The contribution of “cool” and “hot” components of decision-making in adolescence: Implications for developmental psychopathology

Impairments in either “cool” or “hot” processes may represent two pathways to deficient decision-making. Whereas cool processes are associated with cognitive and rational decisions, hot processes are associated with emotional, affective, and visceral processes. In this study, 168 boys were administered a card-playing task at ages 13 and 14 years to assess response perseveration. This task was designed to initially reward playing and gradually associate playing with punishment. Measures of subjective ordering (cool processes) and neuroticism (hot processes) at age 13 years were used to examine how these individual characteristics relate to perseveration over time. A decrease in perseveration from age 13 to 14 was associated with cool processes whereas hot processes were associated with response perseveration only over time. A complementary but simultaneous assessment of cool and hot processes, such as neuropsychological and personality tests, could facilitate treatment planning of children with behavioral problems.