Delay Discounting and Risk Tolerance in Obsessive Compulsive Disorder: Results From the Global OCD Study

Abstract

Although obsessive compulsive disorder (OCD) features maladaptive decision-making, previous research that examined economic decision-making in OCD has yielded inconsistent results. Here, we examined whether unmedicated adults with OCD (n = 268) differ from healthy control subjects (HCSs; n = 256) on two measures of decision-making about potential rewards: (a) delay discounting, the tendency to prefer rewards sooner rather than later, even if the delayed reward is larger, and (b) risk tolerance, the willingness to gamble for uncertain rewards when the risk is known. Data were collected in Brazil, India, the Netherlands, South Africa, and the United States as part of the Global OCD study. After controlling for age, sex, education, socioeconomic status, IQ, and site, individuals with OCD did not differ from HCSs in either delay discounting or risk tolerance. However, patients with OCD who reported more anxiety and depression showed higher delay discounting, or a relative preference for immediate rewards.

Keywords

OCD decision-making delay of gratification anxiety depression preregistration

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References

Admon

Bleich-Cohen

Weizmant

Poyurovsky

Faragian

Hendler

(2012). Functional and structural neural indices of risk aversion in obsessive–compulsive disorder (OCD). Psychiatry Research: Neuroimaging, 203(2), 207–213. https://doi.org/10.1016/j.pscychresns.2012.02.002

Amlung

Marsden

Holshausen

Morris

Patel

Vedelago

Naish

K. R.

Reed

D. D.

McCabe

R. E.

(2019). Delay discounting as a transdiagnostic process in psychiatric disorders: A meta-analysis. JAMA Psychiatry, 76(11), 1176–1186. https://doi.org/10.1001/jamapsychiatry.2019.2102

Amlung

Vedelago

Acker

Balodis

MacKillop

(2017). Steep delay discounting and addictive behavior: A meta-analysis of continuous associations. Addiction, 112(1), 51–62. https://doi.org/10.1111/add.13535

Andraszewicz

Scheibehenne

Rieskamp

Grasman

Verhagen

Wagenmakers

E.-J.

(2015). An introduction to Bayesian hypothesis testing for management research. Journal of Management, 41(2), 521–543. https://doi.org/10.1177/0149206314560412

Augustine

A. A.

Larsen

R. J.

(2011). Affect regulation and temporal discounting: Interactions between primed, state, and trait affect. Emotion, 11(2), 403–412. https://doi.org/10.1037/a0021777

Bailey

A. J.

Romeu

R. J.

Finn

P. R.

(2021). The problems with delay discounting: A critical review of current practices and clinical applications. Psychological Medicine, 51(11), 1799–1806. https://doi.org/10.1017/S0033291721002282

Bartels

D. M.

Bharti

(2023). How well do laboratory-derived estimates of time preference predict real-world behaviors? Comparisons to four benchmarks. Journal of Experimental Psychology: General, 152(9), 2651–2665. https://doi.org/10.1037/xge0001380

Batistuzzo

M. C.

Sheshachala

Alschuler

D. M.

Hezel

D. M.

Lewis-Fernández

de Joode

N. T.

Vriend

Lempert

K. M.

Narayan

Marincowitz

Lochner

Stein

D. J.

Narayanaswamy

J. C.

van den Heuvel

O. A.

Simpson

H. B.

Wall

(2023). Cross-national harmonization of neurocognitive assessment across five sites in a global study. Neuropsychology, 37(3), 284–300. https://doi.org/10.1037/neu0000838

Baxter

A. J.

Vos

Scott

K. M.

Ferrari

A. J.

Whiteford

H. A.

(2014). The global burden of anxiety disorders in 2010. Psychological Medicine, 44(11), 2363–2374. https://doi.org/10.1017/S0033291713003243

10.

