Emotional Decision-making Processes Research Articles

Revision and Validity Test for Experimental Tasks Related to Risky Social Decision-Making

<p>近年來，學者認為，行為決策的偏差導因於情緒-認知歷程間的失衡，哥倫比亞卡片任務(CCT)因此 被提出用以測量個人在風險決策中的情緒和認知歷程，但至今該任務測量的建構效度如何，仍不清楚， 並且原任務設計除了在實施上較為複雜且耗時外，在決策歷程中也僅考量分數的得失變化，未考量社會 因素(如:同儕與社會酬賞)對青少年風險決策歷程的影響。本研究主要目的在於，參考與修正(簡 化)原CCT任務設計，並增加同儕決策的社會參照與同儕認同的社會酬賞情境設計於修正版的CCT風險 決策任務中，衡鑑該社會風險決策任務的建構效度。本研究以269位八年級學生為對象，採多層次驗證 性因素分析考量資料巢套結構對分析結果的影響。研究結果顯示:(1)簡化後的原CCT任務可有效激 發情緒與認知歷程。(2)融入社會因素的CCT任務亦能有效激發社會參照與社會酬賞對決策的影響。 (3)本研究編修的社會風險決策任務具有良好的建構效度。根據研究結果，未來研究可運用該測量工 具，理解青少年行為的風險決策對認知與行為表現的影響。</p> <p> </p><p>Risky decisions increase with age and reach peaks in adolescence and early adulthood before declining again during adulthood. Although risky decisions are commonly made by adolescents, it may have long-term negative impacts on life later. The Iowa Gambling Task (IGT), proposed about three decades ago, is the most common task used to investigate risky decision-making. It was developed based on the somatic marker hypothesis, which assumed that individuals’ behaviors are implicitly influenced by reward and punishment experiences, and these experiences would send emotional information to drive individuals’ decision-making behaviors toward beneficial long-term directions. However, only the emotional decision-making process was addressed in IGT, which may not sufficiently account for adolescents’ risky decision processes. Recently, cognitive neuroscience research suggested that risky decision-making involves two systems in the brain. Risky decision-making increases between childhood and adolescence as a result of changes around the time of puberty of the brain’s socio-emotional system that leads to increased reward-seeking, especially when peers are present. The socio-emotional system has been shown to rely on the ventral tegmentum area, subcortical structures (ventral striatum and amygdala) and cortical structures (the insular and medial/orbital frontal cortex). This system is operated automatically based on similarity and contiguity, and behavior is influenced by emotional impulse. Risky decision-making decreases between adolescence and adulthood because of changes in the brain’s cognitive-control system – changes which improve individuals’ ability for self-control, which occur gradually and over the course of adolescence and young adulthood. The cognitive-control system is assumed to rely on the dorsal and ventral area of the lateral prefrontal cortex and posterior parietal cortex. The differing timetables of these two brain systems make mid-adolescence a time of heightened vulnerability to make risky decisions. Consequently, researchers tended to argue that biased behavioral decision making was due to an imbalance between emotion and cognition processes. The Columbia Card Task (CCT) was proposed to measure individuals’ emotion and cognition processes in decision making. However, the construct validity of this measurement was unclear, and it was not only complex and time- consuming in the implementation of the original task design but also considered the changes of scores instead of including the effects of social factors (i.e., peers and social reward) on decision making processes. The main purpose of this study was referring and revising (simplifying) the original design of CCT and adding other tasks that incorporated social reference of peers’ decisions and social rewards of recognition into a revised CCT task to evaluate the construct validity of this social risky decision-making task. There were 269 eighth graders who consented to participate in this study, and multilevel confirmatory factor analysis was conducted to take into account nesting structure. The results showed: (1) The original design of CCT with minor revisions (reducing decision options from three to two) was effective in eliciting emotion and cognition processes. (2) Simplified CCT tasks incorporating social factors were also effective in eliciting the effects of social reference and social reward. (3) The social risky decision-making task held good construct validity. Future studies are encouraged to utilize this measurement to understand the effects of adolescents’ risky decision-making on cognition and behavior. For guidance and counseling practices, it is encouraged to understand the extent of risky decision-making for adolescents through present tasks to identify adolescents who are vulnerable to make risky decisions as early as possible and to regularly show care and help through guidance and counseling. Moreover, clarifying which adolescents are more likely to make risky decisions because of the presence of peers or social rewards helps to understand the potential impacts of risky decisions under different decision conditions. This study is beneficial for guidance and counseling practitioners to provide more precise interventions.</p> <p> </p>

