The Relationship Between Gambling Disorder, Stressful Life Events, Gambling-Related Cognitive Distortions, Difficulty in Emotion Regulation, and Self-Control.

Gambling Disorder (GD) is a prominent psychiatric disorder affecting individuals worldwide. Research suggests that key risk factors for GD include stressful life events (SLEs) and specific psychological factors, such as gambling-related cognitive distortions. The present study investigated the potential mediating role of specific psychological factors (i.e., gambling-related cognitive distortions, difficulty in emotion regulation, and self-control) in the relationship between SLEs and GD. A cross-sectional study using an online survey was developed to investigate the relationship between SLEs and GD in a mediation model. A total of 516 participants were initially recruited online to the present study, and data from 290 participants were fully included in the statistical analyses conducted. Sociodemographic and gambling-related data were collected in addition to data related to participants' SLEs, GD, gambling-related cognitive distortions, difficulty in emotion regulation, and self-control. The results of the parallel multiple mediation analysis conducted found that gambling-related cognitive distortions and difficulty in emotion regulation mediated the relationship between SLEs events and GD. However, self-control was not found to mediate this relationship. The findings suggest that individuals who experience SLEs may be more vulnerable to the development of GD through their belief in gambling-related cognitive distortions and experience of difficulty regulating their emotions. Implications regarding potential preventive efforts for GD are discussed.

The role of microtransactions in Internet Gaming Disorder and Gambling Disorder: A preregistered systematic review.

Recently there has been increased interest in understanding the relationship between microtransactions, gaming, and gambling. This review aimed to synthesise the evidence on the relationship between microtransactions, 'Internet Gaming Disorder' (IGD), and Gambling Disorder in order to report on the: psychometric assessments used, sampling and demographic information, study design and sampling methods, relationships between microtransactions and both IGD and gambling disorder. Inclusion criteria included: refereed studies quantifying microtransactions and/or loot boxes examining their relationship with IGD and/or gambling disorder that were published between 2013 and 2021. Electronic databases were searched and the results were synthesised qualitatively. 14 studies were included. The quality of the evidence was 'Good' and clear positive relationships between microtransactions and both IGD and gambling disorder were identified. These relationships apply more to loot boxes than other microtransactions, and risky loot box use was identified as a possible mediator of these relationships. Additionally, microtransaction expenditure increased with the risk of gambling disorder. There is some evidence that adolescents who purchase loot boxes may be more at risk of developing gambling disorder. External validity is limited due to the cross-sectional nature of the evidence, the use of convenience sampling, and the predominantly Western samples resulting in non-representative samples. Prevalence rates of IGD and gambling disorder varied significantly across studies and were different to general prevalence rates. We conclude that there is a need to develop consistent methods for assessing IGD and microtransaction engagement in future research. Implications for policy-makers and future research are discussed.

Investigating the Role of Health Factors and Psychological Well-Being in Gaming Disorder.

The recent recognition of Gaming Disorder (GD) as a mental health issue has provided a unique opportunity for researchers to advance our current understanding of the intricate relationships between GD and specific health-related factors and well-being. This study sought to investigate the role of key physical and psychological health and well-being factors in GD. To achieve this, three goals were explored. First, we tested whether GD can be predicted by health and well-being factors such as depression, anxiety, loneliness, attention problems, physical health problems (PHP), and psychological well-being (PWB). Second, we assessed the role of distress tolerance (DT) as a moderator in the relationship between PWB and GD. Third, we examined whether PWB would mediate the relationship between PHP and GD. A sample of 474 participants (Meanage = 28.86 years; SD = 9.23; range: 18-66 years; 47 percent female) were recruited. The results of the multiple linear regression analysis indicated that age, attention problems, and PHP significantly predicted GD (R2 = 0.15). In addition, the mediation findings uncovered an important direct association between PHP and GD despite the lack of mediation effects through PWB and the absence of moderating effects from DT. The present findings signify important health-related implications related to GD that are further discussed here in terms diagnosis, treatment, and prevention efforts.