Berkman

E. T.

Hutcherson

C. A.

Livingston

J. L.

Kahn

L. E.

Inzlicht

(2017). Self-control as value-based choice. Current Directions in Psychological Science, 26(5), 422–428. https://doi.org/10.1177/0963721417704394

11.

Bickel

W. K.

Wilson

A. G.

Chen

Koffarnus

M. N.

Franck

C. T.

(2016). Stuck in time: Negative income shock constricts the temporal window of valuation spanning the future and the past. PLOS ONE, 11(9), Article e0163051. https://doi.org/10.1371/journal.pone.0163051

12.

Bickel

W. K.

Kowal

B. P.

Gatchalian

K. M.

(2008). Cigarette smokers discount past and future rewards symmetrically and more than controls: Is discounting a measure of impulsivity? Drug and Alcohol Dependence, 96(3), 256–262. https://doi.org/10.1016/j.drugalcdep.2008.03.009

13.

Bragdon

L. B.

Eng

G. K.

Recchia

Collins

K. A.

Stern

E. R.

(2023). Cognitive neuroscience of obsessive-compulsive disorder. Psychiatric Clinics of North America, 46(1), 53–67. https://doi.org/10.1016/j.psc.2022.11.001

14.

Bryan

C. J.

Bryan

A. O.

(2021). Delayed reward discounting and increased risk for suicide attempts among U.S. adults with probable PTSD. Journal of Anxiety Disorders, 81, Article 102414. https://doi.org/10.1016/j.janxdis.2021.102414

15.

Carvalho

L. S.

Meier

Wang

S. W.

(2016). Poverty and economic decision-making: Evidence from changes in financial resources at payday. American Economic Review, 106(2), 260–284. https://doi.org/10.1257/aer.20140481

16.

Cavedini

Gorini

Bellodi

(2006). Understanding obsessive–compulsive disorder: Focus on decision making. Neuropsychology Review, 16(1), 3–15. https://doi.org/10.1007/s11065-006-9001-y

17.

Cavedini

Riboldi

D’Annucci

Belotti

Cisima

Bellodi

(2002). Decision-making heterogeneity in obsessive-compulsive disorder: Ventromedial prefrontal cortex function predicts different treatment outcomes. Neuropsychologia, 40(2), 205–211. https://doi.org/10.1016/S0028-3932(01)00077-X

18.

Chamberlain

S. R.

Blackwell

A. D.

Fineberg

N. A.

Robbins

T. W.

Sahakian

B. J.

(2005). The neuropsychology of obsessive compulsive disorder: The importance of failures in cognitive and behavioural inhibition as candidate endophenotypic markers. Neuroscience and Biobehavioral Reviews, 29(3), 399–419. https://doi.org/10.1016/j.neubiorev.2004.11.006

19.

Eisenberg

I. W.

Bissett

P. G.

Zeynep Enkavi

MacKinnon

D. P.

Marsch

L. A.

Poldrack

R. A.

(2019). Uncovering the structure of self-regulation through data-driven ontology discovery. Nature Communications, 10(1), 2319. https://doi.org/10.1038/s41467-019-10301-1

20.

Fontenelle

L. F.

Mendlowicz

M. V.

Versiani

(2006). The descriptive epidemiology of obsessive–compulsive disorder. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 30(3), 327–337. https://doi.org/10.1016/j.pnpbp.2005.11.001

21.

Goodman

W. K.

Price

L. H.

Rasmussen

S. A.

Mazure

Fleischmann

R. L.

Hill

C. L.

Heninger

G. R.

Charney

D. S.

(1989). The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Archives of General Psychiatry, 46(11), 1006–1011. https://doi.org/10.1001/archpsyc.1989.01810110048007

22.

Green

Myerson

(2004). A discounting framework for choice with delayed and probabilistic rewards. Psychological Bulletin, 130(5), 769–792. https://doi.org/10.1037/0033-2909.130.5.769

23.

