Symptoms of Attention Deficit/Hyperactivity Disorder Are Associated with Sub-Optimal and Inconsistent Temporal Decision Making

Abstract

The link between Attention-Deficit/Hyperactivity Disorder (ADHD) and steeper delay discounting has been established and incorporated into theories of ADHD. This study examines a novel interpretation according to which ADHD is linked to sub-optimal temporal decision-making and suggests inconsistency as a potential underlying mechanism. In two experiments, MTurk workers completed a self-report questionnaire on symptoms of ADHD and a temporal decision making task consisting of choices between smaller–immediate and larger–delayed options. The delayed option was better in some items, whereas the immediate option was better in others. The rate of choices of the delayed option and the consistency of choices were measured. The results of both studies show that high symptoms of ADHD were linked to fewer choices of the delayed option when it was better, but also to more choices of the delayed option when it was not better. In addition, ADHD was linked to higher inconsistency in both conditions. The findings suggest that ADHD is linked to sub-optimal temporal decision-making rather than steeper delay discounting, and provide further support to the phenomenon of inconsistency in ADHD.