Decision-making development

Decision-making is a component of executive function, a complex cognitive action allowing for reasoning and emotional processing based on explicit or tacit assumptions (Kahneman & Tversky, 2000). As humans, we make countless decisions every day, affecting all aspects of life, and decision-making is arguably one of the most important human cognitive functions and an area of research prioritisation (Bechara, 2004; Clark, 2010; Clark et al., 2008). Developing a clear understanding of influences on decision-making development is vital to increasing our understanding of decision-making itself, high-order functions and ultimately the role of external factors in complex cognitive development.

Role of stressors and traumatic experiences in decision-making development

Exposure to adverse childhood experiences (ACEs) during childhood can have a significant effect on a range of cognitive functions and their underlying physiological organisation in adulthood (Dannlowski et al., 2012; Hart & Rubia, 2012; Takiguchi et al., 2015). ACEs are said to have a lasting neurobiological effect, with research evidence (Anda et al, 2006; Pechtel & Pizzagali, 2011; McCrory et al., 2012; Wilson et al., 2011) consistently indicating that repeated adverse exposures can result in neurobiological abnormalities in cortical and subcortical regions that are associated with the mediation of anxiety and mood (hippocampus, amygdala, medial prefrontal cortex).

The prefrontal cortex (PFC) is known to be involved in a number of high-order, complex cognitive processes including decision-making, problem solving, forward planning and social inhibition (Alverez & Emory, 2006; Fuster, 2001; Kolb, 1984; Shoenbaum & Roesch, 2005). The PFC is also implicated in a range of neurological and psychological deficits, such as psychosis, depression and autism (Courchesne et al., 2011; Perlstein et al., 2001; Zhou et al., 2015). Given the research that has shown repeated stress and childhood trauma to have a long-lasting impact on cortical and subcortical regions of the brain, specifically those associated with anxiety and mood (e.g., hippocampus, amygdala and medial prefrontal cortex (mPFC); Anda et al., 2006), it could be possible that experiencing aggression in childhood also has a similar effect, thus influencing resultant behaviours involving structures including the hippocampus, amygdala and mPFC (e.g., anxious decision-making).

One common example of aggression in childhood occurs between siblings. Aggressive behaviours can take the form of play fighting, which is considered to be developmentally beneficial for children, cooperative, and enjoyable (Hart & Tannock, 2018), or sibling aggression, which is problematic aggressive behaviour, underpinned by different motivations to that of play, containing an intent to harm (e.g., Felson & Russo, 1988). However, there are difficulties in identifying the two different types of behaviour from the individual behaviours alone, as it is the intention of these that is different, rather than the outward expressions of aggression. This is problematic for those who experience sibling aggression, as not only do they struggle to receive help and intervention, but there are several negative long-term outcomes for those involved. Such outcomes include aggression in adulthood and mental health problems, such as increased levels of anxiety and depression (Mathis & Mueller, 2015), similar to the long term outcomes of repeated stress and childhood trauma. Given such similarities, it could be possible that aggression between siblings in childhood will also have an impact on executive functioning, including decision-making.

When exploring the link between sibling aggression and its impact on cortical development further, evidence has shown that the human PFC undergoes a period of prolonged development and is not fully developed until early adulthood, around the age of 25 (Casey et al., 2008; Sowell et al., 1999). This in turn means that complex functions associated with PFC, such as decision-making processes, undergo the same prolonged period of development. It has been established that the organisation of PFC connections is highly complex and differs in terms of specific structural components in comparison to other more understood cortical regions (Bedwell et al., 2014, 2015, 2017; Hoover & Vertes, 2011; Kondo & Witter, 2014). Such complexity in structure provides increased opportunity for multiple factors to influence development structurally, in turn affecting functional development. It is known that there are critical times throughout cognitive development, during which the formation of neural pathways can be changed by traumatic events (Perry, 2009). It remains unclear however, how common childhood experiences, such as sibling aggression, could contribute to the most complex human cognitive processes associated with the PFC, including decision-making.

The functional outcome of childhood stressors is thought to be largely dependent on developmental timing (Cook et al., 2005), likely due to the constant structural changes occurring in the developing cortex. Complex decision-making is particularly dependent on synaptic plasticity and prolonged development of PFC networks (Crews et al., 2007), meaning it is affected by the ability of synapses to vary in strength of connections over time. Decision-making style is understood as a habitual behavioural pattern with underpinning cognitive processes, which individuals follow in daily decision-making. Scott and Bruce (1995) describe decision-making style as a learned response in a specific decision-making context. It is understood that a variety of decision-making styles exist within the general population (Bruine de Bruin et al., 2007), and that there are many environmental and physiological factors that could contribute to the decision-making style an individual displays. For instance, early childhood stressors such as neglect can influence attachment and decision-making styles (Deniz, 2011). Similarly, decision-making style has been found to be associated with wellbeing and mental health (Cenkseven Önder & Çolakkadioğlu, 2013; Yilmaz et al., 2013), but there is limited evidence to support the role of trauma in decision-making style (Katwa & Bedwell, 2019). However, the psychological consequences of childhood stressors occurring as a result of other negative childhood experiences, such as sibling aggression, on decision-making in adulthood remains to be examined.

Sibling aggression

Aggression between siblings is one of the most common but widely accepted forms of family violence (Caspi, 2012). One of the reasons for its acceptance surrounds the difficulties around both the definitions of sibling aggression and the ability to distinguish the behaviours from play fighting, which is developmentally beneficial for children (DiCarlo et al., 2015). Many terms are used to describe aggressive behaviours between siblings, for instance, sibling violence, conflict, abuse and aggression (Phillips et al., 2009). We use the term ‘sibling aggression’ to include conflict, competition, violence and abuse among siblings (Caspi, 2012). Children who experience sibling aggression have been shown to develop traumatic symptoms in their childhood (Caffaro & Conn-Caffaro, 2006; Finkelhor et al., 2006), which can be long-lasting into adulthood (Dantchev et al., 2018) and similar to those typically associated with events traditionally classed as traumatic in diagnostic criteria (APA, 2013). It is important to acknowledge that although sibling aggression has been associated with trauma, it is not necessarily a traumatic experience and is not generally considered as such. However, research into the impact of sibling aggression specifically is limited, and so it is important to examine the psychological consequences further.

