Beyond pain: Modeling decision-making deficits in chronic pain

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...

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Publicado: 2014
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Acceso en línea:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_16625153_v8_nAUG_p_Hess
http://hdl.handle.net/20.500.12110/paper_16625153_v8_nAUG_p_Hess
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spelling paper:paper_16625153_v8_nAUG_p_Hess2023-06-08T16:25:51Z Beyond pain: Modeling decision-making deficits in chronic pain 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 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. 2014 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_16625153_v8_nAUG_p_Hess http://hdl.handle.net/20.500.12110/paper_16625153_v8_nAUG_p_Hess
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic 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
spellingShingle 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
Beyond pain: Modeling decision-making deficits in chronic pain
topic_facet 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
description 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.
title Beyond pain: Modeling decision-making deficits in chronic pain
title_short Beyond pain: Modeling decision-making deficits in chronic pain
title_full Beyond pain: Modeling decision-making deficits in chronic pain
title_fullStr Beyond pain: Modeling decision-making deficits in chronic pain
title_full_unstemmed Beyond pain: Modeling decision-making deficits in chronic pain
title_sort beyond pain: modeling decision-making deficits in chronic pain
publishDate 2014
url https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_16625153_v8_nAUG_p_Hess
http://hdl.handle.net/20.500.12110/paper_16625153_v8_nAUG_p_Hess
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