Measuring decision‐making competence in Chinese adults

In this study, we translated and localized the Adult Decision‐making Competence scale (A‐DMC) and tested its reliability and validity with large samples. Results show the Chinese A‐DMC has relatively good reliability (Cronbach's alpha above 0.6 and test–retest reliability coefficients ranging from 0.44 to 0.78 on all subscales), comparable with the original version. Regarding validity, results of exploratory factor analysis and confirmatory factor analysis support the one‐factor model, indicating the A‐DMC has good internal consistency and construct validity. A‐DMC scores correlated positively with cognitive ability, constructive decision‐making styles, and good decision outcomes. Additionally, individuals with higher A‐DMC scores were found to perform better on the Cambridge gambling task and Iowa gambling task. These results confirm the validity of the Chinese version of the A‐DMC, which is suitable for measuring decision‐making competence in Chinese adults.     

The role of psychological resilience and positive affect in risky decision‐making

Past studies suggest that positive affect produces a wide range of desirable outcomes because it helps people build lasting resources. It may be assumed that these resources build on positive affect over time, which in turn may explain the beneficial effect of positive affect in stressful encounters. However, this assumption has not been directly tested by empirical studies. This question is important in that it helps clarify the underlying mechanism through which individuals with more positive affect might respond adaptively to adverse situations. Using a stressful task that included 20 rounds of risky investment choices, the current study examined whether psychological resilience, an important personal resource fuelled by positive affect, could account for the beneficial effects of positive affect. Specifically, we examined the relationship between individuals’ baseline levels of positive affect, their levels of psychological resilience, their choices in a risky investment decision task, and their levels of positive affect on the final investment task. The results demonstrate that psychological resilience could indeed help explain happier people's enhanced outcomes: They chose higher return although more risky investment options and experienced more positive affect at the end of the task. The current study supports the notion that individuals who experience frequent positive affect thrive through various challenges not simply because they feel good, but because they have resources that they can utilize to deal with these challenges. Findings from the present study support further investigation of the important relationship between specific positive affect, psychological resilience, and performance in risky investment tasks.     

Shared knowledge and subgroup influence during decision‐making discussions

It was predicted that preference factions within decision‐making groups would have greater influence to the extent that faction‐member preferences are based on a common pool of decision‐relevant information. Such factions are said to exhibit high informational commonality (IC). Four‐person groups decided how much money to invest in each of two pharmaceutical companies developing new cholesterol‐lowering drugs. Prior to discussion, information about these companies and drugs was distributed among members such that two would initially prefer investing in one company and two would initially prefer investing in the other company. Further, whereas half of the information held by members of one preference faction was held in common between them (high IC), almost none of the information held by those in the other faction was held in common between them (low IC). It was found that groups invested more money in a given company when that company was initially preferred by their high‐IC faction. Additionally, high‐IC factions exerted greater influence on members' private allocation preferences. These effects appear to have been due to the ability of members in the high‐IC factions to work together in a more coordinated manner to argue their position. Copyright © 2004 John Wiley & Sons, Ltd.     

Dispositional optimism,self‐framing and medical decision‐making

Self‐framing is an important but underinvestigated area in risk communication and behavioural decision‐making, especially in medical settings. The present study aimed to investigate the relationship among dispositional optimism, self‐frame and decision‐making. Participants (N = 500) responded to the Life Orientation Test‐Revised and self‐framing test of medical decision‐making problem. The participants whose scores were higher than the middle value were regarded as highly optimistic individuals. The rest were regarded as low optimistic individuals. The results showed that compared to the high dispositional optimism group, participants from the low dispositional optimism group showed a greater tendency to use negative vocabulary to construct their self‐frame, and tended to choose the radiation therapy with high treatment survival rate, but low 5‐year survival rate. Based on the current findings, it can be concluded that self‐framing effect still exists in medical situation and individual differences in dispositional optimism can influence the processing of information in a framed decision task, as well as risky decision‐making.     

Gender differences in German consumer decision‐making styles

Males and females want different products and they are likely to have different ways of thinking about obtaining these. This study furthers an understanding of how gender affects consumers' approaches to decision making. The research used Sproles and Kendall's (1986) consumer styles inventory (CSI) on a sample of 358 German males and females. Although all seven German decision‐making characteristics found in a previous German study could be confirmed for females, only four could be confirmed for males, raising the question of whether the CSI is equally valid for both genders. Tentative support was found for five new male factors, namely satisfying, enjoyment‐variety seeking, fashion‐sale seeking, time restricted and economy seeking. The results imply that the CSI has construct validity for females, but appears to be less valid for males. Copyright © 2004 Henry Stewart Publications.     

