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Particularly, children\u2019s decision\u2010making performance was assessed with a child\u2010friendly version of the Iowa Gambling Task.<\/jats:p><jats:p>Using a prospective longitudinal design, a cohort of children was followed from birth to middle childhood. Data were collected in Norway between 2005 and 2017. Participants included 41 children (aged 9\u201311\u00a0years), 20 of whom had histories of prenatal methadone or buprenorphine exposure. Background data were collected from personal interviews and medical records in 2005\u20132006. Children\u2019s affective decision\u2010making was assessed in 2016\u20132017. Results showed no main effect of group on the net scores in the gambling task, <jats:italic>F<\/jats:italic>(1, 39)\u00a0=\u00a01.44, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.24, \u03b7<jats:sup>2<\/jats:sup> = 0.04, demonstrating no group differences in decision\u2010making performance. A main effect of group was found on sensitivity to punishment, with children in the control group choosing the doors with the infrequent, but high punishment more often compared to children in the OMT group, <jats:italic>F<\/jats:italic>(1, 39)\u00a0=\u00a04.90, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.03, \u03b7<jats:sup>2<\/jats:sup>\u00a0=\u00a00.11. No main effect of group on decision\u2010making speed was found, although results showed a significant interaction effect between group and gain, <jats:italic>F<\/jats:italic>(1, 8,194)\u00a0=\u00a04.09, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04, \u03b7<jats:sup>2<\/jats:sup>\u00a0=\u00a00.001. Children prenatally exposed to opioids were found to have normal decision\u2010making performance on an affective decision\u2010making task and were able to consider future consequences when making decisions.<\/jats:p>","DOI":"10.1111\/sjop.12743","type":"journal-article","created":{"date-parts":[[2021,5,26]],"date-time":"2021-05-26T11:39:32Z","timestamp":1622029172000},"page":"529-536","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Affective decision\u2010making in children prenatally exposed to opioids"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5732-5488","authenticated-orcid":false,"given":"Konijnenberg","family":"Carolien","sequence":"first","affiliation":[{"name":"Department of Psychology Inland Norway University of Applied Sciences Lillehammer Norway"},{"name":"Cognitive Developmental Research Unit Department of Psychology University of Oslo Oslo 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