Neurochemistry of response inhibition and interference in gambling disorder: A preliminary study of γ-aminobutyric acid (GABA+) and glutamate-glutamine (Glx)

  • Kathrin Weidacker
  • , Stephen J Johnston
  • , Paul G. Mullins
  • , Frederic Boy
  • , Simon Dymond

    Research output: Contribution to journalArticlepeer-review

    166 Downloads (Pure)

    Abstract

    Background
    Neurobehavioral research on the role of impulsivity in gambling disorder (GD) has produced heterogeneous findings. Impulsivity is multifaceted with different experimental tasks measuring different subprocesses, such as response inhibition and distractor interference. Little is known about the neurochemistry of inhibition and interference in GD.

    Methods
    We investigated inhibition with the stop signal task (SST) and interference with the Eriksen Flanker task, and related performance to metabolite levels in individuals with and without GD. We employed magnetic resonance spectroscopy (MRS) to record glutamate–glutamine (Glx/Cr) and inhibitory, γ-aminobutyric acid (GABA+/Cr) levels in the dorsal ACC (dACC), right dorsolateral prefrontal cortex (dlPFC), and an occipital control voxel.

    Results
    We found slower processing of complex stimuli in the Flanker task in GD (P < .001, η2p = 0.78), and no group differences in SST performance. Levels of dACC Glx/Cr and frequency of incongruent errors were correlated positively in GD only (r = 0.92, P = .001). Larger positive correlations were found for those with GD between dACC GABA+/Cr and SST Go error response times (z = 2.83, P = .004), as well as between dACC Glx/Cr and frequency of Go errors (z = 2.23, P = .03), indicating general Glx-related error processing deficits. Both groups expressed equivalent positive correlations between posterror slowing and Glx/Cr in the right dlPFC (GD: r = 0.74, P = .02; non-GD: r = .71, P = .01).

    Conclusion
    Inhibition and interference impairments are reflected in dACC baseline metabolite levels and error processing deficits in GD.
    Original languageEnglish
    Pages (from-to)475-485
    Number of pages11
    JournalCNS Spectrums
    Volume27
    Issue number4
    Early online date23 Mar 2021
    DOIs
    Publication statusPublished - Aug 2022

    Keywords

    • GABA
    • Gambling
    • MRS
    • response inhibition
    • response interference

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