Misreporting signs of child abuse: The role of decision‐making and outcome information

Two studies provided evidence that a decision to report an ambiguous case of child abuse affected subsequent memory of the case information, such that participants falsely recognized details that were not presented in the original information, but that are schematically associated with child abuse. Moreover, post‐decision information that the child had later died from abuse influenced the memory reports of participants who had chosen not to report the case, increasing their reports of false schema‐consistent details. This suggests that false decision‐consistent memories are primarily due to sense‐making, schematic processing rather than the motivation to justify the decision. The present findings points to an important mechanism by which decision information can become distorted in retrospect, and emphasize the difficulties of improving future decision‐making by contemplating past decisions. The results also indicate that decisions may generate false memories in the apparent absence of external suggestion or misleading information. Implications for decision‐making theory, and applied practices are discussed.     

Culture and decision‐making: Investigating cultural variations in the East Asian and North American online decision‐making processes

Research in cross‐cultural psychology suggests that East Asians hold holistic thinking styles whereas North Americans hold analytic thinking styles. The present study examines the influence of cultural thinking styles on the online decision‐making processes for Hong Kong Chinese and European Canadians, with and without time constraints. We investigated the online decision‐making processes in terms of (1) information search speed, (2) quantity of information used, and (3) type of information used. Results show that, without time constraints, Hong Kong Chinese, compared to European Canadians, spent less time on decisions and parsed through information more efficiently, and Hong Kong Chinese attended to both important and less important information, whereas European Canadians selectively focused on important information. No cultural differences were found in the quantity of information used. When under time constraints, all cultural variations disappeared. The dynamics of cultural differences and similarities in decision‐making are discussed.     

Evaluating a dual‐process model of risk: affect and cognition as determinants of risky choice

In three studies we addressed the impact of perceived risk and negative affect on risky choice. In Study 1, we tested a model that included both perceived risk and negative affect as predictors of risky choice. Study 2 and Study 3 replicated these findings and examined the impact of affective versus cognitive processing modes. In all the three studies, both perceived risk and negative affect were shown to be significant predictors of risky choice. Furthermore, Study 2 and Study 3 showed that an affective processing mode strengthened the relation between negative affect and risky choice and that a cognitive processing mode strengthened the relation between perceived risk and risky choice. Together, these findings show support for the idea of a dual‐process model of risky choice. Copyright © 2008 John Wiley & Sons, Ltd.     

Children's utilization of emotion expectancies in moral decision‐making

This study investigated the relevance of emotion expectancies for children's moral decision‐making. The sample included 131 participants from three different grade levels (M = 8.39 years, SD = 2.45, range 4.58–12.42). Participants were presented a set of scenarios that described various emotional outcomes of (im)moral actions and asked to decide what they would do if they were in the protagonists' shoes. Overall, it was found that the anticipation of moral emotions predicted an increased likelihood of moral choices in antisocial and prosocial contexts. In younger children, anticipated moral emotions predicted moral choice for prosocial actions, but not for antisocial actions. Older children showed evidence for the utilization of anticipated emotions in both prosocial and antisocial behaviours. Moreover, for older children, the decision to act prosocially was less likely in the presence of non‐moral emotions. Findings suggest that the impact of emotion expectancies on children's moral decision‐making increases with age. Contrary to happy victimizer research, the study does not support the notion that young children use moral emotion expectancies for moral decision‐making in the context of antisocial actions.     

Test of the analysis of competing hypotheses in legal decision‐making

The analysis of competing hypotheses (ACH) has been suggested to be a method that can protect against confirmation bias in the context of intelligence analysis. In the current study, we aimed to determine whether ACH could counter confirmation bias in the reasoning with evidence in the context of criminal law proceedings. Law students (N = 191) received information about the ACH method or general information about biases. They were given a case vignette with a main suspect and a list of 24 questions, 6 of which they could ask about the case. Half of the questions related to incriminating information, whereas the other half related to exonerating information. Contrary to our expectations, participants in both conditions favoured questions relating to exonerating information and rated the exonerating evidence as being more important for their decision. Despite the lack of bias observed, it seems participants failed to properly apply the ACH method.     

