Iowa Gambling Task Modified for Military Domain

One key component of optimal military decision making is that the decision maker demonstrates reinforcement learning. The modification of psychological tasks gives insight into understanding how to effectively train military decision makers and how experienced decision makers arrive at optimal or near optimal decisions. We developed a task modeled after the Iowa Gambling Task (IGT) to measure military decision making performance. This new task focuses on high stakes and uncertain environments particular to military decision making conditions. Thirty-four U.S. military officers from all branches of service completed the tasks yielding decision data for validation. The new task retains essential characteristics of the foundational task and gives insight into reinforcement learning of military decision makers. Results indicate that the additional metric of regret defines higher performance at a trial-by-trial level, and clustering by multiple metrics defines high performance groups.     

Individual differences in need for cognition and decision making in the Iowa Gambling Task

Differences in decision making between individuals differing in Need for Cognition (NFC) are examined using the Iowa Gambling Task (IGT). Previous work using normative one time decisions suggests that individual low in NFC process gains and losses differently than those high in NFC and are more susceptible to decision biases. The IGT is a popular laboratory task that involves making risky decisions from experience involving both gains and losses. In the first experiment, low NFC participants performed significantly worse than the high NFC participants. A second experiment designed to examine the nature of these differences provides evidence that low NFC participants place more importance on gains as opposed to losses when performing the IGT. Results are discussed in light of previous work suggesting that low NFC participants place more importance on losses in mixed outcome decisions.     

Subjective valuation and asymmetrical motivational systems: implications of scope insensitivity for decision making

Studies using the Iowa Gambling Task have revealed individual differences in performance on the task. In this study, we tested the hypothesis that approach and avoidance motivations influence decision making through the process of subjective valuation. We examined the implications of a high sensitivity to gains or losses from two perspectives which we labeled scalar multiplication and valuation by feeling. Using two versions of the Iowa Gambling Task, we find evidence supporting the view that asymmetry in the systems regulating approach and avoidance leads to systematic biases that translate to differences in performance. Specifically, we find that high sensitivity in the Behavioral Activation System (BAS) translates to valuation by feeling and insensitivity to scope in the domain of gains, while high sensitivity in the Behavioral Inhibition System (BIS) translates to valuation by feeling and insensitivity to scope in the domain of losses. The basis for these findings is discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

网络成瘾者的行为冲动性——来自爱荷华赌博任务的证据

以84名大学生为被试(网络成瘾和对照组被试各42名),采用感觉寻求量表和爱荷华赌博任务(Iowa Gambling Task)范式比较两组被试在感觉寻求水平和决策行为反应模式方面的差异.结果发现,与对照组被试相比,网络成瘾者的感觉寻求总分和去抑制、厌恶单调及寻求激动和惊险三个分量表得分显著增加,在IGT任务中优先选择收益和惩罚频率高的不利扑克牌,其冒险的决策策略并没有随着决策次数的增加而改变.这表明网络成瘾者的决策功能受损并表现出“即时收益优先”的决策模式和对强化物潜在风险的高耐受性.     

Altering the Shape of Punishment Distributions Affects Decision Making in a Modified Iowa Gambling Task

Neuroeconomics research has shown that preference for gambling is altered by the statistical moments (mean, variance, and skew) of reward and punishment distributions. Although it has been shown that altered means can affect feedback‐based decision making tasks, little is known if the variance and skew will have an effect on these tasks. To investigate, we systematically controlled the variance (high, medium, and low) and skew (negative, zero, and positive) of the punishment distributions in a modified version of the Iowa Gambling Task. The Iowa Gambling Task has been used extensively in both academic and clinical domains to understand decision making and diagnose decision making impairments. Our results show that decision making can be altered by an interaction of variance and skew. We found a significant decrease over trials in choices from the decks with high variance and asymmetrically skewed punishments and from the decks with low variance and zero skew punishments. These results indicate that punishment distribution shape alone can change human perception of what is optimal (i.e., mean expected outcome) and may help explain what guides our day‐to‐day decisions. Copyright © 2013 John Wiley & Sons, Ltd.     

Stress and Risky Decision Making: Cognitive Reflection,Emotional Learning or Both.

