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Abstract:

Risky decision-making seems to be markedly disrupted in patients with chronic pain, probably due to the high cost that impose pain and negative mood on executive control functions. Patients' behavioral performance on decision-making tasks such as the Iowa Gambling Task (IGT) is characterized by selecting cards more frequently from disadvantageous than from advantageous decks, and by switching often between competing responses in comparison with healthy controls (HCs). In the present study, we developed a simple heuristic model to simulate individuals' choice behavior by varying the level of decision randomness and the importance given to gains and losses. The findings revealed that the model was able to differentiate the behavioral performance of patients with chronic pain and HCs at the group, as well as at the individual level. The best fit of the model in patients with chronic pain was yielded when decisions were not based on previous choices and when gains were considered more relevant than losses. By contrast, the best account of the available data in HCs was obtained when decisions were based on previous experiences and losses loomed larger than gains. In conclusion, our model seems to provide useful information to measure each individual participant extensively, and to deal with the data on a participant-by-participant basis. © 2014 Hess, Haimovici, Muñoz and Montoya.

Registro:

Documento: Artículo
Título:Beyond pain: Modeling decision-making deficits in chronic pain
Autor:Hess, L.E.; Haimovici, A.; Muñoz, M.A.; Montoya, P.
Filiación:Training and Research for Argentina Medical Association (CIMA), National University of Rosario (UNR), Rosario, Santa Fe, Argentina
Research Institute on Health Sciences (IUNICS), University of Balearic Islands (UIB), Palma, Spain
Departamento de Física, Universidad de Buenos Aires, Buenos Aires, Argentina
Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Buenos Aires, Argentina
Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, University of Granada, Granada, Spain
Palabras clave:Chronic pain; Cognition; Decision-making; Emotion; Modeling; adult; article; behavior; chronic pain; clinical article; cognition; controlled study; decision making; fibromyalgia; human; iowa gambling task; mathematical model; task performance
Año:2014
Volumen:8
Número:AUG
DOI: http://dx.doi.org/10.3389/fnbeh.2014.00263
Título revista:Frontiers in Behavioral Neuroscience
Título revista abreviado:Front. Behav. Neurosci.
ISSN:16625153
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_16625153_v8_nAUG_p_Hess

Referencias:

