期刊
JOURNAL OF ABNORMAL CHILD PSYCHOLOGY
卷 39, 期 3, 页码 333-339出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10802-010-9475-1
关键词
Decision making; Disruptive behavior disorder; Iowa gambling task; Substance dependence
资金
- NIDA NIH HHS [R01 DA016135, R01 DA 16135] Funding Source: Medline
Of all psychiatric disorders, the disruptive behavior disorders (DBDs) are the most likely to predispose to substance dependence (SD). One possible underlying mechanism for this increased vulnerability is risky decision making. The aim of this study was to examine decision making in DBD adolescents with and without SD. Twenty-five DBD adolescents (19 males) with SD (DBD+SD), 28 DBD adolescents (23 males) without SD (DBD-SD) and 99 healthy controls (72 males) were included in the study. DBD adolescents with co-morbid attention deficit/ hyperactivity disorder (ADHD) were excluded. Risky decision making was investigated by assessing the number of disadvantageous choices in the Iowa gambling task. DBD+SD made significantly more risky choices than healthy controls and DBD-SD. Healthy controls and DBD-SD did not differ on risky decision making. These results suggest that risky decision making is a vulnerability factor for the development of SD in a subgroup of adolescents with DBD without ADHD.
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