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1.
J Exp Anal Behav ; 122(1): 3-10, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38853291

ABSTRACT

The vast majority of studies on discounting have focused on simple delayed outcomes, but most everyday decisions are more complicated. The present experiment focused on one such scenario, an iconic self-control situation in which immediate gains are followed by delayed losses. The same participants were studied in all conditions to permit examination of individual differences in choice behavior using intercorrelations and factor analysis. Consistent with previous research, the hyperboloid model accurately described the form of the discounting function and discounting was not affected by the amount of the delayed loss when it was presented alone. However, replicating other studies, smaller delayed losses were discounted more steeply than larger ones when presented in combination with immediate gains. Exploratory factor analysis revealed two factors, one loading primarily on loss-only conditions and the other loading primarily on conditions involving outcomes that combined gains and losses. These results imply that there are individual differences in how one combines gains and losses and that this characteristic of individual decision making might be an important predictor of decisions in the many everyday choice situations that involve complex outcomes.


Subject(s)
Delay Discounting , Individuality , Humans , Male , Female , Young Adult , Reward , Models, Psychological , Choice Behavior , Factor Analysis, Statistical , Adult , Self-Control/psychology
2.
Psychol Aging ; 2024 Apr 22.
Article in English | MEDLINE | ID: mdl-38647450

ABSTRACT

Although the authors of a recent meta-analysis concluded there were no age-related differences in the discounting of delayed rewards, they did not examine the effects of income (Seaman et al., 2022). Accordingly, the present study compared discounting by younger and older adults (Ages 35-50 and 65-80) differing in household income. Two procedures were used: the Monetary Choice Questionnaire and the Adjusting-Amount procedure. Whereas no age difference was observed between the higher income (> $80,000) age groups, a significant difference was observed between younger and older adults with lower incomes (< $50,000): The younger adults discounted more steeply than the older adults. These findings, which were observed with both discounting procedures, support our buffering hypothesis, which assumes that the scarcity associated with a lower income is a stressor that can lead to steeper discounting, but that age-related increases in emotional stability can buffer such stressors, leading to age-related differences between lower income age groups. In contrast, no age difference was observed in higher income adults who experience much less scarcity. Further support for the buffering hypothesis comes from the finding that there was no age-related difference in discounting by the lower income groups when distress was statistically controlled. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

3.
PLoS One ; 18(10): e0292258, 2023.
Article in English | MEDLINE | ID: mdl-37844072

ABSTRACT

The Monetary Choice Questionnaire (MCQ) is a widely used behavioral task that measures the rate of delay discounting (i.e., k), the degree to which a delayed reward loses its present value as a function of the time to its receipt. Both 21- and 27-item MCQs have been extensively validated and proven valuable in research. Different methods have been developed to streamline MCQ scoring. However, existing scoring methods have yet to tackle the issue of missing responses or provide clear guidance on imputing such data. Due to this lack of knowledge, the present study developed and compared three imputation approaches that leverage the MCQ's structure and prioritize ease of implementation. Additionally, their performance was compared with mode imputation. A Monte Carlo simulation was conducted to evaluate the performance of these approaches in handling various missing responses in each observation across two datasets from prior studies that employed the 21- and 27-item MCQs. One of the three approaches consistently outperformed mode imputation across all performance measures. This approach involves imputing missing values using congruent non-missing responses to the items corresponding to the same k value or introducing random responses when congruent answers are unavailable. This investigation unveils a straightforward method for imputing missing data in the MCQ while ensuring unbiased estimates. Along with the investigation, an R tool was developed for researchers to implement this strategy while streamlining the MCQ scoring process.


Subject(s)
Research Design , Reward , Data Interpretation, Statistical , Surveys and Questionnaires , Computer Simulation
4.
Behav Processes ; 208: 104864, 2023 May.
Article in English | MEDLINE | ID: mdl-37001683

ABSTRACT

The present study compared the two most prominent procedures for measuring delay discounting, the Adjusting-Amount procedure and the Monetary Choice Questionnaire (MCQ). Of interest was whether the two procedures measure the same construct. Results obtained from two online samples recruited using the Prolific (N = 150) and MTurk (N = 243) platforms revealed generally similar results for both procedures. Regardless of the procedure, the sample, the reward amount, and whether the discounting measure used was theoretically based (i.e., log k) or was atheoretical (i.e., area under the curve, proportion of choices of the delayed reward option), the degree of discounting on the Adjusting-Amount procedure was highly correlated with the degree of discounting on the MCQ, consistent with the hypothesis that both procedures assess the same construct.


