Do patients with different psychiatric disorders show altered social decision-making? A systematic review of ultimatum game experiments in clinical populations

Hinterbuchinger, Barbara; Kaltenboeck, Alexander; Baumgärtner, Josef; Mossaheb, Nilufar; Friedrich, Fabian

doi:10.1080/13546805.2018.1453791

Cited by 27 publications

(17 citation statements)

References 97 publications

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“…For example, obsessive compulsive disorder and high levels of compulsivity are associated with aberrant non-social information sampling cost functions 39,40 . In addition, previous studies used behavioural economic games such as trust games to reveal aberrant social decisionmaking psychiatric disorders [41][42][43] , including autism spectrum disorder 44 , borderline personality disorder 43,45,46 , and ADHD 47,48 . However, how people actively sample and use information to initiate social interactions and how this may depend on prior beliefs is an underexplored topic in these fields.…”

Section: Discussionmentioning

confidence: 99%

The Cognitive Mechanisms That Drive Social Belief Updates During Adolescence

Westhoff

Duijvenvoorde

2020

Preprint

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Adolescence is a key life phase for developing well-adjusted social behaviour. Belief updates about the trustworthiness of peers are essential during adolescence as social reorientation emerges and peer relationships intensify. This study maps the age-related changes of those belief updates during adolescence (n = 157, 10-24 years). We used computational modelling and an information sampling paradigm to reveal that three cognitive mechanisms contribute to age-related changes in those belief updates: prior beliefs, prior uncertainty, and uncertainty tolerance. The age-related changes in these three cognitive mechanisms result in increasingly adaptive belief updates from early to mid-adolescence when it comes to beliefs about trustworthiness. Our findings shed light on age-related changes in adaptive learning about others during adolescence.

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Section: Discussionmentioning

confidence: 99%

The Cognitive Mechanisms That Drive Social Belief Updates During Adolescence

Westhoff

Duijvenvoorde

2020

Preprint

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“…Furthermore, sensitivity to fairness was greatest when the participant contributed the most. There has been some evidence that patients with schizophrenia are less averse to unfairness to their own disadvantage ( 36 ), although others have suggested that impaired decision-making may be specific to the presence of psychopathology, symptom severity (either negative and/or cognitive impairments in working memory and executive function), or disrupted connectivity in emotion-related areas of the brain including the anterior cingulate cortex, orbitofrontal cortex, and amygdala ( 38 , 39 , 58 ). Future studies comparing healthy individuals with subclinical paranoia and patients with schizophrenia would help elucidate at what level of severity these possibilities compromise sensitivity to fairness.…”

Section: Discussionmentioning

confidence: 99%

Moral Emotions and Social Economic Games in Paranoia

et al. 2018

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Impaired social cognitive processes are putative psychological mechanisms implicated in the formation and maintenance of paranoid beliefs. Paranoia denotes unfounded fears about the hostile intentions of others and is prevalent in a significant proportion of the general population. We investigated social cognition in healthy participants selectively recruited to have a broad occurrence of paranoid thinking (n = 89). Participants completed a novel computerized task of moral emotions and two social economic exchange games (Prisoner's Dilemma, Ultimatum Game) from the EMOTICOM neuropsychological test battery. Regression analyses revealed that delusional ideation predicted shameful feelings when the victim of deliberate harm by another person. Cooperative behavior on the Prisoner's Dilemma was greatest when the participant and opponent contributed equally to joint earnings. Participants demonstrated significantly more punishment behavior when contributions were unequal and stole more from the opponent using a suspicious strategy of gameplay. In addition, paranoid thinking was positively associated with more stealing from the cooperative opponent. On the Ultimatum Game, participants accepted significantly more unequal offers when the opponent contributed more and sensitivity to fairness was greatest when the participant contributed more. These data demonstrate that delusional ideation predicts a maladaptive emotional response to interpersonal harm and that paranoid thinking may lead to reduced cooperation toward mutual reward. The effects of paranoia on moral emotions and pro-social behavior at more severe levels of persecutory thinking warrant further investigation.

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“…However, previous studies demonstrated that ALS patients who do not meet the FTD criteria show abnormalities not only in the frontotemporal cortex but also in the basal ganglia, including the head of the caudate nucleus and its networks 5‐7 . Although frontostriatal circuits are associated with decision‐making processes 8 and patients with FTD show various errors in decision‐making, 9‐11 there is limited available evidence regarding the features of decision‐making, particularly its network basis, in patients with ALS.…”

Section: Introductionmentioning

confidence: 99%

The neural network basis of altered decision‐making in patients with amyotrophic lateral sclerosis

Imai

Masuda

Watanabe

et al. 2020

Ann Clin Transl Neurol

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Objective: Amyotrophic lateral sclerosis (ALS) is a multisystem disorder associated with motor impairment and behavioral/cognitive involvement. We examined decision-making features and changes in the neural hub network in patients with ALS using a probabilistic reversal learning task and resting-state network analysis, respectively. Methods: Ninety ALS patients and 127 cognitively normal participants performed this task. Data from 62 ALS patients and 63 control participants were fitted to a Q-learning model. Results: ALS patients had anomalous decision-making features with little shift in choice until they thought the value of the two alternatives had become equal. The quantified parameters (Pαβ) calculated by logistic regression analysis with learning rate and inverse temperature well represented the unique choice pattern of ALS patients. Resting-state network analysis demonstrated a strong correlation between Pαβ and decreased degree centrality in the anterior cingulate gyrus and frontal pole. Interpretation: Altered decision-making in ALS patients may be related to the decreased hub function of medial prefrontal areas.

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Do patients with different psychiatric disorders show altered social decision-making? A systematic review of ultimatum game experiments in clinical populations

Abstract: There is some evidence that different psychiatric disorders might go along with alterations in social decision-making. However, in general, data are currently limited and studies are hard to compare due to differences in methodologies.

Cited by 27 publications

References 97 publications

The Cognitive Mechanisms That Drive Social Belief Updates During Adolescence

The Cognitive Mechanisms That Drive Social Belief Updates During Adolescence

Moral Emotions and Social Economic Games in Paranoia

The neural network basis of altered decision‐making in patients with amyotrophic lateral sclerosis

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