Rates of sibling aggression have been shown to be as high as 90% for psychological aggression and 70% for physical assault (Relva et al., 2013), with much of this being mutual. Victimisation through sibling aggression has often been shown to be related to perpetration (Goodwin & Roscoe, 1990; Tippett & Wolke, 2015), where victims are often perpetrators and vice versa (e.g., Duncan, 1999). When exploring patterns in the prevalence of these behaviours, the frequency of aggression between siblings has been shown to decrease as children get older (e.g., Cole & Kerns, 2001; Tippett & Wolke, 2015). However, gender differences in sibling aggression remain unclear. Patterns have been found that show boys to be more aggressive than girls (e.g., Ostrov & Keating, 2004; Tippett & Wolke, 2015), girls to be more aggressive than boys (Tanrikulu & Campbell, 2015), and boys and girls using similar levels of both physical and verbal aggression with their sibling (Duncan, 1999; Goodwin & Roscoe, 1990). As the findings regarding these sex differences are mixed, it is important to consider that males and females can be both victims and perpetrators of sibling aggression.

Engagement in sibling aggression in childhood has been found to have several long-term effects on perpetrators when they reach adulthood. Not only is there an increased likelihood of people who have engaged in sibling aggression to use aggressive behaviours in future dating relationships, but there have also been links to increased levels of anxiety and lower levels of mental health in victims and perpetrators (Dantchev et al., 2018; Mathis & Mueller, 2015; Noland et al., 2004). Additionally, ACEs, which we consider to have similar psychological effects to sibling aggression, have been shown to have detrimental effects on numerous health outcomes in adulthood, including heart disease and cancer (Felitti et al., 1998). It is important to examine the long-term effects of sibling aggression further in order to gain a more in depth understanding around the psychological consequences of engaging in these behaviours on both victims and perpetrators in adulthood.

Development of aggressive behaviour

A vast amount of evidence in the field of sibling aggression draws on Social Learning Theory (Bandura, 1978) as an explanation of learned aggressive behaviour. Evidence suggests that children learn from observation of others that aggression is an appropriate method of conflict resolution, and can achieve a desirable outcome (Ingram et al., 2020). Similarly, research states that decisions are made, and decision-making networks strengthened, by assessments of future outcomes based on experience, often referred to as cost–benefit analysis (Bechara, 2004). Knowledge of likely desirable outcomes can come from past observations, such as using aggression to achieve a goal. When taken together, theoretical knowledge suggests similar learning processes play a role in aggressive behaviour and decision-making development.

Further support for a role of aggressive behaviour towards siblings in decision-making comes from observations of cortical activation in response to potential rewards and losses. Birn et al. (2017) revealed differences in activation, predicted by childhood stress exposure, but not by current adult stress exposure. When viewing stress responses to sibling aggression similarly to other traumatic childhood experiences, it stands to reason that the same processes underlying risky decision-making seen here will be influenced specifically by experience of childhood sibling aggression.

Aims and hypotheses

The connection between childhood experiences of stress during critical developmental stages on cognitive function in adulthood has been widely studied. However, most studies have focused on the effect of parent-infant attachment on cognitive development. Here, we aim to establish the relationship between childhood experiences of sibling aggression and high-order cognitive function, specifically complex decision-making, through two studies.

Study 1 was conducted to examine the relationship between childhood experiences of sibling aggression and high-order cognitive function, specifically complex decision-making. Two hypotheses were proposed; (1) the experience of sibling aggression will influence decision-making in adulthood, and (2) the way that people use aggression with a sibling will be associated with decision-making in adulthood.

Study 2 extended the findings of Study 1 to establish the relationship between childhood experiences of sibling aggression and performance in risky decision-making tasks. Two hypotheses were proposed: (1) the experience of sibling aggression will influence decision-making reaction time in a risky decision-making task; and (2) experience of sibling aggression will influence the risk level of decisions made in a risky decision-making task.

Study 1

Method

Participants and procedure

A volunteer sample of 142 participants (41 males and 100 females¹), who ranged in age between 25 and 70 years old (M = 31.98, SD = 9.66) were recruited via an online survey. Advertisements for the survey were placed on social media and survey participation websites. Participants were not provided with any incentives to take part. There were three eligibility criteria to take part in the study: (1) participants were required to be over the age of 25; (2) all participants were required to have grown up with at least one sibling whom they had engaged in fighting behaviours with in childhood; and (3) all participants were required to be fluent in English. Participants who reported a diagnosed neurological or psychological disorder, or a traumatic brain injury, were excluded from the analysis as these may impact performance in decision-making tasks. Similar to McDonald and Martinez (2016), the definition of sibling aggression was not provided to participants beforehand due to inconsistencies and difficulties in distinguishing sibling aggression from play fighting. Participants were then assigned to one of four groups depending on their own reported definition of themselves as a victim or perpetrator of childhood sibling aggression (mutual victim and perpetrator, perpetrator only, victim only, and no aggression). Almost half (47.2%) of participants defined themselves as a mutual victim and perpetrator of sibling aggression, one-fifth (18.3%) defined themselves as a victim, and four (2.8%) had been perpetrators of sibling aggression. Forty-five (31.7%) participants defined themselves as having not been either a victim or a perpetrator of childhood sibling aggression, engaging in only play fighting with their sibling, and served as a comparison group. On average, participants had 2.61 siblings, with a majority (70.4%) being related to their brother(s) and/or sister(s) biologically. In addition to this, 50.7% of participants were of American nationality and 21.8% were British. The remaining participants were made up from people of Nigerian (5.6%), Irish (4.2%) and other nationalities (17.7%).

Upon providing consent, all participants completed a series of three questionnaires in relation to the sibling that they had experienced the most conflict with in childhood. Prior to taking part in the study, all participants received a detailed on-screen information sheet and provided informed consent via an online form. All participants were given the right to withdraw at any point during the study, with a withdrawal option made available on every page. Upon completion of the study, participants were presented with a debrief screen, in which they were provided contact details for the researchers and directed towards appropriate support services should they have been affected by the content of the questionnaires. The study was approved by the University Ethics Committee and complied with the ethical guidelines of the British Psychological Society.

Measures

Study 1 employed a series of three separate questionnaires. Firstly, participants were asked to complete a demographics questionnaire, which asked participants to complete questions surrounding their age, gender, nationality, number of children, number of siblings and experience of sibling aggression.

