Association Between Delay Discounting and Psychopathological Symptoms
DOI:
https://doi.org/10.31505/rbtcc.v27i1.2177Keywords:
Delay Discounting, Internalizing disorders, NeuroticismAbstract
Delay discounting refers to the tendency to subjectively devalue rewards as the delay to their receipt increases. High levels of discounting are associated with maladaptive behaviors and clinical conditions such as anxiety and depression. This study investigated the influence of delay discounting on symptoms of anxiety, depression, and stress in 520 Brazilian adults (70.2% women; mean age = 27.3 years), while controlling for sociodemographic covariates and the personality trait of neuroticism. Participants completed online questionnaires on personality (IGFP-5), psychopathological symptoms (DASS-21), and monetary preferences (MCQ-27). Results showed that individuals with high discounting exhibited higher levels of anxiety, depression, and stress compared to those in the moderate and low discounting groups. However, after adjusting for sociodemographic variables and neuroticism, only anxiety and stress symptoms remained significantly associated with high discounting. These findings suggest that delay discounting influences specific symptoms of internalizing disorders.
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Amirazodi, F., & Amirazodi, M. (2011). Personality traits and self-esteem. Procedia-Social and Behavioral Sciences, 29, 713-716. https://doi.org/10.1016/j.sbspro.2011.11.296
Amlung, M., Marsden, E., Holshausen, K., Morris, V., Patel, H., Vedelago, L., Naish, K. R., 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
Andrade, J. M. (2008). Evidências de validade do inventário dos cinco grandes fatores de personalidade para o Brasil [Tese de Doutorado, Universidade de Brasília]. https://repositorio.unb.br/handle/10482/1751
Anokhin, A. P., Grant, J. D., Mulligan, R. C., & Heath, A. C. (2015). The genetics of impulsivity: Evidence for the heritability of delay discounting. Biological psychiatry, 77(10), 887–894. https://doi.org/10.1016/j.biopsych.2014.10.022
Barlow, D. H., Sauer-Zavala, S., Carl, J. R., Bullis, J. R., & Ellard, K. K. (2014). The nature, diagnosis, and treatment of neuroticism: Back to the future. Clinical Psychological Science, 2(3), 344–365. https://doi.org/10.1177/2167702613505532
Bessette, K.; Westlund Schreiner, M.; Easter, R.; Pocius, S.; Welsh, R.; Hankin, B.; Stange, J.; Burkhouse, K.; Langenecker, S. (2020). Neuroticism and Rumination are Overlapping Constructs, yet Show Unique Relationships with Resting State Networks, Remitted Depression, and Risk for Depression Relapse. Biological Psychiatry 87(9): S17-S18. https://doi.org/10.1016/j.biopsych.2020.02.071
Bickel, W. K., Athamneh, L. N., Basso, J. C., Mellis, A. M., DeHart, W. B., Craft, W. H., & Pope, D. (2019). Excessive discounting of delayed reinforcers as a trans-disease process: Update on the state of the science. Current opinion in psychology, 30, 59–64. https://doi.org/10.1016/j.copsyc.2019.01.005
Bird, B. M., Levitt, E. E., Stewart, S. H., Wanklyn, S. G., Meyer, E. C., Murphy, J. G., McDevitt-Murphy, M. E., & MacKillop, J. (2024). Posttraumatic stress and delay discounting: A meta-analytic review. Psychological medicine, 54(3), 437–446. https://doi.org/10.1017/S0033291723003069
Cáceda, R., Durand, D., Cortes, E., Prendes-Alvarez, S., Moskovciak, T., Harvey, P. D., & Nemeroff, C. B. (2014). Impulsive choice and psychological pain in acutely suicidal depressed patients. Psychosomatic medicine, 76(6), 445–451. https://doi.org/10.1097/PSY.0000000000000075
Campbell, J. A., & Egede, L. E. (2024). Relationship between delay discounting, delay aversion and psychosocial domains of diabetes care. Journal of affective disorders, 347, 601–607. https://doi.org/10.1016/j.jad.2023.12.017
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155
Costa, P. T., & McCrae, R. R. (1992). The five-factor model of personality and its relevance to personality disorders. Journal of Personality Disorders, 6(4), 343–359. https://doi.org/10.1521/pedi.1992.6.4.343
Cuthbert, B. N., & Insel, T. R. (2013). Toward the future of psychiatric diagnosis: The seven pillars of RDoC. BMC medicine, 11, 126. https://doi.org/10.1186/1741-7015-11-126
Daugherty, J. R., & Brase, G. L. (2010). Taking time to be healthy: Predicting health behaviors with delay discounting and time perspective. Personality and Individual Differences, 48(2), 202–207. https://doi.org/10.1016/j.paid.2009.10.007
Escobar, G. G., Morales- Chainé, S., Haynes, J. M., Santoyo, C., & Mitchell, S. H. (2023). Moderate stability among delay, probability, and effort discounting in humans. Psychological Record, 73(2), 149–162. https://doi.org/10.1007/s40732-023-00537-1
Field, A. (2009). Descobrindo a estatística usando o SPSS-5 (5ª ed.). Artmed.
