Trust-based health decision-making recruits the neural interoceptive saliency network which relates to temporal trajectories of Hemoglobin A1C in Diabetes Type 1 Article Swipe
Helena Jorge
,
Isabel Catarina Duarte
,
Miguel Melo
,
Ana Paula Relvas
,
Miguel Castelo‐Branco
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1007/s11682-023-00816-z
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1007/s11682-023-00816-z
Experimental approaches in neuroeconomics generally involve monetary utility. Utility in the health domain is relevant in diabetes because constant daily life decisions are critical for self-consequential long-term outcomes. We used fMRI to investigate self-consequent decision-making in the health and economic domains in Type 1 Diabetes Mellitus and controls ( N = 50). We focused on two critical phases of decision-making: Investment and Feedback (Positive or Negative). Patients showed larger BOLD activation of limbic, and reward/dopaminergic regions in particular in the health trust game. Importantly, the worse the trajectory of metabolic control (increasing HbA1C), the higher the BOLD activity in regions of the interoceptive saliency network. This was manifested by positive correlations between brain activity during investment in anterior cingulate cortex and insula and HbA1c blood level progression. We conclude that the neural correlates of health-consequent decision-making domain involve limbic and reward related dopaminergic regions in Type 1 Diabetes Mellitus. Furthermore, the temporal trajectory of HbA1C blood levels is correlated with neural risk processing in the saliency network. Evidence for differential risk processing in the health versus the neuroeconomic context, and the discovery of a role for the saliency interoceptive network in metabolic control trajectories suggests a new perspective on the development of personalized interventions.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s11682-023-00816-z
- https://link.springer.com/content/pdf/10.1007/s11682-023-00816-z.pdf
- OA Status
- hybrid
- Cited By
- 2
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4388646568
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- OpenAlex ID
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https://openalex.org/W4388646568Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1007/s11682-023-00816-zDigital Object Identifier
- Title
-
Trust-based health decision-making recruits the neural interoceptive saliency network which relates to temporal trajectories of Hemoglobin A1C in Diabetes Type 1Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-11-14Full publication date if available
- Authors
-
Helena Jorge, Isabel Catarina Duarte, Miguel Melo, Ana Paula Relvas, Miguel Castelo‐BrancoList of authors in order
- Landing page
-
https://doi.org/10.1007/s11682-023-00816-zPublisher landing page
- PDF URL
-
https://link.springer.com/content/pdf/10.1007/s11682-023-00816-z.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
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https://link.springer.com/content/pdf/10.1007/s11682-023-00816-z.pdfDirect OA link when available
- Concepts
-
Neuropsychology, Diabetes mellitus, Type 2 diabetes, Psychology, Artificial neural network, Hemoglobin, Neuroscience, Cognitive psychology, Medicine, Artificial intelligence, Cognition, Computer science, Internal medicine, EndocrinologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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