DOI: 10.3724/SP.J.1041.2019.00507

Acta Psychologica Sinica (心理学报) 2019/51:4 PP.505-516

The influence of hypothetical and real money rewards on the risky decision-making of the abstinent heroin user

Today, drug abuse is closely being watched by most of society. It has been found that risky decision-making deficit is one of the main characteristics of drug abuse. Drug abusers are facing increasingly negative consequences in their personal, emotional, professional, and social lives. However, they still prefer to choose immediate reward, and it is difficult for them to make adaptive decisions. Several studies have shown that risky decision-making abilities of heroin addicts are impaired, but few studies have focused on the impact of different levels of monetary reward on risky decision-making for heroin addicts during abstinence and whether such effects are regulated by type of monetary reward. Therefore, this study used the balloon analogue risk task to examine the effects of different levels of hypothetical and real money rewards on risky decision-making in the abstinent heroin user.
Two experiments were included in the study. In Experiment 1, a hypothetical reward was used. however, the participants were asked to imagine the money prizes obtained in the experiment as real money rewards and to obtain as much profit as possible. The results showed that the main effect of the reward magnitude was significant. Post-hoc testing showed the average adjusted pumps (the mean number of pumps for balloons that did not pop) and the total number of popped balloons were significantly less under the 1-cent reward condition compared with the 25-cent reward condition. The main effects of the group were significant, and post-hoc testing showed that the average adjusted pumps and the total number of popped balloons were significantly higher for the abstinent heroin users compared with the non-heroin users. The interaction between the reward magnitude and the group was not significant. Experiment 2 used real rewards. The final rewards of the participants were converted according to their performance in the experimental task. The results showed that the main effect of reward magnitude was marginal significant for the average adjusted pumps and the main effect of the reward magnitude was significant for the total number of popped balloons. Post-hoc testing showed the average adjusted pumps and the total number of popped balloons were significantly higher under the 1-cent reward condition compared with the 25-cent reward condition. The main effects of the group were significant, and post-hoc testing showed that the average adjusted pumps and the total number of popped balloons for the abstinent heroin users were significantly smaller compared with the non-heroin users. The interaction between the reward magnitude and the group was not significant.
The data suggest that risk-taking behavior is modulated by reward type and magnitude of monetary rewards. Overall, participants make more risky decisions on the BART with increased magnitude of hypothetical monetary rewards. However, this trend is completely reversed under the real monetary reward condition. In addition, compared with the non-heroin user, abstinent heroin users make less "optimal" decisions on the BART under the hypothetical monetary reward condition, while they exhibit greater risk aversion on the BART under real monetary rewards condition.

Key words:the abstinent heroin users,risky decision-making,monetary reward magnitude,balloon analogue risk task

ReleaseDate:2019-04-26 01:28:10

Alfonso, J. P., Caracuel, A., Delgado-Pastor, L. C., & Verdejo-García, A. (2011). Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers. Drug and Alcohol Dependence, 117(1), 78-81.

Bechara, A., Damasio, A. R., Damasio, H., & Anderson, S. W. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50(1-3), 7-15.

Bickel, W. K., Odum, A. L., & Madden, G. J. (1999). Impulsivity and cigarette smoking:Delay discounting in current, never, and ex-smokers. Psychopharmacology, 146(4), 447-454.

Bickel, W. K., Pitcock, J. A., Yi, R., & Angtuaco, E. J. (2009). Congruence of BOLD response across intertemporal choice conditions:Fictive and real money gains and losses. Journal of Neuroscience, 29(27), 8839-8846.

Black, A. C., & Rosen, M. I. (2011). A money management-based substance use treatment increases valuation of future rewards. Addictive Behaviors, 36(1-2), 125-128

Bolla, K. I., Eldreth, D. A., London, E. D., Kiehl, K. A., Mouratidis, M., & Contoreggi, C.,... Ernst, M. (2003). Orbitofrontal cortex dysfunction in abstinent cocaine abusers performing a decision-making task. Neuroimage, 19(3), 1085-1094.

Bolla, K. I., Eldreth, D. A., Matochik, J. A., & Cadet, J. L. (2005). Neural substrates of faulty decision-making in abstinent marijuana users. Neuroimage, 26(2), 480-492.

Bolla, K., Ernst, M., Kiehl, K., Mouratidis, M., Eldreth, D., Contoreggi, C.,... London E. (2004). Prefrontal cortical dysfunction in abstinent cocaine abusers. Journal of Neuropsychiatry & Clinical Neurosciences, 16(4), 456-464.

