@article{ref1,
title="A review of risky decision-making in psychosis-spectrum disorders",
journal="Clinical psychology review",
year="2021",
author="Purcell, John R. and Herms, Emma N. and Morales, Jaime and Hetrick, William P. and Wisner, Krista M. and Brown, Joshua W.",
volume="91",
number="",
pages="e102112-e102112",
abstract="The investigation of risky decision-making has a prominent place in clinical science, with sundry behavioral tasks aimed at empirically quantifying the psychological construct of risk-taking. However, use of differing behavioral tasks has resulted in lack of agreement on risky decision-making within psychosis-spectrum disorders, as findings fail to converge upon the typical, binary conceptualization of increased risk-seeking or risk-aversion. The current review synthesizes the behavioral, risky decision-making literature to elucidate how specific task parameters may contribute to differences in task performance, and their associations with psychosis symptomatology and cognitive functioning. A paring of the literature suggests that: 1) Explicit risk-taking may be characterized by risk imperception, evidenced by less discrimination between choices of varying degrees of risk, potentially secondary to cognitive deficits. 2) Ambiguous risk-taking findings are inconclusive with few published studies. 3) Uncertain risk-taking findings, consistently interpreted as more risk-averse, have not parsed risk attitudes from confounding processes that may impact decision-making (e.g. risk imperception, reward processing, motivation). Thus, overgeneralized interpretations of task-specific risk-seeking/aversion should be curtailed, as they may fail to appropriately characterize decision-making phenomena. Future research in psychosis-spectrum disorders would benefit from empirically isolating contributions of specific processes during risky decision-making, including the newly hypothesized risk imperception.<p /> <p>Language: en</p>",
language="en",
issn="0272-7358",
doi="10.1016/j.cpr.2021.102112",
url="http://dx.doi.org/10.1016/j.cpr.2021.102112"
}