"Ten dollars today or 50 dollars after one month?" Temporal discounting in Korsakoff syndrome.

Cogn Neuropsychiatry

School of Psychology, Faculty of Society and Design, Bond University, Gold Coast, Australia.

Published: March 2023

Objective: Little research has investigated decision making in patients with Korsakoff syndrome (KS). Specifically, to our knowledge, there is a lack of research investigating whether patients with KS may tend to prefer immediate over future rewards (i.e., temporal discounting). Further, we investigated the relationship between temporal discounting and inhibition.

Methods: We, for the first time, invited patients with KS and control participants to perform a temporal discounting task, in which they answered questions probing preferences between an immediate, but smaller amount of money, and a delayed, but larger amount of money (e.g., "would you prefer 10 dollars today or 50 dollars after one month?"). Furthermore, inhibition was measured using the Stroop Colour Word Test.

Results: Analysis demonstrated higher temporal discounting in patients with KS than in control participants. Temporal discounting in both populations was significantly correlated with inhibition.

Conclusions: Patients with KS may have difficulties to suppress the temptation of smaller, but immediate, rewards.

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http://dx.doi.org/10.1080/13546805.2023.2173059DOI Listing

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