Sibling aggression

The Experiences of Sibling Aggression Scale (ESAS; Harrison, 2017) is a 24-item questionnaire, which asks participants to rate the extent to which they agree or disagree with a presented statement on a scale ranging from 1 (not at all) to 5 (a lot). The questionnaire contains four subscales for play fighting (e.g., I enjoyed physically play fighting with my sibling), sibling aggression (e.g., I only fought with my sibling when I was angry with them), normalisation (e.g., It is normal to fight with your sibling) and behaviours to maintain dominance (e.g., I did anything I could to get me sibling into trouble). High scores on any of the subscales are indicative of higher levels of the behaviours. The Cronbach’s alpha scores for each of the subscales within this sample were; 0.77 for play fighting, 0.75 for sibling aggression, 0.62 for normalisation and 0.89 for behaviours to maintain dominance, demonstrating a good level of reliability for the scale.

Decision-making

The General Decision-Making Style Questionnaire (GDMS; Scott & Bruce, 1995) consists of 24 items which ask participants to indicate the extent to which they agree with a presented statement on a scale ranging from 1 (strongly disagree) to 5 (strongly agree). There are five subscales relating to the five different decision-making styles; rational (e.g., I usually have a rational basis for making decisions), intuitive (e.g., When I make decisions I tend to rely on my intuition), avoidant (e.g., I generally make important decisions at the last minute), spontaneous (e.g., When making decisions I do what feels natural at the moment) and dependant (e.g., I rarely make important decisions without consulting other people). Higher scores on any of the subscales indicate a higher presence of that particular decision-making style. However, Scott and Bruce (1995) propose that individuals often have aspects of all five types. Cronbach’s alpha scores have been reported between 0.77 and 0.85 for rational, 0.78 and 0.84 for intuitive, 0.68 and 0.86 for dependent, 0.93 and 0.94 for avoidant and 0.87 for spontaneous (Scott & Bruce, 1995). For the present sample, the Cronbach’s alpha scores were 0.66 for rational, 0.81 for intuitive, 0.82 for dependent, 0.90 for avoidant, and 0.82 for spontaneous, demonstrating a good level of reliability.

Data analyses

The data were analysed in IBM SPSS 24. Hypothesis 1 predicted that experience of sibling aggression will have an effect on decision-making style in adulthood. As the number of participants who had been only perpetrators of sibling aggression in childhood was less than the number of dependent variables being tested, they were excluded from further analyses. Following this, a MANOVA was conducted on the data, with the dependent variables being the scores on each subscale of the GDMS (Scott & Bruce, 1995) and the independent variable being experience of sibling aggression (mutual, victim, or no aggression).

Hypothesis 2 predicted that the way that people use aggression with a sibling will be associated with decision-making in adulthood. Prior to analysis, Pearson’s bivariate correlations were inspected to see if there were relationships between particular decision-making styles and the way siblings used aggression with one another. Significant relationships were then followed up with a multiple linear regression. This analysis determined whether childhood experiences of sibling aggression are likely to have a significant impact on decision-making, associated with the ongoing development of complex cortical networks. This led us to establish the effect on decision-making style exhibited in adulthood and the influence that varied experiences of childhood sibling aggression have on decisions made.

Results

Hypothesis 1: Experience of sibling aggression will have an effect on decision-making in adulthood

Table 1 shows the means and standard deviations of the scores on the GDMS (Scott & Bruce, 1995) as a function of the experience of sibling aggression.

Table 1:

To explore differences between participants' experiences of sibling aggression and their decision-making styles in adulthood, a MANOVA was conducted using the independent variable of aggression experience, which was measured on three levels: (1) mutual victim and perpetrator, (2) victim, and (3) no aggression. The dependent variables were the five subscales of the GDMS questionnaire. The MANOVA revealed a non-significant main effect of mutuality on decision-making style (Wilks λ = 0.89, F (10, 234) = 1.49, p = 0.150, η² = 0.059).

Hypothesis 2: The way that people use aggression with a sibling will be associated with decision-making in adulthood

Two multiple linear regression analyses were conducted to assess whether participant’s use of sibling aggression was associated with decision-making in adulthood. Prior to the analysis, Pearson’s bivariate correlations were inspected to see preliminary relationships between the variables (see Table 2).

Table 2:

As seen in Table 2, there were significant positive correlations between avoidant decision-making style and the ESAS subscales of sibling aggression, normalisation, and behaviours to maintain dominance. There was also a significant positive correlational relationship between spontaneous decision-making styles of the ESAS subscale of behaviours to maintain dominance. For this reason, these variables were carried through to the two multiple regression analyses. In the first, the criterion variable was avoidant decision-making style and the predictor variables were the three ESAS subscales. In the second, the criterion variable was spontaneous decision-making style and the ESAS subscale of behaviours to maintain dominance. All variables entered the regression analysis simultaneously (see Table 3).

Table 3:

The results of regression analysis one (Table 3) showed that the full model significantly predicted avoidant decision-making [F (3, 126) = 4.17, p = 0.007, R² adj. = 0.07]. More specifically, using aggression with a sibling to maintain dominance in childhood (β = 0.26, t = 2.71, p = 0.008) significantly predicted a higher level of avoidant decision-making in adulthood. The predictor variables of normalisation and sibling aggression did not significantly predict avoidant decision-making (p = 0.323 and p = 0.867 respectively).

A second multiple regression analysis was conducted with the criterion variable of spontaneous decision-making scale and the ESAS subscale of behaviours to maintain dominance. A significant model emerged [F (1, 133) = 4.02, p = 0.047, R² adj. = 0.02]. Using aggression with a sibling to maintain dominance in childhood [β = 0.02, t = 2.01, p = 0.047] significantly predicted a higher level of spontaneous decision-making in adulthood.

Summary of study 1

In Study 1, we sought to identify the relationship between experiences of sibling aggression during childhood and decision-making style reported in adulthood. We found a significant, positive association between the use of sibling aggression to maintain dominance during childhood and an avoidant decision-making style reported in adulthood, indicating a possible role of childhood sibling aggression in the development of decision-making processes.

Study 2

Aims and hypotheses

Study 2 aimed to build upon the findings of Study 1 further, and examine the relationship between childhood sibling aggression and decision-making, through real time decision-making performance in adulthood. It was proposed that: (1) the experience of sibling aggression will influence decision-making reaction times in a risky decision-making task; and (2) the experience of sibling aggression will influence the risk level of decisions made in a risky decision-making task.

