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Canessa N, Iozzino L, Andreose S, Castelletti L, Conte G, Dvorak A, Ferrari C, Heitzman J, Macis A, Markiewicz I, Mattavelli G, Nicolò G, Picchioni M, Restuccia G, Rivellini G, Teti F, de Girolamo G. RISK aversion in Italian forensic and non-forensic patients with schizophrenia spectrum disorders. PLoS One 2023; 18:e0289152. [PMID: 37523390 PMCID: PMC10389697 DOI: 10.1371/journal.pone.0289152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 07/07/2023] [Indexed: 08/02/2023] Open
Abstract
BACKGROUND Goal-directed decision-making is a central component of the broader reward and motivation system, and requires the ability to dynamically integrate both positive and negative feedback from the environment in order to maximize rewards and minimize losses over time. Altered decision-making processes, in which individuals fail to consider the negative consequences of their decisions on both themselves and others, may play a role in driving antisocial behaviour. AIM The main study aim was to investigate possible differences in loss and risk aversion across matched patients, all with a schizophrenia spectrum disorder (SSD), but who varied according to whether they had a history of serious interpersonal violence or not, and a sample of healthy controls with no history of violence. RESULTS The sample included 14 forensic and 21 non-forensic patients with SSD, and 41 healthy controls. Among the three decision-making variables under investigation, risk aversion was the only significant predictor of membership of the three groups, with greater risk aversion among non-forensic patients with SSD compared to healthy controls. No differences were observed across groups in loss aversion and choice consistency. CONCLUSIONS This evidence suggests a new potential treatment target for rehabilitative measures aimed at achieving functional improvements in patients with SSD by selectively leveraging the neuro-cognitive processing of reward.
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Affiliation(s)
- Nicola Canessa
- IUSS Cognitive Neuroscience (ICON) Center, Scuola Universitaria Superiore IUSS, Pavia, Italy
- Istituti Clinici Scientifici Maugeri IRCCS, Cognitive Neuroscience Laboratory of Pavia Institute, Pavia, Italy
| | - Laura Iozzino
- IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Unit of Epidemiological Psychiatry and Evaluation, Brescia, Italy
| | - Sonia Andreose
- IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Psychiatric Unit, Brescia, Italy
| | | | - Giovanni Conte
- Department of Mental Health, ASST di Brescia, Brescia, Italy
| | | | - Clarissa Ferrari
- IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Unit of Statistics, Brescia, Italy
| | - Janusz Heitzman
- Institute of Psychiatry and Neurology, Department of Forensic Psychiatry, Warsaw, Poland
| | - Ambra Macis
- IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Unit of Statistics, Brescia, Italy
| | - Inga Markiewicz
- Institute of Psychiatry and Neurology, Department of Forensic Psychiatry, Warsaw, Poland
| | - Giulia Mattavelli
- IUSS Cognitive Neuroscience (ICON) Center, Scuola Universitaria Superiore IUSS, Pavia, Italy
- Istituti Clinici Scientifici Maugeri IRCCS, Cognitive Neuroscience Laboratory of Pavia Institute, Pavia, Italy
| | - Giuseppe Nicolò
- REMS Minerva, Department of Mental Health, ASL Roma 5, Rome, Italy
| | - Marco Picchioni
- Department of Forensic and Neurodevelopmental Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
- St Magnus Hospital, Surrey, United Kingdom
| | | | | | - Fabio Teti
- Sistema Polimodulare di REMS Provvisorie, ASST di Mantova, Castiglione delle Stiviere, Italy
| | - Giovanni de Girolamo
- IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Unit of Epidemiological Psychiatry and Evaluation, Brescia, Italy
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Yechiam E, Zeif D. Revisiting the effect of incentivization on cognitive reflection: A meta‐analysis. JOURNAL OF BEHAVIORAL DECISION MAKING 2022. [DOI: 10.1002/bdm.2286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Eldad Yechiam
- Max Wertheimer Minerva Center for Cognitive Studies, Faculty of Industrial Engineering and Management Technion—Israel Institute of Technology Haifa Israel
| | - Dana Zeif
- Max Wertheimer Minerva Center for Cognitive Studies, Faculty of Industrial Engineering and Management Technion—Israel Institute of Technology Haifa Israel
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