Guo

Youssef

G. J.

Dawson

Parkes

Oostermeijer

López-Solà

Lorenzetti

Greenwood

Fontenelle

L. F.

Yücel

(2017). A psychometric validation study of the Impulsive-Compulsive Behaviours Checklist: A transdiagnostic tool for addictive and compulsive behaviours. Addictive Behaviors, 67, 26–33. https://doi.org/10.1016/j.addbeh.2016.11.021

24.

Gustavson

D. E.

Friedman

N. P.

Fontanillas

Elson

S. L.

Palmer

A. A.

Sanchez-Roige

(2020). The latent genetic structure of impulsivity and its relation to internalizing psychopathology. Psychological Science, 31(8), 1025–1035. https://doi.org/10.1177/0956797620938160

25.

Hamilton

(1959). The assessment of anxiety states by rating. The British Journal of Medical Psychology, 32(1), 50–55. https://doi.org/10.1111/j.2044-8341.1959.tb00467.x

26.

Hamilton

(1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23(1), 56–62. https://doi.org/10.1136/jnnp.23.1.56

27.

Haushofer

Fehr

(2014). On the psychology of poverty. Science, 344(6186), 862–867. https://doi.org/10.1126/science.1232491

28.

Hopwood

(2023). Anxiety symptoms in patients with major depressive disorder: Commentary on prevalence and clinical implications. Neurology and Therapy, 12(Suppl 1), 5–12. https://doi.org/10.1007/s40120-023-00469-6

29.

Hurlemann

Scheele

Kinfe

T. M.

Berger

Philipsen

Voncken

M. J.

Kuypers

K. P. C.

Schruers

(2019). Increased temporal discounting in social anxiety disorder normalizes after oxytocin treatment. Psychotherapy and Psychosomatics, 88(1), 55–57. https://doi.org/10.1159/000495259

30.

Jauregi

Kessler

Hassel

(2018). Linking cognitive measures of response inhibition and reward sensitivity to trait impulsivity. Frontiers in Psychology, 9, Article 2306. https://doi.org/10.3389/fpsyg.2018.02306

31.

Kahneman

Tversky

(1979). Prospect theory: An analysis of decision under risk. Econometrica, 47(2), 263–292. https://doi.org/10.1111/j.1536-7150.2011.00774.x

32.

Kamat

V. V.

(1968). Measuring intelligence of Indian children. British Journal of Educational Studies, 16(2), 225. https://doi.org/10.2307/3118483

33.

Keidel

Rramani

Weber

Murawski

Ettinger

(2021). Individual differences in intertemporal choice. Frontiers in Psychology, 12, Article 643670. https://doi.org/10.3389/fpsyg.2021.643670

34.

Kim

H. W.

Kang

J. I.

Namkoong

Jhung

R. Y.

Kim

S. J.

(2015). Further evidence of a dissociation between decision-making under ambiguity and decision-making under risk in obsessive–compulsive disorder. Journal of Affective Disorders, 176, 118–124. https://doi.org/10.1016/j.jad.2015.01.060

35.

Kirby

K. N.

Petry

N. M.

Bickel

W. K.

(1999). Heroin addicts have higher discount rates for delayed rewards than non-drug-using controls. Journal of Experimental Psychology. General, 128(1), 78–87.

36.

Lempert

K. M.

Mechanic-Hamilton

D. J.

Xie

Wisse

L. E. M.

de Flores

Wang

Das

S. R.

Yushkevich

P. A.

Wolk

D. A.

Kable

J. W.

(2020). Neural and behavioral correlates of episodic memory are associated with temporal discounting in older adults. Neuropsychologia, 146, Article 107549. https://doi.org/10.1016/j.neuropsychologia.2020.107549

37.

Lempert

K. M.

Steinglass

J. E.

Pinto

Kable

J. W.

Simpson

H. B.

(2019). Can delay discounting deliver on the promise of RDoC? Psychological Medicine, 49(2), 190–199. https://doi.org/10.1017/S0033291718001770

38.

