Abstract
Insensitivity to costs during cost-benefit decision-making consistently has been related to substance use severity. However, little work has manipulated cost information to examine how people evaluate and compare multiple costs. Further, no work has examined how the consideration of cost information varies across different contexts. We administered a new loss-frame variant of a probabilistic learning task in a diverse community sample enriched for substance use (Nā=ā137). Individuals with more years of regular substance use tended not to repeat choices after they avoided losses, choosing similarly regardless of whether they had avoided or incurred a loss. Computational modeling parameters indicated that they were more inconsistent in their use of expected values to guide choice. These results contribute to our conceptualization of substance use severity by suggesting that inconsistency in using cost information, rather than insensitivity to costs, may inform choices to continue using substances despite incurring negative consequences.
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Acknowledgements
We thank Dr. Timothy Behrens for providing the original reward-variant probabilistic learning task program for adaptation. We also thank the students who helped collect these data: Mikayla Barber, Callie Benson-Williams, Jillian Jolly, Hannah Johns, Jordyn Ricard, and Aram Russell.
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Conceptualization: SGR, ABS; Data Curation: SGR; Formal Analysis: SGR, SP, ABS; Funding Acquisition: ABS; Investigation: SGR, SP, ABS; Methodology: SGR, SP, ABS; Project Administration: SGR, ABS; Resources: ABS; Software: SGR; Supervision: SP, ABS; Visualization: SGR, SP, ABS; Writing ā Original Draft Preparation: SGR, ABS; Writing ā Review & Editing: SGR, SP, ABS.
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Ruiz, S.G., Paskewitz, S. & Baskin-Sommers, A. The relationship between regular substance use and cost comparisons in stable and volatile learning contexts. Transl Psychiatry (2026). https://doi.org/10.1038/s41398-026-03830-z
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DOI: https://doi.org/10.1038/s41398-026-03830-z


