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Preview Viewing sexual images is associated with reduced physiological arousal response to gambling loss

RESEARCHARTICLE Viewing sexual images is associated with reduced physiological arousal response to gambling loss MingLui1*,MingHsu2 1 DepartmentofEducationStudies,HongKongBaptistUniversity,HongKong,China,2 HaasSchoolof Business,UniversityofCalifornia,Berkeley,California,UnitedStatesofAmerica *[email protected] a1111111111 a1111111111 a1111111111 Abstract a1111111111 a1111111111 Eroticimageryisonehighlysalientemotionalsignalthatexistseverywhereindailylife.The impactofsexualstimulionhumandecision-making,however,hasrarelybeeninvestigated. Thisstudyexaminestheimpactofsexualstimulionfinancialdecision-makingunderrisk.In eachtrial,eitherasexualorneutralimagewaspresentedinapicturecategorizationtask OPENACCESS beforeagamblingtask.Thirty-fourmenmadegamblingdecisionswhiletheirphysiological Citation:LuiM,HsuM(2018)Viewingsexual arousal,measuredbyskinconductanceresponses(SCRs),wasrecorded.Behaviorally, imagesisassociatedwithreducedphysiological theproportionofgamblingdecisionsdidnotdifferbetweenthesexualandneutralimagetri- arousalresponsetogamblingloss.PLoSONE13 als.Physiologically,participantshadsmallerarousaldifferences,measuredinmicro-siemen (4):e0195748.https://doi.org/10.1371/journal. perdollar,betweenlossesandgainsinthesexualratherthanintheneutralimagetrials. pone.0195748 Moreover,participants’SCRstolossesrelativetogainspredictedtheproportionofgambling Editor:EldadYechiam,TechnionIsraelInstituteof decisionsintheneutralimagetrialsbutnotinthesexualimagetrials.Theresultswerecon- Technology,ISRAEL sistentwiththehypothesisthatthepresenceofemotionallysalientsexualimagesreduces Received:August5,2017 attentionalandarousal-relatedresponsestogamblinglosses.Ourresultsareconsistent Accepted:March28,2018 withthetheoryoflossattentioninvolvingincreasedcognitiveinvestmentinlossescompared Published:April12,2018 togains.Thefindingsalsohavepotentialpracticalimplicationsforourunderstandingofthe Copyright:©2018Lui,Hsu.Thisisanopenaccess specificrolesofsexualimagesinhumanfinancialdecisionmakingineverydaylife,suchas articledistributedunderthetermsoftheCreative gamblingbehaviorsinthecasino. CommonsAttributionLicense,whichpermits unrestricteduse,distribution,andreproductionin anymedium,providedtheoriginalauthorand sourcearecredited. DataAvailabilityStatement:Allrelevantdataare withinthepaperanditsSupportingInformation Introduction files. Inthepastdecades,theroleofemotionsinchoicebehaviorshasbeenahottopicinthedeci- Funding:ThisworkwassupportedbytheHong sion-makingresearchcommunity.Eroticimagesareemotionalsignalsfrequentlyencountered KongBaptistUniversityFacultyResearchGrants indailylife,suchasinadvertisements,websites,TVshows,andmovies.Likehungerandthirst, (FRG1/14-15/067)giventoML.Thefunderhadno sexualdesirecreatesoneofthestrongestmotivationsforhumanbehaviors,alongwithother roleinstudydesign,datacollectionandanalysis, decisiontopublish,orpreparationofthe appetitivefunctionsinthebrain[1].Nevertheless,fewstudieshaveexaminedhowsexualstim- manuscript. ulationinfluenceshumandecision-makingbehaviorallyandphysiologically.Inastudyby ArielyandLoewenstein(2006)[2],meninasexuallyarousedstatehadahighertendencyto Competinginterests:Theauthorshavedeclared thatnocompetinginterestsexist. acceptunsafesexandmorallyquestionablebehaviors.Anotherfieldstudy[3]showedthat PLOSONE|https://doi.org/10.1371/journal.pone.0195748 April12,2018 1/14 Sexualimageandarousalresponsetogamblingloss youngmaleskateboarderstookhigherphysicalriskofcrashlandingsinthepresenceofan attractivefemalecomparedtoalessattractivefemale,aneffectassociatedwithanincreased