Journal of Experimental Psychology General · 1999 · 1.7K citations · 38 references
MedicinePsychiatryAddiction PsychiatryBehavioral EconomicsSubstance Use DisordersAddictionDrug DependenceReward PathwaysDeclining Discount RatesDrug DiscountDrug ReinforcementOpioid Reward SystemReinforcement Mechanisms
Fifty-six heroin addicts and 60 age-matched controls were offered choices between monetary rewards ($11-$80) available immediately and larger rewards ($25-$85) available after delays ranging from 1 week to 6 months. Participants had a 1-in-6 chance of winning a reward that they chose on one randomly selected trial. Delay-discounting rates were estimated from the pattern of participants' choices. The discounting model of impulsiveness (Ainslie, 1975) implies that delay-discounting rates are positively correlated with impulsiveness. On average, heroin addicts' discount rates were twice those of controls (p = .004), and discount rates were positively correlated with impulsivity as measured by self-report questionnaires (p < .05). The results lend external validity to the delay-discounting rate as a measure of impulsiveness, a characteristic associated with substance abuse.
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