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Individuals with anorexia nervosa (AN) are often characterized as possessing excessive self-control and are unusual in their ability to reduce or avoid the consumption of palatable foods. This behavior promotes potentially life-threatening weight loss and suggests disturbances in reward processing. We studied whether individuals with AN showed evidence of increased self-control by examining the tendency to delay receipt of a monetary, non-food related, reward. Underweight AN (n = 36) and healthy controls (HC, n = 28) completed a monetary intertemporal choice task measuring delay discounting factor. Individuals with AN reduced the value of a monetary reward over time significantly less than HC (F[1,61] = 5.03; p = 0.029). Secondary analyses indicated that the restricting subtype of AN, in particular, showed significantly less discounting than HC (F[1,46] = 8.3; p = 0.006). These findings indicate that some individuals with AN show less temporal discounting than HC, suggestive of enhanced self-control that is not limited to food consumption. This is in contrast to other psychiatric disorders, for example, substance abuse, which are characterized by greater discounting. Though preliminary, these findings suggest that excessive self-control may contribute to pathological processes and individuals with AN may have neuropsychological characteristics that enhance their ability to delay reward and thereby may help to maintain persistent food restriction. (JINS, 2012, 18, 1–8) [ABSTRACT FROM PUBLISHER]

Morally challenging decisions tend to be perceived as difficult by decision makers and often lead to post-decisional worry or regret. To test potential causes of these consequences, we employed realistic, morally challenging scenarios with two conflicting choice options. In addition to respondents' choices, we collected various ratings of choice options, decision-modes employed, as well as physiological arousal, assessed via skin conductance. Not surprisingly, option ratings predicted choice, such that the more positively rated option was chosen. However, respondents' self-reported decision modes also independently predicted choice. We further found that simultaneously engaging in decision modes that predict opposing choices increased decision difficulty and post-decision worry. In some cases this was related to increased arousal. Results suggest that at least a portion of the negative consequences associated with morally challenging decisions can be attributed to conflict in the decision modes one engages in. [ABSTRACT FROM AUTHOR]