Method

Participants and procedure

Sixty-five participants (39 female, 26 male) aged 18 to 50 years old (M = 23.63, SD = 5.19) were recruited via the university’s Research Participant Scheme (RPS), social media, psychological study websites (e.g., call for participants) and word of mouth. All participants were over the age of 18, required to have at least one sibling, no previous diagnosis of neurological or psychological disorder, no diagnosed learning difficulty and have normal/corrected to normal vision. Of the 65 participants that took part, all had between one and six siblings (M = 2.18 siblings). Fifty participants (76.9%) had natural siblings, five (7.7%) had half-siblings and 10 (15.4%) had a combination of natural, half, step, adopted and fostered. Participants were allocated to one of four groups: (1) those who experienced sibling aggression during childhood as a perpetrator, (2) those who experienced sibling aggression during childhood as a victim, (3) those who experienced sibling aggression during childhood as both perpetrator and victim, and (4) those who have siblings and reported no experiences of sibling aggression during childhood.

Participants attended the testing session at a mutually convenient time. Participants completed a demographics questionnaire followed by the ESA scale (Harrison, 2017) through an online survey. Following completion of the questionnaire element, participants were required to complete a gambling task. During this part of the study, participants were presented with five practice trials to familiarise with the task, before completing 100 test trials. The researcher left the room whilst the participant completed the study. Upon completion, participants were provided with a full debrief and given the opportunity for it to be emailed to them. Each testing session took approximately 30 min. All participants received a £5 shopping voucher for their participation.

Measures

Demographics

Participants completed questions surrounding their age, gender, nationality, number of children, number of siblings, and experience of sibling aggression.

Iowa gambling task

Participants completed a computer based decision-making task (IOWA gambling task, Bechara et al., 2000), presented through OpenSesame (Mathôt et al., 2012) on a desktop computer. All participants were task naïve. The task presented four decks of cards (A, B, C, & D). Participants were required to make a choice between the four decks. Each choice resulted in either a gain or loss of money. The goal of the task, as explained to participants, was to finish with as much money as possible. Each participant completed 100 trials. Within the IOWA gambling task, two decks are ‘safe’ (where little money is won and little is lost) and two decks are ‘risky’ (where large sums are won and large sums are lost). It is up to the participant to learn over the first few trials which decks are safe and which are risky. No real money was given in relation to task performance. Participants’ choices and reaction times were recorded (in ms). The order of the four decks on the screen remained consistent between trials and was randomised between participants.

Data analyses

The data were analysed in IBM SPSS 24. Hypothesis 1 predicted that experience of sibling aggression would influence decision-making reaction times in a risky decision-making task. As the number of participants who had been only victims (N = 1) or only perpetrators (N = 3) of sibling aggression was low, they were excluded from further analyses. Following this, a multiple linear regression was conducted, with the predictor variables of gender and sibling aggression, and the outcome variable of decision-making time, as measured by the IOWA gambling task. Hypothesis 2 predicted that experiences of sibling aggression will influence the risk level of decisions made in a risky decision-making task.

Prior to analysis, Pearson’s bivariate correlations were inspected to see if there were relationships between particular decision-making styles and the way siblings used aggression with one another. Significant relationships were then followed up with a multiple linear regression. This analysis determined if childhood experiences of sibling aggression are likely to have a significant impact on decision-making associated with the development of complex cortical networks, thus affecting decision-making style exhibited in adulthood and influencing the decisions made by individuals with varied experiences of childhood sibling aggression. A chi-square test was also conducted to assess for potential associations between experiences of sibling aggression and different decision-making styles.

Results Logistic regression

A logistic regression was conducted (see Table 4) to investigate the effect of the independent variables; participant age, gender and number of siblings, on the nominal dependent variable of status of sibling aggression (mutual or no aggression).

Overall, the full model significantly predicted sibling aggression (χ² (3) = 8.94, p = 0.030). The model significantly classified 61.5% of participants who had experienced no aggression from a sibling in childhood and 74.3% of participants who reported being a mutual victim and perpetrator. This resulted in 68.9% accurate predictions. The only predictor variable to significantly predict status of sibling aggression was gender of participant (p = 0.005). All other predictor variables were non-significant. Being female was associated with an increase in the odds of being a mutual victim and perpetrator of sibling aggression by a factor of 5.36.

Hypothesis 1: Experience of sibling aggression will influence decision-making reaction times in a risky decision-making task

A multiple linear regression was conducted to investigate the effect of the independent variables, participant gender and sibling aggression status on the dependent variable, decision-making time (see Table 5). Overall, the full model did not significantly predict decision-making time (F (2, 58) = 0.08, p = 0.927, R² adj. = -0.03). Participant gender (p = 0.928) and status of sibling aggression (p = 0.749) did not make a statistically significant contribution to the predictive accuracy of the model.

Table 5:

Hypothesis 2: Experience of sibling aggression will influence the risk level of decisions made in a risky decision-making task

A chi-squared test was conducted to explore whether there was a difference between experience of sibling aggression (mutual vs. no aggression) and types of decision-making (risky vs. safe). The test revealed a non-significant association between the two aforementioned variables (χ² (1, N = 61) = 0.03, p = 0.856, Cramer’s V = 0.02).

Summary of study 2

Study 2 explored the relationship between the experiences of sibling aggression during childhood and types of decision-making in adulthood. We found a non-significant relationship between experience of sibling aggression and risky/safe decision-making. However, we did find participant gender to be significantly related to experience of sibling aggression, in that females were more likely to have experience as a mutual victim and perpetrator compared to males.

General discussion

The present study aimed to establish the relationship between childhood experiences of sibling aggression and high-order cognitive function, specifically complex decision-making, through two studies. We identified a significant association between specific experiences of childhood sibling aggression and decision-making styles reported in adulthood. Specifically, we have identified a link between using sibling aggression to maintain dominance during childhood and an avoidant decision-making style reported in adulthood. Individuals using aggression to gain control of resources or possessions were more likely to be avoidant in their decision-making style. The findings presented here provide an important basis on which to build further research into the impact of childhood experiences of sibling aggression on the underlying development of complex decision-making networks.