Stressful situations hinder judgement. Effects of stress induced by anticipated public speaking on the Iowa Gambling Task (IGT) were examined. The Cognitive Reflection Test (CRT) was used to examine the relationship between reflective thinking and IGT performance. The stress manipulation increased blood pressure and was associated with poorer IGT and CRT performance. Stressed participants were slower to avoid the disadvantageous decks. Moreover, CRT scores correlated with optimal deck selections indicating the importance of reflective thinking for good performance on the IGT. These correlations were observed in relatively early trials, which challenges the view that analytic thinking is not important when card contingencies are being learned. Data revealed that IGT performance in healthy individuals is not always optimal; stress levels impair performance. A mediation analysis was consistent with the proposal that the stress manipulation reduced IGT performance by impeding reflective thinking. Thus, reflective processing is an important explanation of IGT performance in healthy populations. It was concluded that more reflective participants appear to learn from the outcomes of their decisions even when stressed. Copyright © 2016 John Wiley & Sons, Ltd.     

Inverse association between dopaminergic neurotransmission and Iowa Gambling Task performance in pathological gamblers and healthy controls

Linnet, J., Møller, A., Peterson, E., Gjedde, A. & Doudet, D. (2011). Inverse association between dopaminergic neurotransmission and Iowa Gambling Task performance in pathological gamblers and healthy controls. Scandinavian Journal of Psychology 52, 28–34. The dopamine system is believed to affect gambling behavior in pathological gambling. Particularly, dopamine release in the ventral striatum appears to affect decision‐making in the disorder. This study investigated dopamine release in the ventral striatum in relation to gambling performance on the Iowa Gambling Task (IGT) in 16 Pathological Gamblers (PG) and 14 Healthy Controls (HC). We used Positron Emission Tomography (PET) to measure the binding potential of [¹¹C] raclopride to dopamine D2/3 receptors during a baseline and gambling condition. We hypothesized that decreased raclopride binding potentials in the ventral striatum during gambling (indicating dopamine release) would be associated with higher IGT performance in Healthy Controls, but lower IGT performance in Pathological Gamblers. The results showed that Pathological Gamblers with dopamine release in the ventral striatum had significantly lower IGT performance than Healthy Controls. Furthermore, dopamine release was associated with significantly higher IGT performance in Healthy Controls and significantly lower IGT performance in Pathological Gamblers. The results suggest that dopamine release is involved both in adaptive and maladaptive decision‐making. These findings may contribute to a better understanding of dopaminergic dysfunctions in pathological gambling and substance related addictions.     

Developmental changes of win-stay and loss-shift strategies in decision making

This study aims to clarify the developmental changes in real-life decision making when strategy is adjusted using both positive and negative feedback, that is, whether strategic adjustment evolves with age. A total of 84 participants divided into three age groups (children, adolescents, and adults) performed the standard version of the Iowa Gambling Task (IGT). Children and adolescents showed a strong bias in favor of disadvantageous choices whereas adults learned to decide advantageously during the course of the task. Interestingly, the results clearly demonstrate that children did not switch differently following gains and losses whereas adolescents and adults switched more often after a loss than after a gain, corresponding to the “loss-shift” and the “win-stay” strategies, respectively. The results also revealed that adults switched less often after losses compared to children and adolescents and, thus, used the loss-stay strategy more often than the 2 youngest groups. These new findings suggest that successful completion of the IGT by adults requires fine feedback monitoring and more frequent use of the win-stay and loss-stay strategic adjustments.     

Probing the link between narcissism and gambling: the mediating role of judgment and decision‐making biases

In this paper, three studies link narcissism to gambling in general, and gambling‐related problems in particular, and the predictive link is shown to be mediated by judgment and decision processes. In Study 1, we demonstrate that narcissism relates to greater self‐reported gambling frequency and gambling‐related monetary expenditures in two samples. We extend these initial findings in Study 2 by showing that narcissism predicts higher reports of gambling‐related pathology, as measured with a DSM‐IV‐based pathological gambling (PG) screen. Finally, we demonstrate in Study 3 that the link between gambling pathology and narcissism is partially mediated by narcissists' overconfidence, heightened risk acceptance, and myopic focus on reward, as measured by participants' behavioral performance on the Georgia Gambling Task (GGT) and Iowa Gambling Task (IGT). Discussion focuses on the empirical validation of the long‐assumed narcissism–gambling link, the decision processes that underlie this link, and relations between narcissists' self‐perceptions and their self‐defeating behavior, especially in risk‐relevant contexts. Copyright © 2007 John Wiley & Sons, Ltd.     

