Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/S2237-60892013000300003
Trends in Psychiatry and Psychotherapy
Review Article

The Iowa Gambling Task (IGT) in Brazil: a systematic review

O Iowa Gambling Task (IGT) no Brasil: uma revisão sistemática

André Rutz; Amer Cavalheiro Hamdan; Melissa Lamar

http://dx.doi.org/10.1590/S2237-60892013000300003 Trends Psychiatry Psychother, vol.35, n3, p.160-170, 2013
PDF
SciELO
Downloads: 1
Views: 465

Abstract

Background: Decision-making is a complex, multidimensional cognitive function that requires the choice between two or more options and also the predictive analysis of its consequences. One of the tools most widely used to assess decision-making in neuropsychological research is the Iowa Gambling Task (IGT). Objective: To conduct a systematic review of articles reporting empirical IGT studies based in Brazil. Method: Articles were obtained from multiple journal databases including ISI Web of Knowledge, Scopus, SciELO, LILACS, and Scholar Google. Results: Thirty-six studies were included in this review and divided into four categories according to main subject matter (psychiatry & personality; demographic & cultural variables; medical/clinic; and psychometric properties & test administration standardization). In general, there was a significant growth in research employing IGT (Χ² = 17.6, df = 5, p = 0.0003), but this growth was restricted to a few geographic areas of Brazil. The psychiatry & personality subject matter was the most abundant, accounting for 14 publications (39% of the total sample). Conclusion: Since its first adaptation to Brazilian Portuguese in 2006, a growing interest in decision-making as measured by the IGT can be observed, with psychiatry & personality topics representing a large portion of the scientific inquiry to date. Nevertheless, in order to extend the initial results of Brazilian IGT decision-making research, more studies are necessary - across a more diverse range of topics, including demographic & cultural variables, and psychometric properties & test administration standardization, the areas least studied -, as is the dissemination of the IGT to more regions of the country.

Keywords

Neuropsychological tests, systematic review, Iowa Gambling Task, decision-making

Resumo

Contexto: A tomada de decisão é uma função cognitiva complexa e multidimensional que envolve a escolha entre duas ou mais opções, bem como a análise preditiva das suas consequências. Um dos instrumentos de pesquisa mais amplamente utilizados para avaliar a tomada de decisão em neurociência é o Iowa Gambling Task (IGT). Objetivo: Realizar uma revisão sistemática de artigos empíricos conduzidos com o IGT no Brasil. Método: Os artigos foram obtidos através de busca nos bancos de dados ISI Web of Knowledge, Scopus, SciELO, LILACS e Scholar Google. Resultados: Trinta e seis estudos foram incluídos e divididos em quatro categorias de acordo com o tema principal (variáveis demográficas e culturais; psiquiatria e personalidade; variáveis médico-genéticas e saúde geral; e propriedades psicométricas e padronização de aplicação). Em geral, houve um crescimento significativo da pesquisa utilizando o IGT (Χ² = 17,6, gl = 5, p = 0,0003), porém restrito a algumas áreas geográficas brasileiras. O eixo temático de psiquiatria e personalidade foi o que mais produziu estudos, contabilizando 14 publicações (39% da amostra total). Conclusão: Desde sua primeira adaptação para o português brasileiro em 2006, pode-se observar um crescente interesse pela tomada de decisão medida pelo IGT, sendo assuntos relacionados ao tema psiquiatria e personalidade responsáveis por grande parte dos estudos realizados até o momento. No entanto, para ampliar os resultados iniciais da pesquisa nacional com o IGT, mais estudos são necessários - com uma amplitude maior de áreas temáticas, incluindo as categorias menos estudadas até o momento: variáveis demográficas e culturais e propriedades psicométricas e padronização de aplicação - bem como uma maior disseminação do IGT em outros centros regionais do país.

Palavras-chave

Testes neuropsicológicos, revisão sistemática, Iowa Gambling Task, tomada de decisão

References

Schneider DG, Parente MA. O desempenho de adultos jovens e idosos na Iowa Gambling Task (IGT): um estudo sobre a tomada de decisão. Psicol Reflex Crit. 2006;19:442-50.

Alves GS, Rosenthal M. Avaliação neuropsicológica dos circuitos pré-frontais relacionados à tomada de decisão na esquizofrenia: uma revisão sistemática da literatura. Rev Psiquiatr Rio Gd Sul. 2006;28:330-41.

Malloy-Diniz LF, Leite WB, Moraes PH, Corrêa H, Bechara A, Fuentes D. Brazilian Portuguese version of the Iowa Gambling Task (IGT): transcultural adaptation and discriminant validity. Rev Bras Psiquiatr. 2008;30:144-8.

Bechara A, Damasio AR, Damasio H, Anderson SW. Insensitivity to future consequences following damage to human prefrontal cortex. Cognition. 1994;50:7-15.

Damasio A. O erro de Descartes: Emoção, razão e cérebro humano. 1996.

Yechiam E, Busemeyer JR, Stout JC, Bechara A. Using cognitive models to map relations between neuropsychological disorders and human decision making deficits. Psych Sci. 2005;16:973-8.