leveloftestosterone.Inadditiontoriskysexualandphysicalactivities,evidencehasaccumu- latedregardingtheeffectofsexualstimulionfinancialdecision-makingsuchasdelayeddis- counting[4,5],theultimatumgame[6],theIowaGamblingTask[7],andfinancialrisk-taking [8]. Thesestudiesrevealedthatsexualstimuliwereassociatedwithheighteneddesireforimme- diatereward[4]andahighertendencytowardrisk-taking[8].Findingsontheeffectofsexual arousalonfinancialdecision-makinghaveremainedscarce,andnoneofthepaststudieshas examinedlossaversion.LossaversionwasfirstdescribedbyKahnemanandTversky[9]asthe overweightingoflossescomparedtoequallylargegains[10],andisthoughttobeahallmark ofirrationaldecision-makingthatinvolvesemotionalprocesses.Inadditiontobehavioral findings(e.g.[11]),therewerephysiological(suchaspupildiameter,heartrate,andskincon- ductance)andbrainimagingdatademonstratingthatlosseshadalargerimpactthangainson ouremotionalandcognitivesystems(e.g.[10,12]).Theconceptoflossaversionisdistinct fromrisk-seeking,whichischaracterizedbyincreasedmarginalutilityofmoney.Somepast findingssuggestthatlossaversionhasastrongereffectonmodulatingdecision-makingbehav- iorthanrisk-seeking(see[13]forareview).However,thereisalsoevidenceshowingnoloss aversionamongaveragedecisionmakers[14,15,16],evenwiththepresenceofheightened physiologicalresponses(suchaspupildilationandincreasedheartrate)tolossescompared withgains[17,18].Giventheinconsistentfindings,YechiamandHochman[18]haverecently proposedanattentionalmodeloflossregardingtheimpactoflossonbehavioraldecisionsand physiologicalarousal(e.g.[17]).Themodelproposesthatlossesleadtoincreasedphysiological arousalaswellasvigilancetotask,causinganincreaseinsensitivitytotheoutcomesofdeci- sionsincludingbothlossesandgains.Thisinturnspromotesbehavioralresponsesaccording tothereinforcementstructureandreducesrandombehaviors. Regardingtheeffectofsexualstimuliondecisionmaking,somepaststudieshaveshown thatsexualstimuliinterfereswithattentionandleadstodistractionfromthetaskrequirements [19,20],therebyreducingthementalresourcesforprocessingemotionalresponsesassociated withgainandlossoutcomes[21,22].Ontheotherhand,neuroscientificfindingshaveshown thatsexualstimuliactivatethedopaminergiccircuitryofthebrainrewardsystem,suchasthe nucleusaccumbens,similarlytoothertypesofrewardssuchasmoneyanddrugs[23].Dopa- mineinthenucleusaccumbensisresponsibleformotivationalandapproachbehaviorfor reward-seeking(see[24]forareview).Theactivationoftheappetitiveneuralsystembysexual stimulimayaccountfortheheighteneddesireforimmediatemonetaryreward[4]anda highertendencyoffinancialrisktaking[8]whenpeoplearesexuallyaroused,asfoundinpre- viousstudies.Giventhatpastfindingsoftheeffectsofsexualarousalondecision-making behaviorsremainscarce,ourstudyaimstofillthisresearchgapbyexaminingtheeffectofsex- ualimagesondecision-makingunderrisk.Theprospecttheoryproposesthatpeoplemake real-lifedecisionsbasedonthepotentialvaluesoflossesandgainswhentheprobabilitiesof outcomesareknown[9].Inourexperiment,participantswereinformedthattheirdecisionsto gamblewouldresultin50%chanceofmonetarygainand50%chanceofmonetarylossof knownvalues.Immediatelybeforethisgamblingtask,participantswererequiredtoevaluate pictureswitheithereroticorneutralcontent,whichwasdesignedtomanipulateparticipants’ levelofsexualarousal.Theyweretoldthatthetwotaskswereseparateexperiments.Ourstudy adoptedawithin-subjectrepeated-measuresdesignbecauseofthelargebetween-subjectvaria- tionsinriskattitude,whichcansubstantiallyreducethepowerofstudies.Infact,within-sub- jectdesignshavelongbeenusedbydecision-makingresearcherstomitigatethisvariationand havealsobeenincreasinglyrecommendedinotherareasofpsychology(Normand,2016). PLOSONE|https://doi.org/10.1371/journal.pone.0195748 