Abstract

Pathological gambling, alongside addictive and antisocial disorders, forms part of a broad psychopathological spectrum of externalizing disorders, which share an underlying genetic vulnerability. The shared externalizing propensity is a highly heritable, continuously varying trait. Disinhibitory personality traits such as impulsivity and novelty seeking (NS) function as indicators of this broad shared externalizing tendency, which may reflect, at the neurobiological level, variation in the reactivity of dopaminergic (DAergic) brain reward systems centered on the ventral striatum (VS). Here, we examined whether individual differences in ventral striatal dopamine (DA) synthesis capacity were associated with individual variation in disinhibitory personality traits. Twelve healthy male volunteers underwent 6-[18F]Fluoro-L-DOPA (FDOPA) positron emission tomography (PET) scanning to measure striatal DA synthesis capacity, and completed a measure of disinhibited personality (NS). We found that levels of ventral, but not dorsal, striatal DA synthesis capacity were significantly correlated with inter-individual variation in disinhibitory personality traits, particularly a propensity for financial extravagance and irresponsibility. Our results are consistent with preclinical models of behavioral disinhibition and addiction proneness, and provide novel insights into the neurobiology of personality based vulnerability to pathological gambling and other externalizing disorders.

Highlights

  • Patterns of systematic co-occurrence (“comorbidity”) between substance misuse and antisocial disorders are best accounted for by a model positing a shared underlying genetic vulnerability, known as externalizing (Krueger et al, 2002, 2007)

  • Harm Avoidance (HA) scores (HA mean 8.1, SD ± 4.7) were somewhat lower than those reported by Otter et al (HA mean 10.7 ± 6.2), perhaps reflecting self-selection bias in individuals who volunteer for positron emission tomography (PET) scanning (Oswald et al, 2013)

  • In adults, novelty seeking (NS) shows a significant decrease with increasing age (Otter et al, 1995), we controlled for the effects of age when examining the relationship between striatal FDOPA Ki and disinhibitory NS traits (Impulsivity and Extravagance)

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Summary

Introduction

Patterns of systematic co-occurrence (“comorbidity”) between substance misuse and antisocial disorders are best accounted for by a model positing a shared underlying genetic vulnerability, known as externalizing (Krueger et al, 2002, 2007). This broad externalizing vulnerability is a highly heritable, continuously varying dimension of risk (Krueger et al, 2007). Disinhibitory personality traits are strongly linked with externalizing disorders (Ruiz et al, 2008), including pathological gambling (MacLaren et al, 2011). A shared genetic diathesis underlies the associations between trait disinhibition and externalizing disorders (Krueger et al, 2002; Hicks et al, 2011)

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