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Prior research probed this capacity using delay discounting tasks that assess how rapidly the subjective value of rewards decreases as a function of time until receipt. However, significant effects in AN were mostly subtle or absent using traditional tasks. Here, we tested whether altered delay discounting might be revealed in AN during an experiential gamified task.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eighty acutely underweight females with AN and pairwise age\u2010matched female healthy controls (HC) made binary choices moving an avatar to collect rewards of varying magnitudes and distances. The presence of an overall time limit rendered one choice optimal (i.e. higher cost\u2013benefit ratio) in each trial. We tested group differences in delay\/distance discounting and used signal detection theory to determine whether decision patterns were due to inherent preferences (e.g. for immediate rewards) or acuity to detect optimal choices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No group differences in delay discounting parameters were found, but participants with AN favored smaller, closer rewards when this was the optimal strategy. This was neither related to an\n                      <jats:italic>a priori<\/jats:italic>\n                      bias toward immediate\/delayed rewards nor enhanced choice acuity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Even in a more realistic experiential task, individuals with AN did not exhibit reduced delay discounting. Instead, because choosing the closer option more frequently required more decisions overall, our findings may reflect increased task engagement and align with the notion of greater willingness to exert effort for reward in AN.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pcn.70041","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T08:57:32Z","timestamp":1771405052000},"page":"409-416","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intact delay discounting but more optimal reward\u2010based decisions in anorexia nervosa during an experiential task"],"prefix":"10.1111","volume":"80","author":[{"given":"Fabio","family":"Bernardoni","sequence":"first","affiliation":[{"name":"Translational Developmental Neuroscience Section, Division of Psychological and Social Medicine and Developmental Neurosciences, Faculty of Medicine Technische Universit\u00e4t Dresden  Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph A.","family":"King","sequence":"additional","affiliation":[{"name":"Translational Developmental Neuroscience Section, Division of Psychological and Social Medicine and Developmental Neurosciences, Faculty of Medicine Technische Universit\u00e4t Dresden  Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Seidel","sequence":"additional","affiliation":[{"name":"Translational Developmental Neuroscience Section, Division of Psychological and Social Medicine and Developmental Neurosciences, Faculty of Medicine Technische Universit\u00e4t Dresden  Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Schoemann","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Natural sciences Technische Universit\u00e4t Dresden  Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Kasaeva","sequence":"additional","affiliation":[{"name":"Translational Developmental Neuroscience Section, Division of Psychological and Social Medicine and Developmental Neurosciences, Faculty of Medicine Technische Universit\u00e4t Dresden  Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrin","family":"Gramatke","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Faculty of Medicine, University Hospital C. 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