Bornovalova, M. A., Cashman-Rolls, A., O'Donnell, J. M., Ettinger, K., Richards, J. B., Dewit, H., & Lejuez, C W. (2009). Risk taking differences on a behavioral task as a function of potential reward/loss magnitude and individual differences in impulsivity and sensation seeking. Pharmacology Biochemistry & Behavior, 93(3), 258-262.

Bornovalova, M. A., Daughters, S. B., Hernandez, G. D., Richards, J. B., & Lejuez, C. W. (2005). Differences in impulsivity and risk-taking propensity between primary users of crack cocaine and primary users of heroin in a residential substance-use program. Experimental and Clinical Psychopharmacology, 13(4), 311-318.

Crowley, T. J., Dalwani, M. S., Mikulichgilbertson, S. K., Du, Y. P., Lejuez, C. W., Raymond, K. M., & Banich, M. T. (2010). Risky decisions and their consequences:Neural processing by boys with antisocial substance disorder. Plos One, 5(9), e12835.

Ersche, K. D., Fletcher, P. C., Lewis, S. J. G., Clark, L., Stocks-Gee, G., London, M.,... Sahakian, B. J. (2005). Abnormal frontal activations related to decision-making in current and former amphetamine and opiate dependent individuals. Psychopharmacology, 180(4), 612-623.

Ersche, K. D., Fletcher, P. C., Roiser, J. P., Fryer, T. D., London, M., & Robbins, T. W., & Sahakian, B. J. (2006). Differences in orbitofrontal activation during decision-making between methadone-maintained opiate users, heroin users and healthy volunteers. Psychopharmacology, 188(3), 364-373.

Estle, S. J., Green, L., Myerson, J., & Holt, D. D. (2006). Differential effects of amount on temporal and probability discounting of gains and losses. Memory & Cognition, 34(4), 914-928.

Fein, G., & Chang, M. (2008). Smaller feedback ern amplitudes during the bart are associated with a greater family history density of alcohol problems in treatment-naive alcoholics. Drug and Alcohol Dependence, 92(1-3), 141-148.

García-Rodríguez, O., Secades-Villa, R., Weidberg, S., & Yoon, J. H. (2013). A systematic assessment of delay discounting in relation to cocaine and nicotine dependence. Behavioural Processes, 99, 100-105.

Goldstein, R. Z., Parvaz, M. A., Maloney, T., Alia-Klein, N., Woicik, P. A., Telang, F.,... Volkow, N. D (2008). Compromised sensitivity to monetary reward in current cocaine users:An ERP study. Psychophysiology, 45(5), 705-713.

Goldstein, R. Z., Tomasi, D., Alia-Klein, N., Cottone, L. A., Zhang, L., Telang, F., & Volkow, N. D (2007). Subjective sensitivity to monetary gradients is associated with frontolimbic activation to reward in cocaine abusers. Drug and Alcohol Dependence, 87(2-3), 233-240.

Gonzalez, R., Schuster, R. M., Mermelstein, R. M., & Diviak, K. R. (2015). The role of decision-making in cannabis-related problems among young adults. Drug and Alcohol Dependence, 154, 214-221.

Gorini, A., Lucchiari, C., Russell-Edu, W., &Pravettoni, G. (2014). Modulation of risky choices in recently abstinent dependent cocaine users:A transcranial direct-current stimulation study. Frontiers in Human Neuroscience, 8, 661.

Hanlon, C. A., Wesley, M. J., Stapleton, J. R., Laurienti, P. J., & Porrino, L. J. (2011). The association between frontal-striatal connectivity and sensorimotor control in cocaine users. Drug and Alcohol Dependence, 115(3), 240-243.

Hanson, K. L., Thayer, R. E., & Tapert, S. F. (2014). Adolescent marijuana users have elevated risk-taking on the balloon analog risk task. Journal of Psychopharmacology, 28(11), 1080-1087.

Hevey, D., Thomas, K., Laureanoschelten, S., Looney, K., & Booth, R. (2017). Clinical depression and punishment sensitivity on the bart. Frontiers in Psychology, 8, 670.

Hinvest, N. S., & Anderson, I. M., (2010). The effects of real versus hypothetical reward on delay and probability discounting. Quarterly Journal of Experimental Psychology, 63(6), 1072-1084.

Hopko, D. R., Lejuez, C. W., Daughters, S. B., Aklin, W. M., Osborne, A., Simmons, B. L., & Strong, D. R (2006). Construct validity of the balloon analogue risk task (BART):Relationship with MDMA use by inner-city drug users in residential treatment. Journal of Psychopathology & Behavioral Assessment, 28(2), 95-101.

