Now or not-now? The influence of alexithymia on intertemporal decision-making

Brain Cogn. 2017 Jun:114:20-28. doi: 10.1016/j.bandc.2017.03.001. Epub 2017 Mar 21.

Abstract

Optimal intertemporal decisions arise from the balance between an emotional-visceral component, signaling the need for immediate gratification, and a rational, long-term oriented component. Alexithymia, a personality construct characterized by amplified sensitivity to internal bodily signals of arousal, may result in enhanced activation of the emotional-visceral component over the cognitive-rational one. To test this hypothesis, participants with high- and low-alexithymia level were compared at an intertemporal decision-making task, and their choice behavior correlated with their interoceptive sensitivity. We show that high-alexithymic tend to behave more impatiently than low-alexithymic in intertemporal decisions, particularly when the sooner reward is immediately available. Moreover, the greater their sensitivity to their own visceral sensations, the greater the impatience. Together, these results suggest a disproportionate valuation of reward available immediately in high alexithymia, possibly reflecting heightened perception of bodily physiological signals, which ultimately would bias their intertemporal decision-making.

Keywords: Alexithymia; Bodily sensation; Decision making; Emotion; Interoceptive sensitivity; Intertemporal choice; Temporal discounting; Visceral factors.

MeSH terms

  • Adult
  • Affective Symptoms / psychology*
  • Decision Making / physiology*
  • Delay Discounting / physiology*
  • Female
  • Humans
  • Male
  • Personality / physiology*
  • Reward
  • Time Factors
  • Young Adult