Rights statement: This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders, 293, 2021 DOI: 10.1016/j.jad.2021.06.035
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Interactions and implications of Fuzzy-Trace Theory for risk taking behaviors in Bipolar disorder
AU - Lukacs, Julia
AU - Sicilia, Anna
AU - Jones, Steven
AU - Perez Algorta, Guillermo
N1 - This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders, 293, 2021 DOI: 10.1016/j.jad.2021.06.035
PY - 2021/10/1
Y1 - 2021/10/1
N2 - Background. According to Fuzzy-Trace Theory (FTT), qualitative, bottom-line,“gist” reasoning leads to less risk taking and more mature decision-making, lesseasily swayed by emotions than quantitative, detail-oriented, “verbatim” reasoning.In Bipolar disorder deleterious risky behaviors are common. Prior researchconfirmed the relationships posited between FTT and risk taking. We aim tounderstand whether FTT acts upon risk taking in the manner proposed in the FTTframework, namely, that (a) gist “values” mediate the role of “categorical gist”.Furthermore, the roles of mania and impulsivity, cited as factors for risk-taking,remain to be clarified. In this study, we investigate if (b) manic symptoms andimpulsivity moderate these relationships.Methods. Participants (N = 105) completed an online survey includingdemographics, clinical variables, symptomatology, FTT, risk taking and riskperception.Results. Mediational models indicated that (a) Gist Values mediated CategoricalGist’s effect on risk taking, as expected by the FTT framework. (b) Impulsivitymoderates risk taking, but manic-type symptomatology does not.Limitations. Voluntary, self-report surveys may have low participant motivationand limit the diagnostic validity and the in-patient generalizability of the results.Conclusions. The results move beyond a focus on mood-related aspects of Bipolar disorder and confirm the importance of understanding reasoning processes like FTT in combination with impulsivity, as potential behavioral factors of risk taking in Bipolar disorder. The clarifications on FTT’s functioning as a mechanism prescribe possible openings for more efficacious reduction of risky behaviors through behavioral interventions focusing on value creation.
AB - Background. According to Fuzzy-Trace Theory (FTT), qualitative, bottom-line,“gist” reasoning leads to less risk taking and more mature decision-making, lesseasily swayed by emotions than quantitative, detail-oriented, “verbatim” reasoning.In Bipolar disorder deleterious risky behaviors are common. Prior researchconfirmed the relationships posited between FTT and risk taking. We aim tounderstand whether FTT acts upon risk taking in the manner proposed in the FTTframework, namely, that (a) gist “values” mediate the role of “categorical gist”.Furthermore, the roles of mania and impulsivity, cited as factors for risk-taking,remain to be clarified. In this study, we investigate if (b) manic symptoms andimpulsivity moderate these relationships.Methods. Participants (N = 105) completed an online survey includingdemographics, clinical variables, symptomatology, FTT, risk taking and riskperception.Results. Mediational models indicated that (a) Gist Values mediated CategoricalGist’s effect on risk taking, as expected by the FTT framework. (b) Impulsivitymoderates risk taking, but manic-type symptomatology does not.Limitations. Voluntary, self-report surveys may have low participant motivationand limit the diagnostic validity and the in-patient generalizability of the results.Conclusions. The results move beyond a focus on mood-related aspects of Bipolar disorder and confirm the importance of understanding reasoning processes like FTT in combination with impulsivity, as potential behavioral factors of risk taking in Bipolar disorder. The clarifications on FTT’s functioning as a mechanism prescribe possible openings for more efficacious reduction of risky behaviors through behavioral interventions focusing on value creation.
KW - Bipolar disorder
KW - Fuzzy-Trace theory
KW - Decision-making
KW - Risk taking
KW - Gist
KW - Verbatim
M3 - Journal article
VL - 293
SP - 305
EP - 313
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
SN - 0165-0327
ER -