Abstract

Although poor decision-making is a hallmark of psychiatric conditions such as attention deficit/hyperactivity disorder, pathological gambling or substance abuse, a fraction of healthy individuals exhibit similar poor decision-making performances in everyday life and specific laboratory tasks such as the Iowa Gambling Task. These particular individuals may provide information on risk factors or common endophenotypes of these mental disorders. In a rodent version of the Iowa gambling task – the Rat Gambling Task (RGT), we identified a population of poor decision makers, and assessed how these rats scored for several behavioral traits relevant to executive disorders: risk taking, reward seeking, behavioral inflexibility, and several aspects of impulsivity. First, we found that poor decision-making could not be well predicted by single behavioral and cognitive characteristics when considered separately. By contrast, a combination of independent traits in the same individual, namely risk taking, reward seeking, behavioral inflexibility, as well as motor impulsivity, was highly predictive of poor decision-making. Second, using a reinforcement-learning model of the RGT, we confirmed that only the combination of extreme scores on these traits could induce maladaptive decision-making. Third, the model suggested that a combination of these behavioral traits results in an inaccurate representation of rewards and penalties and inefficient learning of the environment. Poor decision-making appears as a consequence of the over-valuation of high-reward-high-risk options in the task. Such a specific psychological profile could greatly impair clinically healthy individuals in decision-making tasks and may predispose to mental disorders with similar symptoms.

Highlights

  • Several mental disorders related to poor executive functioning, such as substance abuse, pathological gambling, attention-deficit hyperactivity-disorder or mania, share common deficits and behavioral traits

  • Like humans, rats that are poor decision makers are risk-prone and more sensitive to reward than good decision makers (good DM) [11]

  • Like the Iowa Gambling Task (IGT) in humans, the Rat Gambling Task (RGT) probably involves a number of cognitive processes, and separating their relative contribution is a challenge

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Summary

Introduction

Several mental disorders related to poor executive functioning, such as substance abuse, pathological gambling, attention-deficit hyperactivity-disorder or mania, share common deficits and behavioral traits. Poor decision making is a hallmark of these mental disorders as these patients are commonly impaired in the Iowa Gambling Task (IGT). This task measures the capacity to balance risks and gains and to resist immediate gratification in order to receive a larger long-term gain [6]. Within a healthy population, a subset of individuals described as impulsive and sensation seekers display poor decision making in this task [7], supporting the notion that a continuum may exist between normality and pathological conditions. Neuropsychological characteristics leading to poor decision making in healthy individuals are probably shared by clinical poor decision makers, and could be a potential risk factor for developing related mental disorders [8,9]

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