
@article{ref1,
title="Decision-making under risk and its correlates in schizophrenia",
journal="Schizophrenia research. Cognition",
year="2024",
author="Dong, Xiaoyu and Shovestul, Bridget and Saxena, Abhishek and Dudek, Emily and Reda, Stephanie and Lamberti, J. Steven and Dodell-Feder, David",
volume="37",
number="",
pages="e100314-e100314",
abstract="Schizophrenia spectrum disorders (SSD) are associated with pervasive cognitive impairments, including deficits in decision-making under risk. However, there is inconclusive evidence regarding specific mechanisms underlying altered decision-making patterns. In this study, participants (33 SSD and 28 non-SSD) completed the Columbia Card Task, an explicit risk-taking task, to better understand risk preference and adjustment in dynamic decision-making. We found that while there is no group difference in overall risk-taking, risk preference, or optimal decision-making, risk adjustment to contextual factors (e.g., loss probability) is blunted in SSD. We also found associations between risk-taking/suboptimal decision-making and disorganized symptoms, excited symptoms, and role functioning, but no associations between decision-making and working memory. These results suggest that during a complex, dynamic risk-taking task, individuals with SSD exhibit less adaption to changing information about risk, which may reflect risk imperception.<p /> <p>Language: en</p>",
language="en",
issn="2215-0013",
doi="10.1016/j.scog.2024.100314",
url="http://dx.doi.org/10.1016/j.scog.2024.100314"
}