Looking at remembering: Eye movements, pupil size, and autobiographical memory.

To examine the relationship between visual imagery and autobiographical memory, eye position and pupil size were recorded while participants first searched for memories and then reconstructed the retrieved memories (Experiment 1), or only searched for memories (Experiment 2). In Experiment 1, we observed that, although recollective experience was not associated with the number of fixations per minute, memories that took longer to retrieve were linked to increased pupil size. In Experiment 2, we observed that directly retrieved memories were recalled more quickly and were accompanied by smaller pupils than generatively retrieved memories. After correcting for response time, retrieval mode also produced an effect, showing that decreased pupil size is not simply due to directly retrieved memories being recalled more quickly. These findings provide compelling evidence that objective measures, such as pupil size, can be used alongside subjective measures, such as self-reports, to distinguish between directly retrieved and generatively retrieved memories.

Exploring the temporal dynamics of inhibition of return using steady-state visual evoked potentials.

Inhibition of return is characterized by delayed responses to previously attended locations when the interval between stimuli is long enough. The present study employed steady-state visual evoked potentials (SSVEPs) as a measure of attentional modulation to explore the nature and time course of input- and output-based inhibitory cueing mechanisms that each slow response times at previously stimulated locations under different experimental conditions. The neural effects of behavioral inhibition were examined by comparing post-cue SSVEPs between cued and uncued locations measured across two tasks that differed only in the response modality (saccadic or manual response to targets). Grand averages of SSVEP amplitudes for each condition showed a reduction in amplitude at cued locations in the window of 100-500 ms post-cue, revealing an early, short-term decrease in the responses of neurons that can be attributed to sensory adaptation, regardless of response modality. Because primary visual cortex has been found to be one of the major sources of SSVEP signals, the results suggest that the SSVEP modulations observed were caused by input-based inhibition that occurred in V1, or visual areas earlier than V1, as a consequence of reduced visual input activity at previously cued locations. No SSVEP modulations were observed in either response condition late in the cue-target interval, suggesting that neither late input- nor output-based IOR modulates SSVEPs. These findings provide further electrophysiological support for the theory of multiple mechanisms contributing to behavioral cueing effects.

Exploring the Role of Social Media Use Motives, Psychological Well-Being, Self-Esteem, and Affect in Problematic Social Media Use.

Given recent advances in technology, connectivity, and the popularity of social media platforms, recent literature has devoted great attention to problematic Facebook use. However, exploring the potential predictors of problematic social media use beyond Facebook use has become paramount given the increasing popularity of multiple alternative platforms. In this study, a sample of 584 social media users (M age = 32.28 years; 67.81% female) was recruited to complete an online survey assessing sociodemographic characteristics, patterns, and preferences of social media use, problematic social media use (PSMU), social media use motives, psychological well-being, self-esteem, and positive and negative affect. Results indicated that 6.68% (n = 39) of all respondents could be potentially classed as problematic users. Moreover, further analysis indicated that intrapersonal motive (ß = 0.38), negative affect (ß = 0.22), daily social media use (ß = 0.18), surveillance motive (ß = 0.12), and positive affect (ß = -0.09) each predicted PSMU. These variables accounted for about 37% of the total variance in PSMU, with intrapersonal motive driving the greatest predictive contribution, over and above the effects of patterns of social media use and sociodemographic variables. These findings contribute to the increasing literature on PSMU. The results of this study are discussed in light of the existing literature on PSMU.

Inhibitory and Facilitatory Cueing Effects: Competition between Exogenous and Endogenous Mechanisms.

