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Here, we examined whether unmedicated adults with OCD (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 268) differ from healthy control subjects (HCSs;\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 256) on two measures of decision-making about potential rewards: (a) delay discounting, the tendency to prefer rewards sooner rather than later, even if the delayed reward is larger, and (b) risk tolerance, the willingness to gamble for uncertain rewards when the risk is known. Data were collected in Brazil, India, the Netherlands, South Africa, and the United States as part of the Global OCD study. After controlling for age, sex, education, socioeconomic status, IQ, and site, individuals with OCD did not differ from HCSs in either delay discounting or risk tolerance. However, patients with OCD who reported more anxiety and depression showed higher delay discounting, or a relative preference for immediate rewards.\n                  <\/jats:p>","DOI":"10.1177\/21677026241289927","type":"journal-article","created":{"date-parts":[[2024,11,24]],"date-time":"2024-11-24T09:32:58Z","timestamp":1732440778000},"page":"542-557","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Delay Discounting and Risk Tolerance in Obsessive Compulsive Disorder: Results From the Global OCD Study"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7308-5568","authenticated-orcid":false,"given":"Karolina M.","family":"Lempert","sequence":"first","affiliation":[{"name":"Gordon F. Derner School of Psychology, Adelphi University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Huber","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Columbia University Irving Medical Center"},{"name":"Area of Mental Health Data Science, New York State Psychiatric Institute, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo C.","family":"Batistuzzo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculdade de Medicina, Universidade de S\u00e3o Paulo"},{"name":"Department of Methods and Techniques in Psychology, Pontifical Catholic University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik","family":"Sheshachala","sequence":"additional","affiliation":[{"name":"OCD Clinic, Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianne M.","family":"Hezel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Columbia University Irving Medical Center"},{"name":"Area of Anxiety, Mood, Eating, and Related Disorders, New York State Psychiatric Institute, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels T.","family":"de Joode","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Department of Anatomy and Neuroscience, Amsterdam University Medical Center, Vrije Universiteit Amsterdam"},{"name":"Compulsivity, Impulsivity and Attention program, Amsterdam Neuroscience, Amsterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Marincowitz","sequence":"additional","affiliation":[{"name":"South African Medical Research Council Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Lochner","sequence":"additional","affiliation":[{"name":"South African Medical Research Council Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan J.","family":"Stein","sequence":"additional","affiliation":[{"name":"South African Medical Research Council Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Neuroscience Institute, University of Cape Town"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janardhanan C.","family":"Narayanaswamy","sequence":"additional","affiliation":[{"name":"OCD Clinic, Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India"},{"name":"Faculty of Health, School of Medicine, Deakin University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odile A.","family":"van den Heuvel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Department of Anatomy and Neuroscience, Amsterdam University Medical Center, Vrije Universiteit Amsterdam"},{"name":"Compulsivity, Impulsivity and Attention program, Amsterdam Neuroscience, Amsterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Wall","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Columbia University Irving Medical Center"},{"name":"Area of Mental Health Data Science, New York State Psychiatric Institute, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen Blair","family":"Simpson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Columbia University Irving Medical Center"},{"name":"Area of Anxiety, Mood, Eating, and Related Disorders, New York State Psychiatric Institute, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,24]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Admon R. 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