The relationship between the motivations for aggression with siblings and decision-making in adulthood

Experiencing sibling aggression has been linked to increased levels of anxiety and depression in adulthood (Mathis & Mueller, 2015; Wolke et al., 2015) and an increased likelihood of engaging in aggressive behaviours in later intimate relationships (Noland et al., 2004). The present study extends knowledge with regard to the psychological consequences of sibling aggression, finding that the motivation behind the use of aggression with a sibling influenced the decision-making styles reported. More specifically, using aggression to maintain dominance (i.e., gain control of resources) was linked to a higher likelihood of spontaneous and avoidant decision-making. This is a surprising result, given that avoidance is considered to be a personality trait common with inhibition, fear of criticism and social anxiety (APA, 2013). Avoidance is often associated with childhood emotional neglect and social rejection and thought to be a result of abusive childhood environments (Björn et al., 2005). One might naturally associate this with being a victim of sibling aggression over a perpetrator. However, research within this area often only looks at whether or not people have experienced aggressive behaviours from a sibling. By looking into the motivations behind those behaviours, we can see that it is not necessarily the role that individuals have in sibling aggression (i.e., perpetrator or victim), but their reasoning behind such acts which is associated with decision-making styles. It is understood that there is a higher likelihood of neurobiological abnormalities in individuals of repeated childhood trauma (Anda et al., 2006; McCrory et al., 2012; Pechtel & Pizzagali, 2011; Wilson et al., 2011). When this is considered alongside our findings, we suggest that using aggression as a way to maintain dominance and control resources has an impact on prefrontal cortex development, and therefore on exhibited high-order processes such as decision-making. It is clear from our findings that experiences of sibling aggression affect decision-making style. However, exploring how the underlying neuroanatomical and neurophysiological development of network structures are influenced and contribute to these exhibited behaviours requires further investigation.

Role of sibling aggression in risky decision-making

Findings from Study 1 identified a role of sibling aggression in decision-making style reported in adulthood, therefore one may expect to find a similar role of sibling aggression in real time risky decision-making performance, however the findings presented here from Study 2 show this is not the case. Our findings indicate that sibling aggression does not predict risky decision-making in terms of reaction time or in terms of risk level in decisions made. Taken together with the findings from Study 1, this suggests that the types of decisions made (decision-making style) may be influenced by sibling aggression in developmental stages, but the ‘riskiness’ of decisions made are not. When considered alongside existing knowledge surrounding childhood trauma and cognitive development (Cook et al., 2005), and specifically decision-making (De Bellis et al., 2009; Guillaume et al., 2013; Katwa & Bedwell, 2019), these findings imply differences in the influence on neurophysiological and structural development.

The role of gender in the relationship between sibling aggression and decision-making

Interestingly, we identified gender as a significant predictor of sibling aggression, but not of risky decision-making. When exploring prevalence rates of sibling aggression, patterns around gender are mixed. Prevalence studies have found boys to be more aggressive than girls at all ages (Menesini et al., 2010; Tippett & Wolke, 2015; Tucker et al., 2013), whereas others have found no difference between males and females (Duncan, 1999). Interestingly however, Tanrikulu and Campbell (2015) found, similarly to our study, that girls were more aggressive towards their siblings than boys. More research is needed exploring this specific facet of sibling aggression, which uses consistently similar methods to measure prevalence statistics.

Limitations

The findings presented here provide a valuable insight into the role of childhood experiences in high order cognitive processes, specifically decision-making. However, it should be noted that participants were not provided with a definition of sibling aggression before taking part in the study. This means that they may have used different defining criteria to classify themselves as being a victim and/or perpetrator of sibling aggression. They may have also only considered particular types of aggression within their definition (e.g., psychological or physical). Consequently, this means that the study findings cannot distinguish between different types of aggression from siblings (i.e., physical, psychological). However, the definition of sibling aggression is often debated in the literature, with researchers using different terms for the same behaviours. Examples include ‘sibling violence’ (e.g., Elliott et al., 2019), ‘sibling aggression’ (e.g., Caspi, 2012), ‘sibling conflict’ (e.g., Tucker & Finkelhor, 2017), and ‘sibling bullying’ (e.g., Bowes et al., 2014). Similar to McDonald and Martinez (2016), we did not want to constrain participants to a prescribed definition of sibling aggression. Future research should try to explore definitions of sibling aggression in further detail, along with how different types of aggression (psychological and physical) among siblings impact on decision-making performance.

The study did not ask participants about the cultural practices and norms of participants that may have an impact upon the findings. Different cultural practices may influence participant perceptions of an aggressive sibling relationship. Research has shown that participants from a variety of different ethnic groups can identify specific behavioural acts that they consider to be abusive, with differences only in perceptions around the severity of the behaviours, i.e., those that they consider to be mild, moderate and extreme (Rapoza et al., 2010). However, there are cross-cultural differences in whether or not a sibling relationship is perceived as abusive. Some cultures (e.g., German, African) see sibling aggression as normal (Kiselica & Morrill-Richards, 2007). This study recruited participants from a wide variety of cultures, although proportions represented from outside North American and British cultures were very small. Future research should aim to explore cross-cultural differences in relation to sibling aggression in more depth.

Our findings demonstrate a relationship between childhood sibling aggression and decision-making in adulthood. We cannot exclude a possibility that those who show specific patterns of decision-making tend to engage in sibling aggression. However, it should be noted that sibling aggression being the causal factor in the way people make decisions, rather than the reverse, is far more plausible in this instance. The high-order cognitive process of decision-making is not fully developed until early adulthood, therefore it is unlikely that complex decision-making processes can influence behaviour in childhood. Further investigation in child populations is needed to understand this relationship more clearly.

Practical implications and directions for future research

The present study has provided a vital starting point for investigating the development of complex high-order functions in great detail, specifically in terms of their development and influence of early experiences. Given the high levels of sibling aggression within the family environment, it is important to explore the impact of these experiences further, particularly given the acceptance of the behaviours within families and the wider community (Elliott et al., 2019; Gelles, 1997; Mcdonald & Martinez, 2016). It is however important to note that the differences in decision-making we have identified in relation to experiences of sibling aggression do not denote a deficit as a result of sibling aggression. That is to say we have identified differences in the way people make decisions in relation to the sibling aggression they experienced as children, that is not to say any of these differences identified are a particular advantage or disadvantage. Indeed, evidence suggests that different approaches to decision-making are beneficial in different circumstances (Allwood & Salo, 2012). That being so, it is important to acknowledge that sibling aggression may have more of an impact than previously assumed. Reports of sibling aggression are sometimes minimised by parents, being classed as ‘normal’ sibling behaviour (Kramer et al., 1999). Looking at the role of parental intervention in the development of complex high-order functions would be a natural progression of this research.