Inhibition of return is characterized by delayed responses to previously attended locations when the cue-target onset asynchrony (CTOA) is long enough. However, when cues are predictive of a target's location, faster reaction times to cued as compared to uncued targets are normally observed. In this series of experiments investigating saccadic reaction times, we manipulated the cue predictability to 25% (counterpredictive), 50% (nonpredictive), and 75% (predictive) to investigate the interaction between predictive endogenous facilitatory (FCEs) and inhibitory cueing effects (ICEs). Overall, larger ICEs were seen in the counterpredictive condition than in the nonpredictive condition, and no ICE was found in the predictive condition. Based on the hypothesized additivity of FCEs and ICEs, we reasoned that the null ICEs observed in the predictive condition are the result of two opposing mechanisms balancing each other out, and the large ICEs observed with counterpredictive cueing can be attributed to the combination of endogenous facilitation at uncued locations with inhibition at cued locations. Our findings suggest that the endogenous activity contributed by cue predictability can reduce the overall inhibition observed when the mechanisms occur at the same location, or enhance behavioral inhibition when the mechanisms occur at opposite locations.

What Neuroscientific Studies Tell Us about Inhibition of Return.

An inhibitory aftermath of orienting, inhibition of return (IOR), has intrigued scholars since its discovery about 40 years ago. Since then, the phenomenon has been subjected to a wide range of neuroscientific methods and the results of these are reviewed in this paper. These include direct manipulations of brain structures (which occur naturally in brain damage and disease or experimentally as in TMS and lesion studies) and measurements of brain activity (in humans using EEG and fMRI and in animals using single unit recording). A variety of less direct methods (e.g., computational modeling, developmental studies, etc.) have also been used. The findings from this wide range of methods support the critical role of subcortical and cortical oculomotor pathways in the generation and nature of IOR.

Sensory adaptation and inhibition of return: dissociating multiple inhibitory cueing effects.

Inhibition of return (IOR) refers to an increase in reaction times to targets that appeared at a previously cued location relative to an uncued location, often investigated using a spatial cueing paradigm. Despite numerous studies that have examined many aspects of IOR, the neurophysiological mechanisms underlying IOR are still in dispute. The objective of the current research is to investigate the plausible mechanisms by manipulating the cue and target types between central and peripheral stimuli in a traditional cue-target paradigm with saccadic responses to targets. In peripheral-cueing conditions, we observed inhibitory cueing effects across all cue-target onset asynchronies (CTOAs) with peripheral targets, but IOR was smaller and arose later with central targets. No inhibition was observed in central-cueing conditions at any CTOAs. Empirical data were simulated using a two-dimensional dynamic neural field model. Our results and simulations support previous work demonstrating that, at short CTOAs, behavioral inhibition is only observed with repeated stimulation-an effect of sensory adaptation. With longer CTOAs, IOR is observed regardless of target type when peripheral cueing is used. Our findings suggest that behaviorally exhibited inhibitory cueing effects can be attributed to multiple mechanisms, including both attenuation of visual stimulation and local inhibition in the superior colliculus.

Time course of inhibition of return in a spatial cueing paradigm with distractors.

Studies of endogenous and exogenous attentional orienting in spatial cueing paradigms have been used to investigate inhibition of return, a behavioral phenomenon characterized by delayed reaction time in response to recently attended locations. When eye movements are suppressed, attention is covertly oriented to central or peripheral stimuli. Overt orienting, on the other hand, requires explicit eye movements to the stimuli. The present study examined the time course of slowed reaction times to previously attended locations when distractors are introduced into overt and covert orienting tasks. In a series of experiments, manual responses were required to targets following central and peripheral cues at three different cue-target intervals, with and without activated oculomotor systems. The results demonstrate that, when eye movements are suppressed, behavioral inhibition is reduced or delayed in magnitude by the presence of a distractor relative to conditions without distractors. However, the time course of behavioral inhibition when eye movements are required remains similar with or without distractors.

Stimulus-response incompatibility eliminates inhibitory cueing effects with saccadic but not manual responses.