Patient perspective on decisions to switch disease-modifying treatments in relapsing-remitting multiple sclerosis

BackgroundThere are now large cohorts of people with relapsing-remitting multiple sclerosis (pwRRMS) who have taken several Disease-Modifying Treatments (DMTs). Studies about switching DMTs mostly focus on clinical outcomes rather than patients' decision-making. Neurologists are now required to support decisions at various times during the relapsing disease course and they do so with concerns about DMTs risks. This qualitative study investigates how pwRRMS weigh up the pros and cons of DMTs, focusing on perceptions of effectiveness and risks when new treatments are considered. ObjectiveTo increase understanding of people's experiences of decision-making when switching DMTs. Methods30 semi-structured interviews were conducted with pwRRMS in England. 16 participants had switched DMT and their experiences were compared with those who had only taken one DMT. Interviews were analysed thematically to answer: what main factors influence people's decision-making to switch DMTs and why? ResultsOf the 16 participants with experience of switching DMT, eight had taken two or more DMTs; eight had taken three or more. Two was the DMT median. This study demonstrated that despite the term "switching" implying that similar treatments are inter-changeable, for pwRRMS taking new treatments involves different emotions, routines, risks, prognosis and communication experiences. Two meta themes identified were: 1) A distinctive, rapid and emotional decision-making process where old emotions related to MS prognosis are revisited. 2) Switching has a different impact on communication for escalation or de-escalation processes. ConclusionSwitching DMT involves different routines, risks, prognosis and communication experiences. These decisions are emotionally difficult because of the fear about transitioning to secondary progressive MS, and DMT effectiveness uncertainty. Patient centred decision aids should include information about first and consecutive treatment decisions.

The Role of Emotional Intelligence During an Emotionally Difficult Decision-Making Task

Emotional intelligence (EI) can be defined as the ability to understand, perceive, and manage emotions. However, there is little research investigating how EI influences decision-making during emotionally difficult situations. We hypothesized that higher EI would correlate with greater utilization of socially relevant facial cues during emotional decision-making. Sixty-two 18–45 year olds completed a decision-making task simulating an airport security screening during a credible terrorist threat. Participants viewed a series of facial photographs of potential passengers (white men and women) and selected which passengers to detain for further interrogation. The face photographs were previously rated for a set of character traits (e.g., aggression) by independent judges. Participants completed measures of trait (self-perceived) and ability (performance-based) EI and cognitive intelligence (IQ). With higher ability EI, participants were more likely to detain only individuals judged to be particularly high in negative traits (e.g., “aggression”) and especially low in positive traits (e.g., “trustworthy”), suggesting greater acuity in decision choices. These associations were driven primarily by the facilitating and understanding branches of EI (i.e., the ability to generate and use emotion to facilitate decision making, and the ability to understand factors that generate and modify emotions). No association between trait EI or IQ and detainment decisions was found. Findings suggest that individuals with higher ability EI were more likely to utilize the available but limited social information (i.e., facial features) when completing an emotional decision-making task than those with lower EI. These findings have implications for real-life situations involving similarly difficult emotional decision-making processes.

An exploration of women's reasons for termination timing in the setting of fetal abnormalities

BackgroundOver 3% of pregnancies are complicated by a fetal abnormality, of which, approximately 80% are terminated. Despite early screening options, women often present at the cusp of legal limits for termination. Study DesignA qualitative study was conducted with women terminating pregnancies for fetal abnormalities. Semi-structured interviews explored reasons for termination timing. Analysis utilized latent content and constant comparative methods. ResultsOf 30 participants between 13+4 and 23+5 weeks gestation, their median age was 35 years, 73.3% were white, 70% were religiously affiliated, and 60% had children. The median time from abnormality identification until termination was 16.5 days (range 2–73).The major themes for termination timing included (1) an abrupt shift in “low-risk” pregnancy perception; (2) challenging medical interactions; (3) an emotional decision-making process; and (4) termination access barriers. ConclusionsTiming of termination for fetal abnormalities is attributable to multiple issues. Future research should identify optimal prenatal counseling strategies, address systemic barriers, and identify patient decision-making resources.