Malloy-Diniz LF, Fuentes D, Leite WB, Corrêa H, Bechara A. Impulsive behavior in adults with attention deficit hyperactivity disorder: characterization of attentional, motor and cognitive impulsiveness. J Int Neuropsychol Soc. 2007;13:1-6.

Malloy-Diniz LF, Neves FS, Abrantes SS, Fuentes D, Corrêa H. Suicide behavior and neuropsychological assessment of type I bipolar patients. J Affect Disord. 2009;112:231-6.

Malloy-Diniz LF, Neves FS, Moraes PH, De Marco LA, Romano-Silva MA, Krebs M. The 5-HTTLPR polymorphism, impulsivity and suicide behavior in euthymic bipolar patients. J Affect Disord. 2011;133:221-6.

Couto TC, Neves FS, Machado MC, Vasconcelos AG, Corrêa H, Malloy-Diniz LF. Assessment of impulsivity in bipolar disorder (BD) in comorbidity with generalized anxiety disorder (GAD): revisiting the hypothesis of protective effect. Clin Neuropsychiatry. 2012;9:102-6.

Rocha FF, Malloy-Diniz LF, Lage NV, Romano-Silva MA, De Marco LA, Corrêa H. Decision-making impairment is related to serotonin transporter promoter polymorphism in a sample of patients with obsessive-compulsive disorder. Behav Brain Res. 2008;195:159-63.

Borges MC, Braga TD, Iêgo S, D'alcante CC , Sidrim I, Machado MC. Cognitive dysfunction in post-traumatic obsessive-compulsive behaviour. Aust N Zeal J Psychiatry. 2011;45:76-85.

Rocha FF, Alvarenga NB, Malloy-Diniz LF, Corrêa H. Decision-making impairment in obsessive-compulsive disorder as measured by the Iowa Gambling Task. Arq Neuropsiquiatr. 2011;69:642-7.

Rocha FF, Malloy-Diniz LF, Lage NV, Corrêa H. The relationship between the Met allele of the BDNF Val66Met polymorphism and impairments in decision making under ambiguity in patients with obsessive-compulsive disorder. Genes Brain Behav. 2011;10:523-9.

Salgado JV, Malloy-Diniz LF, Campos VR, Abrantes SS, Fuentes D, Bechara A. Avaliação neuropsicológica do comportamento impulsivo de sujeitos dependentes de álcool em abstinência. Rev Bras Psiquiatr. 2008;31:4-9.

Cunha PJ, Bechara A, Andrade AG, Nicastri S. Decision-making deficits linked to real-life social dysfunction in crack cocaine-dependent individuals. Am J Addiction. 2011;20:78-86.

Gonçalves HA, Cardoso CO, Araújo RB. Funções executivas na dependência de crack: um estudo de caso. Rev Neuropsicol Latinoam. 2011;3:7-13.

Viola TW, Cardoso CO, Francke ID, Gonçalves HA, Pezzi JC, Araújo RB. Tomada de decisão em dependentes de crack: um estudo com o Iowa Gambling Task. Estud Psicol. 2012;17:99-106.

Coutinho G, Mattos P, Miele F, Borges M. The cognitive profile and different presentations of internet addiction in teenagers: two case reports. Clin Neuropsychiatry. 2010;7:164-9.

Rocha FF, Malloy-Diniz LF, de Souza KC, Prais HA, Correa H, Teixeira AL. Borderline personality features possibly related to cingulate and orbitofrontal cortices dysfunction due to schizencephaly. Clin Neurol Neurosurg. 2008;110:396-9.

Lage GM, Malloy-Diniz LF, Matos LO, Bastos MA, Abrantes SS, Corrêa H. Impulsivity and the 5-HTTLPR polymorphism in a non-clinical sample. PLoS One. 2011;6:e16927.

Shiv B, Bechara A, Lewin I, Alba JW, Bettman JR, Dube L. Decision neuroscience. Mark Lett. 2005;16:375-86.

Leite WB, Malloy-Diniz LF, Corrêa H. Effects of methylphenidate on cognition and behaviour: ruptured communicant aneurysm of the anterior artery. Aust N Zeal J Psychiatry. 2007;41:555-6.

Schneider DG, Wagner GP, Denburg N, Parente MA. Iowa Gambling Task: administration effects in older adults. Dement Neuropsychol. 2007;1:66-73.

Bakos DS, Couto MC, Melo WV, Parente MA, Koller SH, Bizarro L. Executive functions in the young elderly and oldest old: a preliminary comparison emphasizing decision making. Psychol Neurosci. 2008;1:183-9.

Wagner GP, Trentini CM, Parente MA. O Desempenho de idosos com e sem declínio cognitivo leve nos testes Wisconsin de classificação de cartas e Iowa Gambling Task. PSICO. 2009;40:220-6.

Wagner GP, Parente MA. O desempenho de idosos quanto a tomada de decisão em duas variações do IGT. Psic Teor Pesq. 2009;25:425-33.

Bakos DS, Parente MA, Bertagnolli AC. A tomada de decisão em adultos jovens e em adultos idosos: um estudo comparativo. Psicol Cienc Prof. 2010;30:162-73.

