Abstract
This study examined decision making and its correlates among forensic psychiatric inpatients deemed incompetent to stand trial (IST). This study utilized archival data (n = 41; Mean Age = 44.27, SD = 15.89, 79.1% Male; 34.1% Caucasian). Decision making was measured using the Iowa Gambling Task (IGT), which is purported to simulate real-life decision making. Correlates included cognitive functioning, psychiatric symptom severity, and impulsivity. Participants selected more frequently from disadvantageous decks, which yield larger immediate monetary gains with a larger long-term monetary losses (Mean NET = −9.51, SD = 26.70), but avoided decks yielding frequent monetary losses (Mean GLF = 10.10, SD = 26.70). Consistently, participants selected most frequently from a deck yielding the most immediate monetary gains and the least frequent monetary losses compared to other decks (ps < 0.05). Based upon their selections, participants lost a significant amount of money (M = −$1,493.22, SD = $1,182.26). IGT outcomes were differentially associated with cognitive functioning (rs = −0.26 to 0.47), psychiatric symptom severity (rs = −0.41 to 0.37), and impulsivity (rs = −0.47 to 0.28; all ps = 0.003–0.98). Findings can guide future research, as well as guide competency restoration and decision-making interventions, for this population.
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