Negotiating Agents

Negotiation is a complex emotional decision-making process aiming to reach an agreement to exchange goods or services. From an agent technological perspective creating negotiating agents that can support humans with their negotiations is an interesting challenge. Already more than a decade, negotiating agents can outperform human beings (in terms of deal optimality) if the negotiation space is well-understood. However, the inherent semantic problem and the emotional issues involved make that negotiation cannot be handled by artificial intelligence alone, and a human-machine collaborative system is required. This article presents research goals, challenges, and an approach to create the next generation of negotiation support agents.

Abstract B25: Feelings associated with research participation influence willingness to take part in epidemiological studies

Abstract Purpose: Cancer epidemiology research often involves members of the public as “healthy controls.” Encouraging broad participation in cancer research is a key concern, particularly for research involving members of the general public who may have lower motivation to take part. Most work of individuals' decisions about study participation has focused on expected utility constructs, examining the benefits participants see to participating and the barriers that make participation less likely. Little attention has been paid to emotional decision-making processes in this context. Such emotional processes (e.g., fear about procedures, anger about historical research misconduct) may guide decisions about participation. The purpose of this study was to examine the relation of cognitive and affective decision-making factors to individuals' participation in a epidemiologic study involving both questionnaire completion and blood collection. Method: Participants (N=46) were community adults in Niagara Falls, NY who were taking part in an educational program about cancer-related research participation. Both prior to and following the educational program, we assessed participants' beliefs about the expected utility of participating in studies that involve questionnaire completion and studies that involve blood collection, the positive and negative feelings they associated with taking part in each type of study, and their willingness to take part in each type of study. Following the post-program questionnaire, participants were offered the opportunity to take part in an epidemiological study in which they could complete a questionnaire, provide a blood sample, or do both. Results: Both willingness to participate in studies and actual participation was primarily predicted by the feelings individuals associated with research, for both blood draw studies and questionnaire studies, those with more negative feelings about participation were less like to report willingness to take part in the study; questionnaire willingness B=−1.21, p<.05; blood willingness B=−0.97, p<.05. For blood draw studies, affective associations also predicted actual participation; B=−1.15, p<.05. Discussion: The feelings individuals have about research participation played a central role in determining participation. Both research to better understand determinants of research participation and interventions to increase participation should consider affective factors. Citation Information: Cancer Prev Res 2010;3(1 Suppl):B25.

The surrogate's experience in authorizing a do not resuscitate order

Little is known about the subjective experience of surrogates who authorize do not resuscitate (DNR) orders. This experience seems especially acute in settings such as New York State, where patients and surrogates generally give written consent for DNR orders. The goal of this study is to investigate the subjective and emotional experience of surrogates who authorize DNR orders in this setting. A qualitative, phenomenological research design was used. Surrogates of patients on the medical service were approached no earlier than 1 day and no later than 7 days after authorizing a DNR order. The interview guide was open-ended and included general prompts. Interviews were taped and transcribed. Researchers then coded the transcripts and examined the data for clusters of themes. They then met to discuss and recode disagreements. Saturation was met after 10 subjects were interviewed. The following major surrogate themes were found: (1) Signing a DNR order is a process, not an isolated act. (2) The presence or absence of good quality communication and psychological support from health care personnel are among the most important factors in this process. (3) The process of signing a DNR order can raise many negative emotions including guilt, ambivalence, and conflict. (4) Prior discussions, documents such as living wills, and consensus among family members make it easier to determine the patient's wishes and carry them out by signing the DNR. (5) The surrogates believed that signing a DNR order is a prerequisite to obtaining adequate opioid analgesia. The experience of authorizing a DNR order is a complex and emotional decision-making process. Evidence of the patient's prior wishes and support from health care personnel make the process easier. It is disconcerting that surrogates viewed DNR orders as a prerequisite to obtaining relief for a patient's pain or suffering.