Characteristics of intertemporal choice in adults with attention deficit hyperactivity disorder
10.3969/j.issn.1000-6729.2024.12.004
- VernacularTitle:注意缺陷多动障碍成人患者的跨期选择特征研究
- Author:
Haiheng HONG
1
;
Caili CHEN
;
Shiyu ZHANG
;
Yi ZHOU
;
Haimei LI
;
Lu LIU
;
Qiujin QIAN
;
Yufeng WANG
Author Information
1. 北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083
- Keywords:
intertemporal choice;
attention deficit hyperactivity disorder;
delay discounting task;
non-sys-tematic response data
- From:
Chinese Mental Health Journal
2024;38(12):1039-1044
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the characteristics of delay discounting and non-systematic response data in intertemporal choice of adults with attention deficit hyperactivity disorder(ADHD),and to explore the best data processing strategy for delay discounting task.Methods:Totally 108 adults with ADHD meeting the diagnostic cri-teria of the Diagnostic and Statistical Manual of Mental Health Disorder,Fifth Edition(DSM-5)and 87 gender matched normal controls were enrolled.ADHD symptoms were assessed using the ADHD Symptom Rating Scale,the delay discounting task was used to measure the delay discounting rate,and a model-free algorithm was used to i-dentify non-systematic response data.Results:There was no significant difference in the proportion of non-systemat-ic response data between ADHD group and normal control group(P>0.05).In the data sets using different data screening strategies,the delay discounting rates were higher in the ADHD group than in the normal control group(Ps<0.05).The delay discounting rates were positively correlated with the hyperactive impulse scores(r=0.24,P=0.001),the inattention scores(r=0.20,P<0.01)and the total scores of ADHD symptom Rating Scale(r=0.22,P<0.01).Conclusion:Adults with ADHD prefer to obtain immediate small rewards in intertemporal choice.The immediate preference of intertemporal choice may be mainly related to hyperactive impulsive symp-toms.Exclusion strategy of non-systematic response data may be more applicable to delay discount task research.