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Affective Decision-Making on the Iowa Gambling Task in Children and Adolescents with Fetal Alcohol Spectrum Disorders

Published online by Cambridge University Press:  15 November 2012

Katrina Kully-Martens
Affiliation:
Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada
Sarah Treit
Affiliation:
Centre for Neuroscience, University of Alberta, Edmonton, Alberta, Canada
Jacqueline Pei
Affiliation:
Department of Educational Psychology, University of Alberta, Edmonton, Alberta, Canada
Carmen Rasmussen*
Affiliation:
Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada
*
Correspondence and reprint requests to: Carmen Rasmussen, E213C, Glenrose Rehabilitation Hospital, 10230-111 Avenue, Edmonton, Alberta, Canada, T5G 0B7. E-mail: [email protected]

Abstract

Individuals with fetal alcohol spectrum disorders (FASD) have difficulties with cognitive-based executive function (EF) tasks. The goal of the present study was to determine if children with FASD have impairments on the Iowa Gambling Task (IGT), which measures affective EF (i.e., decision-making and risk-taking). Individuals with FASD (n = 31) and healthy controls (n = 31), aged 8–17 completed the IGT. Children with FASD were significantly impaired on the IGT compared to controls. Over the course of the task, control scores improved, whereas children with FASD exhibited an overall decrease in scores. Scores increased significantly with age in the control group but did not differ significantly with age for FASD participants. Children with FASD exhibited decision-making and risk-taking impairments on a hot EF task. Children with FASD did not appear to learn from negative experiences and shift to making more positive decisions over time and their performance did not improve with age. The implications of poor task performance and a lack of age-related findings in children with FASD are discussed. (JINS, 2012, 18, 1–8)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2012