By building on the knowledge gained here, future research will enable us to identify how different childhood experiences, both positive and negative, influence the development of high order cognitive processes, including decision-making. Ultimately, we will be able to have a greater level of insight into how decision-making networks develop and the influence of specific experiences on the properties of these functional networks. It is thought that disorders including autism and psychosis have underlying structural and network abnormalities in PFC, associated with high-order functioning (Courchesne et al., 2011; Goldman-Rakic, 1991; Perlstein et al., 2001). Given that childhood aggression with a sibling has been associated with psychosis (Dantchev et al., 2018; Liu et al., 2021), gaining a clearer understanding of how the development of these complex processes and their underlying network structure is influenced by childhood experiences will eventually enable a clearer understanding of abnormalities in development, leading to increased possibilities in management, treatment and prevention.

Conclusions

We have provided new evidence for differential decision-making styles amongst adults with varied childhood experiences of sibling aggression, which suggests that the underlying cognitive mechanisms of decision-making processes also differ. Further investigations into the underlying neurophysiological network structure and development will allow for further understanding of how childhood experiences of sibling aggression contribute to such development. The impact of sibling aggression on brain development, specifically in terms of high-order functioning, has not been widely studied, with emphasis often placed on influences of highly traumatic childhood experiences. We have demonstrated that sibling aggression, specifically from the often overlooked perspective of a mutual perpetrator and victim, may have a profound effect upon the development of high-order function, specifically decision-making, thus may be influenced by underlying prefrontal cortical pathways.

Decision-making Development

Decision-making constitutes a critical aspect of executive function, a complex cognitive process integrating reasoning and emotional processing based on both explicit and implicit assumptions. The pervasiveness of daily decision-making underscores its significance as a fundamental human cognitive function, warranting extensive scholarly investigation. A comprehensive understanding of the developmental influences on decision-making is crucial for advancing knowledge of higher-order cognitive processes and the impact of environmental factors on complex cognitive maturation.

Role of Stressors and Traumatic Experiences

Exposure to adverse childhood experiences (ACEs) significantly impacts various cognitive functions and their underlying neurobiological organization in adulthood. The enduring neurobiological consequences of ACEs are well-documented, with research consistently demonstrating that repeated adverse experiences can lead to structural and functional abnormalities in brain regions associated with emotional regulation, including the hippocampus, amygdala, and medial prefrontal cortex (mPFC).

Prefrontal Cortex and Decision-Making

The prefrontal cortex (PFC) plays a pivotal role in numerous higher-order cognitive processes, encompassing decision-making, problem-solving, planning, and social behavior. Given the established impact of stress and trauma on the PFC and related brain regions, it is plausible that childhood aggression, a common form of adversity, similarly influences these neural structures and related behaviors.

Sibling Aggression and Developmental Trajectories

Sibling aggression, while prevalent, presents challenges in differentiating it from developmentally beneficial play fighting. The ambiguity in distinguishing these behaviors complicates intervention efforts and may contribute to the underestimation of the long-term consequences. These consequences may include increased aggression and mental health issues in adulthood, mirroring the effects of other forms of childhood trauma.

Neurodevelopmental Considerations

The extended developmental trajectory of the PFC, concluding in early adulthood, implies that the complex cognitive processes associated with it, such as decision-making, are also subject to prolonged development. The intricate structural organization of the PFC increases its vulnerability to various developmental influences, underscoring the need to investigate the role of commonplace childhood experiences, including sibling aggression, in shaping these cognitive processes. Critical periods exist during cognitive development where neural pathways are particularly susceptible to modification by traumatic events.

Aggression and Decision-Making Styles

The impact of childhood stressors is heavily influenced by developmental timing, owing to the dynamic structural changes in the developing cortex. Decision-making style, considered a habitual behavioral pattern underpinned by cognitive processes, is shaped by experience and context. The influence of early childhood experiences, such as neglect, on attachment and decision-making styles is well-established, though research on the specific role of trauma in shaping decision-making style requires further investigation.

Study 1: Sibling Aggression and Decision-Making Styles

This study examined the relationship between childhood experiences of sibling aggression and decision-making styles in adulthood. A significant positive correlation emerged between using aggression to maintain dominance during childhood and an avoidant decision-making style in adulthood.

Study 2: Sibling Aggression and Risky Decision-Making

Study 2 investigated the relationship between childhood sibling aggression and performance on a risky decision-making task. No significant association was found between sibling aggression and decision-making performance on this task, suggesting differential influences on decision-making styles versus the risk-taking propensity. However, gender was identified as a significant predictor of sibling aggression, with females more likely to report mutual victim-perpetrator experiences.

General Discussion

The findings highlight a relationship between childhood sibling aggression and adult decision-making styles, particularly the association between using aggression for dominance and avoidant decision-making. This study extends existing knowledge by considering motivations behind aggressive behaviors, suggesting that the impact on decision-making stems not merely from the role (victim or perpetrator) but also the underlying intentions. This adds another dimension to the understanding of how childhood experiences impact complex cognitive processes. Discrepancies between findings on decision-making styles and performance on risky decision-making tasks suggest distinct developmental pathways and different influences on the neurobiological underpinnings of these related processes. Gender differences in sibling aggression warrant further investigation using consistent methodologies across studies.

Limitations

The lack of a pre-defined sibling aggression definition allowed for diverse participant interpretations, potentially affecting the specificity of the findings. Furthermore, cultural variations in perceptions of sibling aggression were not fully addressed, representing a limitation. The correlational design does not definitively establish causality between sibling aggression and decision-making patterns; longitudinal studies are needed to disentangle the bidirectional influences.

Practical Implications and Future Research

The present study emphasizes the need for further research on the influence of sibling aggression, especially given its often-minimized nature and the potential for parental intervention to impact developmental outcomes. Future research should focus on exploring different types of aggression, cultural nuances, and longitudinal studies to clarify the causal relationships. Investigating the neurobiological underpinnings of these relationships would further advance understanding of cognitive development and inform interventions. Attention to the complex interaction between multiple childhood experiences and their cumulative impact on cognitive development is warranted.

Decision-Making Development

Executive function, a complex cognitive process encompassing reasoning and emotional processing, includes decision-making. Daily life involves countless decisions impacting various aspects, highlighting decision-making's importance as a cognitive function and a research priority. Understanding the developmental influences on decision-making is crucial for comprehending high-order functions and the impact of external factors on cognitive development.

