Abstract
The Iowa Gambling Task (IGT) was created to assess real-world decision making in a laboratory setting and has been applied to various clinical populations (i.e., substance abuse, schizophrenia, pathological gamblers) outside those with orbitofrontal cortex damage, for whom it was originally developed. The current review provides a critical examination of lesion, functional neuroimaging, developmental, and clinical studies in order to examine the construct validity of the IGT. The preponderance of evidence provides support for the use of the IGT to detect decision making deficits in clinical populations, in the context of a more comprehensive evaluation. The review includes a discussion of three critical issues affecting the validity of the IGT, as it has recently become available as a clinical instrument: the lack of a concise definition as to what aspect of decision making the IGT measures, the lack of data regarding reliability of the IGT, and the influence of personality and state mood on IGT performance.
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References
Addison, T. L., & Schmidt, L. A. (1999). Are women who are shy reluctant to take risks? Behavioral and psychophysiological correlates. Journal of Research in Personality, 33(3), 352–357.
Adinoff, B., Devous, M. D., Cooper, D. B., Best, S. E., Chandler, P., Harris, T., et al. (2003). Resting regional cerebral blood flow and gambling task performance in cocaine-dependent subjects and healthy comparison subjects. American Journal of Psychiatry, 160, 1892–1894.
Anderson, S. W., Bechara, A., Damasio, H., Tranel, D., & Damasio, A. R. (1999). Impairment of social and moral behavior related to early damage in human prefrontal cortex. Nature Neuroscience, 2(11), 1032–1037.
Apkarian, A. V., Sosa, Y., Krauss, B. R., Thomas, P. S., Fredrickson, B. E., Levy, R. E., et al. (2004). Chronic pain patients are impaired on an emotional decision-making task. Pain, 108, 129–136.
Arkes, H. R., Herren, L. T., & Isen, A. M. (1988). The role of potential loss in the influence of affect on risk-taking behavior. Organizational Behavior and Human Decision Processes, 42(2), 181–193.
Bark, R., Dieckmann, S., Bogerts, B., & Northoff, G. (2005). Deficit in decision making in catatonic schizophrenia: an exploratory study. Psychiatry Research, 134, 131–141.
Barratt, E. S., Stanford, M. S., Dowdy, L., Liebman, M. J., & Kent, T. A. (1999). Impulsive and premeditated aggression—a factor analysis of self-reported acts. Psychiatry Research, 86, 163–173.
Bartzokis, G., Lu, P. H., Beckson, M., Rapoport, R., Grant, S., Wiseman, E. J., et al. (2000). Abstinence from cocaine reduces high-risk responses on a gambling task. Neuropsychopharmacology, 22(1), 102–103.
Bechara, A. (2003). Risky business: emotion, decision-making, and addiction. Journal of Gambling Studies, 19(1), 23–51.
Bechara, A. (2004). The role of emotion in decision-making: evidence from neurological patients with orbitofrontal damage. Brain and Cognition, 55(1), 30–40.
Bechara, A. (2007). Iowa gambling task professional manual. Lutz: Psychological Assessment Resources.
Bechara, A., & Damasio, H. (2002). Decision-making and addiction (part I): impaired activation of somatic states in substance dependent individuals when pondering decisions with negative future consequences. Neuropsychologica, 40, 1675–1689.
Bechara, A., & Martin, E. M. (2004). Impaired decision making related to working memory deficits in individuals with substance addictions. Neuropsychology, 18(1), 152–162.
Bechara, A., Damasio, A. R., Damasio, H., & Anderson, S. W. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50(1–3), 7–15.
Bechara, A., Tranel, D., Damasio, H., & Damasio, A. R. (1996). Failure to respond autonomically to anticipated future outcomes following damage to prefrontal cortex. Cerebral Cortex, 6, 215–225.
Bechara, A., Damasio, H., Tranel, D., & Anderson, S. W. (1998). Dissociation of working memory from decision making within the human prefrontal cortex. The Journal of Neuroscience, 18(1), 428–437.
Bechara, A., Damasio, H., Damasio, A. R., & Lee, G. P. (1999). Different contributions of the human amygdala and ventromedial prefrontal cortex to decision-making. The Journal of Neuroscience, 19, 5473–5481.
