Aberrant decision-making characterizes various pediatric psychopathologies; however, deliberative choice strategies have not been investigated. A transdiagnostic sample of 95 youths completed a child-friendly sequential sampling paradigm. Participants searched for the best offer by sampling a finite list of offers. Participants’ willingness to explore was measured as the number of offers sampled, and ideal task performance was modeled using a Markov decision-process model. As in previous findings in adults, youths explored more offers when lists were long compared with short, yet participants generally sampled fewer offers relative to model-estimated ideal performance. Searching deeper into the list was associated with choosing better price options. Analyses examining the main and interactive effects of transdiagnostic anxiety and irritability symptoms indicated a negative correlation between anxiety and task performance (p = .01, ηp2 = .08). Findings suggest the need for more research on exploratory decision impairments in youths with anxiety symptoms.
AdlemanN. E.KayserR.DicksteinD.BlairR. J. R.PineD.LeibenluftE. (2011). Neural correlates of reversal learning in severe mood dysregulation and pediatric bipolar disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 50(11), 1173–1185.e2. https://doi.org/10.1016/j.jaac.2011.07.011
2.
AverbeckB. B.DjamshidianA.O’SullivanS. S.HousdenC. R.RoiserJ. P.LeesA. J. (2013). Uncertainty about mapping future actions into rewards may Underlie performance on multiple measures of impulsivity in behavioral addiction: Evidence from Parkinson’s disease. Behavioral Neuroscience, 127(2), 245–255. https://doi.org/10.1037/a0032079
3.
BirmaherB.KhetarpalS.BrentD.CullyM.BalachL.KaufmanJ.NeerS. M. (1997). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36(4), 545–553. https://doi.org/10.1097/00004583-199704000-00018
4.
BraamsB. R.van DuijvenvoordeA. C. K.PeperJ. S.CroneE. A. (2015). Longitudinal changes in adolescent risk-taking: A comprehensive study of neural responses to rewards, pubertal development, and risk-taking behavior. The Journal of Neuroscience, 35(18), 7226–7238. https://doi.org/10.1523/JNEUROSCI.4764-14.2015
BrotmanM. A.SchmajukM.RichB. A.DicksteinD. P.GuyerA. E.CostelloE. J.EggerH. L.AngoldA.PineD. S.LeibenluftE. (2006). Prevalence, clinical correlates, and longitudinal course of severe mood dysregulation in children. Biological Psychiatry, 60(9), 991–997. https://doi.org/10.1016/j.biopsych.2006.08.042
7.
CardinaleE. M.KircanskiK.BrooksJ.GoldA. L.TowbinK. E.PineD. S.LeibenluftE.BrotmanM. A. (2019). Parsing neurodevelopmental features of irritability and anxiety: Replication and validation of a latent variable approach. Development and Psychopathology, 31(3), 917–929. https://doi.org/10.1017/S095457941900035X
8.
CardinaleE. M.SubarA. R.BrotmanM. A.LeibenluftE.KircanskiK.PineD. S. (2019). Inhibitory control and emotion dysregulation: A framework for research on anxiety. Development and Psychopathology, 31(3), 859–869. https://doi.org/10.1017/S0954579419000300
9.
CohenJ. D.McClureS. M.YuA. J. (2007). Should I stay or should I go? How the human brain manages the trade-off between exploitation and exploration. Philosophical Transactions of the Royal Society B: Biological Sciences, 362(1481), 933–942. https://doi.org/10.1098/rstb.2007.2098
10.
ConnersC.PitkanenJ.RzepaS. (2011). Conners comprehensive behavior rating scale. In KreutzerJ. S.DeLucaJ.CaplanB. (Eds.), Encyclopedia of clinical neuropsychology (pp. 678–680). Springer.
11.
CopelandW. E.BrotmanM. A.CostelloE. J. (2015). Normative irritability in youth: Developmental findings from the Great Smoky Mountains Study. Journal of the American Academy of Child & Adolescent Psychiatry, 54(8), 635–642. https://doi.org/10.1016/j.jaac.2015.05.008
12.
CornacchioD.CrumK. I.CoxeS.PincusD. B.ComerJ. S. (2016). Irritability and severity of anxious symptomatology among youth with anxiety disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 55(1), 54–61. https://doi.org/10.1016/j.jaac.2015.10.007
13.
CostaV. D.AverbeckB. B. (2015). Frontal-parietal and limbic-striatal activity underlies information sampling in the best choice problem. Cerebral Cortex, 25(4), 972–982. https://doi.org/10.1093/cercor/bht286
14.
CydersM. A.SmithG. T. (2008). Emotion-based dispositions to rash action: Positive and negative urgency. Psychological Bulletin, 134(6), 807–828. https://doi.org/10.1037/a0013341
DeveneyC. M.ConnollyM. E.HaringC. T.BonesB. L.ReynoldsR. C.KimP.PineD. S.LeibenluftE. (2013). Neural mechanisms of frustration in chronically irritable children. American Journal of Psychiatry, 170(10), 1186–1194. https://doi.org/10.1176/appi.ajp.2013.12070917
17.