There are thought to be two forms of inhibition of return (IOR) depending on whether the oculomotor system is activated or suppressed. When saccades are allowed, output-based IOR is generated, whereas input-based IOR arises when saccades are prohibited. In a series of 4 experiments, we mixed or blocked compatible and incompatible trials with saccadic or manual responses to investigate whether cueing effects would follow the same pattern as those observed with more traditional peripheral onsets and central arrows. In all experiments, an uninformative cue was displayed, followed by a cue-back stimulus that was either red or green, indicating whether a compatible or incompatible response was required. The results showed that IOR was indeed observed for compatible responses in all tasks, whereas IOR was eliminated for incompatible trials-but only with saccadic responses. These findings indicate that the dissociation between input- and output-based forms of IOR depends on more than just oculomotor activation, providing further support for the existence of an inhibitory cueing effect that is distinct to the manual response modality.

Inhibitory cueing effects following manual and saccadic responses to arrow cues.

With two cueing tasks, in the present study we examined output-based inhibitory cueing effects (ICEs) with manual responses to arrow targets following manual or saccadic responses to arrow cues. In all experiments, ICEs were observed when manual localization responses were required to both the cues and targets, but only when the cue-target onset asynchrony (CTOA) was 2,000 ms or longer. In contrast, when saccadic responses were made in response to the cues, ICEs were only observed with CTOAs of 2,000 ms or less-and only when an auditory cue-back signal was used. The present study also showed that the magnitude of ICEs following saccadic responses to arrow cues decreased with time, much like traditional inhibition-of-return effects. The magnitude of ICEs following manual responses to arrow cues, however, appeared later in time and had no sign of decreasing even 3 s after cue onset. These findings suggest that ICEs linked to skeletomotor activation do exist and that the ICEs evoked by oculomotor activation can carry over to the skeletomotor system.

The impact of cognitive load on reward evaluation.

The neural systems that afford our ability to evaluate rewards and punishments are impacted by a variety of external factors. Here, we demonstrate that increased cognitive load reduces the functional efficacy of a reward processing system within the human medial-frontal cortex. In our paradigm, two groups of participants used performance feedback to estimate the exact duration of one second while electroencephalographic (EEG) data was recorded. Prior to performing the time estimation task, both groups were instructed to keep their eyes still and avoid blinking in line with well established EEG protocol. However, during performance of the time-estimation task, one of the two groups was provided with trial-to-trial-feedback about their performance on the time-estimation task and their eye movements to induce a higher level of cognitive load relative to participants in the other group who were solely provided with feedback about the accuracy of their temporal estimates. In line with previous work, we found that the higher level of cognitive load reduced the amplitude of the feedback-related negativity, a component of the human event-related brain potential associated with reward evaluation within the medial-frontal cortex. Importantly, our results provide further support that increased cognitive load reduces the functional efficacy of a neural system associated with reward processing.

A rapid event-related potential (ERP) method for point-of-care evaluation of brain function: development of the Halifax Consciousness Scanner.

BACKGROUND: Event-related potentials (ERPs) may provide a non-invasive index of brain function for a range of clinical applications. However, as a lab-based technique, ERPs are limited by technical challenges that prevent full integration into clinical settings. NEW METHOD: To translate ERP capabilities from the lab to clinical applications, we have developed methods like the Halifax Consciousness Scanner (HCS). HCS is essentially a rapid, automated ERP evaluation of brain functional status. The present study describes the ERP components evoked from auditory tones and speech stimuli. ERP results were obtained using a 5-min test in 100 healthy individuals. The HCS sequence was designed to evoke the N100, the mismatch negativity (MMN), P300, the early negative enhancement (ENE), and the N400. These components reflected sensation, perception, attention, memory, and language perception, respectively. Component detection was examined at group and individual levels, and evaluated across both statistical and classification approaches. RESULTS: All ERP components were robustly detected at the group level. At the individual level, nonparametric statistical analyses showed reduced accuracy relative to support vector (SVM) machine classification, particularly for speech-based ERPs. Optimized SVM results were MMN: 95.6%; P300: 99.0%; ENE: 91.8%; and N400: 92.3%. CONCLUSIONS: A spectrum of individual-level ERPs can be obtained in a very short time. Machine learning classification improved detection accuracy across a large healthy control sample. Translating ERPs into clinical applications is increasingly possible at the individual level.