Bechara, A., Damasio, H., & Damasio, A. R. (2000a). Emotion, decision making, and the orbitofrontal cortex. Cerebral Cortex, 10(3), 295–307.
Bechara, A., Tranel, D., & Damasio, H. (2000b). Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions. Brain, 123(11), 2189–2202.
Bechara, A., Dolan, S., Denburg, N., Hindes, A., Anderson, S. W., & Nathan, P. E. (2001). Decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in alcohol and stimulant abusers. Neuropsychologia, 39, 376–389.
Bechara, A., Dolan, S., & Hindes, A. (2002). Decision-making and addiction (part II): myopia for the future or hypersensitivity to reward? Neuropsychologia, 40, 1690–1705.
Bechara, A., Damasio, H., Tranel, D., & Damasio, A. R. (1997). Deciding advantageously before knowing the advantageous strategy. Science, 275, 1293–1295.
Blair, R. J. R., Colledge, E., & Mitchell, D. G. V. (2001). Somatic markers and response reversal: is there orbitofrontal cortex dysfunction in boys with psychopathic tendencies? Journal of Abnormal Child Psychology, 29(6), 499–511.
Bolla, K. I., Eldreth, D. A., London, E. D., Kiehl, K. A., Mouratidis, M., Contoreggi, C., et al. (2003). Orbitofrontal cortex dysfunction in abstinent cocaine abusers performing a decision-making task. Neuroimage, 19, 1085–1094.
Bolla, K. I., Eldreth, D. A., Matochik, J. A., & Cadet, J. L. (2005). Neural substrates of faulty decision-making in abstinent marijuana users. Neuroimage, 26, 480–492.
Bowden-Jones, H., McPhillips, M., Rogers, R., Hutton, S., & Joyce, E. (2005). Risk-taking on tests sensitive to ventromedial prefrontal cortex dysfunction predicts early relapse in alcohol dependency: a pilot study. Journal of Neuropsychiatry and Clinical Neuroscience, 17(3), 417–420.
Bowman, C. H., & Turnbull, O. H. (2003). Real versus facsimile reinforcers on the Iowa gambling task. Brain and Cognition, 53, 207–210.
Bowman, C. H., Evans, C. E. Y., & Turnbull, O. H. (2005). Artificial time constraints on the Iowa gambling task: the effects of behavioural performance and subjective experience. Brain and Cognition, 57, 21–25.
Brand, M., Kalbe, E., Labudda, K., Fujiwara, E., Kessler, J., & Markowitsch, H. J. (2005). Decision-making impairments in patients with pathological gambling. Psychiatry Research, 133(1), 91–99.
Brand, M., Grabenhorst, F., Starcke, K., Vandekerckhove, M. M. P., & Markowitsch, H. J. (2007a). Role of the amygdala in decisions under ambiguity and decisions under risk: evidence from patients with Urbach-Wiethe disease. Neuropsychologia, 45, 1305–1317.
Brand, M., Recknor, E. C., Grabenhorst, F., & Bechara, A. (2007b). Decisions under ambiguity and decisions under risk: correlations with executive functions and comparisons of two different gambling tasks with implicit and explicit rules. Journal of Clinical and Experimental Neuropsychology, 29, 86–99.
Campbell, M. C., Stout, J. C., & Finn, P. R. (2004). Reduced autonomic responsiveness to gambling task losses in Huntington’s disease. Journal of the International Neuropsychological Society, 10, 239–245.
Carlson, S. M. (2005). Developmentally sensitive measures of executive function in preschool children. Developmental Neuropsychology, 28(2), 595–616.
Carter, S., & Pasqualini, M. C. S. (2004). Stronger autonomic response accompanies better learning: a test of Damasio’s somatic marker hypothesis. Cognition and Emotion, 18, 901–911.
Cavallaro, R., Cavedini, P., Mistretta, P., Bassi, T., Angelone, S. M., Ubbiali, A., et al. (2003). Basal-corticofrontal circuits in schizophrenia and obsessive-compulsive disorder: a controlled, double dissociation study. Biological Psychiatry, 54, 437–443.
