre (CEINSA), University of Almeria, Carretera de Sacramento S/N, 04120, La Cañada de San Urbano, Almeria, Spain.
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