Levitt

E. E.

Oshri

Amlung

Ray

L. A.

Sanchez-Roige

Palmer

A. A.

MacKillop

(2023). Evaluation of delay discounting as a transdiagnostic research domain criteria indicator in 1388 general community adults. Psychological Medicine, 53(4), 1649–1657. https://doi.org/10.1017/S0033291721005110

39.

MacKillop

Amlung

M. T.

Few

L. R.

Ray

L. A.

Sweet

L. H.

Munafò

M. R.

(2011). Delayed reward discounting and addictive behavior: A meta-analysis. Psychopharmacology, 216(3), 305–321. https://doi.org/10.1007/s00213-011-2229-0

40.

Maier

Buller

Philipp

Heuser

(1988). The Hamilton Anxiety Scale: Reliability, validity and sensitivity to change in anxiety and depressive disorders. Journal of Affective Disorders, 14(1), 61–68. https://doi.org/10.1016/0165-0327(88)90072-9

41.

Mazur

(1987). An adjusting procedure for studying delayed reinforcement. In Commons

M. L.

Mazur

J. E.

Nevin

J. A.

(Eds.), Quantitative analyses of behavior: Vol. 5: The effect of delay and of intervening events on reinforcement value (pp. 55–73). Erlbaum.

42.

McClelland

Dalton

Kekic

Bartholdy

Campbell

I. C.

Schmidt

(2016). A systematic review of temporal discounting in eating disorders and obesity: Behavioural and neuroimaging findings. Neuroscience and Biobehavioral Reviews, 71, 506–528. https://doi.org/10.1016/j.neubiorev.2016.09.024

43.

Murphy

Mackillop

(2012). Living in the here and now: Interrelationships between impulsivity, mindfulness, and alcohol misuse. Psychopharmacology, 219(2), 527–536. https://doi.org/10.1007/s00213-011-2573-0

44.

Najdzionek

McIntyre-Wood

Amlung

MacKillop

(2023). Incorporating socioeconomic status into studies on delay discounting and health via subjective financial status: An initial validation in tobacco use. Experimental and Clinical Psychopharmacology, 31(2), 475–481. https://doi.org/10.1037/pha0000628

45.

Norman

L. J.

Carlisi

C. O.

Christakou

Chantiluke

Murphy

Simmons

Giampietro

Brammer

Mataix-Cols

Rubia

(2017). Neural dysfunction during temporal discounting in paediatric Attention-Deficit/Hyperactivity Disorder and Obsessive-Compulsive Disorder. Psychiatry Research: Neuroimaging, 269, 97–105. https://doi.org/10.1016/j.pscychresns.2017.09.008

46.

Norman

L. J.

Taylor

S. F.

Liu

Radua

Chye

De Wit

S. J.

Huyser

Karahanoglu

F. I.

Luks

Manoach

Mathews

Rubia

Suo

van den Heuvel

O. A.

Yücel

Fitzgerald

(2019). Error processing and inhibitory control in obsessive-compulsive disorder: A meta-analysis using statistical parametric maps. Biological Psychiatry, 85(9), 713–725. https://doi.org/10.1016/j.biopsych.2018.11.010

47.

Olson

E. A.

Ahmad

Granger

S. J.

Ashraf

Pizzagalli

D. A.

Rosso

I. M.

(2024). Anhedonia and delay discounting: Differing patterns of brain-behavior relationships in healthy controls versus individuals with posttraumatic stress disorder. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 9(1), 80–90. https://doi.org/10.1016/j.bpsc.2023.07.013

48.

Organisation for Economic Co-Operation and Development. (2017). Purchasing power parities (PPP). https://www.oecd-ilibrary.org/finance-and-investment/purchasing-power-parities-ppp/indicator/english_1290ee5a-en

49.