Subject(s)
Delay Discounting , Individuality , Reward , Surveys and Questionnaires , Choice Behavior
5.
Article in English | MEDLINE | ID: mdl-36834239

ABSTRACT

Psychological distress reached historically high levels in 2020, but why, and why were there pronounced age differences? We address these questions using a relatively novel, multipronged approach, part narrative review and part new data analyses. We first updated previous analyses of national surveys that showed distress was increasing in the US and Australia through 2017 and then re-analyzed data from the UK, comparing periods with and without lockdowns. We also analyzed the effects of age and personality on distress in the US during the pandemic. Results showed distress levels and age differences in distress were still increasing through 2019 in the US, UK, and Australia. The effects of lockdowns in 2020 revealed the roles of social deprivation and fear of infection. Finally, age-related differences in emotional stability accounted for the observed age differences in distress. These findings reveal the limitations of analyses comparing pre-pandemic and pandemic periods without accounting for ongoing trends. They also suggest that differences in personality traits such as emotional stability modulate responses to stressors. This could explain age and individual differences in both increases and decreases in distress in response to changes in the level of stressors such as those occurring prior to and during the COVID-19 pandemic.


Subject(s)
COVID-19 , Psychological Distress , Humans , Pandemics , Communicable Disease Control , Emotions
6.
J Exp Anal Behav ; 119(1): 36-48, 2023 Jan.
Article in English | MEDLINE | ID: mdl-36511664

ABSTRACT

Previous discounting research has focused on relatively simple situations (e.g., choosing between immediate and delayed gains, or between immediate and delayed losses) and the relations among amount, delay, and subjective value in such situations are now well established. Many everyday choice situations, however, are more complex, involving alternatives that combine gains and losses. In two experiments, participants discounted a monetary outcome that combined an immediate gain with a delayed loss. Consistent with the discounting framework, the value of the combination was approximately equal to the difference between the (undiscounted) value of the immediate gain and the (discounted) value of the delayed loss. More precise predictions of the relative subjective value of the delayed loss component of a combination were given by the same hyperboloid function that describes discounting in simple choice situations where outcomes only involve gains or losses, not both. As in previous studies, when the outcome was a simple one consisting of only a delayed loss, discounting was not affected by the amount of that loss. Surprisingly, however, when the loss was preceded by a gain, the degree to which the combination was discounted was affected by the amount of the loss. Notably, discounting of the delayed loss component of the combination decreased with the amount of the loss in a fashion similar to that observed with simple delayed gains, where smaller amounts are discounted more steeply than larger amounts. Choice situations involving immediate gains followed by delayed losses pose iconic self-control problems, and the present findings support the application of the discounting framework to these important everyday problems.


Subject(s)
Delay Discounting , Reward , Humans , Time Factors , Choice Behavior
8.
Front Psychol ; 13: 923056, 2022.
Article in English | MEDLINE | ID: mdl-35967691

ABSTRACT

CDC-recommended mitigation behaviors and vaccination status were assessed in an online sample (N = 810; ages 18-80). Results were consistent with a differential distress hypothesis positing that whereas psychological distress, which is induced in part by social deprivation, interferes with mitigation behaviors involving social distancing, it motivates vaccination, in part because it, in turn, can increase social interaction. Age modulated these effects. Despite the greater risk of severe consequences, older adults not only showed less distress, but compared to younger participants with equivalent levels of distress, the older adults showed less effect of distress on both social distancing and vaccination status. Together these findings highlight a conundrum faced in public health messaging. Traditional "fear messages" may be less effective for older adults, who are most in danger, whereas in younger adults, the distress induced by fear messages may motivate vaccination but diminish mitigation behaviors needed to prevent subsequent "breakthrough" infections.

