Stress and decision making: effects on valuation, learning, and risk-taking
Section snippets
The stress construct
Stress has classically been defined as ‘the non-specific response of the body to any demand for change’, an adaptive homeostatic function [3]. It is associated with parallel activation of two biological systems: the quick-acting sympathetic-adrenal-medullary (SAM) axis, and the slow-acting hypothalamic-pituitary-adrenal (HPA) axis [4]. Sympathetic nervous system reactivity and associated catecholamine (e.g., nor/adrenaline) release promote peripheral excitation that quickly returns to baseline
Stress and valuation: reward-related processing
A central axiom of DM research rests on the principle that people act to approach rewards and avoid punishments in their environment [17]. Thus, valuation of the appetitive/aversive nature of anticipated (or received) decision outcomes is a likely candidate for stress’ modulation. Indeed, stress-altered sensitivity to rewarding/punishing outcomes (e.g., primary, food; secondary, money) appears to play a role in development of some pathologies including binge eating [18], pathological gambling [
Stress and learning: the role of habit
A logical next question relates to how stress might influence expression of previously learned outcomes. Research across disciplines supports the idea that DM processes can be placed on a spectrum ranging from (I) habitual, stimulus-bound, automatic, and less effortful, to (II) goal-directed, flexible, controlled, more effortful and resource-dependent [39, 40, 41, 42]. As learning proceeds over time to establish strong and ingrained prior expectations informing DM, might stress exposure bias
Stress and risk-taking
Another prominent emphasis in stress-DM investigations is risk-taking, a critical issue given its prevalence in stressful real-life contexts including medicine [55], psychopathology [56], and financial investing [57]. Decision-makers’ likelihood to engage in risk varies greatly based on multiple decision-inherent features including uncertainty (i.e., degree of information informing outcome predictability [58]), framing of a decision (as a potential gain or loss [59]), and valuations of outcome
Future directions
Despite some lack of internal consistency given a wide range of between-study methodological differences, the human stress and DM literature has made great advances over the last few years. For instance, there are consistent observations indicating that stress exposure reduces reward valuation upon receipt of an outcome yet questions remain at anticipation due to differences in stress-to-task latency. A growing consensus supports a propensity to shift toward habit-based from goal-directed
Conflict of interest statement
Nothing declared.
References and recommended reading
Papers of particular interest, published within the period of review, have been highlighted as:
• of special interest
•• of outstanding interest
Acknowledgements
AJP was supported by funding from the Scientific Research Network for Decision Neuroscience and Aging (subaward under NIH Grant AG039350). MRD was supported by funding from the National Institute on Drug Abuse (DA027764).
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