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      Decision making in the ageing brain: Changes in affective and motivational circuits

      research-article
      1 , 2
      Nature reviews. Neuroscience

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          Abstract

          As the global population ages, older decision makers will be required to take greater responsibility for their own physical, psychological and financial well-being. With this in mind, researchers have begun to examine the effects of ageing on decision making and associated neural circuits. A new “affect, integration, motivation” (or AIM) framework may help clarify how affective and motivational circuits support decision making. Recent research has shed light on whether and how ageing influences these circuits, providing an interdisciplinary account of how ageing can alter decision making.

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          Separate neural systems value immediate and delayed monetary rewards.

          When humans are offered the choice between rewards available at different points in time, the relative values of the options are discounted according to their expected delays until delivery. Using functional magnetic resonance imaging, we examined the neural correlates of time discounting while subjects made a series of choices between monetary reward options that varied by delay to delivery. We demonstrate that two separate systems are involved in such decisions. Parts of the limbic system associated with the midbrain dopamine system, including paralimbic cortex, are preferentially activated by decisions involving immediately available rewards. In contrast, regions of the lateral prefrontal cortex and posterior parietal cortex are engaged uniformly by intertemporal choices irrespective of delay. Furthermore, the relative engagement of the two systems is directly associated with subjects' choices, with greater relative fronto-parietal activity when subjects choose longer term options.
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            Hemispheric asymmetry reduction in older adults: the HAROLD model.

            A model of the effects of aging on brain activity during cognitive performance is introduced. The model is called HAROLD (hemispheric asymmetry reduction in older adults), and it states that, under similar circumstances, prefrontal activity during cognitive performances tends to be less lateralized in older adults than in younger adults. The model is supported by functional neuroimaging and other evidence in the domains of episodic memory, semantic memory, working memory, perception, and inhibitory control. Age-related hemispheric asymmetry reductions may have a compensatory function or they may reflect a dedifferentiation process. They may have a cognitive or neural origin, and they may reflect regional or network mechanisms. The HAROLD model is a cognitive neuroscience model that integrates ideas and findings from psychology and neuroscience of aging.
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              A domain-specific risk-attitude scale: measuring risk perceptions and risk behaviors

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                Author and article information

                Journal
                100962781
                22270
                Nat Rev Neurosci
                Nat. Rev. Neurosci.
                Nature reviews. Neuroscience
                1471-003X
                1471-0048
                6 October 2017
                15 April 2015
                May 2015
                17 October 2017
                : 16
                : 5
                : 278-289
                Affiliations
                [1 ]Psychology, Cognitive Science, & Neuroscience, 2 Hillhouse Avenue, Yale University, New Haven CT 06520 U.S.A
                [2 ]Psychology and Neuroscience, Bldg. 420, Jordan Hall, Stanford University, Stanford CA 94305 U.S.A
                Author notes
                Article
                PMC5645075 PMC5645075 5645075 nihpa911154
                10.1038/nrn3917
                5645075
                25873038
                4d20a6f3-9e5e-4958-b115-9e11f83c44b7
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