Decision-making behavior in patients with depressive disorder and its relationship with depressive and anxiety symptoms
BackgroundPatients with depressive disorder often exhibit impaired decision-making functions. However， the relationship between decision-making abilities and depressive and anxiety symptoms in these patients remains unclear.ObjectiveTo explore the characteristics of decision-making behavior in patie...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Sichuan Mental Health
2025-02-01
|
| Series: | Sichuan jingshen weisheng |
| Subjects: | |
| Online Access: | http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202501004&flag=1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849764391765934080 |
|---|---|
| author | Wang Yuxiang Zhang Luoya Zhang Maomao Deng Juan Peng Yanjie Cheng Xiaotong Liu Kezhi Lei Wei Chen Jing |
| author_facet | Wang Yuxiang Zhang Luoya Zhang Maomao Deng Juan Peng Yanjie Cheng Xiaotong Liu Kezhi Lei Wei Chen Jing |
| author_sort | Wang Yuxiang |
| collection | DOAJ |
| description | BackgroundPatients with depressive disorder often exhibit impaired decision-making functions. However， the relationship between decision-making abilities and depressive and anxiety symptoms in these patients remains unclear.ObjectiveTo explore the characteristics of decision-making behavior in patients with depressive disorder， and to analyze its relationship with clinical symptoms.MethodsA total of 48 patients diagnosed with depressive disorder according to the Diagnostic and Statistical Manual of Mental Disorders， fourth edition （DSM-IV） were recruited from the Department of Psychosomatic Medicine of the Affiliated Hospital of Southwest Medical University from October 2020 to May 2023. Concurrently， 52 healthy individuals matched for age and gender were recruited from Luzhou as the control group. Beck Depression Inventory （BDI） and Beck Anxiety Inventory （BAI） were used for assessment， and decision-making behavior was evaluated using Probabilistic Reversal Learning （PRL） task. Indicators assessed included the number of trials to criterion， perseverative errors， win-stay rate and lose-shift rate. Spearman correlation analysis was used to assess the correlation between BDI and BAI scores and PRL task indicators.ResultsThe depression group showed a significantly higher lose-shift rate compared with the control group （t=3.684， P<0.01）. There were no statistically significant differences between two groups in trials to criterion， perseverative errors and win-stay rate （t=0.329， 0.132， 0.609， P>0.05）. In depression group， BDI and BAI scores were positively correlated with the win-stay rate（r=0.450， 0.398， P<0.01）.ConclusionPatients with depressive disorder are more likely to change their decision-making strategies following negative outcomes. Furthermore， the severity of depressive and anxiety symptoms is associated with a greater propensity to maintain existing decisions after receiving positive feedback. ［Funded by 2019 Joint Project of Luzhou Science and Technology Bureau-Southwest Medical University （number， 2019LZXNYDJ39］ |
| format | Article |
| id | doaj-art-e24fa2c576124940b402c9e414aa2f77 |
| institution | DOAJ |
| issn | 1007-3256 |
| language | zho |
| publishDate | 2025-02-01 |
| publisher | Editorial Office of Sichuan Mental Health |
| record_format | Article |
| series | Sichuan jingshen weisheng |
| spelling | doaj-art-e24fa2c576124940b402c9e414aa2f772025-08-20T03:05:09ZzhoEditorial Office of Sichuan Mental HealthSichuan jingshen weisheng1007-32562025-02-01381222710.11886/scjsws202406140011007-3256（2025）01-0022-06Decision-making behavior in patients with depressive disorder and its relationship with depressive and anxiety symptomsWang Yuxiang0Zhang Luoya1Zhang Maomao2Deng Juan3Peng Yanjie4Cheng Xiaotong5Liu Kezhi6Lei Wei7Chen Jing8Affiliated Hospital of Southwest Medical University， Luzhou 646000， ChinaAffiliated Hospital of Southwest Medical University， Luzhou 646000， ChinaAffiliated Hospital of Southwest Medical University， Luzhou 646000， ChinaSouthwest Medical University， Luzhou 646000， ChinaSouthwest Medical University， Luzhou 646000， ChinaSichuan Mental Health Center·The Third Hospital of Mianyang， Mianyang 621000， ChinaAffiliated Hospital of Southwest Medical University， Luzhou 646000， ChinaAffiliated Hospital of Southwest Medical University， Luzhou 646000， ChinaAffiliated Hospital of Southwest Medical University， Luzhou 646000， ChinaBackgroundPatients with depressive disorder often exhibit impaired decision-making functions. However， the relationship between decision-making