April12,2018 2/14 Sexualimageandarousalresponsetogamblingloss Regardingthedependentvariables,participants’behavioralresponses(decisionsofgam- blingandreactiontime)andphysiologicalresponses(skinconductanceresponses;SCRs)were measured.Weexaminedboththedecisionsandthereactiontimesbecausewebelievedthat sexualstimulationmayaffectparticipants’decisionstogambleandthetimerequiredforthe decisionstobemade.Reactiontimereflectsthelevelofmentalconflictbetweengamblingand notgamblingduringthedecisionmakingprocess[25].SCRisanindexofautonomicarousal triggeredbythesympatheticnervoussystemandwemeasuredparticipants’arousalresponses tosexualimageviewingandtotheoutcomeofgambling(i.e.monetarygainsandlosses) throughthemeasurementsofSCRstime-lockedtotheonsetsofthesestimuli. Intermsofbehavioralresults,wehypothesizedthatsexualstimuliwouldactivatethe rewardsystemandstimulatetheappetitivemotivationtoseekpotentialrewards,whichwould manifestasahigherproportionofgamblingdecisionsinsexualimagetrialsforallriskratios. Increasedappetitivemotivationwasconsistentlyfoundtocausepeopletohavediminished sensitivitytorisks;forexample,drugaddictsduringcraving(Naqvietal.,2014)andriskysex- ualbehaviors(Ariely&Loewenstein,2006).Therefore,weproposedthatpeoplewoulddem- onstrateahigherproportionofgamblinginallrisk-ratios.Second,theincreasedappetitive motivationinsexualtrialsmayleadtoareductioninthementalconflictsbetweenthedeci- sions(gamblingornotgambling)[25],whichmayinturncauseafasterreactiontimeinsexual imagetrialsrelativetoneutralimagetrials.Third,wehypothesizedthatsexualstimulation wouldattenuateparticipants’emotionstriggeredbygamblinglossesrelativetogains:they wouldhavelowerSCRstogamblinglossesrelativetogainsinsexualthaninneutralimagetri- als.Thishypothesiswasbasedontheneuroscientificfindingsthatsexualstimuliareassociated withthereleaseofendogenousopioids[26],leadingtoaeuphoricstateandthusmightbuffer againstthenegativeemotionalarousaltriggeredbymonetarylossfromgambling.Inother words,wehypothesizedthatsexualstimulationwouldreducelossaversion,bothbehaviorally andphysiologically.Finally,wehypothesizedthatparticipants’SCRstolossesrelativetogains wouldpredictgamblingdecisions,thatis,participantswhohadhigherphysiologicalarousalto lossesrelativetogainswouldgambleless,basedonSokol-Hessneretal.(2009)’sfindingofcor- relationbetweenbehaviorallossaversionandSCRstolossesrelativetogains[12]. Materialsandmethods Participants Thirty-eightheterosexualmalesparticipatedintheexperiment.Fourparticipants’datawere excludedbecauseoflackofSCRresponsesduringthedeep-breathtest(N=3),oratechnical error(N=1).Thefinaldatasetcontains34subjects,agedbetween18and27years(M=21.5; S.D.=2.3),reportingnoneurologicalorpsychiatricconditions.Allparticipantswereconsid- eredright-handedbasedontheEdinburghHandednessInventory[27].Beforetheparticipants joinedtheexperiment,theycompletedanonlineversionoftheAutismSpectrumQuotient (AQ)[28],whichisaself-administeredinstrumentformeasuringthedegreeofautismtraits amongadultswithnormalintelligence.Sincetherewasevidenceshowingdiminishedneural andbehavioralresponsestomonetaryrewardamongindividualswithautismtraits(e.g.