Decision‐making impairments under ambiguous and risky situations in patients with prefrontal tumor: A neuropsychological study

Abstract Introduction The neural mechanism underlying decision‐making, which is an important component of executive function, is complex and not fully understood. Few studies have directly investigated the two types of decision‐making functions – under ambiguity and under risk – in patients with bra...

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Main Authors: Yuyang Wang, Xukou Wang, Kai Wang, Bing Zhao, Xingui Chen
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.1951
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author Yuyang Wang
Xukou Wang
Kai Wang
Bing Zhao
Xingui Chen
author_facet Yuyang Wang
Xukou Wang
Kai Wang
Bing Zhao
Xingui Chen
author_sort Yuyang Wang
collection DOAJ
description Abstract Introduction The neural mechanism underlying decision‐making, which is an important component of executive function, is complex and not fully understood. Few studies have directly investigated the two types of decision‐making functions – under ambiguity and under risk – in patients with brain tumors in different brain regions. Methods Participants were classified into the ventral prefrontal cortex tumor group (VPFC, n = 27), the dorsolateral prefrontal cortex tumor group (DLPFC, n = 29), and matched healthy controls (HCs, n = 32). All participants were given a battery of neuropsychological tests, and they then performed the Iowa Gambling Task (IGT) and the Game of Dice Task (GDT) to assess their decision‐making under ambiguity and under risk, respectively. Results The two patient groups performed significantly worse on attention, memory, information processing, and executive function. Additionally, patients in the DLPFC group performed significantly worse on the memory and information processing tests compared with the VPFC and HC groups. Conclusion This study found that the decision‐making functions of participants in the VPFC and DLPFC tumor groups were impaired to varying degrees. Among them, there was decision‐making impairment under ambiguity and under risk in the VPFC group, and there was decision‐making impairment under risk in the DLPFC group.
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spelling doaj.art-a6ae2a47b9914b07a3e8f728a13ce4182022-12-21T23:25:23ZengWileyBrain and Behavior2162-32792021-01-01111n/an/a10.1002/brb3.1951Decision‐making impairments under ambiguous and risky situations in patients with prefrontal tumor: A neuropsychological studyYuyang Wang0Xukou Wang1Kai Wang2Bing Zhao3Xingui Chen4Department of Neurosurgery the Second Affiliated Hospital of Anhui Medical University Hefei ChinaDepartment of Neurosurgery the Fourth Affiliated Hospital of Anhui Medical University Hefei ChinaCollaborative Innovation Centre of Neuropsychiatric Disorder and Mental Health Anhui Province ChinaDepartment of Neurosurgery the Second Affiliated Hospital of Anhui Medical University Hefei ChinaCollaborative Innovation Centre of Neuropsychiatric Disorder and Mental Health Anhui Province ChinaAbstract Introduction The neural mechanism underlying decision‐making, which is an important component of executive function, is complex and not fully understood. Few studies have directly investigated the two types of decision‐making functions – under ambiguity and under risk – in patients with brain tumors in different brain regions. Methods Participants were classified into the ventral prefrontal cortex tumor group (VPFC, n = 27), the dorsolateral prefrontal cortex tumor group (DLPFC, n = 29), and matched healthy controls (HCs, n = 32). All participants were given a battery of neuropsychological tests, and they then performed the Iowa Gambling Task (IGT) and the Game of Dice Task (GDT) to assess their decision‐making under ambiguity and under risk, respectively. Results The two patient groups performed significantly worse on attention, memory, information processing, and executive function. Additionally, patients in the DLPFC group performed significantly worse on the memory and information processing tests compared with the VPFC and HC groups. Conclusion This study found that the decision‐making functions of participants in the VPFC and DLPFC tumor groups were impaired to varying degrees. Among them, there was decision‐making impairment under ambiguity and under risk in the VPFC group, and there was decision‐making impairment under risk in the DLPFC group.https://doi.org/10.1002/brb3.1951brain tumorgame of dice taskiowa gambling taskprefrontal lobe
spellingShingle Yuyang Wang
Xukou Wang
Kai Wang
Bing Zhao
Xingui Chen
Decision‐making impairments under ambiguous and risky situations in patients with prefrontal tumor: A neuropsychological study
Brain and Behavior
brain tumor
game of dice task
iowa gambling task
prefrontal lobe
title Decision‐making impairments under ambiguous and risky situations in patients with prefrontal tumor: A neuropsychological study
title_full Decision‐making impairments under ambiguous and risky situations in patients with prefrontal tumor: A neuropsychological study
title_fullStr Decision‐making impairments under ambiguous and risky situations in patients with prefrontal tumor: A neuropsychological study
title_full_unstemmed Decision‐making impairments under ambiguous and risky situations in patients with prefrontal tumor: A neuropsychological study
title_short Decision‐making impairments under ambiguous and risky situations in patients with prefrontal tumor: A neuropsychological study
title_sort decision making impairments under ambiguous and risky situations in patients with prefrontal tumor a neuropsychological study
topic brain tumor
game of dice task
iowa gambling task
prefrontal lobe
url https://doi.org/10.1002/brb3.1951
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