EyreO.RiglinL.LeibenluftE.StringarisA.CollishawS.ThaparA. (2019). Irritability in ADHD: Association with later depression symptoms. European Child & Adolescent Psychiatry, 28(10), 1375–1384. https://doi.org/10.1007/s00787-019-01303-x
18.
FilippiC. A.SubarA. R.SachsJ. F.KircanskiK.BuzzellG.PagliaccioD.AbendR.FoxN. A.LeibenluftE.PineD. S. (2020). Developmental pathways to social anxiety and irritability: The role of the ERN. Development and Psychopathology, 32(3), 897–907. https://doi.org/10.1017/S0954579419001329
19.
FurlN.AverbeckB. B.McKayR. T. (2019). Looking for Mr(s) Right: Decision bias can prevent us from finding the most attractive face. Cognitive Psychology, 111, 1–14. https://doi.org/10.1016/j.cogpsych.2019.02.002
20.
GagnonJ.RochatL. (2017). Relationships between hostile attribution bias, negative urgency, and reactive aggression. Journal of Individual Differences, 38(4), 211–219. https://doi.org/10.1027/1614-0001/a000238
21.
GaronN.MooreC.WaschbuschD. A. (2006). Decision making in children with ADHD only, ADHD-anxious/depressed, and control children using a child version of the Iowa Gambling Task. Journal of Attention Disorders, 9(4), 607–619. https://doi.org/10.1177/1087054705284501
22.
GrupeD. W.NitschkeJ. B. (2013). Uncertainty and anticipation in anxiety: An integrated neurobiological and psychological perspective. Nature Reviews Neuroscience, 14(7), 488–501. https://doi.org/10.1038/nrn3524
HommerR. E.MeyerA.StoddardJ.ConnollyM. E.MoggK.BradleyB. P.PineD. S.LeibenluftE.BrotmanM. A. (2014). Attention bias to threat faces in severe mood dysregulation. Depression and Anxiety, 31(7), 559–565. https://doi.org/10.1002/da.22145
25.
HumphreysK. L.LeeS. S.TelzerE. H.Gabard-DurnamL. J.GoffB.FlanneryJ.TottenhamN. (2015). Exploration-exploitation strategy is dependent on early experience. Developmental Psychobiology, 57(3), 313–321. https://doi.org/10.1002/dev.21293
26.
HumphreysK. L.TottenhamN.LeeS. S. (2018). Risky decision-making in children with and without ADHD: A prospective study. Child Neuropsychology, 24(2), 261–276. https://doi.org/10.1080/09297049.2016.1264578
27.
KaufmanJ.BirmaherB.BrentD.RaoU.FlynnC.MoreciP.WilliamsonD.RyanN. (1997). Schedule for Affective Disorders and Schizophrenia for School-Age Children–Present and Lifetime Version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 980–988. https://doi.org/10.1097/00004583-199707000-00021
28.
KircanskiK.WhiteL. K.TsengW.-L.WigginsJ. L.FrankH. R.SequeiraS.ZhangS.AbendR.TowbinK. E.StringarisA.PineD. S.LeibenluftE.BrotmanM. A. (2018). A latent variable approach to differentiating neural mechanisms of irritability and anxiety in youth. JAMA Psychiatry, 75(6), 631–639. https://doi.org/10.1001/jamapsychiatry.2018.0468
29.
LadouceurR.GosselinP.DugasM. J. (2000). Experimental manipulation of intolerance of uncertainty: A study of a theoretical model of worry. Behaviour Research and Therapy, 38(9), 933–941. https://doi.org/10.1016/S0005-7967(99)00133-3
30.
LeadbeaterB. J.HomelJ. (2015). Irritable and defiant sub-dimensions of ODD: Their stability and prediction of internalizing symptoms and conduct problems from adolescence to young adulthood. Journal of Abnormal Child Psychology, 43(3), 407–421. https://doi.org/10.1007/s10802-014-9908-3
LejuezC. W.ReadJ. P.KahlerC. W.RichardsJ. B.RamseyS. E.StuartG. L.StrongD. R.BrownR. A. (2002). Evaluation of a behavioral measure of risk taking: The Balloon Analogue Risk Task (BART). Journal of Experimental Psychology: Applied, 8(2), 75–84. https://doi.org/10.1037//1076-898X.8.2.75
33.
ManerJ. K.RicheyJ. A.CromerK.MallottM.LejuezC. W.JoinerT. E.SchmidtN. B. (2007). Dispositional anxiety and risk-avoidant decision-making. Personality and Individual Differences, 42(4), 665–675. https://doi.org/10.1016/j.paid.2006.08.016
34.
MehlhornK.NewellB. R.ToddP. M.LeeM. D.MorganK.BraithwaiteV. A.HausmannD.FiedlerK.GonzalezC. (2015). Unpacking the exploration–exploitation tradeoff: A synthesis of human and animal literatures. Decision, 2(3), 191–215. https://doi.org/10.1037/dec0000033
35.
MiuA. C.HeilmanR. M.HouserD. (2008). Anxiety impairs decision-making: Psychophysiological evidence from an Iowa Gambling Task. Biological Psychology, 77(3), 353–358. https://doi.org/10.1016/j.biopsycho.2007.11.010
36.