9.
Sci Rep ; 12(1): 11906, 2022 07 13.
Article in English | MEDLINE | ID: mdl-35831340

ABSTRACT

Widespread vaccination is necessary to minimize or halt the effects of many infectious diseases, including COVID-19. Stagnating vaccine uptake can prolong pandemics, raising the question of how we might predict, prevent, and correct vaccine hesitancy and unwillingness. In a multinational sample (N = 4,452) recruited from 13 countries that varied in pandemic severity and vaccine uptake (July 2021), we examined whether short-sighted decision-making as exemplified by steep delay discounting-choosing smaller immediate rewards over larger delayed rewards-predicts COVID-19 vaccination status. Delay discounting was steeper in unvaccinated individuals and predicted vaccination status over and above demographics or mental health. The results suggest that delay discounting, a personal characteristic known to be modifiable through cognitive interventions, is a contributing cause of differences in vaccine compliance.


Subject(s)
COVID-19 , COVID-19/prevention & control , COVID-19 Vaccines , Humans , Pandemics/prevention & control , Reward , Vaccination
10.
J Neurosci Methods ; 371: 109528, 2022 Apr 01.
Article in English | MEDLINE | ID: mdl-35182605

ABSTRACT

BACKGROUND: Rodent behavioral models with an electrophysiological component may require the joint operation of hardware from Med Associates, Inc. (St. Albans, VT) and Tucker-Davis Technologies (TDT; Alachua, FL). Although these manufacturers do produce supplemental hardware for interfacing with each other, investing in such hardware may be untenable for research groups with limited funds who wish to use equipment already in their possession. NEW METHOD: We designed a printed circuit board (PCB) in KiCad and had it fabricated by Advanced Circuits (Aurora, CO), with components sourced from Digi-Key (Thief River Falls, MN). The PCB provided 8 channels of bidirectional communication for the transmission of signals between Med Associates' SG-716B SmartCtrl connection panel and TDT's RZ5D base station. This setup enabled the coordinated operation of programs running separately on each set of hardware. RESULTS: The custom-built PCB facilitated the joint operation of Med Associates and TDT hardware in a go/no-go detection task involving rats with electrical implants in their sciatic nerves. COMPARISON WITH EXISTING METHODS: Conventional methods for interfacing Med Associates and Tucker-Davis Technologies rely on the purchase of pre-built hardware whose costs can add up to thousands of dollars. The present method offers a viable alternative that is easily implemented and considerably less expensive (below $200). CONCLUSION: The present approach provides an inexpensive yet effective alternative to far more costly interfacing solutions offered by Med Associates and Tucker-Davis Technologies.


Subject(s)
Computers , Rodentia , Animals , Electrophysiological Phenomena , Prostheses and Implants , Rats , Sciatic Nerve
11.
Front Neurosci ; 15: 758427, 2021.
Article in English | MEDLINE | ID: mdl-34690689

ABSTRACT

Objective: Intuitive control of conventional prostheses is hampered by their inability to provide the real-time tactile and proprioceptive feedback of natural sensory pathways. The macro-sieve electrode (MSE) is a candidate interface to amputees' truncated peripheral nerves for introducing sensory feedback from external sensors to facilitate prosthetic control. Its unique geometry enables selective control of the complete nerve cross-section by current steering. Unlike previously studied interfaces that target intact nerve, the MSE's implantation requires transection and subsequent regeneration of the target nerve. Therefore, a key determinant of the MSE's suitability for this task is whether it can elicit sensory percepts at low current levels in the face of altered morphology and caliber distribution inherent to axon regeneration. The present in vivo study describes a combined rat sciatic nerve and behavioral model developed to answer this question. Approach: Rats learned a go/no-go detection task using auditory stimuli and then underwent surgery to implant the MSE in the sciatic nerve. After healing, they were trained with monopolar electrical stimuli with one multi-channel and eight single-channel stimulus configurations. Psychometric curves derived by the method of constant stimuli (MCS) were used to calculate 50% detection thresholds and associated psychometric slopes. Thresholds and slopes were calculated at two time points 3 weeks apart. Main Results: For the multi-channel stimulus configuration, the average current required for stimulus detection was 19.37 µA (3.87 nC) per channel. Single-channel thresholds for leads located near the nerve's center were, on average, half those of leads located near the periphery (54.92 µA vs. 110.71 µA, or 10.98 nC vs. 22.14 nC). Longitudinally, 3 of 5 leads' thresholds decreased or remained stable over the 3-week span. The remaining two leads' thresholds increased by 70-74%, possibly due to scarring or device failure. Significance: This work represents an important first step in establishing the MSE's viability as a sensory feedback interface. It further lays the groundwork for future experiments that will extend this model to the study of other devices, stimulus parameters, and task paradigms.