Ji, L. Y., Chen, N. X., Ding, J. H., & Wei, P., (2015). Monetary incentive modulates the localized attentional interference effect. Acta Psychologica Sinica, 47(6), 721-733.

[纪丽燕, 陈宁轩, 丁锦红, 魏萍. (2015). 奖赏预期调节局部注意干扰效应. 心理学报, 47(6), 721-733.]

Johnson, M. W., & Bickel, W. K. (2002). Within-subject comparison of real and hypothetical money rewards in delay discounting. Journal of the Experimental Analysis of Behavior, 77(2), 129-146.

Kahneman, D., & Tversky, A. (1979). Prospect theory:An analysis of decision under risk. Econometrica, 47(2) 263-291.

Kohno, M., Morales, A. M., Ghahremani, D. G., Hellemann, G., & London, E. D. (2014). Risky decision-making:Prefrontal function and mesocorticolimbic resting-state connectivity in methamphetamine users. JAMA Psychiatry, 71(7), 812-820.

Lawrence, A. J., Luty, J., Bogdan, N. A., Sahakian, B. J., & Clark, L. (2009). Problem gamblers share deficits in impulsive decision-making with alcohol-dependent individuals. Addiction, 104(6), 1006-1015.

Lejuez, C. W., Aklin, W. M., Jones, H. A., Richards, J. B., Strong, D. R., Kahler, C. W., & Read, J. P. (2003). The balloon analogue risk task (BART) differentiates smokers and nonsmokers. Experimental & Clinical Psychopharmacology, 11(1), 26-33.

Lejuez, C. W., Read, J. P., Kahler, C. W., Richards, J. B., Ramsey, S. E., Stuart, G. L.,... Brown. R. J. (2002). Evaluation of a behavioral measure of risk taking:The balloon analogue risk task (BART). Journal of Experimental Psychology Applied, 8(2), 75-84.

Li, X. Y., Zhang, F., Zhou, Y., Zhang, M., Wang, X., & Shen, M. W. (2013). Decision-making deficits are still present in heroin abusers after short-to long-term abstinence. Drug & Alcohol Dependence, 130(1-3), 61-67.

Madden, G. J., Begotka, A. M., Raiff, B. R., & Kastern, L. L. (2003). Delay discounting of real and hypothetical rewards. Experimental and Clinical Psychopharmacology, 11(2), 139-145.

Noël, X., Bechara, A., Dan, B., Hanak, C., & Verbanck, P. (2007). Response inhibition deficit is involved in poor decision making under risk in nonamnesic individuals with alcoholism. Neuropsychology, 21(6), 778-786

Passetti, F., Clark, L., Mehta, M. A., Joyce, E., & King, M. (2008). Neuropsychological predictors of clinical outcome in opiate addiction. Drug and Alcohol Dependence, 94(1-3), 82-91.

Petry, N. M. (2001). Delay discounting of money and alcohol in actively using alcoholics, currently abstinent alcoholics, and controls. Psychopharmacology, 154(3), 243-250.

Petry, N. M., & Casarella, T. (1999). Excessive discounting of delayed rewards in substance abusers with gambling problems. Drug and Alcohol Dependence, 56(1), 25-32.

Redish, A. D., Jensen, S., & Johnson, A. (2008). A unified framework for addiction:Vulnerabilities in the decision process. Behavioral & Brain Sciences, 31(4), 415-437.

Reynolds, B., Karraker, K., Horn, K., Richards, J.B. (2003). Delay and probability discounting as related to different stages of adolescent smoking and non-smoking. Behavioural Processes, 64(3), 333-344.

Rogers, R. D., Everitt, B. J., Baldacchino, A., Blackshaw, A. J., Swainson, R., Wynne, K.,... Robbins, T.W. (1999). Dissociable deficits in the decision-making cognition of chronic amphetamine abusers, opiate abusers, patients with focal damage to prefrontal cortex, and tryptophan-depleted normal volunteers:Evidence for monoaminergic mechanisms. Neuropsychopharmacology, 20(4), 322-339.

Tian, L M., Yuan, J. C., & Li, Y. M. (2017). Effects of peer presence and self-esteem on adolescent risk-taking behavior:Evidence from an ERP study. Acta Psychologica Sinica, 50(1), 47-57.

[田录梅, 袁竞驰, 李永梅. (2018). 同伴在场和自尊水平对青少年冒险行为的影响:来自ERPs的证据. 心理学报, 50(1), 47-57.]