Role of Stressors and Traumatic Experiences

Adverse childhood experiences (ACEs) significantly affect cognitive functions and their underlying neurobiology in adulthood. Research consistently shows that repeated ACEs lead to neurobiological abnormalities in brain regions associated with anxiety and mood regulation, such as the hippocampus, amygdala, and medial prefrontal cortex (mPFC).

The prefrontal cortex (PFC) plays a vital role in high-order cognitive processes, including decision-making, problem-solving, planning, and social inhibition. Its involvement in neurological and psychological deficits, like psychosis, depression, and autism, underscores its importance. Given the established impact of stress and trauma on brain regions involved in emotion regulation, it is plausible that childhood aggression similarly affects these regions and influences behavior.

Sibling aggression, while sometimes developmentally beneficial as play fighting, can be problematic when intended to harm. Differentiating between playful and harmful aggression based on outward behavior alone is challenging, hindering intervention and leading to negative long-term consequences such as aggression and mental health issues in adulthood. These parallels with the long-term effects of stress and trauma suggest a potential impact on executive functions, including decision-making.

The prolonged development of the PFC, continuing into early adulthood, means that complex PFC-associated functions like decision-making also undergo extended development. The PFC's intricate structure and connectivity increase the susceptibility of its development to various influences. Critical periods exist during which traumatic events can alter neural pathways, raising questions about the impact of common childhood experiences like sibling aggression on complex cognitive processes. Decision-making style, a learned behavioral pattern influenced by environmental and physiological factors, is also linked to well-being and mental health, but the role of trauma in shaping this style remains relatively unexplored.

Sibling Aggression

Sibling aggression, a common yet often accepted form of family violence, presents challenges in definition and differentiation from play fighting. While often associated with trauma, sibling aggression isn't always considered traumatic. However, the lack of research necessitates further examination of its psychological consequences.

High rates of sibling aggression, often mutual, are reported, with a decrease in frequency as children age. Gender differences remain unclear, with studies yielding inconsistent results. Both males and females can be victims and perpetrators.

Long-term consequences for adult perpetrators and victims include increased aggression in relationships, higher anxiety levels, and poorer mental health. These parallels with the detrimental effects of ACEs on adult health outcomes necessitate a more thorough investigation of sibling aggression's long-term effects.

Development of Aggressive Behavior

Social Learning Theory explains learned aggressive behavior through observation and the association of aggression with desirable outcomes. This aligns with decision-making processes where choices are influenced by assessments of future outcomes based on experience. Observations of aggression achieving goals strengthen the pathways for aggressive behavior and decision-making.

Cortical activation studies reveal differences in activation patterns influenced by childhood, but not current adult, stress exposure. Viewing sibling aggression through the lens of other traumatic childhood experiences suggests similar processes influencing risky decision-making.

Aims and Hypotheses

While research emphasizes parent-infant attachment's influence on cognitive development, this study investigates the relationship between childhood sibling aggression and high-order cognitive function, focusing on decision-making. Study 1 examined the association between childhood sibling aggression and adult decision-making styles, hypothesizing that sibling aggression would influence adult decision-making and that the type of aggression would be associated with decision-making. Study 2 extended this by examining the impact of sibling aggression on risky decision-making tasks, hypothesizing that sibling aggression would influence reaction time and risk level in such tasks.

Study 1: Method, Measures, and Results

Study 1 used an online survey of 142 participants (aged 25-70) who had experienced sibling aggression. Participants were categorized into groups based on their self-reported roles (mutual victim/perpetrator, victim only, perpetrator only, or no aggression). The study employed the Experiences of Sibling Aggression Scale (ESAS) and the General Decision-Making Style Questionnaire (GDMS) to measure sibling aggression and decision-making styles, respectively.

Analysis revealed no significant overall effect of sibling aggression experience on decision-making style. However, multiple regression analyses showed a significant positive correlation between using aggression to maintain dominance in childhood and avoidant decision-making styles in adulthood. A similar association was found between using aggression to maintain dominance and spontaneous decision-making.

Study 1: Summary

Study 1 indicated a link between using sibling aggression to maintain dominance during childhood and an avoidant decision-making style in adulthood, suggesting a role of childhood sibling aggression in shaping decision-making processes.

Study 2: Aims, Method, and Results

Study 2 (65 participants aged 18-50) investigated the relationship between childhood sibling aggression and real-time risky decision-making performance using the Iowa Gambling Task. Analysis revealed no significant relationship between sibling aggression and risky decision-making in terms of reaction time or risk level. However, gender was significantly related to sibling aggression, with females more likely to report mutual victim/perpetrator experiences.

Study 2: Summary

Study 2 found no significant relationship between sibling aggression experience and risky decision-making performance, but showed that females were more likely to experience mutual sibling aggression than males.

General Discussion, Limitations, and Conclusions

The study revealed a significant association between using sibling aggression to maintain dominance and avoidant or spontaneous decision-making styles. This suggests that the motivation behind aggressive behaviors, rather than simply the role of victim or perpetrator, plays a role in shaping decision-making. This adds to the understanding of sibling aggression's psychological consequences beyond simple victimization.

Limitations include the lack of a predefined sibling aggression definition, potential for recall bias, and limited representation of diverse cultural practices. The study's correlational nature prevents establishing causality. Further research is needed to explore different types of aggression and cultural influences.

The study provides valuable insight into the impact of childhood sibling aggression on decision-making, highlighting the need for further investigation into the neurobiological mechanisms and the importance of considering the motivations behind aggressive behaviors. Despite limitations, the findings underscore the potential long-term impact of sibling aggression on cognitive development and highlight the need for further research in this area.

Summary

Decision-making skills are a crucial part of our cognitive abilities, influencing many life choices. Research suggests that stressful childhood experiences, including trauma, can significantly impact brain development, particularly in areas associated with decision-making and emotional regulation. The prefrontal cortex (PFC), responsible for higher-level thinking, is particularly vulnerable. This study investigates the relationship between sibling aggression during childhood and decision-making styles in adulthood.

Role of Stressors and Traumatic Experiences in Decision-Making Development

Early negative experiences (ACEs) can alter brain structure and function, affecting cognitive abilities later in life. Repeated stressful events may damage brain regions crucial for managing emotions and anxiety, such as the hippocampus, amygdala, and prefrontal cortex (PFC). The PFC is involved in complex cognitive processes including decision-making, planning, and impulse control. Damage to the PFC can contribute to various mental health issues. Childhood aggression, especially between siblings, might negatively impact PFC development and decision-making abilities.

