| Popis: |
Theoretical accounts on social decision-making under uncertainty postulate that individual risk preferences are context-dependent. Generalization of models of decision-making to dyadic interactions in the personal health context remain to be experimentally addressed.In economic utility-based models, interactive behavioral games provide a framework to investigate probabilistic learning of sequential reinforcement. Here, we model an economic trust game in the context of a chronic disease (Diabetes Type 1) which involves iterated daily decisions in complex social contexts. Ninety-one patients performed experimental trust games in both economic and health settings and were characterized by a multiple self-report set of questionnaires. We found that although our groups can correctly infer pay-off contingencies, they behave differently because patients with a biological profile of preserved glycemic control show adaptive choice behavior both in economic and health domains. On the other hand, patients with a biological profile of loss of glycemic control presented a contrasting behavior, showing non-adaptive choices on both contexts. These results provide a direct translation from neuroeconomics to decision in the health domain and biological risk profiles, in a behavioural setting that required difficult and self-consequential decision with health impact. Our findings also provide a contextual generalization of mechanisms underlying individual decision under uncertainty. |
