Delay discounting in schizophrenia.

Cogn Neuropsychiatry

Maryland Psychiatric Research Center, University of Maryland, Baltimore, MD, USA.

Published: May 2007

Background: It is well known that individuals with schizophrenia have dopaminergic abnormalities as well as memory-related difficulties, both of which are associated with impulsive decision making. We used a delay discounting measure to test the degree to which patients make future-oriented decisions.

Methods: 42 patients with schizophrenia and 29 healthy participants completed a delay discounting measure along with tests of cognitive function and, in patients, symptom ratings.

Results: Patients discounted more steeply than did comparison participants. Discounting among patients related to memory capacity and tended to relate inversely to negative symptoms.

Conclusions: The impulsive decision making evidenced by patients suggests that they may be prone to choosing immediate over long-term rewards, even when their interests are better served by choosing the latter. Improving cognitive function may enhance their ability to make future-oriented decisions.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746343PMC
http://dx.doi.org/10.1080/13546800601005900DOI Listing

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