Decision Making in Children With ADHD Only, ADHD-Anxious/Depressed, and Control Children Using a Child Version of the Iowa Gambling Task

2006 ◽  
Vol 9 (4) ◽  
pp. 607-619 ◽  
Author(s):  
Nancy Garon ◽  
Chris Moore ◽  
Daniel A. Waschbusch
2020 ◽  
Author(s):  
Lili Zhang ◽  
Himanshu Vashisht ◽  
Alekhya Nethra ◽  
Brian Slattery ◽  
Tomas Ward

BACKGROUND Chronic pain is a significant world-wide health problem. It has been reported that people with chronic pain experience decision-making impairments, but these findings have been based on conventional lab experiments to date. In such experiments researchers have extensive control of conditions and can more precisely eliminate potential confounds. In contrast, there is much less known regarding how chronic pain impacts decision-making captured via lab-in-the-field experiments. Although such settings can introduce more experimental uncertainty, it is believed that collecting data in more ecologically valid contexts can better characterize the real-world impact of chronic pain. OBJECTIVE We aim to quantify decision-making differences between chronic pain individuals and healthy controls in a lab-in-the-field environment through taking advantage of internet technologies and social media. METHODS A cross-sectional design with independent groups was employed. A convenience sample of 45 participants were recruited through social media - 20 participants who self-reported living with chronic pain, and 25 people with no pain or who were living with pain for less than 6 months acting as controls. All participants completed a self-report questionnaire assessing their pain experiences and a neuropsychological task measuring their decision-making, i.e. the Iowa Gambling Task (IGT) in their web browser at a time and location of their choice without supervision. RESULTS Standard behavioral analysis revealed no differences in learning strategies between the two groups although qualitative differences could be observed in learning curves. However, computational modelling revealed that individuals with chronic pain were quicker to update their behavior relative to healthy controls, which reflected their increased learning rate (95% HDI from 0.66 to 0.99) when fitted with the VPP model. This result was further validated and extended on the ORL model because higher differences (95% HDI from 0.16 to 0.47) between the reward and punishment learning rates were observed when fitted on this model, indicating that chronic pain individuals were more sensitive to rewards. It was also found that they were less persistent in their choices during the IGT compared to controls, a fact reflected by their decreased outcome perseverance (95% HDI from -4.38 to -0.21) when fitted using the ORL model. Moreover, correlation analysis revealed that the estimated parameters had predictive value for the self-reported pain experiences, suggesting that the altered cognitive parameters could be potential candidates for inclusion in chronic pain assessments. CONCLUSIONS We found that individuals with chronic pain were more driven by rewards and less consistent when making decisions in our lab-in-the-field experiment. In this case study, it was demonstrated that compared to standard statistical summaries of behavioral performance, computational approaches offered superior ability to resolve, understand and explain the differences in decision- making behavior in the context of chronic pain outside the lab.


2019 ◽  
Vol 39 ◽  
pp. 63-69 ◽  
Author(s):  
Rajesh Kumar ◽  
Keshav Janakiprasad Kumar ◽  
Vivek Benegal

Author(s):  
Riadh Ouerchefani ◽  
Naoufel Ouerchefani ◽  
Mohamed Riadh Ben Rejeb ◽  
Didier Le Gall

Abstract Objective Patients with prefrontal cortex damage often transgress social rules and show lower accuracy in identifying and explaining inappropriate social behavior. The objective of this study was to examine the relationship between the ability to perceive other unintentional transgressions of social norms and both decision making and emotion recognition as these abilities are critical for appropriate social behavior. Method We examined a group of patients with focal prefrontal cortex damage (N = 28) and a group of matched control participants (N = 28) for their abilities to detect unintentional transgression of social norms using the “Faux-Pas” task of theory of mind, to make advantageous decisions on the Iowa gambling task, and to recognize basic emotions on the Ekman facial affect test. Results The group of patients with frontal lobe damage was impaired in all of these tasks compared with control participants. Moreover, all the “Faux-Pas”, Iowa gambling, and emotion recognition tasks were significantly associated and predicted by executive measures of inhibition, flexibility, or planning. However, only measures from the Iowa gambling task were associated and predicted performance on the “Faux-Pas” task. These tasks were not associated with performance in recognition of basic emotions. These findings suggest that theory of mind, executive functions, and decision-making abilities act in an interdependent way for appropriate social behavior. However, theory of mind and emotion recognition seem to have distinct but additive effects upon social behavior. Results from VLSM analysis also corroborate these data by showing a partially overlapped prefrontal circuitry underlying these cognitive domains.


2021 ◽  
Author(s):  
Lana Vedelago ◽  
Iris Balodis ◽  
Kaitlyn McLachlan ◽  
Heather Moulden ◽  
Vanessa Morris ◽  
...  

Deficits in reward decision-making are thought to contribute to criminal offending. These impairments have been measured in laboratory studies using the Iowa Gambling Task (IGT) which assesses implicit learning of different reward/punishment contingencies. This study compared IGT performance between a sample of justice-involved individuals and community-based individuals without an offending history. Participants included 100 adults from two Canadian federal correctional institutions (34% female, Mage = 39.14 ± 9.74) and a comparison group of 89 community adults with no history of offending (39% female, Mage = 37.04 ± 10.79). Responses on the IGT were analyzed for overall net score, learning across the task, and deck switching patterns. Associations between IGT performance and sentence characteristics and static factors assessment of recidivism risk were examined for the justice-involved group. The justice-involved group performed significantly worse than community adults in terms of net score. While the community group learned the advantageous strategy across the task, justice-involved participants exhibited minimal learning. This effect was moderated by recidivism risk within the justice-involved group, with individuals at low risk, but not medium/high risk, showing improvement over the blocks of the task. Finally, the justice-involved group also made greater use of an ineffective “win-stay/lose-shift” strategy. These results suggest that, compared with community participants without history of offending, incarcerated adults tend to employ maladaptive decision-making strategies that yield worse overall outcomes and the extent of impairment is associated with recidivism risk.


2013 ◽  
Vol 35 (3) ◽  
pp. 160-170 ◽  
Author(s):  
André Rutz ◽  
Amer Cavalheiro Hamdan ◽  
Melissa Lamar

Background: Decision-making is a complex, multidimensional cognitive function that requires the choice between two or more options and also the predictive analysis of its consequences. One of the tools most widely used to assess decision-making in neuropsychological research is the Iowa Gambling Task (IGT). Objective: To conduct a systematic review of articles reporting empirical IGT studies based in Brazil. Method: Articles were obtained from multiple journal databases including ISI Web of Knowledge, Scopus, SciELO, LILACS, and Scholar Google. Results: Thirty-six studies were included in this review and divided into four categories according to main subject matter (psychiatry & personality; demographic & cultural variables; medical/clinic; and psychometric properties & test administration standardization). In general, there was a significant growth in research employing IGT (Χ² = 17.6, df = 5, p = 0.0003), but this growth was restricted to a few geographic areas of Brazil. The psychiatry & personality subject matter was the most abundant, accounting for 14 publications (39% of the total sample). Conclusion: Since its first adaptation to Brazilian Portuguese in 2006, a growing interest in decision-making as measured by the IGT can be observed, with psychiatry & personality topics representing a large portion of the scientific inquiry to date. Nevertheless, in order to extend the initial results of Brazilian IGT decision-making research, more studies are necessary - across a more diverse range of topics, including demographic & cultural variables, and psychometric properties & test administration standardization, the areas least studied -, as is the dissemination of the IGT to more regions of the country.


Sign in / Sign up

Export Citation Format

Share Document