Pehlivanova

Wolf

D. H.

Sotiras

Kaczkurkin

Moore

T. M.

Ciric

Cook

P. A.

de La Garza

A. G.

Rosen

Ruparel

Sharma

Shinohara

R. T.

Roalf

D. R.

Gur

R. C.

Davatzikos

Gur

R. E.

Kable

J. W.

Satterthwaite

T. D.

(2018). Diminished cortical thickness is associated with impulsive choice in adolescence. The Journal of Neuroscience, 38(10), 2200–2217. https://doi.org/10.1523/JNEUROSCI.2200-17.2018

50.

Pérez-Vigil

Fernández de la Cruz

Brander

Isomura

Jangmo

Feldman

Hesselmark

Serlachius

Lázaro

Rück

Kuja-Halkola

D’Onofrio

B. M.

Larsson

Mataix-Cols

(2018). Association of obsessive-compulsive disorder with objective indicators of educational attainment: A nationwide register-based sibling control study. JAMA Psychiatry, 75(1), 47–55. https://doi.org/10.1001/jamapsychiatry.2017.3523

51.

Peters

Büchel

(2011). The neural mechanisms of inter-temporal decision-making: Understanding variability. Trends in Cognitive Sciences, 15(5), 227–239. https://doi.org/10.1016/j.tics.2011.03.002

52.

Petry

N. M.

Bickel

W. K.

Arnett

(1998). Shortened time horizons and insensitivity to future consequences in heroin addicts. Addiction, 93(5), 729–738. https://doi.org/10.1046/j.1360-0443.1998.9357298.x

53.

Pinto

Steinglass

J. E.

Greene

A. L.

Weber

E. U.

Simpson

H. B.

(2014). Capacity to delay reward differentiates obsessive-compulsive disorder and obsessive-compulsive personality disorder. Biological Psychiatry, 75(8), 653–659. https://doi.org/10.1016/j.biopsych.2013.09.007

54.

Psaki

S. R.

Seidman

J. C.

Miller

Gottlieb

Bhutta

Z. A.

Ahmed

A. S.

Bessong

John

S. M.

Kang

Kosek

Lima

Shrestha

Svensen

Checkley

(2014). Measuring socioeconomic status in multicountry studies: Results from the eight-country MAL-ED study. Population Health Metrics, 12(1), Article 1. https://doi.org/10.1186/1478-7954-12-8

55.

Pulcu

Trotter

P. D.

Thomas

E. J.

McFarquhar

Juhasz

Sahakian

B. J.

Deakin

J. F. W.

Zahn

Anderson

I. M.

Elliott

(2014). Temporal discounting in major depressive disorder. Psychological Medicine, 44(9), 1825–1834. https://doi.org/10.1017/S0033291713002584

56.

Pushkarskaya

Tolin

Ruderman

Henick

Kelly

J. M.

Pittenger

Levy

(2017). Value-based decision making under uncertainty in hoarding and obsessive-compulsive disorders. Psychiatry Research, 258, 305–315. https://doi.org/10.1016/j.psychres.2017.08.058

57.

Pushkarskaya

Tolin

Ruderman

Kirshenbaum

Kelly

J. M.

Pittenger

Levy

(2015). Decision-making under uncertainty in obsessive-compulsive disorder. Journal of Psychiatric Research, 69, 166–173. https://doi.org/10.1016/j.jpsychires.2015.08.011

58.

Remmerswaal

K. C. P.

Batelaan

N. M.

Smit

J. H.

van Oppen

van Balkom

A. J. L.

(2016). Quality of life and relationship satisfaction of patients with Obsessive Compulsive Disorder. Journal of Obsessive-Compulsive and Related Disorders, 11, 56–62. https://doi.org/10.1016/j.jocrd.2016.08.005

59.

Reynolds

Ortengren

Richards

J. B.

de Wit

(2006). Dimensions of impulsive behavior: Personality and behavioral measures. Personality and Individual Differences, 40(2), 305–315. https://doi.org/10.1016/j.paid.2005.03.024

60.

