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Delay and reward choice in ADHD: an experimental test of the role of delay aversion

Delay and reward choice in ADHD: an experimental test of the role of delay aversion
Delay and reward choice in ADHD: an experimental test of the role of delay aversion
Children with attention deficit/hyperactivity disorder (ADHD) choose smaller sooner (SS) over larger later (LL) rewards more than controls. Here we assess the contributions of impulsive drive for immediate rewards (IDIR) and delay aversion (DAv) to this pattern. We also explore the characteristics of, and the degree of familiality in, ADHD SS responders. We had 360 ADHD probands; 349 siblings and 112 controls (aged between 6 to 17 years) chose between SS (1 point after 2 s) and LL reward (2 points after 30 s) outcomes on the Maudsley Index of Delay Aversion (Kuntsi, Oosterlaan, & Stevenson, 2001): Under one condition SS choice led to less overall trial delay under another it did not. ADHD participants chose SS more than controls under both conditions. This effect was larger when SS choice reduced trial delay. ADHD SS responders were younger, had lower IQ, more conduct disorder and had siblings who were more likely to be SS responders themselves. The results support a dual component model in which both IDIR and DAv contribute to SS choice in ADHD. SS choice may be a marker of an ADHD motivational subtype.
attention deficit disorder with hyperactivity, choice behavior, delay of gratification, impulsiveness, rewards, siblings
0894-4105
367-380
Marco, Rafaela
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Miranda, Ana
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Schlotz, Wolff
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Melia, Amanda
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Mulligan, Aisling
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Müller, Ueli
797120d3-302a-4a25-aff1-b796d53df6da
Andreou, Penny
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Butler, Louise
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Christiansen, Hanna
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Gabriels, Isabel
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Medad, Sheera
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Albrecht, Bjorn
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Uebel, Henrik
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Asherson, Phillip
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Banaschewski, Tobias
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Gill, Michael
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Kuntsi, Jonna
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Mulas, Fernando
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Oades, Robert
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Roeyers, Herbert
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Steinhausen, Hans-Christoph
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Rothenberger, Aribert
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Faraone, Stephen V.
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Sonuga-Barke, Edmund J.S.
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Marco, Rafaela
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Miranda, Ana
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Schlotz, Wolff
49499d5e-4ff4-4ad3-b5f7-eec11b25b5db
Melia, Amanda
20d808a4-9c7e-49bb-b157-da8c55968c4d
Mulligan, Aisling
79696570-6acc-4f76-bdfa-2854c134c531
Müller, Ueli
797120d3-302a-4a25-aff1-b796d53df6da
Andreou, Penny
eab52d53-899c-4fd7-b6e4-f5a9d1caabe1
Butler, Louise
b02dd960-92c5-4a42-8738-dc2018ae8ab6
Christiansen, Hanna
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Gabriels, Isabel
ff02607c-cd92-4ca3-9ae0-18e8ba85a2ca
Medad, Sheera
36853428-8087-4d86-b0c6-b034389c00b0
Albrecht, Bjorn
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Uebel, Henrik
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Asherson, Phillip
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Banaschewski, Tobias
4627c589-04cc-4f5b-ac2d-05f547f63dfd
Gill, Michael
408d1dfa-5205-4e50-8130-7b26aa8288e8
Kuntsi, Jonna
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Mulas, Fernando
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Oades, Robert
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Roeyers, Herbert
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Steinhausen, Hans-Christoph
991ad7f9-c5d1-4c61-8118-3d4895d2706d
Rothenberger, Aribert
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Faraone, Stephen V.
bd307516-e8db-4d38-b649-9d7d7caafe93
Sonuga-Barke, Edmund J.S.
bc80bf95-6cf9-4c76-a09d-eaaf0b717635

Marco, Rafaela, Miranda, Ana, Schlotz, Wolff, Melia, Amanda, Mulligan, Aisling, Müller, Ueli, Andreou, Penny, Butler, Louise, Christiansen, Hanna, Gabriels, Isabel, Medad, Sheera, Albrecht, Bjorn, Uebel, Henrik, Asherson, Phillip, Banaschewski, Tobias, Gill, Michael, Kuntsi, Jonna, Mulas, Fernando, Oades, Robert, Roeyers, Herbert, Steinhausen, Hans-Christoph, Rothenberger, Aribert, Faraone, Stephen V. and Sonuga-Barke, Edmund J.S. (2009) Delay and reward choice in ADHD: an experimental test of the role of delay aversion. Neuropsychology, 23 (3), 367-380. (doi:10.1037/a0014914).

Record type: Article

Abstract

Children with attention deficit/hyperactivity disorder (ADHD) choose smaller sooner (SS) over larger later (LL) rewards more than controls. Here we assess the contributions of impulsive drive for immediate rewards (IDIR) and delay aversion (DAv) to this pattern. We also explore the characteristics of, and the degree of familiality in, ADHD SS responders. We had 360 ADHD probands; 349 siblings and 112 controls (aged between 6 to 17 years) chose between SS (1 point after 2 s) and LL reward (2 points after 30 s) outcomes on the Maudsley Index of Delay Aversion (Kuntsi, Oosterlaan, & Stevenson, 2001): Under one condition SS choice led to less overall trial delay under another it did not. ADHD participants chose SS more than controls under both conditions. This effect was larger when SS choice reduced trial delay. ADHD SS responders were younger, had lower IQ, more conduct disorder and had siblings who were more likely to be SS responders themselves. The results support a dual component model in which both IDIR and DAv contribute to SS choice in ADHD. SS choice may be a marker of an ADHD motivational subtype.

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Published date: May 2009
Keywords: attention deficit disorder with hyperactivity, choice behavior, delay of gratification, impulsiveness, rewards, siblings

Identifiers

Local EPrints ID: 66171
URI: http://eprints.soton.ac.uk/id/eprint/66171
ISSN: 0894-4105
PURE UUID: 11c851cc-2780-4f5c-837c-5cf152f85fd7

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Date deposited: 08 May 2009
Last modified: 13 Mar 2024 18:11

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Contributors

Author: Rafaela Marco
Author: Ana Miranda
Author: Wolff Schlotz
Author: Amanda Melia
Author: Aisling Mulligan
Author: Ueli Müller
Author: Penny Andreou
Author: Louise Butler
Author: Hanna Christiansen
Author: Isabel Gabriels
Author: Sheera Medad
Author: Bjorn Albrecht
Author: Henrik Uebel
Author: Phillip Asherson
Author: Tobias Banaschewski
Author: Michael Gill
Author: Jonna Kuntsi
Author: Fernando Mulas
Author: Robert Oades
Author: Herbert Roeyers
Author: Hans-Christoph Steinhausen
Author: Aribert Rothenberger
Author: Stephen V. Faraone
Author: Edmund J.S. Sonuga-Barke

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