Risky Decision-Making in Adults with Alcohol Use Disorder—A Systematic and Meta-Analytic Review
Alcohol use disorder (AUD) forms a major health concern and is the most common substance use disorder worldwide. The behavioural and cognitive deficits associated with AUD have often been related to impairments in risky decision-making. The aim of this study was to examine the magnitude and type of...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/8/2943 |
| _version_ | 1797604866825125888 |
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| author | Akke-Marij D. Ariesen Julia H. Neubert Geraldina F. Gaastra Oliver Tucha Janneke Koerts |
| author_facet | Akke-Marij D. Ariesen Julia H. Neubert Geraldina F. Gaastra Oliver Tucha Janneke Koerts |
| author_sort | Akke-Marij D. Ariesen |
| collection | DOAJ |
| description | Alcohol use disorder (AUD) forms a major health concern and is the most common substance use disorder worldwide. The behavioural and cognitive deficits associated with AUD have often been related to impairments in risky decision-making. The aim of this study was to examine the magnitude and type of risky decision-making deficits of adults with AUD, as well as to explore the potential mechanisms behind these deficits. To this end, existing literature comparing risky decision-making task performance of an AUD group to a control group (CG) was systematically searched and analysed. A meta-analysis was performed to address overall effects. In total, 56 studies were included. In the majority of studies (i.e., 68%), the performance of the AUD group(s) deviated from the CG(s) on one or more of the adopted tasks, which was confirmed by a small to medium pooled effect size (Hedges’ <i>g</i> = 0.45). This review therefore provides evidence of increased risk taking in adults with AUD as compared to CGs. The increased risk taking may be due to deficits in affective and deliberative decision-making. Making use of ecologically valid tasks, future research should investigate whether risky decision-making deficits predate and/or are consequential to the addiction of adults with AUD. |
| first_indexed | 2024-03-11T04:52:50Z |
| format | Article |
| id | doaj.art-4ada8a5cb9f14addac626d62fdb56d2e |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T04:52:50Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-4ada8a5cb9f14addac626d62fdb56d2e2023-11-17T19:50:38ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01128294310.3390/jcm12082943Risky Decision-Making in Adults with Alcohol Use Disorder—A Systematic and Meta-Analytic ReviewAkke-Marij D. Ariesen0Julia H. Neubert1Geraldina F. Gaastra2Oliver Tucha3Janneke Koerts4Department of Clinical and Developmental Neuropsychology, University of Groningen, 9712 TS Groningen, The NetherlandsDepartment of Clinical and Developmental Neuropsychology, University of Groningen, 9712 TS Groningen, The NetherlandsDepartment of Clinical and Developmental Neuropsychology, University of Groningen, 9712 TS Groningen, The NetherlandsDepartment of Clinical and Developmental Neuropsychology, University of Groningen, 9712 TS Groningen, The NetherlandsDepartment of Clinical and Developmental Neuropsychology, University of Groningen, 9712 TS Groningen, The NetherlandsAlcohol use disorder (AUD) forms a major health concern and is the most common substance use disorder worldwide. The behavioural and cognitive deficits associated with AUD have often been related to impairments in risky decision-making. The aim of this study was to examine the magnitude and type of risky decision-making deficits of adults with AUD, as well as to explore the potential mechanisms behind these deficits. To this end, existing literature comparing risky decision-making task performance of an AUD group to a control group (CG) was systematically searched and analysed. A meta-analysis was performed to address overall effects. In total, 56 studies were included. In the majority of studies (i.e., 68%), the performance of the AUD group(s) deviated from the CG(s) on one or more of the adopted tasks, which was confirmed by a small to medium pooled effect size (Hedges’ <i>g</i> = 0.45). This review therefore provides evidence of increased risk taking in adults with AUD as compared to CGs. The increased risk taking may be due to deficits in affective and deliberative decision-making. Making use of ecologically valid tasks, future research should investigate whether risky decision-making deficits predate and/or are consequential to the addiction of adults with AUD.https://www.mdpi.com/2077-0383/12/8/2943alcohol use disorderaddictionadultsrisky decision-makingperformance-based tasks |
| spellingShingle | Akke-Marij D. Ariesen Julia H. Neubert Geraldina F. Gaastra Oliver Tucha Janneke Koerts Risky Decision-Making in Adults with Alcohol Use Disorder—A Systematic and Meta-Analytic Review Journal of Clinical Medicine alcohol use disorder addiction adults risky decision-making performance-based tasks |
| title | Risky Decision-Making in Adults with Alcohol Use Disorder—A Systematic and Meta-Analytic Review |
| title_full | Risky Decision-Making in Adults with Alcohol Use Disorder—A Systematic and Meta-Analytic Review |
| title_fullStr | Risky Decision-Making in Adults with Alcohol Use Disorder—A Systematic and Meta-Analytic Review |
| title_full_unstemmed | Risky Decision-Making in Adults with Alcohol Use Disorder—A Systematic and Meta-Analytic Review |
| title_short | Risky Decision-Making in Adults with Alcohol Use Disorder—A Systematic and Meta-Analytic Review |
| title_sort | risky decision making in adults with alcohol use disorder a systematic and meta analytic review |
| topic | alcohol use disorder addiction adults risky decision-making performance-based tasks |
| url | https://www.mdpi.com/2077-0383/12/8/2943 |
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