[29]), onlyparticipantswithAQlowerthan30wereincludedinthisstudy.Dataofparticipantswith highAQwereanalyzedseparatelytobeincludedinanotherstudy. OurstudyhasreceivedapprovalfromtheCommitteeontheUseofHumanandAnimal SubjectsinTeachingandResearch(HASC)atHongKongBaptistUniversity(approvalnum- ber:FRG1/14-15/067).Allproceduresperformedinthisstudywereinaccordancewiththe ethicalstandardsofHASCandwiththe1964Helsinkideclarationanditslateramendmentsor comparableethicalstandards.Writteninformedconsentwasobtainedfromallparticipants. PLOSONE|https://doi.org/10.1371/journal.pone.0195748 April12,2018 3/14 Sexualimageandarousalresponsetogamblingloss Thepaymentschemewasexplainedtotheparticipantsthoroughlybeforetheexperiment,and allparticipantswerereimbursedaccordingly. Psychophysiologicalmeasures Participants’skinconductanceresponses(SCRs)wererecordedbytheeegosportsystem(ANT NeuroLtd.)connectedtoalaptopcomputer.Triggersweresentfromthestimuluspresenta- tionprogram(Eprime)ofonecomputertotheSCRsignalrecordingsoftwareinanothercom- puter.ElectrodesmadeofAg-AgClwereattachedtothepalmarsurfaceofparticipants’index andmiddlefingertipsoftheirlefthand.TheSCRdatawereevent-relatedmeasures,which weretime-lockedtothetriggerssentattheonsetoftheimagesandofthegamblingoutcomes. TheSCRdataweresampledat500Hz,low-passfiltered(20Hz),smoothed(9samplekernel), transformedfromkOhmtomicro-siemens(μS),andsquare-rootedusinganin-house MATLABscript.TheSCRswerethebaseline-to-peakamplitudedifferenceinthe0.5-sto5-s timewindowfromthestimulus-onset.Thephysiologicaldataof4participantswhohad extremelylowgamblingresponses(<=15%)wereexcludedbecauseoftoofewtrialspercon- ditionforanalysis.These4participants’behavioraldata,includingdecisionsandreaction times,wereincludedinthebehavioraldataanalysisonly. Procedure Atthebeginningoftheexperiment,participantsweretoldthattheywouldperformtwosepa- rateexperiments;onewasapicturecategorizationtask,andtheotherwasafinancialdecision task.Inthepicturecategorizationtask,participantssawpicturesofyoungwomen.Thefemale pictureswereselectedbasedonratingspreviouslygivenby20maleheterosexualcollegestu- dents(meanage=22.4)whodidnotparticipateinthiscurrentdecision-makingexperiment. Themeanarousalratings(witha9-pointLikertscale)ofsexyandneutralpictureswere6.21 (S.D.=.25)and1.71(S.D.=.26)respectively.Theproportionsofsexualandneutralfemale pictureswereequal(.5vs.5)andtheorderofpresentationwasrandomized.Witharesponse box,participantspressedthe“+”buttoniftheyregardedthepictureassexy;theypressedthe “0”buttoniftheyregardedthepictureasneutral.Positionsofthebuttonswerecounterbal- ancedacrossparticipants.Theywereinstructedtopressthebuttonwitharesponseboxwithin atimelimitof1.5seconds.Responsesmadebeyondthetimelimitwerenotrecorded. Forthefinancialdecisiontask,beforethestartoftheexperiment,participantsweregiven HKD$50cashforgamblingandweretoldtoputitintheirwallet.Duringthetask,thepartici- pantswererequiredtochoosebetweentwooptionsthatinvolveddifferentlevelsoffinancial risk.Referringtoanexampleofgain-losstrial(Fig1leftpanel),participantsweretoldthatif theychosetheleftoption,therewasa50%chanceofgainingthemonetaryamountshownat theupperleftcorneranda50%chanceoflosingtheamountshownatthelowerleftcorner.If theparticipantchosetherightoption,itwas100%certainthattheywouldreceivetheamount indicatedontheright,whichcouldbezeroorapositivenumber(pleaserefertoS1Fileofsup- portinginformationforthecompletesetofinstructions).Table1showthepossiblegainand losscombinationsofall72trials.Seventy-twotrialsweregain-losstrials(Table1)inwhich therewasa50%chanceoflosingorgainingmoneyiftheparticipantchosetheleftoption(Fig 1leftpanel).Tocomparethesamechoiceoptionsunderdifferentconditionsofsexualarousal, eachgain-losscombinationwaspresentedtwice,onceafterasexualimageandonceaftera neutralimage.The36combinationsthereforeresultedin72gain-losstrials(Table1).There wereeightgain-onlychoices(i.e.8choicesx2conditions=16trials)inwhichtheleftoption ledtoeitherapositiveorzerooutcome(50%chance),andtherightoptionledtoa100% chanceofgain(Fig1rightpanel).Thegain-losstrialsandgain-onlytrialswererandomly PLOSONE|https://doi.org/10.1371/journal.pone.0195748 April12,2018 4/14 Sexualimageandarousalresponsetogamblingloss Fig1. (Leftpanel)Thetwooptionsingain-losstrials.Theparticipantschoseeithertheleftorrightoption.Inthisexample,thereisa50%chanceofgainingHKD$64 anda50%chanceoflosingHKD$96iftheleftoptionischosen.Iftherightoptionischosen,therewillnotbeanylossorgain.