MoserJ. S.MoranT. P.SchroderH. S.DonnellanM. B.YeungN. (2013). On the relationship between anxiety and error monitoring: A meta-analysis and conceptual framework. Frontiers in Human Neuroscience, 7, Article 466. https://doi.org/10.3389/fnhum.2013.00466
37.
PaulusM. P. (2007). Decision-making dysfunctions in psychiatry—Altered homeostatic processing?Science, 318(5850), 602–606. https://doi.org/10.1126/science.1142997
38.
PineD. S. (2007). Research Review: A neuroscience framework for pediatric anxiety disorders. Journal of Child Psychology and Psychiatry, 48(7), 631–648. https://doi.org/10.1111/j.1469-7610.2007.01751.x
39.
SavageJ.VerhulstB.CopelandW.AlthoffR. R.LichtensteinP.Roberson-NayR. (2015). A genetically informed study of the longitudinal relation between irritability and anxious/depressed symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 54(5), 377–384. https://doi.org/10.1016/j.jaac.2015.02.010
40.
SmithA. R.EbertE. E.Broman-FulksJ. J. (2016). The relationship between anxiety and risk taking is moderated by ambiguity. Personality and Individual Differences, 95, 40–44. https://doi.org/10.1016/j.paid.2016.02.018
41.
SomervilleL. H.SasseS. F.GarradM. C.DrysdaleA. T.Abi AkarN.InselC.WilsonR. C. (2016). Charting the expansion of strategic exploratory behavior during adolescence. Journal of Experimental Psychology: General, 146(2), 155–164. https://doi.org/10.1037/xge0000250
42.
Sonuga-BarkeE. J. S.CorteseS.FairchildG.StringarisA. (2016). Annual Research Review: Transdiagnostic neuroscience of child and adolescent mental disorders – differentiating decision making in attention-deficit/hyperactivity disorder, conduct disorder, depression, and anxiety. Journal of Child Psychology and Psychiatry, 57(3), 321–349. https://doi.org/10.1111/jcpp.12496
43.
StoddardJ.StringarisA.BrotmanM. A.MontvilleD.PineD. S.LeibenluftE. (2014). Irritability in child and adolescent anxiety disorders. Depression and Anxiety, 31(7), 566–573. https://doi.org/10.1002/da.22151
44.
StringarisA.GoodmanR. (2009). Longitudinal outcome of youth oppositionality: Irritable, headstrong, and hurtful behaviors have distinctive predictions. Journal of the American Academy of Child & Adolescent Psychiatry, 48(4), 404–412. https://doi.org/10.1097/CHI.0b013e3181984f30
45.
StringarisA.GoodmanR.FerdinandoS.RazdanV.MuhrerE.LeibenluftE.BrotmanM. A. (2012). The Affective Reactivity Index: A concise irritability scale for clinical and research settings. Journal of Child Psychology and Psychiatry, 53(11), 1109–1117. https://doi.org/10.1111/j.1469-7610.2012.02561.x
46.
StringarisA.MaughanB.CopelandW. S.CostelloE. J.AngoldA. (2013). Irritable mood as a symptom of depression in youth: Prevalence, developmental, and clinical correlates in the Great Smoky Mountains Study. Journal of the American Academy of Child & Adolescent Psychiatry, 52(8), 831–840. https://doi.org/10.1016/j.jaac.2013.05.017
47.
Vicario-FelicianoR.WigtonR. L.WhiteT. P.ShergillS. S.AverbeckB. B. (2019). Dopamine manipulations drive changes in information sampling in healthy volunteers. Journal of Psychopharmacology, 33(6), 670–677. https://doi.org/10.1177/0269881118822080
48.
Vidal-RibasP.BrotmanM. A.ValdiviesoI.LeibenluftE.StringarisA. (2016). The status of irritability in psychiatry: A conceptual and quantitative review. Journal of the American Academy of Child & Adolescent Psychiatry, 55(7), 556–570. https://doi.org/10.1016/j.jaac.2016.04.014
WhiteS. F.GeraciM.LewisE.LeshinJ.TengC.AverbeckB.MeffertH.ErnstM.BlairJ. R.GrillonC.BlairK. S. (2017). Prediction error representation in individuals with generalized anxiety disorder during passive avoidance. American Journal of Psychiatry, 174(2), 110–117. https://doi.org/10.1176/appi.ajp.2016.15111410
51.
WilsonR. C.GeanaA.WhiteJ. M.LudvigE. A.CohenJ. D. (2014). Humans use directed and random exploration to solve the explore–exploit dilemma. Journal of Experimental Psychology: General, 143(6), 2074–2081. https://doi.org/10.1037/a0038199
52.
ZisnerA.BeauchaineT. P. (2016). Neural substrates of trait impulsivity, anhedonia, and irritability: Mechanisms of heterotypic comorbidity between externalizing disorders and unipolar depression. Development and Psychopathology, 28(4, Pt. 1), 1177–1208. https://doi.org/10.1017/S0954579416000754
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