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Deliberate and Affective Driven Decision-Making. A 10-Year Longitudinal Study of Decision-Making in Autism
Erik Winther Skogli1,2, Per Normann Andersen2, Ingrid Nesdal Fossum1,3
1Division Mental Health Care, Innlandet Hospital Trust, Lillehammer, Norway.
Autistic individuals show a consistent risk-averse decision-making style from childhood to adulthood, influenced by internalizing symptoms. Both autistic and non-autistic individuals improve decision-making skills over time.
Area of Science:
- Neurodevelopmental disorders
- Cognitive psychology
- Developmental psychology
Background:
- Autism Spectrum Disorder (ASD) impacts social communication and behavior.
- Decision-making development in autistic individuals is not fully understood.
- Internalizing symptoms may influence cognitive strategies in autism.
Purpose of the Study:
- To investigate the developmental changes in decision-making in autistic individuals.
- To compare decision-making strategies between autistic and non-autistic individuals.
- To examine the role of internalizing symptoms in decision-making.
Main Methods:
- Longitudinal study with 38 autistic and 50 non-autistic participants.
- Assessment at baseline (mean age 11.8 years), 2-year, and 10-year follow-up.
- Evaluation of decision-making performance and strategy.
Main Results:
- Similar improvements in decision-making performance over time for both groups.
- Autistic participants consistently displayed a more risk-averse decision-making style.
- Risk aversion in autistic individuals linked to deliberate thinking in advantageous and internalizing symptoms in disadvantageous situations.
Conclusions:
- Autistic individuals exhibit a distinct, risk-averse decision-making trajectory.
- Internalizing symptoms significantly influence decision-making in disadvantageous contexts for autistic individuals.
- Understanding these patterns is crucial for targeted interventions in autism.
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