Cited by 310Neural and Behavioral Psychology StudiesDecision-Making and Behavioral EconomicsHistorical and Modern Theater Studies

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The ability to decide advantageously declines prematurely in some normal older persons

Denburg, N.L., Tranel, D., Bechara, A.·2005·Neuropsychologia

DOI 10.1016/j.neuropsychologia.2004.09.012

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Abstract

The prefrontal region of the brain, including the ventromedial sector which supports reasoning and decision-making, may undergo disproportionate aging in some older persons, but the empirical evidence is decidedly mixed. To help resolve this, we tested 80 neurologically and psychiatrically healthy Younger (aged 26-55) and Older (aged 56-85) adults on a "Gambling Task", which provides a close analog to real-world decision-making by factoring in reward, punishment, and unpredictability, yielding a sensitive index of ventromedial prefrontal function. A subset of the Older group manifested a decision-making impairment on the Gambling Task, in spite of otherwise intact cognitive functioning. This finding raises the possibility of disproportionate aging of the ventromedial prefrontal cortex in these individuals. Our finding has important societal and public policy implications (e.g., choosing medical care, allocating personal wealth), and may also help explain why many older individuals are targeted by and susceptible to fraudulent advertising.

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Authors: Denburg, N. L., Tranel, D., & Bechara, A.
Affiliations: University of Iowa (US)
Corresponding author: Denburg, N.L.
ORCID: Denburg, N.L.
Tranel, D.
Bechara, A.
Venue: Neuropsychologia
Publisher: Elsevier BV
Published: 2005-01
Volume: 43
Issue: 7
Pages: 1099-1106
ISSN: 0028-3932 (ISSN-L)
DOI: 10.1016/j.neuropsychologia.2004.09.012
OpenAlex: W1984128842
Cited by: 310
References: 38
Citations by year: 2026: 3 · 2025: 6 · 2024: 4 · 2023: 4 · 2022: 7 · 2021: 15 · 2020: 10 · 2019: 9 · 2018: 21 · 2017: 10 · 2016: 17 · 2015: 18 · 2014: 19 · 2013: 21 · 2012: 31
FWCI: 3.86
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Neuropsychologia (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging (K01AG022033)
National Institute of Neurological Disorders and Stroke (P01 NS19632, P01NS019632)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
Keywords: decision-making, ventromedial prefrontal cortex, brain aging, older adults, gambling task, cognitive aging, reward and punishment, fraud susceptibility, normal aging
MeSH terms: Adult, Aged, Aged, 80 and over, Aging, Analysis of Variance, Cognition, Decision Making, Female, Gambling, Games, Experimental, Humans, Male, Middle Aged, Reference Values, Prefrontal Cortex

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The ability to decide advantageously declines prematurely in some normal older persons

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