On the advancement and software support of decision‐making in focused ultrasound therapy

Focused ultrasound therapy (FUS) is a modern and promising way for minimally invasive cancer treatment. Recent advances in treatment technology, bio‐physical models, and numerical simulation methods have given rise to a significant curative potential. However, clinical routine of FUS still features classical planning approaches, which widely fail in exploiting this potential. The structure of FUS planning problems strongly suggests interactive multi‐criteria decision‐making concepts in order to improve treatment quality. This research work introduces an multi‐criteria decision‐making approach to FUS planning and explains how to bridge the conceptual gap between the clinical state of the art and this new planning paradigm.     

Information search and mental representation in risky decision making: The advantages first principle

In three experiments the problem is investigated how people identify early in the decision process those alternatives that are worthwhile to be examined in more detail. We assume that decision makers employ the Advantages first Principle: They first search for information about positive outcomes and then focus their information search (e.g., for negative consequences or for risk defusing operators) on those alternatives that appear attractive after this initial evaluation. In Experiment 1 (120 participants), initial information about consequences was varied for eight alternatives (no information, positive consequences, negative, or mixed for four alternatives). In all conditions, the great majority of participants followed both aspects of the Advantages first Principle. In Experiment 2, 60 participants decided in two quasi‐realistic scenarios with two alternatives each. Initial information was presented so that one alternative had better positive consequences, worse negative consequences, or both. In all conditions, more information was searched for in the initially better alternative. In Experiment 3 (20 participants) the Advantages first Principle was not only confirmed for a scenario but also for choices in traditional gambling tasks with two and eight alternatives, respectively. Participants could win or lose real money. Copyright © 2010 John Wiley & Sons, Ltd.     

Aging and decision‐making competence: an analysis of comprehension and consistency skills in older versus younger adults considering health‐plan options

Older adults need to maintain strong decision‐making capabilities as they age. However, we know little about how age‐related physical and psychological changes affect older adults' judgment and decision processes. This paper reports the results of research comparing older versus younger adults' performance on evaluation and choice tasks about health‐plan options. In particular, comprehension and consistency in judgments (across separate versus joint evaluation contexts) were examined. Results indicated that increasing age was related to greater comprehension errors and inconsistent preferences, even when covariates (education, income, gender, self‐perceived skill and health, decision style, and attitude toward delegation) were taken into account. Discussion of the results emphasizes difficulties in interpreting the meaning of age differences in performance on decision tasks and the need for research that ascertains the seriousness of the consequences of age differences in real‐life tasks. The implications for providing decision‐aiding interventions for older adults are highlighted. Copyright © 2002 John Wiley & Sons, Ltd.     

Cognitive deficits of executive functions and decision‐making in obsessive‐compulsive disorder

The nature of cognitive deficits in obsessive‐compulsive disorder (OCD) is characterized by contradictory findings in terms of specific neuropsychological deficits. Selective impairments have been suggested to involve visuospatial memory, set shifting, decision‐making and response inhibition. The aim of this study was to investigate cognitive deficits in decision‐making and executive functioning in OCD. It was hypothesized that the OCD patients would be less accurate in their responses compared to the healthy controls in rational decision‐making on a version of the Cambridge gambling task (CGT) and on the color‐word interference test and on a version of the Tower of Hanoi test (tower test) of executive functioning. Thirteen participants with OCD were compared to a group of healthy controls (n = 13) matched for age, gender, education and verbal IQ. Results revealed significant differences between the OCD group and the healthy control group on quality of decision‐making on the CGT and for achievement score on the tower test. On these two tasks the OCD group performed worse than the healthy control group. The symptom‐dimension analysis revealed performance differences where safety checking patients were impaired on the tower test compared to contamination patients. Results are discussed in the framework of cognition and emotion processing and findings implicate that OCD models should address, specifically, the interaction between cognition and emotion. Here the emotional disruption hypothesis is forwarded to account for the dysfunctional behaviors in OCD. Further implications regarding methodological and inhibitory factors affecting cognitive information processing are highlighted.     

Seeing is not enough: manipulating choice options causes focusing and preference change in multiattribute risky decision‐making

We show that preferences depend on the attributes that can be directly manipulated when people need to integrate multiple sources of information because direct manipulation causes focusing bias. This effect appears even when all relevant information is simultaneously and explicitly presented at the time the decisions are made. Participants decided how much to save, what investment risk to take and observed the future financial consequences in terms of the mean and variability of the expected retirement income. Participants who manipulated only the future income distribution saved more and took less risk. This effect disappears when the risk‐related variables are removed, which indicates that task complexity is a mediator of such focusing effects. A more balanced trade‐off between the choice attributes was selected when all attributes were manipulated. However, when there is a dichotomy between manipulating versus observing choice attributes, then decisions were based mostly on the manipulated attributes. Copyright © 2008 John Wiley & Sons, Ltd.     