Roepke

A. M.

Seligman

M. E. P.

(2016). Depression and prospection. The British Journal of Clinical Psychology, 55(1), 23–48. https://doi.org/10.1111/bjc.12087

61.

Rosa

A. C.

Diniz

J. B.

Fossaluza

Torres

A. R.

Fontenelle

L. F.

De Mathis

A. S.

da Conceição Rosário

Miguel

E. C.

Shavitt

R. G.

(2012). Clinical correlates of social adjustment in patients with obsessive-compulsive disorder. Journal of Psychiatric Research, 46(10), 1286–1292. https://doi.org/10.1016/j.jpsychires.2012.05.019

62.

Rosario-Campos

M. C.

Miguel

E. C.

Quatrano

Chacon

Ferrao

Findley

Katsovich

Scahill

King

R. A.

Woody

S. R.

Tolin

Hollander

Kano

Leckman

J. F.

(2006). The Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS): An instrument for assessing obsessive-compulsive symptom dimensions. Molecular Psychiatry, 11(5), 495–504. https://doi.org/10.1038/sj.mp.4001798

63.

Rounds

J. S.

Beck

J. G.

Grant

D. M.

(2007). Is the delay discounting paradigm useful in understanding social anxiety? Behaviour Research and Therapy, 45(4), 729–735. https://doi.org/10.1016/j.brat.2006.06.007

64.

Ruscio

A. M.

Stein

D. J.

Chiu

W. T.

Kessler

R. C.

(2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15(1), Article 1. https://doi.org/10.1038/mp.2008.94

65.

Sachdev

P. S.

Malhi

G. S.

(2005). Obsessive-compulsive behaviour: A disorder of decision-making. The Australian and New Zealand Journal of Psychiatry, 39(9), 757–763. https://doi.org/10.1080/j.1440-1614.2005.01680.x

66.

Senecal

Wang

Thompson

Kable

J. W.

(2012). Normative arguments from experts and peers reduce delay discounting. Judgment and Decision Making, 7(5), 568–589.

67.

Simpson

H. B.

van den Heuvel

O. A.

Miguel

E. C.

Reddy

Y. C. J.

Stein

D. J.

Lewis-Fernández

Shavitt

R. G.

Lochner

Pouwels

P. J. W.

Narayanawamy

J. C.

Venkatasubramanian

Hezel

D. M.

Vriend

Batistuzzo

M. C.

Hoexter

M. Q.

de Joode

N. T.

Costa

D. L.

de Mathis

M. A.

Sheshachala

. . . Wall

(2020). Toward identifying reproducible brain signatures of obsessive-compulsive profiles: Rationale and methods for a new global initiative. BMC Psychiatry, 20(1), Article 68. https://doi.org/10.1186/s12888-020-2439-2

68.

Sip

K. E.

Muratore

A. F.

Stern

E. R.

(2016). Effects of context on risk taking and decision times in obsessive-compulsive disorder. Journal of Psychiatric Research, 75, 82–90. https://doi.org/10.1016/j.jpsychires.2015.12.002

69.

Sohn

S. Y.

Kang

J. I.

Namkoong

Kim

S. J.

(2014). Multidimensional measures of impulsivity in obsessive-compulsive disorder: Cannot wait and stop. PLOS ONE, 9(11), Article e111739. https://doi.org/10.1371/journal.pone.0111739

70.

Souther

M. K.

Wolf

D. H.

Kazinka

Lee

Ruparel

Elliott

M. A.

Cieslak

Prettyman

Satterthwaite

T. D.

Kable

J. W.

(2022). Decision value signals in the ventromedial prefrontal cortex and motivational and hedonic symptoms across mood and psychotic disorders. NeuroImage. Clinical, 36, Article 103227. https://doi.org/10.1016/j.nicl.2022.103227

71.