Fields, S. A., Lange, K., Ramos, A., Thamotharan, S., & Rassu, F. (2014). The relationship between stress and delay discounting: a meta-analytic review. Behavioural pharmacology, 25(5-6), 434–444. https://doi.org/10.1097/FBP.0000000000000044
Hirsh, J. B., & Inzlicht, M. (2008). The devil you know: Neuroticism predicts neural response to uncertainty. Psychological science, 19(10), 962–967. https://doi.org/10.1111/j.1467-9280.2008.02183.x
Holmes, E. A., Ghaderi, A., Harmer, C. J., Ramchandani, P. G., Cuijpers, P., Morrison, A. P., Roiser, J. P., Bockting, C. L. H., O'Connor, R. C., Shafran, R., Moulds, M. L., & Craske, M. G. (2018). The Lancet Psychiatry Commission on psychological treatments research in tomorrow's science. The lancet. Psychiatry, 5(3), 237–286. https://doi.org/10.1016/S2215-0366(17)30513-8
Johnson, M. W., & Bruner, N. R. (2012). The Sexual Discounting Task: HIV risk behavior and the discounting of delayed sexual rewards in cocaine dependence. Drug and alcohol dependence, 123(1-3), 15–21. https://doi.org/10.1016/j.drugalcdep.2011.09.032
Kaplan, B. A., Amlung, M., Reed, D. D., Jarmolowicz, D. P., McKerchar, T. L., & Lemley, S. M. (2016). Automating scoring of delay discounting for the 21- and 27-Item Monetary Choice Questionnaires. The Behavior Analyst, 39(2), 293–304. https://doi.org/10.1007/s40614-016-0070-9
Keidel, K., Lu, X., Suzuki, S., Murawski, C., & Ettinger, U. (2024). Association of temporal discounting with transdiagnostic symptom dimensions. npj Mental Health Research, 3(13). https://doi.org/10.1038/s44184-024-00060-3
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. https://doi.org/10.1037//0096-3445.128.1.78
Kirby, K. N. (2009). One-year temporal stability of delay-discount rates. Psychonomic Bulletin & Review, 16(3), 457–462. https://doi.org/10.3758/PBR.16.3.457
Klein, D. N., Kotov, R., & Bufferd, S. J. (2011). Personality and depression: Explanatory models and review of the evidence. Annual Review of Clinical Psychology, 7, 269-295. https://doi.org/10.1146/annurev-clinpsy-032210-104540
Kotov, R., Gamez, W., Schmidt, F., & Watson, D. (2010). Linking "big" personality traits to anxiety, depressive, and substance use disorders: A meta-analysis. Psychological Bulletin, 136(5), 768-821. https://doi.org/10.1037/a0020327
Kozak, M. J., & Cuthbert, B. N. (2016). The NIMH Research Domain Criteria Initiative: Background, issues, and pragmatics. Psychophysiology, 53(3), 286–297. https://doi.org/10.1111/psyp.12518
Lempert, K. M., Porcelli, A. J., Delgado, M. R., & Tricomi, E. (2012). Individual differences in delay discounting under acute stress: the role of trait perceived stress. Frontiers in psychology, 3, 251. https://doi.org/10.3389/fpsyg.2012.00251
Lempert, K. M., Johnson, E., & Phelps, E. A. (2016). Emotional arousal predicts intertemporal choice. Emotion (Washington, D.C.), 16(5), 647–656. https://doi.org/10.1037/emo0000168
Lempert, K. M., Steinglass, J. E., Pinto, A., 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
Levin, M. E., Haeger, J., Ong, C. W., & Twohig, M. P. (2018). An Examination of the Transdiagnostic Role of Delay Discounting in Psychological Inflexibility and Mental Health Problems. Psychological Record, 68(2), 201–210. https://doi.org/10.1007/S40732-018-0281-4
