TY - JOUR
T1 - Decision-Making Deficits in ADHD Are Not Related to Risk Seeking But to Suboptimal Decision-Making
T2 - Meta-Analytical and Novel Experimental Evidence
AU - Dekkers, Tycho J.
AU - Agelink van Rentergem, Joost A.
AU - Huizenga, Hilde M.
AU - Raber, Hamutal
AU - Shoham, Rachel
AU - Popma, Arne
AU - Pollak, Yehuda
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2021/2
Y1 - 2021/2
N2 - Objective: ADHD is related to decision-making deficits in real-life (e.g., substance abuse) and on experimental tasks (increased preference for risky options). In most tasks, risk and expected value are confounded (risky options have lowest expected value), making it impossible to disentangle risky from suboptimal (i.e., not choosing highest expected value) decision-making. We differentiated between risky and suboptimal decision-making in ADHD in two studies. Method and Results: First, on a multilevel meta-regression analysis (k = 48, n_ADHD = 1,144, n_Control = 1,108), ADHD and controls differed if the risky option was suboptimal (ADHD choosing more risky/suboptimal), whereas groups performed similar if the risky option was not suboptimal. Second, an empirical study showed that adults with ADHD (n = 40) made more suboptimal, but not more risky choices than controls (n = 40). Conclusion: These results contribute to a growing body of evidence that decision-making deficits in ADHD are driven by suboptimal decision-making and not by risk seeking.
AB - Objective: ADHD is related to decision-making deficits in real-life (e.g., substance abuse) and on experimental tasks (increased preference for risky options). In most tasks, risk and expected value are confounded (risky options have lowest expected value), making it impossible to disentangle risky from suboptimal (i.e., not choosing highest expected value) decision-making. We differentiated between risky and suboptimal decision-making in ADHD in two studies. Method and Results: First, on a multilevel meta-regression analysis (k = 48, n_ADHD = 1,144, n_Control = 1,108), ADHD and controls differed if the risky option was suboptimal (ADHD choosing more risky/suboptimal), whereas groups performed similar if the risky option was not suboptimal. Second, an empirical study showed that adults with ADHD (n = 40) made more suboptimal, but not more risky choices than controls (n = 40). Conclusion: These results contribute to a growing body of evidence that decision-making deficits in ADHD are driven by suboptimal decision-making and not by risk seeking.
KW - ADHD
KW - decision-making
KW - expected value
KW - meta-analysis
KW - risk-taking
UR - http://www.scopus.com/inward/record.url?scp=85059664576&partnerID=8YFLogxK
U2 - 10.1177/1087054718815572
DO - 10.1177/1087054718815572
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C2 - 30520666
AN - SCOPUS:85059664576
SN - 1087-0547
VL - 25
SP - 486
EP - 501
JO - Journal of Attention Disorders
JF - Journal of Attention Disorders
IS - 4
ER -
