Impaired arbitration between reward-related decision-making strategies in Alcohol Users compared to Alcohol Non-Users: a computational modeling study
2025

Decision-Making in Alcohol Users vs Non-Users

Sample size: 81 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ramakrishnan Srinivasan A., Shaik Riaz B., Kanagamani Tamizharasan, Neppala Gopi, Chen Jeffrey, Fiore Vincenzo G., Hammond Christopher J., Srinivasan Shankar, Ivanov Iliyan, Chakravarthy V. Srinivasa, Kool Wouter, Parvaz Muhammad A.

Primary Institution: Icahn School of Medicine at Mount Sinai

Hypothesis

Alcohol Users would show less model-based decision-making in overall task performance and be less sensitive to reward amplification.

Conclusion

Frequent Alcohol Users may have impaired decision-making flexibility, leading to riskier choices when potential gains are significant.

Supporting Evidence

  • Alcohol Non-Users showed significantly higher model-based control in higher compared to lower reward conditions.
  • Both groups were less risk-averse in higher compared to lower reward conditions.
  • Alcohol Users were less risk-averse compared to Alcohol Non-Users in the higher reward condition.

Takeaway

This study found that people who drink alcohol often don't change their decision-making strategies based on how big the rewards are, which makes them take more risks.

Methodology

Participants performed a modified 2-step learning task with varying reward stakes, and a dual-system reinforcement-learning model was used to assess decision-making strategies.

Potential Biases

Self-reported data on alcohol use may introduce bias.

Limitations

The study's sample may reflect a stress-induced heavy-drinking population, limiting generalizability; other mental health disorders were not assessed.

Participant Demographics

81 participants (58% female), with 47 frequent Alcohol Users and 34 Alcohol Non-Users.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/s44277-024-00023-8

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