Vadhan, N. P., Hart, C. L., Haney, M., van Gorp, W. G., & Foltin, R. W. (2009). Decision-making in long-term cocaine users:Effects of a cash monetary contingency on gambling task performance. Drug and Alcohol Dependence, 102(1-3), 95-101.

Vaidya, J. G., Block, R. I., O'Leary, D. S., Ponto, L. B., Ghoneim, M. M., & Bechara, A. (2012). Effects of chronic marijuana use on brain activity during monetary decision-making. Neuropsychopharmacology, 37(3), 618-629.

van, den. Bos. R., Houx, B. B., & Spruijt, B. M. (2006). The effect of reward magnitude differences on choosing disadvantageous decks in the Iowa gambling task. Biological Psychology, 71(2), 155-161.

Verdejo-Garcia, A., Albein-Urios, N., Martinez-Gonzalez, J. M., Civit, E., De la Torre, R., & Lozano, O. (2014). Decision-making impairment predicts 3-month hair-indexed cocaine relapse. Psychopharmacology, 231(21), 4179-4187.

Verdejo-Garcia, A., Benbrook, A., Funderburk, F., David, P., Cadet, J. L., & Bolla, K. I. (2007). The differential relationship between cocaine use and marijuana use on decision-making performance over repeat testing with the iowa gambling task. Drug and Alcohol Dependence, 90(1), 2-11.

Xu, S. H., Fang, Z., & Rao, H. Y. (2013). Real or hypothetical monetary rewards modulates risk taking behavior. Acta Psychologica Sinica, 45(8), 874-886.

[徐四华, 方卓, 饶恒毅. (2013). 真实和虚拟金钱奖赏影响风险决策行为. 心理学报, 45(8), 874-886.]

Xu, S. H., Pan, Y., Qu, Z., Fang, Z, Yang, Z. j., Yang, F.,... Rao, H. Y. (2018). Differential effects of real versus hypothetical monetary reward magnitude on risk-taking behavior and brain activity. Scientific Reports, 8.

Xu, S. H., Pan. Y., Wang, Y., Spaeth, A. M., Qu, Z., & Rao, H. Y. (2016). Real and hypothetical monetary rewards modulate risk taking in the brain. Scientific Reports, 6(1).

Yan, W. S., Li, S., & Sui, N. (2011). Research paradigms and neural mechanisms for decision-making deficits in addicts. Advances in Psychological Science, 19(5), 652-663.

[严万森, 李纾, 隋南. (2011). 成瘾人群的决策障碍:研究范式与神经机制. 心理科学进展, 19(5), 652-663.]

Yao, Y. W., Chen, P. R., Li, C. S. R., Hare, T. A., Li, S., Zhang, J. T.,... Fangg, X. Y. (2017). Combined reality therapy and mindfulness meditation decrease intertemporal decisional impulsivity in young adults with internet gaming disorder. Computers in Human Behavior, 68(5), 210-216.

Zhao, H. C., Huang, X. L., & He, Q. H., (2016). Cognitive dysfunction and underlying neural basis in substance addiction. Chinese Science Bulletin, 61(34), 3672-3683.

[赵海潮, 黄小璐, 何清华. (2016). 物质成瘾所伴随的认知功能缺陷及其神经基础. 科学通报, 61(34), 3672-3683.]

Zhao, Q. L., Li, H. Q., Hu, B., Wu, H. Y., & Liu, Q. Y. (2017). Abstinent heroin addicts tend to take risks:ERP and source localization. Frontiers in Neuroscience, 11(6), 1-12.

Zhou, P. Y., Liu, D. W., Zhou, R. L., Sun, B. L., Xiao, J., & Li, S. (2014a). Impairment of drug addiction on decision making and recovery after abstinence. Chinese Journal of Clinical Psychology, 22(6), 951-956.

[周平艳, 刘丹玮, 周仁来, 孙本良, 肖洁, 李松. (2014a). 药物成瘾对决策行为的损伤及戒断后的恢复. 中国临床心理学杂志, 22(6), 951-956.]

Zhou, P. Y., Liu, D. W., Zhou, R. L., Sun, B. L., Xiao, J., & Li, S. (2014b). Sensitivity to monetary reward in drug abstainers at different post-drug withdrawal phases:An ERP study. Chinese Journal of Clinical Psychology, 22(4), 571-576.

[周平艳, 刘丹玮, 周仁来, 孙本良, 肖洁, 李松. (2014b). 不同戒断期毒品戒断者对金钱奖赏敏感性的ERP研究. 中国临床心理学杂志, 22(4), 571-576.]