Conscious knowledge influences decision‐making differently in substance abusers with and without co‐morbid antisocial personality disorder

Decision‐making impairment, as measured by the Iowa Gambling Task (IGT), is a consistent finding among individuals with substance use disorder (SUD). We studied how this impairment is influenced by co‐morbid antisocial personality disorder (ASPD) and conscious knowledge of the task. Three groups were investigated: SUD individuals without co‐morbid ASPD (n = 30), SUD individuals with co‐morbid ASPD (n = 16), and healthy controls (n = 17). Both SUD and SUD+ASPD participants had poor overall IGT performance. A block‐by‐block analysis revealed that SUD participants exhibited slow but steady improvement across the IGT, whereas SUD+ASPD participants exhibited initial normal improvement, but dropped off during the last 40 trials. Conscious knowledge of the task was significantly correlated to performance for controls and SUD participants, but not for SUD+ASPD participants. Our findings suggest that decision‐making proceeds differently in SUD and SUD+ASPD individuals due to differences in acquisition and application of conscious knowledge.     

The link between ego-resiliency and changes in Big Five traits after decision making: The case of Extraversion

After performing such solitary decision making tasks as the Iowa Gambling Task (IGT) and the Game of Dice Task (GDT), we expected that changes will occur in Extraversion trait measured by a short Hungarian Big Five Inventory (BFI). We also hypothesized that ego-resiliency (Block, 2002)—a dimension measuring the ability to adapt to situational demands—will be linked to the magnitude of Extraversion change. After a pre-task measurement of the Big Five traits and ego-resiliency, participants (N = 93) completed the IGT and the GDT tasks. After each task, they filled out the BFI again. Pre- and post-task Big Five trait values showed significant differences. Participants reported lower post task scores on the Extraversion dimension and the magnitude of Extraversion change between pre- and post-task measurements correlated with ego-resiliency. The results highlight some short term effects of contextual factors influencing self-characterizations in BFI dimensions. Especially, individuals with high ego-resiliency give characteristically more introverted self-characterization after solitary tasks. The present results show an example of how the interplay between contextual factors and ego-resiliency can modify self-characterization within a very short period of time.     

初中生风险决策表现的认知建模分析:自尊及性别的影响

选取山东省某初中308名学生,采用爱荷华博弈任务,使用“效用-固着”模型对决策包含的动机、认知、反应心理过程进行认知建模分析,探究自尊水平和性别对初中生风险决策表现的影响。结果发现,初中生的风险决策表现不佳,对损失不敏感。在控制年级的影响后,分层回归分析表明:(1)自尊水平和性别对决策的动机过程的影响存在交互作用,男生无论自尊高低对收益都较为关注,女生中高自尊者更加关注收益。(2)决策成绩不存在显著的性别差异,但男生更多选择有着较高损失值的不利选项,而女生更多选择损失频率较低的有利选项。(3)自尊的影响主要体现在动机和认知过程,高自尊水平者在动机过程中更多表现出对损失的规避,在认知过程中更多地考虑维持之前的决策选择。     

The Contribution of Hope and Affectivity to Diabetes-Related Disability: An Exploratory Study

This study examined the relationships of the dispositional variables of hope, positive affectivity (PA), and negative affectivity (NA) with disease status and illness-related psychosocial functioning in a sample of 45 young adults with insulin-dependent diabetes mellitus (IDDM). Canonical analyses revealed one significant canonical function between the dispositional and psychosocial outcome variables. Primary contributors to the relationship were higher NA and lower PA and maladaptive emotional behavior. A linear multiple regression analysis using hope and affectivity as predictors failed to account for a significant proportion of variance in objective disease status as measured by hemoglobin A _1C (HbA_1C). The results support previous findings that affectivity may relate to self-reported, disease-related outcome, but not necessarily to objective measures of health status. Future studies of adaptation to chronic illness should consider including measures of illness-related behaviors (e.g., adherence), as well as subjective and objective measures of health status.     

A validation of a computerised task of risk-taking and moral decision-making and its association with sensation-seeking,impulsivity and sociomoral reasoning

The aim of this study was to investigate the reliability and validity of the computer based application of the Secret Agent (SA) task of risk-taking and moral decision-making. The participants were 100 male patients in a maximum security hospital (50 with severe mental illness and 50 with personality disorder) and 50 community based healthy controls. All participants completed the SA task, the Iowa Gambling Task (IGT), and measures of IQ, antisocial personality traits, sensation-seeking, impulsivity and sociomoral reasoning. The SA risk-taking and moral decision-making scales had satisfactory levels of reliability (Cronbach’s alpha). Risk-taking correlated significantly with sensation-seeking across all three participant groups. In contrast, risk-taking only correlated with impulsivity among the severe mental illness group. Moral decision-making correlated with sociomoral reasoning among the personality disorder group. No correlation was found between the SA scores and the IGT score and the IGT did not correlate with sensation-seeking or impulsivity. IQ and antisocial personality traits did not correlate with the SA or IGT scales. The study highlights the importance of context, the nature of the risk-taking task, and ‘problem framing’ of the instructions in their relationship with individual differences.     

