Temporal discounting as a measure of executive function: Insights from the competing neuro-behavioral decision system hypothesis of addiction

Author(s):  
Warren K. Bickel ◽  
Richard Yi
2018 ◽  
Vol 101 ◽  
pp. 30-45 ◽  
Author(s):  
Kristina Esopo ◽  
Daniel Mellow ◽  
Catherine Thomas ◽  
Hannah Uckat ◽  
Justin Abraham ◽  
...  

2013 ◽  
Vol 19 (2) ◽  
pp. 181-188 ◽  
Author(s):  
Rodger Ll. Wood ◽  
Louise McHugh

AbstractA temporal discounting paradigm was used to examine decision making for hypothetical monetary reward following traumatic brain injury (TBI). A case-control design compared individuals following moderate or severe TBI with a healthy control group matched for age and gender. The impact of intelligence, impulsivity, and mood on temporal discounting performance was examined. A within-subjects design for the TBI group determined the influence of a range of neuropsychological tests on temporal discounting performance. Both patients and controls demonstrated temporal discounting. However, the TBI group discounted more than controls, suggesting that their decision making was more impulsive, consistent with ratings on the impulsiveness questionnaire. Discounting performance was independent of neuropsychological measures of intelligence, memory, and executive function. There was no relationship between temporal discounting and ratings of everyday executive function made by patients' relatives. Low mood did not account for discounting performance. The results of this study suggest that temporal discounting may be a useful neuropsychological paradigm to assess decision making linked to monetary reward following TBI. Performance was relatively independent of intelligence, memory and standard tests of executive ability and may therefore assist when assessing a patient's mental capacity to manage their financial affairs. (JINS, 2013,19, 1–8)


2018 ◽  
Author(s):  
Karolina Maria Lempert ◽  
David A. Wolk ◽  
Joe Kable

People often make decisions involving trade-offs between smaller immediate and larger delayed rewards. In intertemporal choices such as these, individuals tend to discount the value of future rewards, a tendency known as temporal discounting. Most people exhibit some degree of temporal discounting, but the rate at which people discount future rewards varies widely. Two neurocognitive systems have been proposed as potential candidates for mediating individual differences in discounting: executive function and declarative memory. Both of these functions decline as people age, at rates that vary across individuals. Here we leverage this variability in cognitive abilities among older adults (both cognitively normal and with mild cognitive impairment, MCI) to investigate associations between temporal discounting and executive function versus declarative memory. We find that neuropsychological measures of declarative memory (episodic memory retrieval and semantic fluency), but not executive function (Trail Making Test and lexical fluency), are associated with temporal discounting. People with better memory discount delayed rewards less. Consistent with this, individuals diagnosed with MCI show steeper discount rates compared to cognitively normal older adults. In contrast, executive function, but not declarative memory, is associated with the extent to which an individual is risk-neutral, or expected-value maximizing, in a risky choice task. These findings elucidate the inconsistent literature on aging and economic preferences, and they suggest that distinct neural systems mediate individual differences in the risk and time domain.


2021 ◽  
Vol 11 (2) ◽  
pp. 181
Author(s):  
Anouk Scheres ◽  
Mary V. Solanto

The purpose of this study was to examine the relationship between temporal reward discounting and attention deficit hyperactivity disorder (ADHD) symptoms in college students. Additionally, we examined whether temporal reward discounting was associated with executive functioning in daily life and with learning and study strategies in this group. Thirty-nine college students (19 with ADHD and 20 controls) participated after meeting criteria for ADHD or non-ADHD based on standardized assessment. Strong preferences for small immediate rewards were specifically associated with the ADHD symptom domain hyperactivity–impulsivity. Additionally, these preferences were associated with daily life executive function problems and with weak learning and study strategies. This suggests that steep temporal discounting may be a key mechanism playing a role in the daily life challenges that college students with ADHD symptoms face. If these findings are replicated in larger samples, then intervention strategies may profitably be developed to counteract this strong preference for small immediate rewards in college students with ADHD symptoms.


2020 ◽  
Vol 5 (5) ◽  
pp. 1221-1230
Author(s):  
Jane Roitsch ◽  
Kimberly A. Murphy ◽  
Anastasia M. Raymer

Purpose The purpose of this study was to investigate executive function measures as they relate to clinical and academic performance outcomes of graduate speech-language pathology students. Method An observational design incorporating correlations and stepwise multiple regressions was used to determine the strength of the relationships between clinical outcomes that occurred at various time points throughout the graduate program (clinical coursework grades throughout the program and case study paper scores at the end of the program), academic outcomes (graduate grade point average and Praxis II exam in speech-language pathology scores), and executive function (EF) scores (EF assessment scores, self-reported EF scores). Participants were 37 students (36 women, M age = 24.1) in a master's degree program in speech-language pathology at a southeastern U.S. university during the 2017–2018 academic year. Results Findings of this preliminary study indicated that a limited number of objective EF scores and self-reported EF scores were related to clinical and academic outcomes of graduate speech-language pathology students. Conclusion As results of this preliminary study suggest that EF tests may be related to clinical and academic outcomes, future research can move to study the potential role of EF measures in the graduate admissions process in clinical graduate programs such as speech-language pathology.


2009 ◽  
Vol 14 (1) ◽  
pp. 4-11 ◽  
Author(s):  
Jacqueline Hinckley

Abstract A patient with aphasia that is uncomplicated by other cognitive abilities will usually show a primary impairment of language. The frequency of additional cognitive impairments associated with cerebrovascular disease, multiple (silent or diagnosed) infarcts, or dementia increases with age and can complicate a single focal lesion that produces aphasia. The typical cognitive profiles of vascular dementia or dementia due to cerebrovascular disease may differ from the cognitive profile of patients with Alzheimer's dementia. In order to complete effective treatment selection, clinicians must know the cognitive profile of the patient and choose treatments accordingly. When attention, memory, and executive function are relatively preserved, strategy-based and conversation-based interventions provide the best choices to target personally relevant communication abilities. Examples of treatments in this category include PACE and Response Elaboration Training. When patients with aphasia have co-occurring episodic memory or executive function impairments, treatments that rely less on these abilities should be selected. Examples of treatments that fit these selection criteria include spaced retrieval and errorless learning. Finally, training caregivers in the use of supportive communication strategies is helpful to patients with aphasia, with or without additional cognitive complications.


ASHA Leader ◽  
2017 ◽  
Vol 22 (7) ◽  
pp. 6-8 ◽  
Author(s):  
M. Kathleen Pichora-Fuller ◽  
Natalie Phillips

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