(Rightpanel)Thetwooptionsinthe gain-onlytrials.Inthisexample,thereisa50%chanceofgainingHKD$44anda50%chanceofgainingnothing($0)iftheleftoptionischosen.Iftherightoptionis chosen,theoutcomeisacertaingainofHKD$15. https://doi.org/10.1371/journal.pone.0195748.g001 presentedforeachparticipant.Thegain-onlytrialswereforidentifyingthemodelparameters tocaptureriskaversion.TheywereincludedforaclosereplicationofthechoicesinSokol- Hessneretal.(2008),whichmeasuredlossaversionandcognitiveregulation.Wedidnot includeanyanalysisonthesegain-onlytrialsbecausethepresentstudyfocusedonmodel-free comparisonandthegain-onlytrialsarenotdirectlycomparablewiththegain-losstrials. PleaserefertoFig2forthetimingsofeventsineachtrial.Participantswererequiredto respondwithina4.5-secondtimewindow;however,theywerenottoldtorespondasfastas possible.Responsesmadebeyondthetimelimitwerenotrecorded.Iftheparticipantdidnot respondwithinthetimelimit,theoutcomescreenwouldshowthefeedback“Youweretoo slow”.Theoutcomeofeachparticipant’sdecisionwasshownafteraperiodofwaiting(7.5–7.8 s).Notethatatimegapwasinsertedbetweenthefinancialdecisionscreenandtheoutcome screen,aswellasbetweentrials(6.5–6.8s).Thiswassothattheskinconductancelevelcould returntothebaselinebeforetheonsetofthenextstimulus. Beforetheexperiment,theparticipantswereclearlyinformedthataftertheycompletedall 88trials,eightofthetrialswouldberandomlyselectedforcalculationofthefinalamountof paymenttheywouldreceive.Thenetgainorlossfromtheeightselectedtrialswouldbeadded Table1. Gain-losstrials:Combinationsofpossiblegainsandlossesleadingtodifferentriskratios. Eachgain-loss combinationwaspresentedtwice,onceafterasexualimageandonceafteraneutralimage.The36combinationscon- tributedto72gain-losstrials. PossibleGain Riskratio 44 48 52 56 60 64 0.25 -11 -12 -13 -14 -15 -16 0.5 -22 -24 -26 -28 -30 -32 0.75 -33 -36 -39 -42 -45 -48 1 -44 -48 -52 -56 -60 -64 1.25 -55 -60 -65 -70 -75 -80 1.5 -66 -72 -78 -84 -90 -96 https://doi.org/10.1371/journal.pone.0195748.t001 PLOSONE|https://doi.org/10.1371/journal.pone.0195748 April12,2018 5/14 Sexualimageandarousalresponsetogamblingloss Fig2.Stimuluseventsinasingletrial. https://doi.org/10.1371/journal.pone.0195748.g002 toorsubtractedfromtheHK$50cashtheyreceivedatthebeginning.Ifthenetamountwas lessthanzero,theyonlyneededtoreturnalltheHK$50andnoextramoneywouldbe requested.Accordingtothiscalculationmethod,themaximumpossiblemonetaryrewarda participantcouldreceivewasHK$586andtheminimumwasHK$0.Attheendoftheexperi- ment,theparticipantswereaskedthefollowingfourquestionsinaninterview:1)Doyouhave anyideasaboutthesetwoexperiments?2)Whatdoyouthinkaretheobjectivesoftheseexper- iments?3)Whatstrategyhaveyouappliedinthefinancialdecision-makingtask?4)Haveyou everparticipatedinasimilarexperiment?Ifso,pleasedescribetheprocedures. Results Behavioralfindings Asamanipulationchecktoseewhetherparticipantsfoundthesexualimagessexyandtheneu- tralimagesneutral,participants’responsestothepicturecategorizationtaskwereanalyzed. Thirty-oneoutofthe34participantsratedover80%ofthesexualimagesassexyandover80% neutralimagesasneutral.Weanalyzedthebehavioralandphysiologicaldataexcludingthe threeparticipantswhodidnothaveover80%responsesconsistentwiththeintendedstimulus manipulations.Thepatternsofresultswereidenticaltotheanalyseswithallparticipants’data included.Wethereforeincludedallparticipants’datainthestatisticalanalyseswithoutexclu- sionbasedonresultsofthepicturecategorizationtask. Theoutcomesofgainsandlosseswerefullyrandomizedacrosssexualandneutralimage