Cavedini, P., Riboldi, G., Keller, R., D’Annucci, A., & Bellodi, L. (2002). Frontal lobe dysfunction in pathological gambling patients. Biological Psychiatry, 51, 334–341.
Cavedini, P., Bassi, T., Ubbiali, A., Casolari, A., Giordani, S., Zorzi, C., et al. (2004). Neuropsychological investigation of decision-making in anorexia nervosa. Psychiatry Research, 127(3), 259–266.
Ciarrocchi, J. W. (1993). Rates of pathological gambling in publicly funded outpatient substance abuse treatment. Journal of Gambling Studies, 9, 289–293.
Clark, L., Manes, F., Antoun, N., Sahakian, B. J., & Robbins, T. W. (2003). The contributions of lesion laterality and lesion volume to decision-making impairment following frontal lobe damage. Neuropsychologia, 41, 1474–1483.
Cronbach, L. J., & Meehl, P. E. (1955). Construct validity in psychological tests. Psychological Bulletin, 32, 281–302.
Crone, E. A., & van der Molen, M. W. (2004). Developmental changes in real life decision making: performance on a gambling task previously shown to depend on the ventromedial prefrontal cortex. Developmental Neuropsychology, 25(3), 251–279.
Crone, E. A., Vendel, I., & van der Molen, M. W. (2003). Decision-making in disinhibited adolescents and adults: insensitivity to future consequences or driven by immediate reward? Personality and Individual Differences, 35(7), 1625–1641.
Crone, E. A., Somsen, R. J. M., van Beek, B., & van der Molen, M. W. (2004). Heart rate and skin conductance analysis of antecedents and consequences of decision making. Psychophysiology, 41, 531–540.
Czernecki, V., Pillon, B., Houeto, J. L., Pochon, J. B., Levy, R., & Dubois, B. (2002). Motivation, reward, and Parkinson’s disease: influence of dopatherapy. Neuropsychologia, 40, 2257–2267.
Damasio, A. R. (1994). Descartes’ error. New York: Grosset/Putnam.
Davis, C., Levitan, R. D., Muglia, P., Bewell, C., & Kennedy, J. L. (2004). Decision-making deficits and overeating: a risk model for obesity. Obesity Research, 12(6), 929–935.
Denburg, N. L., Tranel, D., & Bechara, A. (2005). The ability to decide advantageously declines prematurely in some normal older adults. Neuropsychologia, 43, 1099–1106.
Denburg, N. L., Recknor, E. C., Bechara, A., & Tranel, D. (2006). Psychophysiological anticipation of positive outcomes promotes advantageous decision-making in normal older persons. International Journal of Psychophysiology, 61, 19–25.
Ernst, M., Bolla, K., Mouratidis, M., Contoreggi, C., Matochik, J. A., Kurian, V., et al. (2002). Decision-making in a risk-taking task: a PET study. Neuropsychopharmacology, 26, 682–691.
Ernst, M., Grant, S. J., London, E. D., Contoreggi, C. S., Kimes, A. S., & Spurgeon, L. (2003a). Decision making in adolescents with behavior disorders and adults with substance abuse. American Journal of Psychiatry, 160, 33–40.
Ernst, M., Kimes, A. L., London, E. D., Matochik, J. A., Eldreth, D., Tata, S., et al. (2003b). Neural substrates of decision making in adults with attention deficit hyperactivity disorder. American Journal of Psychiatry, 160, 1061–1070.
Eslinger, P. J., & Damasio, A. R. (1985). Severe disturbance of higher cognition after bilateral frontal lobe ablation: patient EVR. Neurology, 35, 1731.
Evans, C. E. Y., Bowman, C. H., & Turnbull, O. H. (2005). Subjective awareness on the Iowa gambling task: the key role of emotional experience in schizophrenia. Journal of Clinical and Experimental Neuropsychology, 27, 656–664.
Fein, G., Klein, L., & Finn, P. (2004). Impairment on a simulated gambling task in long-term abstinent alcoholics: neurobiological, behavioral, and environmental relations to drinking. Alcoholism: Clinical and Experimental Research, 28(10), 1487–1491.
Fein, G., McGillivray, S., & Finn, P. (2007). Older adults make less advantageous decisions than younger adults: cognitive and psychological correlates. Journal of the International Neuropsychological Society, 13, 480–489.