睡眠时间参数对学前儿童问题行为的影响:消极情绪性的调节作用

本研究以338名学前儿童为被试,采用母亲报告法探究了学前儿童睡眠时间与问题行为之间的关系,以及儿童消极情绪性的调节作用。结果发现：（1）睡眠总时长对儿童内化和外化问题行为的主效应显著,而睡眠总时长与消极情绪性对儿童内化和外化问题行为的交互作用不显著;（2）夜间睡眠比对儿童内化问题行为的主效应显著,对儿童外化问题行为的主效应不显著;夜间睡眠比与消极情绪性对儿童内化问题行为的交互作用显著,即对高消极情绪性的儿童,夜间睡眠比能够显著负向预测其内化问题行为,而对低消极情绪性的儿童,夜间睡眠比对其内化问题行为的预测并不显著;夜间睡眠比与消极情绪性对儿童外化问题行为的交互作用不显著。     

腹膜透析相关性腹膜炎诊治的临床决策

腹膜透析相关性腹膜炎的治疗以前主要着眼于抗生素的选择,但其防治应该是从腹透管置管开始的整体策略,包括预防性抗生素的使用、患者的强化培训、腹膜炎的早期快速诊断、给药途径与疗程,以及拔管指征等。肾科医师临床决策是需要根据最新的治疗指南及研究进展,结合患者的个体特点进行综合判断,以期达到最佳的治疗效果。     

A Broader Understanding of Moral Distress

On the traditional view, moral distress arises only in cases where an individual believes she knows the morally right thing to do but fails to perform that action due to various constraints. We seek to motivate a broader understanding of moral distress. We begin by presenting six types of distress that fall outside the bounds of the traditional definition and explaining why they should be recognized as forms of moral distress. We then propose and defend a new and more expansive definition of moral distress and examine how it can enable the development of a taxonomy of moral distress.     

Futility in Chronic Anorexia Nervosa: A Concept Whose Time Has Not Yet Come

Comparatively little scholarly attention has been given to the question of futility in chronic psychiatric disorders, with the exception of a small body of work on so-called end-stage anorexia nervosa (AN). A review of this literature provides the background for a critical examination of whether the concept of futility has any clinically meaningful, ethically justifiable, and legally defensible application to AN. In this article, the arguments for and against futility judgments in AN are analyzed with special emphasis on determinations of capacity in this serious mental illness. Parallels between the futility disputes in medical and psychiatric disorders, where applicable, will be drawn to further illuminate whether or not the concept that continued psychiatric treatment for AN is ever truly futile.     

Time pressure and the application of decision rules: Choices and judgments among multiattribute alternatives

The effects of time pressure on decisions and judgments were studied and related to the use of different decision rules in a multiattribute decision task. The decision alternatives were students described by their high school grades in Swedish, Psychology and Natural Science. The subjects were asked to choose the student they thought would be most able to follow a university program and graduate as a school psychologist. On the basis of earlier findings using the same kind of decision task (Svenson et al., 1990) it was hypothesised that subjects under time pressure would prefer candidates having the maximum grade across all attributes to a greater extent than subjects under no time pressure. Furthermore, it was hypothesised that subjects under time pressure would also focus more on the most important attribute and choose the alternatives being best on that attribute. The results supported these hypotheses.     

Psychosocial Adaptation to Chronic Illness and Disability: A Preliminary Study of its Factorial Structure

This study examined the factorial structure of psychosocial adaptation to chronic illness and disability in a sample of 313 individuals who sustained spinal cord injury (SCI). Three models were examined. The first model tested the hypothesis that psychosocial adaptation is composed of a single, global factor, in which positive (adaptive) and negative (nonadaptive) reactions define two opposing poles of the same dimension. The second model tested the validity of two distinguishable factors, representing adaptive and nonadaptive dimensions. The third model examined the relationship between the 2-factor model and a third dimension, that of denial. The data from the instruments measuring psychosocial adaptation to trauma and disability (the Reactions to Impairment and Disability Inventory and the Purdue Posttraumatic Stress Disorder-Revised) were submitted to a series of confirmatory factor analyses, and the results from the goodness of fit tests and fit indices provided strong support to the validity of the latter two models. The findings indicated that the structure of adaptation to SCI can be best conceptualized as representing two, moderately linked but clearly distinguishable, factors and that the construct of denial of disability further elucidates our understanding of the structure of adaptation to loss of body integrity.