trialsbythestimuluspresentationsoftware.The34participantsgambledin1185trialsoutof the2445gain-losstrials.Thenumbersofgainandlossoutcomesinsexualandneutralimage trialswere285(gainsinsexualtrials),317(lossesinsexualtrials),296(gainsinneutraltrials) and287(lossesinneutraltrials)respectively.Thechi-squarestatisticwas1.39(p=.24),show- ingnosignificantdifferenceintheproportionsofgainsandlossesinthesexualandneutral imagetrials. Theproportionsofgamblingdecisionsforchoiceswithriskratiosof.25,.5,.75,1,1.25and 1.5were.91,.70,.56,.37,.21,and.16respectively(averagingacrossthesexualandneutraltri- als).Thelowproportions(.56,.37,.21,and.16)ofgamblesintrialswithriskratiosof.75and higherindicatedlossaversionamongparticipants.Two-wayrepeated-measuresANOVAs wereconductedtoexaminetheeffectsofimage(sexualvs.neutral)andriskratios(fiveratios from.25to1.50)ongamblingdecisionandreactiontime.Greenhouse-Geissercorrections PLOSONE|https://doi.org/10.1371/journal.pone.0195748 April12,2018 6/14 Sexualimageandarousalresponsetogamblingloss wereappliedtoeffectswithsignificantresultsofMauchly’sTestofSphericity.Forgambling decisions,therewasasignificantmaineffectofriskratio(F(2.81,92.68)=61.93,p<.001,par- tialη2=.65).Pairwisecomparisonsshowedthatparticipantshadsignificantlyfewergambles inthetrialswithhigherriskratioscomparedtotrialswithlowerriskratios(ps<.001),except forthecomparisonbetween1.25and1.5riskratio(Fig3).Theeffectofimage(sexualvs.neu- tral)wasnotsignificant(p=.25),norwastheinteractionbetweenimageandriskratios(p= .15).ReferringtoFig3,itisapparentthatparticipantsmadesimilarproportionsofdecisions togambleintrialswithallriskratiosexceptforthehighestriskratio,1.5.Pairedsamplet-tests (withBonferronicorrections)showedthatthenumberofgamblesdidnotdifferbetweensex- ualimagetrialsandneutralimagetrialsforallriskratios;thedifferencewasclosetothepoint ofsignificancefortrialsatthehighestriskratioof1.5(t(33)=2.70,uncorrectedp-value=.011, correctedp-value=.066,partialη2=.18). Therewasasignificantmaineffectofriskratioforreactiontime(F(3.10,102.32)=3.75,p= .013,partialη2=.10).Descriptivestatisticsshowedthatparticipantsrespondedthefastest (M=1.05s;SD=.043)intrialswiththelowestriskratioof.25,andtheyrespondedtheslowest intrialswithariskratioof.75(M=1.24s;SD=.070).Noothermaineffectorinteractionwas significant. Physiologicalfindings Physiologicalarousalresponses(intermsofμS/$)totheoutcomeofgamblingweremeasured bythebaseline-to-peakamplitudedifferenceinthe0.5-sto5-stimewindowfromtheonsetof thegamblingoutcomescreen.Toexaminetheeffectofsexualstimulionphysiologicalarousal togamblingoutcome,atwo-wayrepeated-measuresANOVAwasconductedwithimage(sex- ualvs.neutral)andoutcome(lossesvs.gains)asthefactors(Fig4).Therewasasignificant maineffectofoutcome:theparticipantshadsignificantlylargerarousaltogamblinglosses thantogamblinggains(F(1,29)=16.92,p<.001,partialη2=.37).Therewasatrendthatpar- ticipantshadsmallerarousaltogamblingoutcomeinsexualthaninneutralimagetrials(F(1, 29)=3.69,p=.065,partialη2=.11).Theinteractionbetweenimageandoutcomewassignifi- cant(F(1,29)=4.21,p=.049,partialη2=.13).Apost-hocpairedsamplest-testshowedthat participantshadsignificantlysmallerarousaldifferencebetweenlossesandgainsinsexual thaninneutralimagetrials(t(29)=2.05,p=.049,partialη2=.13).Toexaminewhetherthe effectfoundwasduetodifferencesintheinitialskinconductancelevelattheonsetofgam- blingoutcome(thebaseline),apairedsamplet-testwasconducted.Nosignificantdifference wasfoundbetweensexualandneutralimagetrialsatbaseline(t(29)=.11,p=.915).Theresult suggestedthatthesmallerarousaldifferencebetweenlossesandgainsinthesexualthaninthe