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Impact of past experiences on decision-making in autism spectrum disorder

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Abstract

People are often influenced by past costs in their current decision-making, thus succumbing to a well-known bias recognized as the sunk cost effect. A recent study showed that the sunk cost effect is attenuated in individuals with autism spectrum disorder (ASD). However, the study only addressed one situation of utilization decision by focusing on the choice between similar attractive alternatives with different levels of sunk costs. Thus, it remains unclear how individuals with ASD behave under sunk costs in different types of decision situations, particularly progress decisions, in which the decision-maker allocates additional resources to an initially chosen alternative. The sunk cost effect in progress decisions was estimated using an economic task designed to assess the effect of the past investments on current decision-making. Twenty-four individuals with ASD and 21 age-, sex-, smoking status-, education-, and intelligence quotient-level-matched typical development (TD) subjects were evaluated. The TD participants were more willing to make the second incremental investment if a previous investment was made, indicating that their decisions were influenced by sunk costs. However, unlike the TD group, the rates of investments were not significantly increased after prior investments in the ASD group. The results agree with the previous evidence of a reduced sensitivity to context stimuli in individuals with ASD and help us obtain a broader picture of the impact of sunk costs on their decision-making. Our findings will contribute to a better understanding of ASD and may be useful in addressing practical implications of their socioeconomic behavior.

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Acknowledgements

The authors wish to extend their gratitude to the research team of the Medical Institute of Developmental Disabilities Research at Showa University for their assistance in data acquisition. This work was supported by grants-in-aid for scientific research A (24243061), C (17K10326), Young Scientists B (17K16398), and on Innovative Areas (23120009, 16H06572), from the Ministry of Education, Culture, Sports, Science and Technology of Japan (MEXT); and the Takeda Science Foundation. A part of this study is the result of the Strategic Research Program for Brain Sciences (JP19dm0107151) by Japan Agency for Medical Research and Development, “Research and development of technology for enhancing functional recovery of elderly and disabled people based on non-invasive brain imaging and robotic assistive devices,” the Commissioned Research of National Institute of Information and Communications Technology, JAPAN, and the Joint Usage/Research Program of Medical Institute of Developmental Disabilities Research, Showa University. These agencies had no further role in the study design, the collection, analysis, and interpretation of data, the writing of the report, or in the decision to submit the paper for publication.

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JF, ST, TI, YYA, HO, R-IH, MN, NK, and HT designed research; JF, ST, TI, and YYA participated in the data acquisition; JF, YYA, HO, MN, and NK were in charge of the clinical assessment. JF and ST analyzed data; TI, YYA, HO, MK, R-IH, MN, NK, and HT helped with interpretation of data. JF, ST, TI, YYA, HO, MK, R-IH, MN, NK, and HT wrote the paper. All authors have made intellectual contribution to the work and approved the final version of the manuscript for submission.

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Correspondence to Junya Fujino.

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The study was approved by the institutional ethical review board and has, therefore, been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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All participants gave their informed consent to participate prior to inclusion in the study.

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Fujino, J., Tei, S., Itahashi, T. et al. Impact of past experiences on decision-making in autism spectrum disorder. Eur Arch Psychiatry Clin Neurosci 270, 1063–1071 (2020). https://doi.org/10.1007/s00406-019-01071-4

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  • DOI: https://doi.org/10.1007/s00406-019-01071-4

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