12.
PLoS One ; 16(9): e0257658, 2021.
Article in English | MEDLINE | ID: mdl-34547057

ABSTRACT

The present study examined individual characteristics potentially associated with changes in mitigation behaviors (social distancing and hygiene) recommended by the Centers for Disease Control and Prevention. Analysis of online survey responses from 361 adults, ages 20-78, with US IP addresses, identified significant correlates of adaptive behavioral changes, with implications for preventive strategies and mental health needs. The extent to which individuals changed their mitigation behaviors was unrelated to self-rated health or concern regarding the personal effects of COVID-19 but was related to concern regarding the effects of the pandemic on others. Thus, mitigation behaviors do not appear to be primarily motivated by self-protection. Importantly, adaptive changes in mitigation behaviors increased with age. However, these changes, particularly those related to the frequency of close proximity encounters, appear to be due to age-related decreases in anxiety and depression. Taken together, the present results argue against over-reliance on 'fear appeals' in public health messages as they may increase anxiety and depression. Instead, the present findings argue for more appeals to people's concern for others to motivate mitigation as well as indicating an immediate need to address individual mental health concerns for the sake of society as a whole.


Subject(s)
COVID-19/prevention & control , COVID-19/psychology , Health Behavior , Individuality , Surveys and Questionnaires , Adult , Age Factors , Aged , COVID-19/epidemiology , Female , Humans , Male , Mental Health , Middle Aged , Pandemics/prevention & control , Sex Factors , Young Adult
13.
Elife ; 102021 08 03.
Article in English | MEDLINE | ID: mdl-34342577

ABSTRACT

Intertemporal choices require trade-offs between short-term and long-term outcomes. Ventromedial prefrontal cortex (vmPFC) damage causes steep discounting of future rewards (delay discounting [DD]) and impoverished episodic future thinking (EFT). The role of vmPFC in reward valuation, EFT, and their interaction during intertemporal choice is still unclear. Here, 12 patients with lesions to vmPFC and 41 healthy controls chose between smaller-immediate and larger-delayed hypothetical monetary rewards while we manipulated reward magnitude and the availability of EFT cues. In the EFT condition, participants imagined personal events to occur at the delays associated with the larger-delayed rewards. We found that DD was steeper in vmPFC patients compared to controls, and not modulated by reward magnitude. However, EFT cues downregulated DD in vmPFC patients as well as controls. These findings indicate that vmPFC integrity is critical for the valuation of (future) rewards, but not to instill EFT in intertemporal choice.


Subject(s)
Choice Behavior , Delay Discounting/physiology , Prefrontal Cortex/physiology , Reward , Aged , Female , Humans , Imagination , Male , Middle Aged , Time Factors
14.
J Cogn Neurosci ; : 1-19, 2021 Jul 07.
Article in English | MEDLINE | ID: mdl-34232999

ABSTRACT

If the tendency to discount rewards reflects individuals' general level of impulsiveness, then the discounting of delayed and probabilistic rewards should be negatively correlated: The less a person is able to wait for delayed rewards, the more they should take chances on receiving probabilistic rewards. It has been suggested that damage to the ventromedial prefrontal cortex (vMPFC) increases individuals' impulsiveness, but both intertemporal choice and risky choice have only recently been assayed in the same patients with vMPFC damage. Here, we assess both delay and probability discounting in individuals with vMPFC damage (n = 8) or with medial temporal lobe (MTL) damage (n = 10), and in age- and education-matched controls (n = 30). On average, MTL-lesioned individuals discounted delayed rewards at normal rates but discounted probabilistic rewards more shallowly than controls. In contrast, vMPFC-lesioned individuals discounted delayed rewards more steeply but probabilistic rewards more shallowly than controls. These results suggest that vMPFC lesions affect the weighting of reward amount relative to delay and certainty in opposite ways. Moreover, whereas MTL-lesioned individuals and controls showed typical, nonsignificant correlations between the discounting of delayed and probabilistic rewards, vMPFC-lesioned individuals showed a significant negative correlation, as would be expected if vMPFC damage increases impulsiveness more in some patients than in others. Although these results are consistent with the hypothesis that vMPFC plays a role in impulsiveness, it is unclear how they could be explained by a single mechanism governing valuation of both delayed and probabilistic rewards.

