Abstract

Recent work has found that personality factors that confer vulnerability to addiction can also affect learning and economic decision making. One personality trait which has been implicated in vulnerability to addiction is intolerance to uncertainty (IU), i.e., a preference for familiar over unknown (possibly better) options. In animals, the motivation to obtain drugs is often assessed through conditioned place preference (CPP), which compares preference for contexts where drug reward was previously received. It is an open question whether participants with high IU also show heightened preference for previously rewarded contexts. To address this question, we developed a novel computer-based CPP task for humans in which participants guide an avatar through a paradigm in which one room contains frequent reward (i.e., rich) and one contains less frequent reward (i.e., poor). Following exposure to both contexts, subjects are assessed for preference to enter the previously rich and previously poor room. Individuals with low IU showed little bias to enter the previously rich room first, and instead entered both rooms at about the same rate which may indicate a foraging behavior. By contrast, those with high IU showed a strong bias to enter the previously rich room first. This suggests an increased tendency to chase reward in the intolerant group, consistent with previously observed behavior in opioid-addicted individuals. Thus, the personality factor of high IU may produce a pre-existing cognitive bias that provides a mechanism to promote decision-making processes that increase vulnerability to addiction.

Highlights

  • Some individuals exposed to drugs of abuse develop addiction while others do not

  • The results suggest that personality factors, including behavioral inhibition (BI) and harm avoidance, hypothesized to be risk factors for anxiety disorders, are associated with enhanced learning in a variety of tasks (Sheynin et al, 2013, 2014; Allen et al, 2014; Holloway et al, 2014)

  • Given the possible role of uncertainty in most prior tasks examining the role of individual differences in anxiety and addiction vulnerability, the purpose of the current study was to test how personality can modulate economic decision making for rewards in healthy individuals, focusing on intolerance to uncertainty (IU) – another personality factor that has been linked to anxiety disorders (Dugas et al, 1997; Ladouceur et al, 1997; Birrell et al, 2011; Carleton, 2012; Grupe and Nitschke, 2013)

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Summary

Introduction

Some individuals exposed to drugs of abuse develop addiction while others do not One factor mediating this difference in outcomes may be personality traits that confer biases in decision making, such as a tendency to pursue familiar sources of reward at the expense of exploring other (possibly more rewarding) options. Based on their comorbidity, it is not surprising that both types of disorders share other common features, including behaviors such as withdrawal or avoidance, changes in learning, and maladaptive decision making (e.g., risk taking, chasing reward). It is not surprising that both types of disorders share other common features, including behaviors such as withdrawal or avoidance, changes in learning, and maladaptive decision making (e.g., risk taking, chasing reward) This alteration in decision making is not limited to decisions about drugs, but can affect reward in general (Clark and Robbins, 2002). Stress and anxiety can lead to increased drug use and relapse (Jacobsen et al, 2001; Sinha, 2001)

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