Investigating medical decision‐making capacity in patients with cognitive impairment using a protocol based on linguistic features

A critical question is whether cognitively impaired patients have the competence for autonomous decisions regarding participation in clinical trials. The present study aimed to investigate medical decision‐making capacity by use of a Swedish linguistic instrument for medical decision‐making (LIMD) in hypothetical clinical trials in patients with Alzheimer's disease (AD) and mild cognitive impairment (MCI). Three comparable groups (age, education) participated in the study: AD (n = 20; MMSE: 24.1 ± 3.3) and MCI (n = 22; MMSE: 26.7 ± 2.4) patients and healthy controls (n = 37; MMSE: 29.1 ± 1.0). Medical decision‐making capacity was operationalized as answers to questions regarding participation in three hypothetical clinical trials. Answers were scored regarding comprehension, evaluation and intelligibility of decisions, and a total LIMD score was used as the measure of medical decision‐making ability. Groups differed significantly in LIMD with AD patients performing worst and MCI poorer than the control group. A strong association was found between all LIMD scores and diagnosis which supported the assertion that LIMD as it is designed is a one‐dimensional instrument of medical decision‐making capacity (MDMC). The results indicate that a fundamental communicative ability has an impact on the competence for autonomous decisions in cognitive impairment.     

Model and interactive algorithm of bi‐level multi‐objective decision‐making with multiple interconnected decision makers

Furthering a prior research on two‐person bi‐level multi‐objective decision‐making problems of the leader‐follower Stackelberg game, we present an extended model of bi‐level multi‐objective decision‐making with multiple interconnected decision makers at the lower level. In the model, the upper level decision maker acts as a leader and the lower level decision makers behave as the followers, and inter‐connections and interactions exist among these followers in decision‐making scenarios. Following the rules of leader‐follower Stackelberg game, we develop an interactive algorithm of the model for solving multi‐objective decision‐making problems and reflecting the interactive natures among the decision makers. Finally, the authors exemplify the model and algorithm, and draw a conclusion on points of contributions and the significance of this study in decision‐making and support. Copyright © 2001 John Wiley & Sons, Ltd.     

Developmental patterns of change in the influence of safe and risky peer choices on risky decision‐making

Adolescents take more risks when peers monitor their behavior. However, it is largely unknown how different types of peer influence affect adolescent decision‐making. In this study, we investigate how information about previous choices of peers differentially influences decision‐making in adolescence and young adulthood. Participants (N = 99, age range 12–22) completed an economic choice task in which choice options were systematically varied on levels of risk and ambiguity. On each trial, participants selected between a safer choice (low variability in outcome) and a riskier choice (high variability in outcome). Participants made choices in three conditions: a solo condition in which they made choices with no additional information, a social condition in which they saw choices of supposed peers, and a computer condition in which they saw choices of a computer. Results showed that participants’ choices conform to the choices made by the peers, but not a computer. Furthermore, when peers chose the safe option, late adolescents were especially likely to make a safe choice. Conversely, when the peer made a risky choice, late adolescents were least likely to follow choices made by the peer. We did not find evidence for differential influence of social information on decisions depending on their level of risk and ambiguity. These results show that information about previous decisions of peers are a powerful modifier for behavior and that the effect of peers on adolescents’ decisions is less ubiquitous and more specific than previously assumed.     

“All‐or‐None” Versus “Most‐or‐Some” Options in Risky Choice: Effects of Domain and Handedness

Two methodological variants of Kahneman and Tversky's Asian disease scenario were investigated. One variant involved replacing the “all‐or‐none” outcome scenarios of the risky choice with “most‐or‐some” scenario outcomes, and the second variant involved replacing the negative domain of lives lost with a positive domain of jobs created. In addition, the effects of strength of handedness, a variable related to individual differences in risk perception, were examined. Results indicated that standard framing effects were obtained across both domains, with a decrease in risky choice under the gain domain. Scenario type also interacted with handedness, such that the all‐or‐none scenario yielded framing effects for consistent (strong)‐handers only, whereas the most‐or‐some scenario yielded framing effects for inconsistent (mixed)‐handers only (consistent‐handers are those who use the same hand exclusively for almost all activities). These results demonstrate that framing effects are strongly influenced by the presence versus absence of extreme/absolute outcomes and that individuals (in this case, decision makers with varying degrees of handedness strength) are differentially sensitive to different pieces of information. Copyright © 2014 John Wiley & Sons, Ltd.