Bakos DS, Denburg NL, Fonseca RP, Parente MA. A cultural study on decision making performance differences on the Iowa Gambling Task between selected groups of Brazilians and Americans. Psychol Neurosci. 2010;3:101-7.

Borges M, Coutinho G, Miele F, Malloy-Diniz LF, Martins R, Rabelo B. Síndromes disexecutivas do desenvolvimento e adquiridas na prática clínica: três relatos de caso. Rev Psiquiatr Clin. 2010;37:285-90.

Cardoso CO, Carvalho JC, Cotrena C, Bakos DG, Kristensen CH, Fonseca RP. Estudo de fidedignidade do instrumento neuropsicológico Iowa Gambling Task. J Bras Psiquiatr. 2010;59:279-85.

Fernandes RS, Alvarenga NB, Silva TI, Rocha FF. Disfunções cognitivas em pacientes com hipotireoidismo subclínico. Arq Bras Endocrinol Metab. 2011;55:224-8.

Gois J, Valente K, Vicentiis S, Moschetta S, Kuczynski E, Fiore L. Assessment of psychosocial adjustment in patients with temporal lobe epilepsy using a standard measure. Epilepsy Behav. 2011;20:89-94.

Lage GM, Malloy-Diniz LF, Fialho JV, Gomes CM, Albuquerque MR, Corrêa H. Correlação entre as dimensões da impulsividade e o controle em uma tarefa motora de timing. Braz J Motor Behav. 2011;6:39-46.

Lage GM, Gallo LG, Cassiano GJ, Lobo IL, Vieira MV, Salgado JV. Correlations between impulsivity and technical performance in handball female athletes. Psychology. 2011;2:721-6.

Carvalho JC, Bakos DS, Cotrena C, Kristensen CH, Fonseca RP. Tomada de decisão no IGT: comparação quanto a variável escolaridade. RIDEP. 2011;32:171-86.

Scheffer M, Monteiro JK, Almeida RM. Frontal stroke: Problem solving, decision making, impulsiveness and depressive symptoms in men and women. Psychol Neurosci. 2011;4:267-78.

Cardoso CO, Kristensen CH, Carvalho JC, Gindri G, Fonseca RP. Tomada de decisão no IGT: estudo de caso pós-avc de hemisfério direito versus esquerdo. Psico-USF. 2012;17:11-20.

Carvalho JC, Cardoso CO, Cotrena C, Bakos DS, Kristensen C, Fonseca RP. Tomada de decisão e outras funções executivas: um estudo correlacional. Cien Cogn. 2012;17:94-104.

Lage GM, Malloy-Diniz LF, Neves FS, Moraes PH, Corrêa H. A kinematic analysis of the association between impulsivity and manual aiming control. Hum Movement Sci. 2012;31:811-23.

Carvalho JC, Cardoso CdeO , Schneider-Bakos D, Kristensen CH, Fonseca RP. The effect of age on decision-making according to the Iowa Gambling Task. Span J Psychol. 2012;15:480-6.

Bechara A, Damasio H, Damasio AR. Emotion, decision and the orbitofrontal cortex. Cereb Cortex. 2000;10:295-307.

Bechara A, Tranel D, Damasio H. Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions. Brain. 2000;123:2189-202.

Fry Y, Greenop K, Tunrbull O, Bowman C. The effect of education and gender on emotion-based decision-making. S Afr J Psychol. 2000;39:122-32.

Maia TV, Cooney RE, Peterson BS. The neural bases of obsessive-compulsive disorder in children and adults. Dev Psychopathol. 2008;20:1251-83.

Strakowski SM, Delbello MP, Adler CM. The functional neuroanatomy of bipolar disorder: a review of neuroimaging findings. Mol Psychiatry. 2005;10:105-16.

Goldstein RZ, Volkow ND. Drug addiction and its underlying neurobiological basis: Neuroimaging evidence for the involvement of the frontal cortex. Am J Psychiatry. 2002;159:1642-52.

Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt Impulsiveness Scale. J Clin Psychol. 1995;51:768-74.

Drag LL, Bieliauskas LA. Contemporary review 2009: cognitive aging. J Geriatr Psichychiatry. 2010;23:75-93.

Lamar M, Charlton RA, Morris RG, Markus HS. The impact of subcortical white matter disease on mood in euthymic older adults: a diffusion tensor imaging study. Am J Geriatr Psychiatry. 2010;18:634-42.

Dunn BD, Dalgleish T, Lawrence AD. The somatic marker hypothesis: a critical evaluation. Neurosci Biobehav Rev. 2006;30:239-71.

Krain AL, Wilson AM, Arbuckle R, Castellanos FX, Milham MP. Distinct neural mechanisms of risk and ambiguity: A meta-analysis of decision-making. Neuroimage. 2006;32:477-84.

616b22e8a9539533ba32fa35 trends Articles
Links & Downloads
2238-0019 (Electronic)
Trends Psychiatry Psychother ©2024 All rights reserved.

Trends Psychiatry Psychother

Share this page
Page Sections