Fellows, L. K. (2004). The cognitive neuroscience of human decision making: a review and conceptual framework. Behavioral and Cognitive Neuroscience Reviews, 3, 159–172.
Fellows, L. K., & Farah, M. J. (2005). Different underlying impairments in decision-making following ventromedial and dorsolateral frontal lobe damage in humans. Cerebral Cortex, 15(1), 58–63.
Fernie, G., & Tunney, R. J. (2006). Some decks are better than others: the effect of reinforcer type and task instructions on learning in the Iowa gambling task. Brain and Cognition, 60, 94–102.
Field, M., Santarcangelo, M., Sumnall, H., Goudie, A., & Cole, J. (2006). Delay discounting and the behavioral economics of cigarette purchases in smokers: the effects of nicotine deprivation. Psychopharmacology, 186, 255–263.
Finucane, M. L., Alhakami, A., Slovic, P., & Johnson, S. M. (2000). The affect heuristic in judgments of risks and benefits. Journal of Behavioral Decision Making, 13(1), 1–17.
Fishbein, D., Hyde, C., Eldreth, D., London, E. D., Matochik, J., Ernst, M., et al. (2005). Cognitive performance and autonomic reactivity in abstinent drug abusers and nonusers. Experimental and Clinical Psychopharmacology, 13(1), 25–40.
Franken, I. H. A., & Muris, P. (2005). Individual differences in decision-making. Personality and Individual Differences, 39(5), 991–998.
Garon, N., & Moore, C. (2004). Complex decision-making in early childhood. Brain and Cognition, 55, 158–170.
Garon, N., & Moore, C. (2007). Developmental and gender differences in future-oriented decision-making during the preschool period. Child Neuropsychology, 13, 46–63.
Goudriaan, A. E., Oosterlaan, J., de Beurs, E., & Van den Brink, W. (2004). Pathological gambling: a comprehensive review of biobehavioral findings. Neuroscience and Biobehavioral Reviews, 28, 123–141.
Goudriaan, A. E., Oosterlaan, J., de Beurs, E., & van den Brink, W. (2005). Decision making in pathological gambling: a comparison between pathological gamblers, alcohol dependents, persons with Tourette syndrome, and normal controls. Cognitive Brain Research, 23, 137–151.
Grady, C. L., Springer, M. V., Hongwanishkul, D., McIntosh, A. R., & Winocur, G. (2006). Age-related changes in brain activity across the adult lifespan. Journal of Cognitive Neuroscience, 18, 227–241.
Grant, S., Bonson, K. R., Contoreggi, C., & London, E. D. (1999). Activation of the ventromedial prefrontal cortex correlates with gambling task performance: a FDG-PET study. Society for Neuroscience Abstracts, 25, 1551.
Grant, S., Contoreggi, C., & London, E. D. (2000). Drug abusers show impaired performance in a laboratory test of decision making. Neuropsychologia, 38, 1180–1187.
Grisham, J. R., Brown, T. A., Savage, C. R., Steketee, G., & Barlow, D. H. (2007). Neuropsychological impairment associated with compulsive hoarding. Behaviour Research and Therapy, 45, 1471–1483.
Hardy, D. J., Hinkin, C., Levine, A. J., Castellon, S. A., & Lam, M. N. (2006). Risky decision making assessed with the gambling task in adults with HIV. Neuropsychology, 20(3), 355–360.
Harmsen, H., Bischoff, G., Brooks, A., Hohagen, F., & Rumpf, H. J. (2006). The relationship between impaired decision-making, sensation seeking, and readiness to change in cigarette smokers. Addictive Behaviors, 31, 581–592.
Hooper, C. J., Luciana, M., Conklin, H. M., & Yarger, R. S. (2004). Adolescents performance on the Iowa gambling task: implications for the development of decision making and ventromedial prefrontal cortex. Developmental Psychology, 40(6), 1148–1158.
Johnson, E. J., & Tversky, A. (1983). Affect, generalization, and the perception of risk. Journal of Personality and Social Psychology, 45(1), 20–31.
Kerr, A., & Zelazo, P. D. (2004). Development of ‘hot’ executive function: the children’s gambling task. Brain and Cognition, 55, 148–157.