neutraltrialswasnotduetoanyinitialdifferenceinskinconductancelevelatthebaseline(i.e. theonsetofreleaseofgamblingoutcome). Furthermore,linearregressionanalyseswereconductedtoexaminewhethertheSCRs(in termsofμS/$)tolossesrelativetogainspredictedparticipants’proportionofgamblingdeci- sionsmadeinneutralandsexualimagetrials.TheSCRstolossesrelativetogainswerecalcu- latedbySCRstolossesdividedbySCRstogains.TheSCRstolossesrelativetogains significantlypredictedtheproportionofgamblingdecisionsintheneutralimagetrials(stan- dardizedcoefficientsβ=-.50,t=-3.07,p=.005;AdjustedR2=.23)butnotinthesexualimage trials(standardizedcoefficientsβ=-.13,t=-.70,p=.49;AdjustedR2=-.018). Finally,toinvestigatehabituation,wesplitthetrialsintofirsthalfandsecondhalftocheck whethertherewasanychangeinparticipants’behavioraldecisionsandSCRsovertime.For thebehavioraldecisions,therewasaninteractionbetweenimage(sexualvs.neutral)andhalf (firstvs.second)(F(1,33)=5.78,p=.022,partialη2=.15).Thereweresignificantlymore PLOSONE|https://doi.org/10.1371/journal.pone.0195748 April12,2018 7/14 Sexualimageandarousalresponsetogamblingloss Fig3.Proportionsofgamblingdecisionsmadeintrialswithdifferentriskratios(.25–1.5)undersexualandneutralconditions. https://doi.org/10.1371/journal.pone.0195748.g003 gamblesinthesexual(M=.50)thanintheneutral(M=.45)imagetrialsforthesecondhalf(F (1,33)=7.56,p=.010,partialη2=.19)butnotforthefirsthalfoftrials(p=.37).Thephysio- logicaldatashowedthattherewasnodifferenceinSCRtooutcomeofgamblingbetweenthe PLOSONE|https://doi.org/10.1371/journal.pone.0195748 April12,2018 8/14 Sexualimageandarousalresponsetogamblingloss Fig4.Skinconductanceresponses(inmicro-siemenperdollar)tooutcomeofgamblinglossesorgainsundersexualorneutralimagetrials. https://doi.org/10.1371/journal.pone.0195748.g004 firstandsecondhalfoftrials(p=.65),indicatingnohabituationofphysiologicalarousal responsesovertime.Therewasnointeractionbetweenthefactorsofimageandhalf(p=.65). Therewashoweveramaineffectofimage:theSCRstogamblingoutcomesweresignificantly lowerinsexualimagetrialsthaninneutralimagetrialsinboththefirstandsecondhalfofthe trials(F(1,29)=4.90,p=.035,partialη2=.15). Finally,theSCRstime-lockedtotheonsetsofsexualandneutralimageswithinthetime windowof0.5–5swereanalyzed.Nosignificantdifferencewasfoundbetweensexualandneu- tralimagetrials. Discussion Consistentwithpriorstudies[10,13,15],participantsinourstudyshowedlossaversion behaviorally:ourparticipantshadlowproportionsofgamblesatthetrialswithriskratiosof .75andhigher,indicatinganoverweightingoflossesrelativetogains.Theslowestreactionin trialswithariskratioof.75indicatedlargermentalconflictsexperiencedbyparticipantsin decidingwhethertogambleornot[25],comparedtotrialswithotherriskratios.Physiologi- cally,participants’SCRsinresponsetogamblinglossesweresignificantlyhigherthanthoseto gamblinggains.Theincreasedarousaltolossesrelativetogainisconsistentwithpreviousfind- ings(e.g.[17])suggestingthatpeoplehaveincreasedcognitiveinvestmentwithlossescom- paredtogains,resultinginheightenedattentionandarousalresponses.Importantly,wefound PLOSONE|https://doi.org/10.1371/journal.pone.0195748 April12,2018 9/14 Sexualimageandarousalresponsetogamblingloss thatsexualstimulireducedthearousaldifferencebetweenlossesandgains.Inourexperimen- taldesign,thetimegapsbetweenthesexual/neutralimagesandthegamblingoutcomeswere settobelong(about10–12seconds)suchthattheSCRstriggeredbytheimageshadreturned tobaselinebeforethegamblingoutcomeswerereleasedtotheparticipants.Thiswascon- firmedbythestatisticalresultshowingthattheskinconductancelevelsattheonsetofthegam- blingoutcomeweresimilarinsexualandneutralimagetrials.Therefore,thesmaller differencesinSCRstogamblinglossesandgainsinsexualthaninneutralimagetrialswere