Later stages of acute stress impair reinforcement-learning and feedback sensitivity in decision making

Whereas the effects of the early stages of acute stress seem to improve learning and increase loss aversion in decision making, in later stages, the opposite has been found, an impairment in decision making probably due to higher reward-attraction, as the STARS approach suggests. This study aims to investigate the effects of the later stages of acute stress on decision making and its underlying processes using a computational model. We hypothesized that stress would affect underlying cognitive strategies during decision making. Ninety-five participants were randomly distributed into two groups, experimental (N = 46) and control (N = 49). A virtual version of The Trier Social Stress Test (TSST) was used as a laboratory stressor. After 20 min, decision making was assessed by using the Iowa Gambling Task (IGT). The Value-Plus-Preservation (VPP) RL computational model was used to extract decision-making components. As expected, the stressed participants showed deficits in IGT performance on reinforcement-learning and feedback sensitivity. However, there was no gains attraction. These results are discussed by considering that decision making in later stages of acute stress could be based on impairments in prefrontal cortex functioning. •Later stages of acute stress impair decision-making and lower loss aversion.•STARS hypothesis suggests an activation of reward-system in later stages of acute stress.•The computational VPP model showed deficits in cognitive strategies during IGT.•The deficits showed in VPP parameters were probably due to an affectation of the PFC.