15.
Psychon Bull Rev ; 28(2): 686-694, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33219456

ABSTRACT

Steep delay discounting is associated with problems such as addiction, obesity, and risky sexual behavior that are frequently described as reflecting impulsiveness and lack of self-control, but it may simply indicate poor cognitive functioning. The present investigation took advantage of the unique opportunity provided by the Human Connectome Project (N=1,206) to examine the relation between delay discounting and 11 cognitive tasks as well as the Big Five fundamental personality traits. With income level and education statistically controlled, discounting was correlated with only four of the 11 cognitive abilities evaluated, although the rs were all small (<.20). Importantly, the two discounting measures loaded on their own factor. Discounting was not correlated with Neuroticism or Conscientiousness, traits related to psychometric impulsiveness and self-control. These findings suggest that steep delay discounting is not simply an indicator of poor cognitive functioning or psychometric impulsiveness but an important individual difference characteristic in its own right.


Subject(s)
Aptitude/physiology , Cognition/physiology , Delay Discounting/physiology , Personality/physiology , Adult , Female , Humans , Individuality , Male
16.
Am Psychol ; 76(8): 1349, 2021 11.
Article in English | MEDLINE | ID: mdl-35113601

ABSTRACT

Memorializes Howard Rachlin (1935-2021). Rachlin was born to Irving and Gussie Kugler Rachlin in New York City on March 10, 1935. He died 86 years later of cancer, leaving his wife Nahid, daughter Leila, and grandson Ethan. He received numerous recognitions: the Med Associates Distinguished Contributions to Basic Behavioral Research award from Division 25 of the American Psychological Association, the Impact of Science on Application award from the Association for Behavior Analysis, a James McKeen Cattell Fellowship, continuous funding from the National Science Foundation and the National Institutes of Mental Health (from which he received the MERIT award), visiting scholar at the Russell Sage Foundation, and invited speaker at the Nobel symposium on Behavioral and Experimental Economics. Of himself Rachlin wrote: "He obtained a bachelor of mechanical engineering degree from Cooper Union in New York City [1957], where he learned to treat all scientific and practical questions as asking for answers rather than for self-expression; masters in philosophy and psychology from The New School of Social Research in New York City [1962], where he learned that the whole may be greater than the sum of its parts; and a PhD from Harvard University [1965], where B. F. Skinner and Richard Herrnstein taught him how to be a behaviorist." After teaching at Harvard, he joined Stony Brook University in New York in 1969, rising to the position of Distinguished Research Professor. Rachlin studied choice and decision-making; he was one of the founders of behavioral economics. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Subject(s)
Awards and Prizes , Humans , Learning , Male , Philosophy , Societies, Scientific , Universities
17.
Behav Processes ; 176: 104125, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32335160

ABSTRACT

Delay of gratification (DofG) refers to the capacity to forego an immediate reward in order to receive a more desirable reward later. As a core executive function, it might be expected that DofG would follow the standard pattern of age-related decline observed in older adults for other executive tasks. However, there actually have been few studies of aging and DofG, and even these have shown mixed results, suggesting the need for further investigation and new approaches. The present study tested a novel reward-based decision-making paradigm enabling examination of age-related DofG effects in adult humans. Results showed that older adults earned fewer overall rewards than young adults, both before and after instruction regarding the optimal DofG strategy. Prior to instruction, learning this strategy was challenging for all participants, regardless of age. The finding of age-related impairments even after strategy instruction indicated that these impairments were not due to a failure to understand the task or follow the optimal strategy, but instead were related to self-reported difficulty in waiting for delayed rewards. These results suggest the presence of age-related changes in DofG capacity and highlight the advantages of this new experimental paradigm for use in future investigations, including both behavioral and neuroimaging studies.