Spielberger

C. D.

(1983). Manual for the State-Trait Anxiety Inventory STAI (Form Y) (“Self-Evaluation Questionnaire”). Consulting Psychologists Press, Inc. http://ubir.buffalo.edu/xmlui/handle/10477/1873

72.

Starcke

Tuschen-Caffier

Markowitsch

H. J.

Brand

(2010). Dissociation of decisions in ambiguous and risky situations in obsessive-compulsive disorder. Psychiatry Research, 175(1–2), 114–120. https://doi.org/10.1016/j.psychres.2008.10.022

73.

Steinglass

J. E.

Lempert

K. M.

Choo

T.-H.

Kimeldorf

M. B.

Wall

Walsh

B. T.

Fyer

A. J.

Schneier

F. R.

Simpson

H. B.

(2017). Temporal discounting across three psychiatric disorders: Anorexia nervosa, obsessive compulsive disorder, and social anxiety disorder. Depression and Anxiety, 34(5), 463–470. https://doi.org/10.1002/da.22586

74.

Strotz

R. H.

(1956). Myopia and inconsistency in dynamic utility maximization. Review of Economic Studies, 23(3), 165–180.

75.

Tjur

(2009). Coefficients of determination in logistic regression models—A new proposal: The coefficient of discrimination. The American Statistician, 63(4), 366–372. https://doi.org/10.1198/tast.2009.08210

76.

Tolin

D. F.

Abramowitz

J. S.

Brigidi

B. D.

Foa

E. B.

(2003). Intolerance of uncertainty in obsessive-compulsive disorder. Journal of Anxiety Disorders, 17(2), 233–242. https://doi.org/10.1016/S0887-6185(02)00182-2

77.

Torres

A. R.

Ramos-Cerqueira

A. T. A.

Ferrão

Y. A.

Fontenelle

L. F.

do Rosário

M. C.

Miguel

E. C.

(2011). Suicidality in obsessive-compulsive disorder: Prevalence and relation to symptom dimensions and comorbid conditions. The Journal of Clinical Psychiatry, 72(1), 17–26. https://doi.org/10.4088/JCP.09m05651blu

78.

Urošević

Youngstrom

E. A.

Collins

Jensen

J. B.

Luciana

(2016). Associations of age with reward delay discounting and response inhibition in adolescents with bipolar disorders. Journal of Affective Disorders, 190, 649–656. https://doi.org/10.1016/j.jad.2015.11.005

79.

Wechsler

(1997). WAIS–III: Wechsler Adult Intelligence Scale (3rd ed.) Administration and scoring manual. The Psychological Corporation.

80.

Wechsler

(1999). Wechsler Abbreviated Scale of Intelligence [Database record]. APA PsycTests. https://doi.org/10.1037/t15170-000

81.

Wechsler

(2011). Wechsler Abbreviated Scale of Intelligence (WASI-II) (2nd ed.). NCS Pearson.

82.

L. Q.

Lee

Katchmar

Satterthwaite

T. D.

Kable

J. W.

Wolf

D. H.

(2017). Steeper discounting of delayed rewards in schizophrenia but not first-degree relatives. Psychiatry Research, 252, 303–309. https://doi.org/10.1016/j.psychres.2017.02.062

83.

Zanarini

M. C.

Frankenburg

F. R.

Chauncey

D. L.

Gunderson

J. G.

(1987). The diagnostic interview for personality disorders: Interrater and test-retest reliability. Comprehensive Psychiatry, 28(6), 467–480. https://doi.org/10.1016/0010-440X(87)90012-5

84.

Zhang

Dong

Zhu

Chen

Wang

(2015). Dissociation of decision making under ambiguity and decision making under risk: A neurocognitive endophenotype candidate for obsessive-compulsive disorder. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 57, 60–68. https://doi.org/10.1016/j.pnpbp.2014.09.005

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