Detection of event-related potentials in individual subjects using support vector machines.

Event-related potentials (ERPs) are tiny electrical brain responses in the human electroencephalogram that are typically not detectable until they are isolated by a process of signal averaging. Owing to the extremely smallsize of ERP components (ranging from less than 1 µV to tens of µV), compared to background brain rhythms, statistical analyses of ERPs are predominantly carried out in groups of subjects. This limitation is a barrier to the translation of ERP-based neuroscience to applications such as medical diagnostics. We show here that support vector machines (SVMs) are a useful method to detect ERP components in individual subjects with a small set of electrodes and a small number of trials for a mismatch negativity (MMN) ERP component. Such a reduced experiment setup is important for clinical applications. One hundred healthy individuals were presented with an auditory pattern containing pattern-violating deviants to evoke the MMN. Two-class SVMs were then trained to classify averaged ERP waveforms in response to the standard tone (tones that match the pattern) and deviant tone stimuli (tones that violate the pattern). The influence of kernel type, number of epochs, electrode selection, and temporal window size in the averaged waveform were explored. When using all electrodes, averages of all available epochs, and a temporal window from 0 to 900-ms post-stimulus, a linear SVM achieved 94.5 % accuracy. Further analyses using SVMs trained with narrower, sliding temporal windows confirmed the sensitivity of the SVM to data in the latency range associated with the MMN.

In search of a reliable electrophysiological marker of oculomotor inhibition of return.

Inhibition of return (IOR) operationalizes a behavioral phenomenon characterized by slower responding to cued, relative to uncued, targets. Two independent forms of IOR have been theorized: input-based IOR occurs when the oculomotor system is quiescent, while output-based IOR occurs when the oculomotor system is engaged. EEG studies forbidding eye movements have demonstrated that reductions of target-elicited P1 components are correlated with IOR magnitude, but when eye movements occur, P1 effects bear no relationship to behavior. We expand on this work by adapting the cueing paradigm and recording event-related potentials: IOR is caused by oculomotor responses to central arrows or peripheral onsets and measured by key presses to peripheral targets. Behavioral IOR is observed in both conditions, but P1 reductions are absent in the central arrow condition. By contrast, arrow and peripheral cues enhance Nd, especially over contralateral electrode sites.

Returning to "inhibition of return" by dissociating long-term oculomotor IOR from short-term sensory adaptation and other nonoculomotor "inhibitory" cueing effects.

We explored the nature and time course of effects generated by spatially uninformative peripheral cues by measuring these effects with localization responses to peripheral onsets or central arrow targets. In Experiment 1, participants made saccadic eye movements to equiprobable peripheral and central targets. At short cue-target onset asynchronies (CTOAs), responses to cued peripheral stimuli suffered from slowed responding attributable to sensory adaptation while responses to central targets were transiently facilitated, presumably due to cue-elicited oculomotor activation. At the longest CTOA, saccadic responses to central and peripheral targets were indistinguishably delayed, suggesting a common, output/decision effect (inhibition of return; IOR). In Experiment 2, we tested the hypothesis that the generation of this output effect is dependent on the activation state of the oculomotor system by forbidding eye movements and requiring keypress responses to frequent peripheral targets, while probing oculomotor behavior with saccades to infrequent central arrow targets. As predicted, saccades to central arrow targets showed neither the early facilitation nor later inhibitory effects that were robust in Experiment 1. At the long CTOA, manual responses to cued peripheral targets showed the typical delayed responses usually attributed to IOR. We recommend that this late "inhibitory" cueing effect (ICE) be distinguished from IOR because it lacks the cause (oculomotor activation) and effect (response bias) attributed to IOR when it was named by Posner, Rafal, Choate, and Vaughan (1985).

