Interactions and implications of Fuzzy-Trace Theory for risk taking behaviors in Bipolar disorder

Lukacs, Julia and Sicilia, Anna and Jones, Steven and Perez Algorta, Guillermo (2021) Interactions and implications of Fuzzy-Trace Theory for risk taking behaviors in Bipolar disorder. Journal of Affective Disorders, 293. pp. 305-313. ISSN 0165-0327

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Background. According to Fuzzy-Trace Theory (FTT), qualitative, bottom-line, “gist” reasoning leads to less risk taking and more mature decision-making, less easily swayed by emotions than quantitative, detail-oriented, “verbatim” reasoning. In Bipolar disorder deleterious risky behaviors are common. Prior research confirmed the relationships posited between FTT and risk taking. We aim to understand whether FTT acts upon risk taking in the manner proposed in the FTT framework, namely, that (a) gist “values” mediate the role of “categorical gist”. Furthermore, the roles of mania and impulsivity, cited as factors for risk-taking, remain to be clarified. In this study, we investigate if (b) manic symptoms and impulsivity moderate these relationships. Methods. Participants (N = 105) completed an online survey including demographics, clinical variables, symptomatology, FTT, risk taking and risk perception. Results. Mediational models indicated that (a) Gist Values mediated Categorical Gist’s effect on risk taking, as expected by the FTT framework. (b) Impulsivity moderates risk taking, but manic-type symptomatology does not. Limitations. Voluntary, self-report surveys may have low participant motivation and limit the diagnostic validity and the in-patient generalizability of the results. Conclusions. The results move beyond a focus on mood-related aspects of Bipolar disorder and confirm the importance of understanding reasoning processes like FTT in combination with impulsivity, as potential behavioral factors of risk taking in Bipolar disorder. The clarifications on FTT’s functioning as a mechanism prescribe possible openings for more efficacious reduction of risky behaviors through behavioral interventions focusing on value creation.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Affective Disorders
Additional Information:
This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders, 293, 2021 DOI: 10.1016/j.jad.2021.06.035
Uncontrolled Keywords:
?? bipolar disorderfuzzy-trace theorydecision-makingrisk takinggistverbatimclinical psychologypsychiatry and mental health ??
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Deposited On:
22 Jun 2021 09:30
Last Modified:
15 Jul 2024 21:45