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Please use this identifier to cite or link to this item: http://hdl.handle.net/10481/33074

Title: Beyond pain: modeling decision-making deficits in chronic pain
Authors: Hess, Leonardo Emanuel
Haimovici, Ariel
Muñoz García, Miguel Ángel
Montoya, Pedro
Issue Date: 2014
Abstract: Risky decision-making seems to be markedly disrupted in patients with chronic pain, probably due to the high cost that impose pain and negative mood on executive control functions. Patients’ behavioral performance on decision-making tasks such as the Iowa Gambling Task (IGT) is characterized by selecting cards more frequently from disadvantageous than from advantageous decks, and by switching often between competing responses in comparison with healthy controls (HCs). In the present study, we developed a simple heuristic model to simulate individuals’ choice behavior by varying the level of decision randomness and the importance given to gains and losses. The findings revealed that the model was able to differentiate the behavioral performance of patients with chronic pain and HCs at the group, as well as at the individual level. The best fit of the model in patients with chronic pain was yielded when decisions were not based on previous choices and when gains were considered more relevant than losses. By contrast, the best account of the available data in HCs was obtained when decisions were based on previous experiences and losses loomed larger than gains. In conclusion, our model seems to provide useful information to measure each individual participant extensively, and to deal with the data on a participant-by-participant basis.
Sponsorship: Research was supported by a grant from the Spanish Secretary of State for R & D and European regional development funds (ERDF) (#PSI2010-19372).
Publisher: Frontiers Foundation
Keywords: Chronic pain
URI: http://hdl.handle.net/10481/33074
ISSN: 1662-5161
Rights : Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License
Citation: Hess, L.E.; et al. Beyond pain: modeling decision-making deficits in chronic pain. Frontiers in Behavioral Neuroscience, 8: 263 (2014). [http://hdl.handle.net/10481/33074]
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