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Decision Making in Children With ADHD Only, ADHD-Anxious/Depressed, and Control Children Using a Child Version of the Iowa Gambling Task
Abstract
OBJECTIVE: The goal of this study is to investigate decision making in children with ADHD using a child version of the Iowa Gambling Task (IGT). The effect of internalizing symptoms is also of interest. METHOD: Twenty-one children with ADHD (high anxiety/depression and no anxiety/depression) are compared to an age- and sex-matched control group on the gambling task. Children in the ADHD-alone group demonstrate impaired performance on the IGT. In contrast, children in the control group and the ADHD-anxiety/depression group learn to choose more from the advantageous decks over time. RESULTS: These findings of impaired decision making in children with ADHD parallel findings of real-life decision-making problems in this population. CONCLUSION: Furthermore, the findings suggest that having a high number of internalizing symptoms leads to better performance for children with ADHD on this variant of the IGT.
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In the citing paper
“The NCs also made more advantageous decisions as the task progressed, whereas the children with ADHD (without a comorbid ID) did not show this pattern, and did not choose the advantageous decks more often than predicted by chance.”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
In the citing paper
“Garon et al. [47] used a child version of the IGT and found that children with ADHD (without a comorbid ID) less often chose the advantageous decks than NCs (Cohen’s d = 1.14).”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
In the citing paper
“However, children with ADHD and a comorbid ID (anxiety/depression) performed in a less risky fashion than the children with ADHD without comorbidity, who could not be differentiated from the NCs [47].”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
In the citing paper
“The children with ADHD and anxiety/depression also did not differ from the NCs (Cohen’s d<0.38)”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
In the citing paper
“and as the task progressed they made more advantageous choices.”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
In the citing paper
“Ten studies used an implicit gambling task, of which five studies (5/10 = 50%) found clear evidence that children/adolescents with ADHD displayed more risky behavior than NCs [35], [47], [49], [53], [55].”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
In the citing paper
“This study also included a group of children with ADHD and anxiety/depression, who made significantly more advantageous choices than the ADHD group without anxiety/depression (Cohen’s d = 1.00).”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
In the citing paper
“Garon et al. [47] reported that children with ADHD without an ID made less advantageous choices on a child version of the IGT than NCs.”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
In the citing paper
“Furthermore, three studies found that individuals with ADHD-C had performed in a more risky fashion than the NCs [35], [47], [63] (3/10 = 30% of studies with positive findings).”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
In the citing paper
“The two remaining studies with positive findings unfortunately did not specify whether participants were on medication at the time of assessment [35], [47].”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
In the citing paper
“of which six studies found a group effect [35], [40], [47], [49], [53], [55] and seven studies had null findings [41], [50], [52], [59], [61], [65], [68] (6/13 = 46% of the studies using tangible rewards had positive findings)”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [47]
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Metadata
- Authors
- Garon, N., Moore, C., & Waschbusch, D. A.
- Affiliations
- Dalhousie University (CA)
- University at Buffalo, State University of New York (US)
- Corresponding author
- Garon, Nancy
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2006-05
- Volume
- 9
- Issue
- 4
- Pages
- 607-619
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- OpenAlex
- W2040968114
- Cited by
- 127
- References
- 87
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 11 · 2020: 6 · 2019: 8 · 2018: 5 · 2017: 5 · 2016: 8 · 2015: 8 · 2014: 5 · 2013: 10 · 2012: 12
- FWCI
- 3.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Attention Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- attention deficit hyperactivity disorder, decision-making, Iowa Gambling Task, internalizing problems, anxiety, depression, children, risk assessment, emotion regulation
- MeSH terms
- Anxiety, Attention Deficit Disorder with Hyperactivity, Child, Decision Making, Depression, Female, Gambling, Humans, Iowa, Male, Socioeconomic Factors, Mood Disorders
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