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References

Astley, S. (2004). Diagnostic guide for fetal alcohol spectrum disorders: The 4-digit diagnostic code (3rd ed.). Seattle, WA: University of Washington Publication Services.Google Scholar
Bechara, A. (2007). Iowa Gambling Task Professional Manual. Lutz, FL: Psychological Assessment Resources.Google Scholar
Bechara, A., Damasio, A., Damasio, H., Anderson, S. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50, 715.CrossRefGoogle ScholarPubMed
Blair, R., Colledge, E., Mitchell, D. (2001). Somatic markers and response reversal: Is there orbitofrontal cortex dysfunction in boys with psychopathic tendencies? Journal of Abnormal Child Psychology, 29, 8699.Google ScholarPubMed
Chudley, A., Conry, J., Cook, J., Loock, C., Rosales, T., LeBlanc, N. (2005). Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. Canadian Medical Association Journal, 172, S1S21.CrossRefGoogle ScholarPubMed
Crone, E., van der Molen, M. (2004). Developmental changes in real life decision making: Performance on a gambling task previously shown to depend on the ventromedial prefrontal cortex. Developmental Neuropsychology, 25, 251279.CrossRefGoogle ScholarPubMed
Ernst, M., Grant, S., London, E., Contoreggi, C., Kimes, A., Spurgeon, L. (2003). Decision making in adolescents with behavior disorders and adults with substance abuse. American Journal of Psychiatry, 160, 3340.CrossRefGoogle ScholarPubMed
Hooper, C., Luciana, M., Conklin, H., Yarger, R. (2004). Adolescents’ performance on the Iowa Gambling Task: implications for the development of decision-making and ventromedial prefrontal cortex. Developmental Psychology, 40, 11481158.CrossRefGoogle ScholarPubMed
Johnson, C., Xiao, L., Palmer, P., Sun, P., Wang, Q., Wei, Y. (2008). Affective decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortext, revealed in 10th grade Chinese adolescent binge drinkers. Neuropsychologica, 46, 714726.CrossRefGoogle Scholar
Kerr, A., Zelazo, P. (2004). Development of “hot” executive function: The Children's Gambling Task. Brain and Cognition, 55, 148157.CrossRefGoogle ScholarPubMed
Kodituwakku, P., May, P., Clericuzio, C., Weers, D. (2001). Emotion-related learning in individuals prenatally exposed to alcohol: An investigation of the relation between set shifting, extinction of responses, and behavior. Neuropsychologia, 39(7), 699708.CrossRefGoogle ScholarPubMed
Kully-Martens, K., Denys, K., Treit, S., Tamana, S., Rasmussen, C. (2012). A review of social skills deficits in individals with fetal alcohol spectrum disorders and prenatal alcohol exposure: profiles, mechanisms, and interventions. Alcoholism: Clinical and Experimental Research, 36, 568576.CrossRefGoogle Scholar
Lehto, J., Elorinne, E. (2003). Gambling as an executive function task. Applied Neuropsychology, 10, 234238.CrossRefGoogle ScholarPubMed
Masunami, T., Okazaki, S., Maekawa, H. (2009). Decision-making patterns and sensitivity to reward and punishment in children with attention-deficit hyperactivity disorder. International Journal of Psychophysiology, 72, 283288.CrossRefGoogle ScholarPubMed
Mattson, S., Crocker, N., Nguyen, T. (2011). Fetal alcohol spectrum disorders: neuropsychological and behavioral features. Neuropsychology Review, 21, 81101.CrossRefGoogle ScholarPubMed
May, P., Gossage, J., Kalberg, W., Robinson, L., Buckley, D., Manning, M., Hoyme, E. (2009). Prevalence and epidemiologic characteristics of FASD from various research methods with an emphasis on recent in-school studies. Developmental Disabilities Research Reviews, 15, 176192.CrossRefGoogle ScholarPubMed
Miller, E., Cohen, J. (2001). An integrative theory of prefrontal cortex function. Annual Review of Neuroscience, 24, 167202.CrossRefGoogle ScholarPubMed
Niccols, A. (2007). Fetal alcohol syndrome and the developing socio-emotional brain. Brain and Cognition, 65, 135142.CrossRefGoogle ScholarPubMed
Prencipe, A., Kesek, A., Cohen, J., Lamm, C., Lewis, M., Zelazo, P. (2011). Development of hot and cool executive function during the transition to adolescence. Journal of Experimental Child Psychology, 108, 621637.CrossRefGoogle ScholarPubMed
Rasmussen, C. (2005). Executive functioning and working memory in Fetal Alcohol Spectrum Disorder. Alcoholism Clinical and Experimental Research, 29, 13591367.CrossRefGoogle ScholarPubMed
Rasmussen, C., Bisanz, J. (2009). Executive functioning in children with fetal alcohol spectrum disorder: Profiles and age-related differences. Child Neuropsychology, 15(3), 201215.CrossRefGoogle ScholarPubMed
Rasmussen, C., Wyper, K. (2007). Decision making, executive functioning, and risky behaviors in adolescents with prenatal alcohol exposure. International Journal on Disability and Human Development, 6(4), 369382.CrossRefGoogle Scholar
Roussotte, F., Soderberg, L., Sowell, E. (2010). Structural, Metabolic, and Functional Brain Abnormalities as a Result of Prenatal Exposure to Drugs of Abuse: Evidence from Neuroimaging. Neuropsychology Review, 20, 376397.CrossRefGoogle ScholarPubMed
Streissguth, A., Bookstein, F., Barr, H., Sampson, P., O'Malley, K., Young, J. (2004). Risk factors for adverse life outcomes in Fetal Alcohol Syndrome and Fetal Alcohol Effects. Journal of Developmental & Behavioral Pediatrics, 25(4), 228238.CrossRefGoogle ScholarPubMed
Tamana, S., Pei, J., Massey, D., Massey, V., Rasmussen, C. (in review). Cognitive deficits and age-related differences in children diagnosed with fetal alcohol spectrum disorders.Google Scholar
Toplak, M., Sorge, G., Benoit, A., West, R., Stanovich, K. (2010). Decision-making and cognitive abilities: A review of associations between Iowa Gambling Task performance, executive functions, and intelligence. Clinical Psychology Review, 30, 562581.CrossRefGoogle ScholarPubMed
Xiao, L., Bechara, A., Cen, S., Grenard, J., Stacy, A., Gallaher, P., Anderson Johnson, C. (2008). Affective decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in 10th-grade Chinese adolescent smokers. Nicotine & Tobacco Research, 10, 10851097.CrossRefGoogle ScholarPubMed
Zelazo, P., Müller, U. (2002). Executive function in typical and atypical development. Malden, MA: Blackwell Publishers Ltd.CrossRefGoogle Scholar