Subject(s)
Healthy Aging , Pleasure , Aged , Aging , Delay Discounting , Executive Function , Humans , Learning , Reward
18.
J Exp Anal Behav ; 113(3): 609-625, 2020 05.
Article in English | MEDLINE | ID: mdl-32266721

ABSTRACT

A new probabilistic losses questionnaire as well as Kirby's delayed gains questionnaire and a previously developed delayed losses questionnaire were administered to a large online sample. Almost all participants showed the positive discounting choice pattern expected on the Kirby questionnaire, decreasing their choice of a delayed gain as time to its receipt increased. In contrast, approximately 15% of the participants showed negative discounting on the delayed losses questionnaire and/or the probabilistic losses questionnaire, decreasing their choice of an immediate loss as time to a delayed loss decreased and/or decreasing their choice of a certain loss as likelihood of the probabilistic loss increased. Mixture model analysis confirmed the existence of these negative discounting subgroups. The inconsistent findings observed in previous research involving delayed/probabilistic losses may be due to differences in the proportion of negative discounters who participated in previous studies. Further research is needed to determine how negative discounting of delayed and probabilistic losses manifests itself in everyday decisions. It should be noted that the presence of individuals who show atypical choice patterns when losses are involved may pose challenges for efforts to modify discounting in order to ameliorate behavioral problems, especially because many such problems concern choices that have negative consequences, often delayed and/or probabilistic.


Subject(s)
Choice Behavior , Delay Discounting , Individuality , Adult , Female , Humans , Male , Probability , Surveys and Questionnaires
19.
Cognition ; 199: 104222, 2020 06.
Article in English | MEDLINE | ID: mdl-32092551

ABSTRACT

Remembering and imagining specific, personal experiences can help shape our decisions. For example, cues to imagine future events can reduce delay discounting (i.e., increase the subjective value of future rewards). It is not known, however, whether such cues can also modulate other forms of reward discounting, such as probability discounting (i.e., the decrease in the subjective value of a possible reward as the odds against its occurrence increase). In addition, it is unclear whether there are age-related differences in the effects of cueing on either delay or probability discounting. Accordingly, young and older adult participants were administered delay and probability discounting tasks both with and without cues to imagine specific, personally meaningful events. As expected, cued episodic imagining decreased the discounting of delayed rewards. Notably, however, this effect was significantly less pronounced in older adults. In contrast to the effects of cueing on delay discounting, personally relevant event cues had little or no effect on the discounting of probabilistic rewards in either young or older adults; Bayesian analysis revealed compelling support for the null hypothesis that event cues do not modulate the subjective value of probabilistic rewards. In sum, imagining future events appears only to affect decisions involving delayed rewards. Although the cueing effect is smaller in older adults, nevertheless, it likely contributes to how adults of all ages evaluate delayed rewards and thus, it is, in fact, about time.


Subject(s)
Delay Discounting , Reward , Aged , Bayes Theorem , Choice Behavior , Cues , Humans , Probability , Young Adult
20.
Psychon Bull Rev ; 26(4): 1418-1425, 2019 Aug.
Article in English | MEDLINE | ID: mdl-31012080

ABSTRACT

Discounting research has tended to focus on one simple situation, choice between an immediate, smaller gain and a larger, delayed gain, that is assumed by many to capture the essence of self-control. In everyday life, however, most choice situations are more complex, often involving combinations of gains and losses. We examined discounting in situations involving an immediate loss followed by a delayed gain that resulted in either a net gain (Experiment 1) or a net loss (Experiment 2) and compared it with discounting when there was only a delayed gain and no immediate loss. Larger delayed gains were discounted less steeply than smaller regardless of whether or not they were preceded by an immediate loss. Discounting functions of the same general hyperboloid form that describe the discounting of delayed gains in simple choice situations accurately described the discounting of combinations of gains and losses, although results differed depending on whether the combination would result in a net gain or a net loss. Participants consistently discounted loss-gain combinations less steeply than gains not preceded by an immediate loss when the combination represented a net loss (Experiment 2), but not when the combination represented a net gain (Experiment 1), a result analogous to the sign effect in simple choice situations (i.e., delayed gains are discounted more steeply than delayed losses). Taken together, these findings support the view that complicated choices like those common in everyday life can be understood within the discounting framework.


Subject(s)
Choice Behavior , Delay Discounting , Models, Psychological , Reward , Self-Control , Adult , Female , Humans , Male , Young Adult
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