  • Abeare, C.A., Cohen, J.L., Axelrod, B.N., Leisen, J.C., Mosley-Williams, A., Lumley, M.A., Pain, executive functioning and affect in patients with rheumatoid arthritis (2010) Clin. J. Pain, 26, pp. 683-689. , doi: 10.1097/ajp.0b013e3181ed1762
  • Apkarian, A.V., Sosa, Y., Krauss, B.R., Thomas, P.S., Fredrickson, B.E., Levy, R.E., Chronic pain patients are impaired on an emotional decision-making task (2004) Pain, 108, pp. 129-136. , doi: 10.1016/j.pain.2003.12.015
  • Bechara, A., Damasio, A.R., The somatic marker hypothesis: A neural theory of economic decision (2005) Games Econ. Behav., 52, pp. 336-372. , doi: 10.1016/j.geb.2004.06.010
  • Bechara, A., Damasio, A.R., Damasio, H., Anderson, S.W., Insensitivity to future consequences following damage to human prefrontal cortex (1994) Cognition, 50, pp. 7-15. , doi: 10.1016/0010-0277(94)90018-3
  • Bechara, A., Damasio, H., Tranel, D., Damasio, A.R., Deciding advantageously before knowing the advantageous strategy (1997) Science, 275, pp. 1293-1295. , doi: 10.1126/science.275.5304.1293
  • Bechara, A., Tranel, D., Damasio, H., Damasio, A.R., Failure to respond autonomically to anticipated future outcomes following damage to prefrontal cortex (1996) Cereb. Cortex, 6, pp. 215-225. , doi: 10.1093/cercor/6.2.215
  • Berry, D., Fristedt, B., (1985) Bandit Problems: Sequential Allocation of Experiments, , London: Routledge. Chapman and Hall
  • Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., Erbaugh, J., An inventory for measuring depression (1961) Arch. Gen. Psychiatry, 4, pp. 561-571. , doi: 10.1001/archpsyc.1961.01710120031004
  • Brand, M., Recknor, E.C., Grabenhorst, F., Bechara, A., Decisions under ambiguity and decisions under risk: Correlations with executive functions and comparisons of two different gambling tasks with implicit and explicit rules (2007) J. Clin. Exp. Neuropsychol., 29, pp. 86-99. , doi: 10.1080/13803390500507196
  • Buelow, M.T., Suhr, J.A., Construct validity of the Iowa gambling task (2009) Neuropsychol. Rev., 19, pp. 102-114. , doi: 10.1007/s11065-009-9083-4
  • Eccleston, C., Crombez, G., Pain demands attention: A cognitive-affective model of the interruptive function of pain (1999) Psychol. Bull., 125, pp. 356-366. , doi: 10.1037//0033-2909.125.3.356
  • Foss, J.M., Apkarian, A.V., Chialvo, D.R., Dynamics of pain: Fractal dimension of temporal variability of spontaneous pain differentiates between pain states (2006) J. Neurophysiol., 95, pp. 730-736. , doi: 10.1152/jn.00768.2005
  • Golden, C.J., (1978) Stroop Color and Word Test: A Manual for Clinical and Experimental Uses, , Chicago, IL: Skoelting
  • Horstmann, A., Villringer, A., Neumann, J., Iowa gambling task: There is more to consider than long-term outcome-using a linear equation model to disentangle the impact of outcome and frequency of gains and losses (2012) Front. Neurosci., 6, p. 61. , doi: 10.3389/fnins.2012.00061
  • Keefe, F.J., Lumley, M., Anderson, T., Lynch, T., Studts, J.L., Carson, K.L., Pain and emotion: New research directions (2001) J. Clin. Psychol., 57, pp. 587-607. , doi: 10.1002/jclp.1030
  • Montoya, P., Sitges, C., García-Herrera, M., Izquierdo, R., Truyols, M., Blay, N., Abnormal affective modulation of somatosensory brain processing among patients with fibromyalgia (2005) Psychosom. Med., 67, pp. 957-963. , doi: 10.1097/01.psy.0000188401.55394.18
  • Moriarty, O., McGuire, B.E., Finn, D.P., The effect of pain on cognitive function: A review of clinical and preclinical research (2011) Prog. Neurobiol., 93, pp. 385-404. , doi: 10.1016/j.pneurobio.2011.01.002
  • Must, A., Szabo, Z., Bodi, N., Szasz, A., Janka, Z., Kéri, S., Sensitivity to reward and punishment and the prefrontal cortex in major depression (2006) J. Affect. Disord., 90, pp. 209-215. , doi: 10.1016/j.jad.2005.12.005
  • Petrides, M., Alivisatos, B., Meyer, E., Evans, A.C., Functional activation of the human frontal cortex during the performance of verbal working memory tasks (1993) Proc. Natl. Acad. Sci. U S A, 90, pp. 878-882. , doi: 10.1073/pnas.90.3.878
  • Rivalan, M., Valton, V., Seriès, P., Marchand, A.R., Dellu-Hagedorn, F., Elucidating poor decision-making in a rat gambling task (2013) PLoS One, 8, pp. e82052. , doi: 10.1371/journal.pone.0082052
  • Seguin, J.R., Arseneault, L., Tremblay, R.E., The contribution of "cool" and "hot" components of decision-making in adolescence: Implications for developmental psychopathology (2007) Cogn. Dev., 22, pp. 530-543. , doi: 10.1016/j.cogdev.2007.08.006
  • Solberg Nes, L., Roach, A.R., Segerstrom, S.C., Executive functions, self-regulation and chronic pain: A review (2009) Ann. Behav. Med., 37, pp. 173-183. , doi: 10.1007/s12160-009-9096-5
  • Spielberger, C.D., Gorsuch, R.L., Lushene, R.E., (1970) The State-Trait Anxiety Inventory (STAI): Test Manual, , Palo Alto, CA: Consulting Psychologists Press
  • Steingroever, H., Wetzels, R., Wagenmakers, E.J., Validating the PVL-Delta model for the Iowa gambling task (2013) Front. Psychol., 4, p. 898. , doi: 10.3389/fpsyg.2013.00898
  • Steyvers, M., Lee, M.D., Wagenmakers, E.J., A Bayesian analysis of human decision-making on bandit problems (2009) J. Math. Psychol., 53, pp. 168-179. , doi: 10.1016/j.jmp.2008.11.002
  • Verdejo-García, A., López-Torrecillas, F., Calandre, E.P., Delgado-Rodríguez, A., Bechara, A., Executive function and decision-making in women with fibromyalgia (2009) Arch. Clin. Neuropsychol., 24, pp. 113-122. , doi: 10.1093/arclin/acp014
  • Walteros, C., Sánchez-Navarro, J.P., Muñoz, M.A., Martínez-Selva, J.M., Chialvo, D., Montoya, P., Altered associative learning and emotional decision making in fibromyalgia (2011) J. Psychosom. Res., 70, pp. 294-301. , doi: 10.1016/j.jpsychores.2010.07.013
  • Wetzels, R., Vandekerckhove, J., Tuerlinckx, F., Wagenmakers, E.J., Bayesian parameter estimation in the expectancy valence model of the Iowa gambling task (2010) J. Math. Psychol., 54, pp. 14-27. , doi: 10.1016/j.jmp.2008.12.001
  • Worthy, D.A., Haethorne, M.J., Otto, A.R., Heterogeneity of strategy use in the Iowa gambling task: A comparison of win-stay/lose-shift and reinforcement learning models (2013) Psychon. Bull. Rev., 20, pp. 364-371. , doi: 10.3758/s13423-012-0324-9

Citas:

---------- APA ----------
Hess, L.E., Haimovici, A., Muñoz, M.A. & Montoya, P. (2014) . Beyond pain: Modeling decision-making deficits in chronic pain. Frontiers in Behavioral Neuroscience, 8(AUG).
http://dx.doi.org/10.3389/fnbeh.2014.00263
---------- CHICAGO ----------
Hess, L.E., Haimovici, A., Muñoz, M.A., Montoya, P. "Beyond pain: Modeling decision-making deficits in chronic pain" . Frontiers in Behavioral Neuroscience 8, no. AUG (2014).
http://dx.doi.org/10.3389/fnbeh.2014.00263
---------- MLA ----------
Hess, L.E., Haimovici, A., Muñoz, M.A., Montoya, P. "Beyond pain: Modeling decision-making deficits in chronic pain" . Frontiers in Behavioral Neuroscience, vol. 8, no. AUG, 2014.
http://dx.doi.org/10.3389/fnbeh.2014.00263
---------- VANCOUVER ----------
Hess, L.E., Haimovici, A., Muñoz, M.A., Montoya, P. Beyond pain: Modeling decision-making deficits in chronic pain. Front. Behav. Neurosci. 2014;8(AUG).
http://dx.doi.org/10.3389/fnbeh.2014.00263