Lawrence, N. S., Wooderson, S., Mataix-Cols, D., David, R., Speckens, A., & Phillips, M. L. (2006). Decision making and set shifting impairments are associated with distinct symptoms dimensions in obsessive-compulsive disorder. Neuropsychology, 20(4), 409–419.
Lehto, J. E., & Elorinne, E. (2003). Gambling as an executive function task. Applied Neuropsychology, 10(4), 234–238.
Lejuez, C. W., Read, J. P., Kahler, C. W., Richards, J. B., Ramsey, S. E., Stuart, G. L., et al. (2002). Evaluation of a behavioral measure of risk taking: the Balloon Analogue Risk Task (BART). Journal of Experimental Psychology: Applied, 8, 75–84.
Lejuez, C. W., Aklin, W. M., Jones, H. A., Strong, D. R., Richards, J. B., Kahler, C. W., et al. (2003). The balloon analogue risk task (BART) differentiates smokers and nonsmokers. Experimental and Clinical Psychopharmacology, 11, 26–33.
Linnet, J., Rojskjaer, S., Nygaard, J., & Maher, B. A. (2006). Episodic chasing in pathological gamblers using the Iowa gambling task. Scandinavian Journal of Psychology, 47, 43–49.
Losel, F., & Schmucker, M. (2004). Psychopathy, risk taking, and attention: a differentiated test of the somatic marker hypothesis. Journal of Abnormal Psychology, 113(4), 522–529.
Malloy-Diniz, L., Fuentes, D., Borges Leite, W., Correa, H., & Bechara, A. (2007). Impulsive behavior in adults with attention deficit/hyperactivity disorder: characterization of attentional, motor and cognitive impulsiveness. Journal of the International Neuropsychological Society, 13, 693–698.
Manes, F., Sahakian, B., Clark, L., Rogers, R., Antoun, N., Aitken, M., et al. (2002). Decision-making processes following damage to the prefrontal cortex. Brain, 125, 624–639.
Martin, E. M., Pitrak, D. L., Weddington, W., Rains, N. A., Nunnally, G., Nixon, H., et al. (2004). Cognitive impulsivity and HIV serostatus in substance dependent males. Journal of the International Neuropsychological Society, 10, 931–938.
Midanik, L. T., Tam, T. W., & Weisner, C. (2007). Concurrent and simultaneous drug and alcohol use: results of the 2000 national alcohol survey. Drug and Alcohol Dependence, 90, 72–80.
Mintzer, M. Z., & Stitzer, M. L. (2002). Cognitive impairment in methadone maintenance patients. Drug and Alcohol Dependence, 67, 41–51.
Mitchell, D. G. V., Colledge, E., Leonard, A., & Blair, R. J. R. (2002). Risky decisions and response reversal: is there evidence of orbitofrontal cortex dysfunction in psychopathic individuals? Neuropsychologia, 40(12), 2013–2022.
Mongini, F., Keller, R., Deregibus, A., Barbalonga, E., & Mongini, T. (2005). Frontal lobe dysfunction in patients with chronic migraine: a clinical-neuropsychological study. Psychiatry Research, 133, 101–106.
Monterosso, J., Ehrman, R., Napier, K. L., O’Brien, C. P., & Childress, A. R. (2001). Three decision-making tasks in cocaine-dependent patients: do they measure the same construct? Addiction, 96, 1825–1837.
Must, A., Szabo, Z., Bodi, N., Szasz, A., Janka, Z., & Keri, S. (2006). Sensitivity to reward and punishment and the prefrontal cortex in major depression. Journal of Affective Disorders, 90(2–3), 209–215.
Nygren, T. E. (1998). Reacting to perceived high- and low-risk win-lose opportunities in a risky decision-making task: is it framing or affect or both? Motivation and Emotion, 22, 73–98.
Overman, W. H., Frassrand, K., Ansel, S., Trawalter, S., Bies, B., & Redmond, A. (2004). Performance on the IOWA card task by adolescents and adults. Neuropsychologia, 42, 1838–1851.
Perretta, J. G., Pari, G., & Beninger, R. J. (2005). Effects of Parkinson disease on two putative nondeclarative learning tasks: probabilistic classification and gambling. Cognitive and Behavioral Neurology, 18(4), 185–192.
