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Objectives <p>Adolescents with fetal alcohol spectrum disorder (FASD) often experience challenges with executive functioning (EF) and impulsive decision-making; however, little is known about their processing of delayed gratification. This exploratory pilot study aimed to characterize rates of delay discounting in adolescents with FASD and explore the relationship between delay discounting and other EF measures.</p> Methods <p>Twenty-three adolescents with FASD (ages 11–17&#xa0;years) completed the Monetary Choice Questionnaire (Kirby, <CitationRef CitationID="CR52">1999</CitationRef>), a measure of delay discounting of hypothetical monetary rewards, and four executive functioning (EF) tasks assessing inhibitory control and affective decision-making.</p> Results <p>Discounting rates across the sample were scattered and did not correlate significantly with EF measures.</p> Conclusions <p>Results provide preliminary discounting rates that can serve as a point of reference for future research on reward processing in FASD. Results additionally demonstrate the heterogeneity of FASD presentations on a measure of delay discounting. Further research in this area can contribute to an understanding of neurocognitive and behavioral profiles of FASD and can ultimately guide interventions that foster adaptive decision-making.</p>

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Some Today, More Tomorrow: A Pilot Study on Delay Discounting in Adolescents with Fetal Alcohol Spectrum Disorder (FASD)

  • 期刊论文

  • 发表日期：

    2025年10月28日

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  • Ariella Golden,
  • Kaitlyn McLachlan,
  • Michael Amlung,
  • Carmen Rasmussen,
  • Jacqueline Pei

摘要

Objectives

Adolescents with fetal alcohol spectrum disorder (FASD) often experience challenges with executive functioning (EF) and impulsive decision-making; however, little is known about their processing of delayed gratification. This exploratory pilot study aimed to characterize rates of delay discounting in adolescents with FASD and explore the relationship between delay discounting and other EF measures.

Methods

Twenty-three adolescents with FASD (ages 11–17 years) completed the Monetary Choice Questionnaire (Kirby, 1999), a measure of delay discounting of hypothetical monetary rewards, and four executive functioning (EF) tasks assessing inhibitory control and affective decision-making.

Results

Discounting rates across the sample were scattered and did not correlate significantly with EF measures.

Conclusions

Results provide preliminary discounting rates that can serve as a point of reference for future research on reward processing in FASD. Results additionally demonstrate the heterogeneity of FASD presentations on a measure of delay discounting. Further research in this area can contribute to an understanding of neurocognitive and behavioral profiles of FASD and can ultimately guide interventions that foster adaptive decision-making.