Abstract

In the field of behavioral decision-making, “loss aversion” is a behavioral phenomenon in which individuals show a higher sensitivity to potential losses than to gains. Conversely, “risk averse” individuals have an enhanced sensitivity/aversion to options with uncertain consequences. Here we examine whether hypomania or negative symptoms predict the degree of these choice biases. We chose to study these two symptom dimensions because they present a common theme across many syndromes with compromised decision-making. In our exploratory study, we employed a non-clinical sample to dissociate the hypomanic from negative symptom dimension regarding choice behavior. We randomly selected a sample of 45 subjects from a student population (18–37 years) without self-reported psychiatric diagnoses (n = 835). We stratified them based on percentiles into a low hypomania/low negative symptoms (n = 15), a hypomania (n = 15), and a negative symptoms group (n = 15) using the hypomanic personality scale (HPS-30) and community assessment of psychic experiences (CAPE). Participants completed a loss aversion task consisting of forced binary choices between a monetary gamble and a riskless choice without gain or loss. We found a reduced loss aversion in participants with higher negative symptoms. In addition, risk aversion was reduced in participants with higher hypomania and negative symptoms compared to low hypomania/negative symptoms. This study adds to the understanding of underlying psychological mechanisms of loss and risk aversion. Given the partially opposing nature of hypomania and negative symptoms, further work is needed to examine whether they affect loss and risk aversion via dissociable mechanisms.

Highlights

  • Negative symptoms and mania are two, to some extent, opposing symptom dimensions that occur in several psychiatric diseases, such as schizophrenia, depression or bipolar disorder [1]

  • We reported evidence of a significant reduction in loss aversion in participants with non-clinical negative symptoms, and a trend-level reduction in participants with hypomania symptoms after adjustment for age

  • We further report that risk aversion is diminished in participants with non-clinical negative symptoms and hypomania symptoms

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Summary

INTRODUCTION

Negative symptoms (apathy, diminished expression) and (hypo-) mania are two, to some extent, opposing symptom dimensions that occur in several psychiatric diseases, such as schizophrenia, depression or bipolar disorder [1]. Valuation of losses and gains and their accompanying uncertainty constitute core decision-making processes guiding adaptive goal-directed behavior. These processes might be especially relevant regarding negative and (hypo-) manic symptoms. The current study investigated whether elevated negative and hypomanic symptoms in a stratified non-clinical sample were associated with differences in decision-making, loss and risk aversion using a binary choice task with monetary incentives. Regarding (hypo-)mania, its clinical definition includes impulsivity and disregard for potential losses and risks which is a behavior congruent with a reduced aversion to losses

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