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Affective Decision-Making on the Iowa Gambling Task in Children and Adolescents with Fetal Alcohol Spectrum Disorders

Published online by Cambridge University Press:  15 November 2012

Katrina Kully-Martens ,
Sarah Treit ,
Jacqueline Pei  and
Carmen Rasmussen
Katrina Kully-Martens
Affiliation:
Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada
Sarah Treit
Affiliation:
Centre for Neuroscience, University of Alberta, Edmonton, Alberta, Canada
Jacqueline Pei
Affiliation:
Department of Educational Psychology, University of Alberta, Edmonton, Alberta, Canada
Carmen Rasmussen*
Affiliation:
Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada
*
Correspondence and reprint requests to: Carmen Rasmussen, E213C, Glenrose Rehabilitation Hospital, 10230-111 Avenue, Edmonton, Alberta, Canada, T5G 0B7. E-mail: carmen@ualberta.ca
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Abstract

Individuals with fetal alcohol spectrum disorders (FASD) have difficulties with cognitive-based executive function (EF) tasks. The goal of the present study was to determine if children with FASD have impairments on the Iowa Gambling Task (IGT), which measures affective EF (i.e., decision-making and risk-taking). Individuals with FASD (n = 31) and healthy controls (n = 31), aged 8–17 completed the IGT. Children with FASD were significantly impaired on the IGT compared to controls. Over the course of the task, control scores improved, whereas children with FASD exhibited an overall decrease in scores. Scores increased significantly with age in the control group but did not differ significantly with age for FASD participants. Children with FASD exhibited decision-making and risk-taking impairments on a hot EF task. Children with FASD did not appear to learn from negative experiences and shift to making more positive decisions over time and their performance did not improve with age. The implications of poor task performance and a lack of age-related findings in children with FASD are discussed. (JINS, 2012, 18, 1–8)

Keywords

FASDPrenatal alcohol exposureExecutive functionDecision-makingRisk-takingChild development disorders
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 19 , Issue 2 , February 2013 , pp. 137 - 144
Copyright
Copyright © The International Neuropsychological Society 2012

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