Handles of manipulable objects attract covert visual attention: ERP evidence.

Previous research has demonstrated that people are faster at making a manual response with the hand that is aligned with the handle of a manipulable object compared to its functional end. According to theories of embodied cognition (ETC), the presentation of a manipulable object automatically elicits sensorimotor simulations of the respective hand and these simulations facilitate the response. However, an alternative interpretation of these data is that handles preferentially attract visual attention, since attended stimuli and locations typically elicit faster responses. We investigated attentional biases elicited by manipulable and non-manipulable objects using event-related-potentials (ERPs). On each trial, a picture of a manipulable object was followed by a target dot that participants had to make a button-press to. The dot was located at either the handle or functional end of the object. Consistent with previous attentional cuing paradigms, we showed that the P1 ERP component was greater in response to targets cued by handles than by functional ends. These results suggest that object handles automatically bias covert attentional processes. These attentional biases may account for earlier behavioural findings, without any recourse to ETC.

On the role of eye movement monitoring and discouragement on inhibition of return in a go/no-go task.

Inhibition of return (IOR) most often describes the finding of increased response times to cued as compared to uncued targets in the standard covert orienting paradigm. A perennial question in the IOR literature centers on whether the effect of IOR is on motoric/decision-making processes (output-based IOR), attentional/perceptual processes (input-based IOR), or both. Recent data converge on the idea that IOR is an output-based effect when eye movements are required or permitted whereas IOR is an input-based effect when eye movements are monitored and actively discouraged. The notion that the effects of IOR may be fundamentally different depending on the activation state of the oculomotor system has been challenged by several studies demonstrating that IOR exists as an output-, or output- plus input-based effect in simple keypress tasks not requiring oculomotor responses. Problematically, experiments in which keypress responses are required to visual events rarely use eye movement monitoring let alone the active discouragement of eye movement errors. Here, we return to an experimental method implemented by Ivanoff and Klein (2001) whose results demonstrated that IOR affected output-based processes when, ostensibly, only keypress responses occurred. Unlike Ivanoff and Klein, however, we assiduously monitor and discourage eye movements. We demonstrate that actively discouraging eye movements in keypress tasks changes the form of IOR from output- to input-based and, as such, we strongly encourage superior experimental control over or consideration of the contribution of eye movement activity in simple keypress tasks exploring IOR.

On the nature of the delayed "inhibitory" cueing effects generated by uninformative arrows at fixation.

When the interval between a spatially uninformative arrow and a visual target is short (<500 ms), response times (RTs) are fastest when the arrow points to the target. When this interval exceeds 500 ms, there is a near-universal absence of an effect of the arrow on RTs. Contrary to this expected pattern of results, Taylor and Klein (J Exp Psychol Hum Percept Perform 26:1639-1656, 2000) observed that RTs were slowest when a to-be-localized visual target occurred in the direction of a fixated arrow presented 1 s earlier (i.e., an "inhibitory" Cueing effect; ICE). Here we examined which factor(s) may have allowed the arrow to generate an ICE. Our experiments indicated that the ICE was a side effect of subthreshold response activation attributable to a task-induced association between the arrow and a keypress response. Because the cause of this ICE was more closely related to subthreshold keypress activation than to oculomotor activation, we considered that the effect might be more similar to the negative compatibility effect (NCE) than to inhibition of return (IOR). This similarity raises the possibility that classical IOR, when caused by a spatially uninformative peripheral onset event and measured by a keypress response to a subsequent onset, might represent, in part, another instance of an NCE. Serendipitously, we discovered that context (i.e., whether an uninformative peripheral onset could occur at the time of an uninformative central arrow) ultimately determined whether the "inhibitory" aftermath of automatic response activation would affect output or input pathways.