Toward an understanding of decision making in severe mental illness

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

A commonality of patients with major psychiatric disorders is their propensity to make poor decisions, which is intimately related to poor real-life outcomes. The authors reviewed the literature on decision making as applied to severe psychiatric disorders, with particular focus on advances in cognitive neuroscience. Deficits in reward sensitivity, avoidance learning, and temporal discounting are reported in depression. Besides abnormalities in hedonic capacity, other cognitive distortions required for flexible control of behavior occur in patients with bipolar disorder and schizophrenia. A conceptual framework of abnormal decision making in mental illness could generate targeted interventions to improve quality of life and clinical outcomes.

Original languageEnglish
Pages (from-to)196-213
Number of pages18
JournalJournal of Neuropsychiatry and Clinical Neurosciences
Volume26
Issue number3
DOIs
StatePublished - Jan 1 2014

Fingerprint

Psychiatry
Decision Making
Avoidance Learning
Behavior Control
Pleasure
Reward
Bipolar Disorder
Schizophrenia
Quality of Life
Depression
Delay Discounting
Cognitive Neuroscience

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Neurology

Cite this

Toward an understanding of decision making in severe mental illness. / Cáceda, Ricardo; Nemeroff, Charles; Harvey, Philip D.

In: Journal of Neuropsychiatry and Clinical Neurosciences, Vol. 26, No. 3, 01.01.2014, p. 196-213.

Research output: Contribution to journalArticle

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