abilities and depressive and anxiety symptoms in these patients remains unclear.ObjectiveTo explore the characteristics of decision-making behavior in patients with depressive disorder， and to analyze its relationship with clinical symptoms.MethodsA total of 48 patients diagnosed with depressive disorder according to the Diagnostic and Statistical Manual of Mental Disorders， fourth edition （DSM-IV） were recruited from the Department of Psychosomatic Medicine of the Affiliated Hospital of Southwest Medical University from October 2020 to May 2023. Concurrently， 52 healthy individuals matched for age and gender were recruited from Luzhou as the control group. Beck Depression Inventory （BDI） and Beck Anxiety Inventory （BAI） were used for assessment， and decision-making behavior was evaluated using Probabilistic Reversal Learning （PRL） task. Indicators assessed included the number of trials to criterion， perseverative errors， win-stay rate and lose-shift rate. Spearman correlation analysis was used to assess the correlation between BDI and BAI scores and PRL task indicators.ResultsThe depression group showed a significantly higher lose-shift rate compared with the control group （t=3.684， P<0.01）. There were no statistically significant differences between two groups in trials to criterion， perseverative errors and win-stay rate （t=0.329， 0.132， 0.609， P>0.05）. In depression group， BDI and BAI scores were positively correlated with the win-stay rate（r=0.450， 0.398， P<0.01）.ConclusionPatients with depressive disorder are more likely to change their decision-making strategies following negative outcomes. Furthermore， the severity of depressive and anxiety symptoms is associated with a greater propensity to maintain existing decisions after receiving positive feedback. ［Funded by 2019 Joint Project of Luzhou Science and Technology Bureau-Southwest Medical University （number， 2019LZXNYDJ39］http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202501004&flag=1depressive disorderdecision-making behaviorprobability reversal learningdepressive and anxiety symptoms |
| spellingShingle | Wang Yuxiang Zhang Luoya Zhang Maomao Deng Juan Peng Yanjie Cheng Xiaotong Liu Kezhi Lei Wei Chen Jing Decision-making behavior in patients with depressive disorder and its relationship with depressive and anxiety symptoms Sichuan jingshen weisheng depressive disorder decision-making behavior probability reversal learning depressive and anxiety symptoms |
| title | Decision-making behavior in patients with depressive disorder and its relationship with depressive and anxiety symptoms |
| title_full | Decision-making behavior in patients with depressive disorder and its relationship with depressive and anxiety symptoms |
| title_fullStr | Decision-making behavior in patients with depressive disorder and its relationship with depressive and anxiety symptoms |
| title_full_unstemmed | Decision-making behavior in patients with depressive disorder and its relationship with depressive and anxiety symptoms |
| title_short | Decision-making behavior in patients with depressive disorder and its relationship with depressive and anxiety symptoms |
| title_sort | decision making behavior in patients with depressive disorder and its relationship with depressive and anxiety symptoms |
| topic | depressive disorder decision-making behavior probability reversal learning depressive and anxiety symptoms |
| url | http://www.psychjm.net.cn/scjswszzen/ch/reader/view_abstract.aspx?file_no=202501004&flag=1 |
| work_keys_str_mv | AT wangyuxiang decisionmakingbehaviorinpatientswithdepressivedisorderanditsrelationshipwithdepressiveandanxietysymptoms AT zhangluoya decisionmakingbehaviorinpatientswithdepressivedisorderanditsrelationshipwithdepressiveandanxietysymptoms AT zhangmaomao decisionmakingbehaviorinpatientswithdepressivedisorderanditsrelationshipwithdepressiveandanxietysymptoms AT dengjuan decisionmakingbehaviorinpatientswithdepressivedisorderanditsrelationshipwithdepressiveandanxietysymptoms AT pengyanjie decisionmakingbehaviorinpatientswithdepressivedisorderanditsrelationshipwithdepressiveandanxietysymptoms AT chengxiaotong decisionmakingbehaviorinpatientswithdepressivedisorderanditsrelationshipwithdepressiveandanxietysymptoms AT liukezhi decisionmakingbehaviorinpatientswithdepressivedisorderanditsrelationshipwithdepressiveandanxietysymptoms AT leiwei decisionmakingbehaviorinpatientswithdepressivedisorderanditsrelationshipwithdepressiveandanxietysymptoms AT chenjing decisionmakingbehaviorinpatientswithdepressivedisorderanditsrelationshipwithdepressiveandanxietysymptoms |