Levitt, E. E., Oshri, A., Amlung, M., Ray, L. A., Sanchez-Roige, S., Palmer, A. A., & MacKillop, J. (2022). Evaluation of delay discounting as a transdiagnostic research domain criteria indicator in 1388 general community adults. Psychological medicine, 1–9. Advance online publication. https://doi.org/10.1017/S0033291721005110
Lovibond, S. H., & Lovibond, P. F. (1995). Depression Anxiety Stress Scales (DASS--21, DASS--42) [Database record]. APA PsycTests. https://doi.org/10.1037/t01004-000
Luhmann, C. C., Ishida, K., & Hajcak, G. (2011). Intolerance of uncertainty and decisions about delayed, probabilistic rewards. Behavior therapy, 42(3), 378–386. https://doi.org/10.1016/j.beth.2010.09.002
MacKillop, J., 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
Malesza, M. (2019). Stress and delay discounting: The mediating role of difficulties in emotion regulation. Personality and Individual Differences, 144, 56–60. https://doi.org/10.1016/j.paid.2019.02.035
McClure, S. M., Laibson, D. I., Loewenstein, G., & Cohen, J. D. (2004). Separate neural systems value immediate and delayed monetary rewards. Science (New York, N.Y.), 306(5695), 503–507. https://doi.org/10.1126/science.1100907
Meier, S., & Sprenger, C. D. (2012). Time discounting predicts creditworthiness. Psychological Science, 23(1), 56–58. https://doi.org/10.1177/0956797611425931
Millner, A. J., Robinaugh, D. J., & Nock, M. K. (2020a). Advancing the Understanding of Suicide: The Need for Formal Theory and Rigorous Descriptive Research. Trends in cognitive sciences, 24(9), 704–716. https://doi.org/10.1016/j.tics.2020.06.007
Mohammadkhani, P., Abasi, I., Pourshahbaz, A., Mohammadi, A., & Fatehi, M. (2016). The Role of Neuroticism and Experiential Avoidance in Predicting Anxiety and Depression Symptoms: Mediating Effect of Emotion Regulation. Iranian journal of psychiatry and behavioral sciences, 10(3), e5047. https://doi.org/10.17795/ijpbs-504
Myerson, J., Baumann, A. A., & Green, L. (2014). Discounting of delayed rewards: (A)theoretical interpretation of the Kirby questionnaire. Behavioural processes, 107, 99–105. https://doi.org/10.1016/j.beproc.2014.07.021
Pulcu, E., Trotter, P. D., Thomas, E. J., McFarquhar, M., Juhasz, G., Sahakian, B. J., Deakin, J. F., Zahn, R., Anderson, I. M., & Elliott, R. (2014). Temporal discounting in major depressive disorder. Psychological medicine, 44(9), 1825–1834. https://doi.org/10.1017/S0033291713002584
Steinglass, J. E., Lempert, K. M., Choo, T. H., Kimeldorf, M. B., Wall, M., 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
Stevens, J.R. (2017). Intertemporal choice and delayed gratification. In J. Call (Ed.), APA handbook of comparative psychology (pp. 535-552). Washington, D.C: APA Press. https://digitalcommons.unl.edu/psychstevens
Strickland, J. C., Gelino, B. W., Rabinowitz, J. A., Ford, M. R., Dayton, L., Latkin, C., & Reed, D. D. (2023). Temporal reliability and stability of delay discounting: A 2-year repeated assessments study of the Monetary Choice Questionnaire. Experimental and Clinical Psychopharmacology, 31(5), 902–907. https://doi.org/10.1037/pha0000651
Vignola, R. C. B., & Tucci, A. M. (2014). Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. Journal of Affective Disorders, 155(1), 104–109. https://doi.org/10.1016/j.jad.2013.10.031
Xia, L., Gu, R., Zhang, D., & Luo, Y. (2017). Anxious Individuals Are Impulsive Decision-Makers in the Delay Discounting Task: An ERP Study. Frontiers in behavioral neuroscience, 11, 5. https://doi.org/10.3389/fnbeh.2017.00005
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