notduetoanybaselinedifferencesbecauseoftheimagespresented.Analternativepossibility isthatthepositiveemotionstriggeredbysexualstimuli,whichwereassociatedwithreleaseof endogenousopioids[26],ledtoaeuphoricstateamongtheparticipants,whichmayinturn bufferagainstthenegativeemotionalarousaltriggeredbygamblinglosses.Anotherpossibility isthatsexualimagescompetewithgamblinglossesforattentionandarousalresponses.The presenceofasexualimagemighthavecausedthelossestobelesssalientforattention.Also,a previousexcitationofthesympatheticnervoussystembyasexualimage(apositivestimulus) maycauseahigherthresholdforsubsequentexcitationbyagamblingloss(anegativestimu- lus),causingpeopletobecomearousedlesseasily.Theadditionalsourceofattentionand arousalcompetitionbetweensexualimageandgamblingoutcomewasabsentinneutraltrials. Furtherstudiesareneededtoexaminethispossibility. Anotherimportantobservationdemonstratingtheimpactofsexualstimulusondecision- makingwasthatparticipants’physiologicalresponsestolossesrelativetogainspredictedgam- blingdecisionsonlyforneutralimagebutnotforsexualimagetrials.Thepatternofresults foundinneutralimagetrialssuggestedthatphysiologicalarousalguidesdecision-making behavior[30,31],whichiscongruentwiththeclassicsomaticmarkerhypothesis[32].Interest- ingly,inthesexualimagetrials,physiologicalresponsestomonetarylossesrelativetogainsdid notpredictbehaviors,suggestingadecouplingbetweenphysiologicalstatesandbehaviors. Theresultscouldbeexplainedbytheattentionalmodelofloss[18]:sexualstimulimayoppose theattentionenhancementeffectofgamblinglosses,leadingtodistractionfromthetask requirements[19,20]anddeviationfromthedecisionalgorithmbasedonoutcomes. Intermsofbehavioralfindings,however,ourdatadidnotsupportthefirsthypothesisthat participantswouldhaveahigherproportionofgamblingdecisionsinthesexualthaninthe neutralimagetrialsforallriskratios.Theeffectofsexualstimuliongamblingdecisionswas closetosignificance(aftercorrectionsformultiplecomparisons)onlyfortheriskiesttrials (whentheriskratio=1.5).Ourhypothesiswasbasedontheevidencethatsexualstimulation facilitatesdopaminetransmissionandenhancesactivityinthenucleusaccumbens(NAcc)[8, 33],whichisthoughttoreflectreward“wanting”.Additionally,greaterNAccactivityisrelated toastrongersaliencyofincentives[34]suchasmoney.Ourresultsmayimplythattheactiva- tionoftherewardsystembysexualstimuliwasnotsufficienttocounteracttheeffectofloss aversioninlow-riskgamblingtrials.However,inhigh-riskgambling(suchaswhenrisk- ratio=1.5),participants’decisionmaybemoresusceptibletotheeffectofsexualstimuli, becauseoftheleveloftestosterone,whichisfoundtoincreaseunderconditionsofsexually arousal[3].Testosteronelevelispositivelyassociatedwithrisk-takingbehaviorsinfinancial decision-making[35–38].Ourfindingattrialswitharisk-ratioof1.5wasonlyclosetosignifi- canceandfurtherstudymayrequirealargersampleandtrialswithawiderrangeofriskratios (upto2)toexaminetheeffectofsexualstimuliinhigh-riskgambling. Finally,theSCRstime-lockedtoonsetsofsexualandneutralimageswerenotsignificantly different.Webelievethatthiswasbecausethefinancialdecisiontaskwaspresentedsoonafter theimages,whichwaswithinthetimewindow(0.5–5s)inwhichtheSCRstoimageswere measured(Fig2).Thearousaltriggeredbythefinancialdecisiontaskoverlappedwiththe arousaltriggeredbythesexualimages,therebyreducingthedifferencesbetweentrialswith PLOSONE|https://doi.org/10.1371/journal.pone.0195748 April12,2018 10/14

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Erotic images are emotional signals frequently encountered in daily life, such . Sexual image and arousal response to gambling loss Oldfield RC.
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