Sibling Aggression

Sibling aggression is surprisingly common, yet often overlooked. It's difficult to distinguish from playful fighting, making intervention challenging. The long-term effects can be substantial, including increased aggression, anxiety, and depression in both victims and perpetrators. While not always considered trauma, sibling aggression shares similar psychological consequences.

Development of Aggressive Behavior

Social Learning Theory suggests that children learn aggressive behavior by observing others. They may see aggression as a way to achieve desired outcomes. Decision-making involves assessing potential rewards and losses. Past experiences, including aggressive acts, influence future choices. Brain scans show different activation patterns in individuals with childhood stress exposure.

Aims and Hypotheses

This study explores the link between childhood sibling aggression and decision-making in adulthood. Study 1 examines the relationship between experiences of sibling aggression and decision-making styles. Study 2 investigates the effect of sibling aggression on performance in risky decision-making tasks.

Study 1: Method, Participants, Procedure and Measures

Study 1 used an online survey of 142 adults (ages 25-70) who had experienced sibling conflict. Participants were categorized into groups based on their roles in the sibling aggression: mutual victim/perpetrator, victim only, perpetrator only, and no aggression. Three questionnaires were used: a demographics questionnaire, the Experiences of Sibling Aggression Scale (ESAS), and the General Decision-Making Style Questionnaire (GDMS). ESAS measured different types of sibling interactions, while GDMS assessed various decision-making styles (rational, intuitive, avoidant, spontaneous, dependent).

Study 1: Data Analyses and Results

A MANOVA analysis showed no significant overall effect of sibling aggression experience on decision-making styles. However, further analyses revealed that using aggression to maintain dominance during childhood was associated with a more avoidant decision-making style in adulthood. This suggests that the motivation behind aggression might be more critical than simply the role (victim or perpetrator).

Study 1: Summary

Study 1 found a link between using aggression for dominance and an avoidant decision-making style in adulthood.

Study 2: Aims and Hypotheses, Method and Measures

Study 2 examined the relationship between childhood sibling aggression and performance on the Iowa Gambling Task (IGT), a measure of risky decision-making. The hypotheses were that sibling aggression would influence both reaction time and risk-taking behavior on the IGT.

Participants were 65 adults (ages 18-50). The ESAS was administered, and participants completed the IGT. The IGT measures decision-making by presenting choices with varying levels of risk and reward.

Study 2: Data Analyses and Results

Logistic regression revealed gender as a significant predictor of sibling aggression experience; females were more likely to report being both victim and perpetrator. However, neither reaction time nor risk-taking on the IGT showed a significant relationship with sibling aggression experience.

Study 2: Summary

Study 2 found no direct link between sibling aggression experience and performance on the IGT. Gender differences in the experience of sibling aggression emerged.

General Discussion

This study shows a relationship between childhood sibling aggression and decision-making styles in adulthood, but not necessarily risk-taking behavior. The motivation behind aggressive acts (e.g., dominance) seems to play a key role. The findings highlight the need for further research into the neurobiological underpinnings of these relationships.

Limitations

The study lacked a standardized definition of sibling aggression, potentially influencing participant self-reports. Cultural differences in the perception of sibling aggression were also not fully accounted for. The study design doesn't definitively prove causality between sibling aggression and decision-making styles.

Practical Implications and Directions for Future Research

The findings underscore the impact of sibling aggression on development. Future research could explore the role of parental intervention and further investigate the neurobiological mechanisms underlying these relationships. This research could inform strategies to help children and adults cope with the lasting effects of sibling aggression.

Conclusions

This study provides evidence that childhood experiences of sibling aggression, particularly the motivations behind those experiences, are linked to specific decision-making styles in adulthood. Further research is crucial to understand the complex interplay between early experiences, brain development, and decision-making abilities.

Summary

Making decisions is a really important skill. It's like a brain puzzle that helps us think and feel. Lots of things can affect how we learn to make good decisions, and scientists are studying this.

Role of stressors and traumatic experiences in decision-making development

Hard times in childhood, like scary or sad events, can affect how our brains work later on. These tough experiences can change parts of the brain that help us deal with feelings and make choices. The part of the brain called the prefrontal cortex is very important for making decisions, planning, and controlling our actions. Stress can change how this part of the brain grows and works.

Sibling aggression

Fighting with brothers and sisters is common, but sometimes it can be really hurtful. It's hard to tell the difference between roughhousing and real fighting, which makes it tough to get help. Kids who experience a lot of fighting with siblings may have problems with anxiety and depression later in life.

Development of aggressive behavior

Kids sometimes learn to fight by watching others. If they see that fighting helps them get what they want, they may do it more often. This is similar to how they learn to make decisions – they try things and see what happens.

Aims and hypotheses

Scientists wanted to see if fighting with siblings affects how people make decisions as adults. They guessed that the more kids fought, the more it might change their decision-making skills.

Study 1

Method

Scientists asked 142 adults about their childhood experiences of fighting with siblings and how they make decisions now. They were put into groups based on whether they were mainly the one who started the fights, mainly the one who was hurt, both, or neither.

Measures

The scientists used questionnaires to ask adults about their fighting experiences and their decision-making styles.

Results

The study showed a link between using fighting to control things as a child and being more likely to avoid making decisions as an adult.

Study 2

Aims and hypotheses

This study used a computer game to see how sibling fighting affected decision-making. Scientists thought that kids who fought a lot might make riskier choices or take longer to make decisions.

Method

65 adults played a game where they chose cards to win or lose money. The scientists watched how quickly they made choices and whether they chose risky or safe options.

Results

This study did not find a clear link between fighting with siblings as a child and how people make decisions as adults in this task. Girls were more likely than boys to have been involved in both giving and receiving aggression from their siblings.

General discussion

The studies showed that some types of fighting with siblings might change how people make decisions as adults, but not necessarily how risky their decisions are.

Limitations

It was hard to know exactly what kind of fighting the adults were describing. Also, the study didn't look at how culture might affect how people see fighting between siblings.

Practical implications and directions for future research

Understanding how childhood experiences affect decision-making is important. Future research could look at how parents help kids handle fights with siblings and explore the connection between sibling fighting and brain development even more.

Conclusions

These studies suggest that fighting with siblings can affect how adults make decisions, especially if they fought to gain control. More research is needed to understand how this happens in the brain.