Pirastu, R., Fais, R., Messina, M., Bini, V., Spiga, S., Falconieri, D., et al. (2006). Impaired decision-making in opiate-dependent subjects: effect of pharmacological therapies. Drug and Alcohol Dependence, 83, 163–168.
Rauch, S. L. (2000). Neuroimaging research and the neurobiology of obsessive-compulsive disorder: where do we go from here? Biological Psychiatry, 47, 168–170.
Rhodes, M. G. (2004). Age-related differences in performance on the Wisconsin card sorting test: a meta-analytic review. Psychology and Aging, 19, 482–494.
Ritter, L. M., Meador-Woodruff, J. H., & Dalack, G. W. (2004). Neurocognitive measures of prefrontal cortical dysfunction in schizophrenia. Schizophrenia Research, 68, 65–73.
Rodriguez-Sanchez, J. M., Crespo-Facorro, B., Iglesias, R. P., Bosch, C. G. B., Alvarez, M., Llorca, J., et al. (2005). Prefrontal cognitive functions in stabilized first-episode patients with schizophrenia spectrum disorders: a dissociation between dorsolateral and orbitofrontal functioning. Schizophrenia Research, 77, 279–288.
Ross, S. R., Benning, S. D., & Adams, Z. (2007). Symptoms of executive dysfunction are endemic to secondary psychopathy: an examination in criminal offenders and noninstitutionalized young adults. Journal of Personality Disorders, 21, 384–399.
Rotherham-Fuller, E., Shoptaw, S., Berman, S. M., & London, E. D. (2004). Impaired performance in a test of decision-making by opiate-dependent tobacco smokers. Drug and Alcohol Dependence, 73, 79–86.
Schmitt, W. A., Brinkley, C. A., & Newman, J. P. (1999). Testing Damasio’s somatic marker hypothesis with psychopathic individuals: risk takers or risk averse? Journal of Abnormal Psychology, 108(3), 538–543.
Schutter, D. J. L. G., & van Honk, J. (2005). Electrophysiological ratio markers for the balance between reward and punishment. Cognitive Brain Research, 24, 685–690.
Segalowitz, S. J., & Davies, P. L. (2004). Charting the maturation of the frontal lobe: an electrophysiological strategy. Brain and Cognition, 55, 116–133.
Seguin, J. R., Arseneault, L., & Tremblay, R. E. (2007). The contribution of “cool” and “hot” components of decision-making in adolescence: implications for developmental psychopathology. Cognitive Development, 22, 530–543.
Shurman, B., Horan, W. P., & Nuechterlein, K. H. (2005). Schizophrenia patients demonstrate a distinctive pattern of decision-making impairment on the Iowa gambling task. Schizophrenia Research, 72, 215–224.
Stout, J. C., Rodawalt, W. C., & Siemers, E. R. (2001). Risky decision making in Huntington’s disease. Journal of the International Neuropsychological Society, 7, 92–101.
Stout, J. C., Busemeyer, J. R., Lin, A., Grant, S. J., & Bonson, K. R. (2004). Cognitive modeling analysis of decision-making processes in cocaine abusers. Psychonomic Bulletin and Review, 11, 742–747.
Stout, J. C., Rock, S. L., Campbell, M. C., Busemeyer, J. R., & Finn, P. R. (2005). Psychological processes underlying risky decisions in drug abusers. Psychology of Addictive Behaviors, 19(2), 148–157.
Strauss, E., Sherman, E. M. S., & Spreen, O. (2006). A compendium of neuropsychological tests: Administration, norms, and commentary. New York: Oxford University Press.
Suhr, J. A., & Tsanadis, J. (2007). Affect and personality correlates of the Iowa gambling task. Personality and Individual Differences, 43, 27–36.
Tranel, D., Bechara, A., & Denburg, N. L. (2002). Asymmetric functional roles of right and left ventromedial prefrontal cortices in social conduct, decision-making, and emotional processing. Cortex, 38, 589–612.
Tucker, K. A., Potenza, M. N., Beauvais, J. E., Browndyke, J. N., Gottschalk, P. C., & Kosten, T. R. (2004). Perfusion abnormalities and decision making in cocaine dependence. Biological Psychiatry, 56, 527–530.
