Risk engenders a phenomenologically distinct experience from certainty, often driving people to behave in ostensibly irrational ways, and with potential consequences for our subjective sense of confidence in having made the best choice. While previous work on decision confidence has largely focused on ambiguous perceptual decisions or value-based choices under certainty, it is unclear how subjective confidence reports are formed during risky value-based choice (i.e. those with uncertain outcomes). Accordingly, we sought to examine the effect of risky (versus certain) choice upon confidence ratings in a calibrated economic choice task and explore the well-documented interrelationships between confidence and subjective value (SV) as well as choice response time (RT) in the context of value-based choice. By jointly analyzing choices (risky versus certain), SV of the chosen option, confidence, and RT, we found a systematic effect of risk on subjective confidence: subjective confidence reports were significantly higher when selecting a certain prospect compared with a risky one. Interestingly, risk attenuated the strength of the relationships between confidence and both RTs and difference in subjective value (ΔSV), as well as the relationship between RT and ΔSV. Taken together, these results corroborate how choice, RT, confidence and SV relate in value-based choice under risk, informing both theories of confidence and risk preferences.
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http://dx.doi.org/10.3758/s13423-020-01848-y | DOI Listing |
Commun Biol
January 2025
Nash Family Department of Neuroscience, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
Those with diabetes mellitus are at high-risk of developing psychiatric disorders, especially mood disorders, yet the link between hyperglycemia and altered motivation has not been thoroughly explored. Here, we characterized value-based decision-making behavior of a streptozocin-induced diabetic mouse model on Restaurant Row, a naturalistic neuroeconomic foraging paradigm capable of behaviorally capturing multiple decision systems known to depend on dissociable neural circuits. Mice made self-paced choices on a daily limited time-budget, accepting or rejecting reward offers based on cost (delays cued by tone pitch) and subjective value (flavors), in a closed-economy system tested across months.
View Article and Find Full Text PDFFront Public Health
January 2025
Department of Social Medicine and Epidemiology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Introduction: Due to the rapid aging of the global population, new approaches are required to improve the quality of life of older people and to reduce healthcare system expenditures. One of the approaches that can be used is value-based healthcare. This article describes a value-based solution for older people who have suffered a myocardial infarction.
View Article and Find Full Text PDFJ Immunother Precis Oncol
February 2025
Medical Affairs Division, Roche Products India Pvt Ltd, New Delhi, India.
Biologic factors limiting responsiveness to matched targeted therapies include genomic heterogeneity and complexity. Advanced tumors with unique molecular profiles can be studied by comprehensive genomic profiling (CGP) and enhance patient outcomes using principles of precision medicine. The clinical utility of CGP across all cancer types and different therapeutic interventions using overall survival (OS) and progression-free survival (PFS) data was studied in this systematic literature review.
View Article and Find Full Text PDFBMC Musculoskelet Disord
January 2025
VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, 450 Broadway Street MC: 6342, Redwood City, CA, 94603, USA.
Background: As value-based care arrangements continue to assess quality of care and costs, comprehensive and patient-centered definitions of quality of care are required. While patient-reported outcome measures are increasingly integrated into quality assessments following total joint arthroplasty (TJA), patient perceptions of quality paired with the phase of surgical care has not been described. The purpose of this study was to assess how TJA patients perceive measures of quality of care and assess if these perceptions change based on the phase of care.
View Article and Find Full Text PDFNat Neurosci
January 2025
Department of Neuroscience, University of California, Berkeley, Berkeley, CA, USA.
What is good in one scenario may be bad in another. Despite the ubiquity of such contextual reasoning in everyday choice, how the brain flexibly uses different valuation schemes across contexts remains unknown. We addressed this question by monitoring neural activity from the hippocampus (HPC) and orbitofrontal cortex (OFC) of two monkeys performing a state-dependent choice task.
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