Turnbull, O. H., Evans, C. E. Y., Bunce, A., Carzolio, B., & O’Conner, J. (2005). Emotion-based learning and central executive resources: an investigation of intuition and the Iowa gambling task. Brain and Cognition, 57, 244–247.
Van den Bos, R., Houx, B. B., & Spruijt, B. M. (2006). The effect of reward magnitude differences on choosing disadvantageous decks in the Iowa gambling task. Biological Psychology, 71, 155–161.
van Honk, J., Hermans, E. J., Putman, P., Montagne, B., & Schulter, D. J. (2002). Defective somatic markers in sub-clinical psychopathy. Neuroreport, 13(8), 1025–1027.
Verdejo-Garcia, A., & Perez-Garcia, M. (2007). Profile of executive deficits in cocaine and heroin polysubstance users: common and differential effects on separate executive components. Psychopharmacology, 190, 517–530.
Verdejo-Garcia, A., Vilar-Lopez, R., Perez-Garcia, M., Podell, K., & Goldberg, E. (2006). Altered adaptive but not veridical decision-making in substance dependent individuals. Journal of the International Neuropsychological Society, 12, 90–99.
Verdejo-Garcia, A., Benbrook, A., Funderburk, F., David, P., Cadet, J.-L., & Bolla, K. I. (2007). The differential relationship between cocaine use and marijuana use on decision-making performance over repeat testing with the Iowa Gambling Task. Drug and Alcohol Dependence, 90, 2–11.
Whitlow, C. T., Liguori, A., Livengood, L. B., Hart, S. L., Mussat-Whitlow, B. J., Lamborn, C. M., et al. (2004). Long-term heavy marijuana users make costly decisions on a gambling task. Drug and Alcohol Dependence, 76, 107–111.
Whitney, K. A., Fastenau, P. S., Evans, J. D., & Lysaker, P. H. (2004). Comparative neuropsychological function in obsessive-compulsive disorder and schizophrenia with and without obsessive-compulsive symptoms. Schizophrenia Research, 69, 75–83.
Wilder, K. E., Weinberger, D. R., & Goldberg, T. E. (1998). Operant conditioning and the orbitofrontal cortex in schizophrenic patients: unexpected evidence for intact functioning. Schizophrenia Research, 30, 169–174.
Windmann, S., Kirsch, P., Mier, D., Stark, R., Walter, B., Gunturkun, O., et al. (2006). On framing effects in decision making: linking lateral versus medial orbitofrontal cortex activation to choice outcome processing. Journal of Cognitive Neuroscience, 18(7), 1198–1211.
Wood, S., Busemeyer, J., Koling, A., Cox, C. R., & Davis, H. (2005). Older adults as adaptive decision makers: evidence from the Iowa gambling task. Psychology and Aging, 20(2), 220–225.
Yechiam, E., Stout, J. C., Busemeyer, J. R., Rock, S. L., & Finn, P. R. (2005). Individual differences in the response to forgone payoffs: an examination of high functioning drug abusers. Journal of Behavioral Decision Making, 18, 97–110.
Zang, Y. F., Jin, Z., Weng, X. C., Zhang, L., Zeng, Y. W., Yang, L., et al. (2005). Functional MRI in attention-deficit hyperactivity disorder: evidence for hypofrontality. Brain & Development, 27, 544–550.
Zimak, E., Suhr, J., Fox, L., & Riddle, T (February, 2008). ADHD diagnosis, ADHD symptoms, and risky behavior. Presented at the International Neuropsychological Society conference, Kona, HI.
Zimmerman, M. E., Brickman, A. M., Paul, R. H., Grieve, S. M., Tate, D. F., & Gunstad, J. (2006). The relationship between frontal gray matter volume and cognition varies across the healthy adult lifespan. American Journal of Geriatric Psychiatry, 14, 823–833.
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Buelow, M.T., Suhr, J.A. Construct Validity of the Iowa Gambling Task. Neuropsychol Rev 19, 102–114 (2009). https://doi.org/10.1007/s11065-009-9083-4
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DOI: https://doi.org/10.1007/s11065-009-9083-4