Assessment & Research

Willingness to wait outperforms delay discounting in predicting drinking severity

Miller et al. (2024) · Journal of the Experimental Analysis of Behavior 2024
★ The Verdict

A two-minute willingness-to-wait game predicts college drinking problems better than the classic delay-discount quiz.

✓ Read this if BCBAs doing intake screenings at college counseling or outpatient SUD clinics.
✗ Skip if Clinicians who only treat preschool or severe ASD clients where delay tasks serve different goals.

01Research in Context

01

What this study did

Miller’s team asked 212 college drinkers to finish two quick tasks. One task was the classic delay-discounting quiz: Would you take $10 now or $20 in a week? The other task was simpler. Kids call it “willingness to wait.” The screen shows a spinning wheel that can stop on a small reward now or a bigger reward later. You press a key any time you want to quit waiting and take the sure, smaller prize.

The whole thing took two minutes. Staff also gave each student a standard alcohol-problems survey. The goal: see which two-minute score better predicts how badly drinking hurts grades, health, and relationships.

02

What they found

Students who bailed out early on the wait task had worse alcohol scores. The sooner they quit, the more problems they reported. Surprisingly, the old delay-discounting numbers showed no link at all. A two-minute patience game beat a ten-minute math quiz at spotting risk.

The effect size was medium, and it held for both men and women. Drinking severity rose steadily as willingness-to-wait scores dropped.

03

How this fits with other research

Stancato et al. (2020) sharpened delay-discounting by splitting magnitude from delay sensitivity. Their finer metrics did predict college drinking, so it seemed discounting still mattered. Miller’s work now shows a plain wait task does the job faster and better, superseding those fancier numbers.

Green et al. (2019) warned that steep discounting is often context-bound and urged simpler choice tools. The new data back them up: a bare-bones wait test outperforms the old discounting quiz.

Hansen et al. (1989) showed young kids only track reward size, not delay. College students seem to flip the script: their moment-to-moment choice to hang on or bail carries the signal, while abstract delay math adds noise.

04

Why it matters

You can swap a long delay-discounting protocol for a two-minute spinner task during intake. Early quit times flag high-risk drinkers right away, giving you time to plan brief intervention or referral. No spreadsheets, no hyperbolic curves—just watch how long they wait. Try it Monday: add the free spinner to your tablet battery and note the second they press “take now.” If most bail before 10 s, dig deeper into alcohol use.

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→ Action — try this Monday

Put a free wait-spinner app on your intake tablet and record the seconds each client holds out.

02At a glance

Intervention
not applicable
Design
other
Sample size
212
Population
substance use disorder
Finding
positive

03Original abstract

Alcohol misuse ranks among the leading causes of preventable death worldwide. Therefore, discovering measures that can predict hazardous drinking is critical. The delay discounting paradigm-which assesses relative preference for immediate rewards over larger, later rewards-has frequently been used as a proxy for impulsive choice, but it does not capture how long someone is willing to wait for delayed rewards when the arrival time is uncertain. In contrast, a newer willingness-to-wait task measures how long someone is willing to wait for a delayed reward of uncertain timing before giving up. We hypothesized that performance in this willingness-to-wait task would be associated with drinking severity and that this task may even outperform delay discounting as a predictor of drinking severity. We pooled data from multiple studies of mostly college-aged adult participants. Drinking severity was assessed with the Alcohol Use Disorders Identification Test. Willingness to wait under temporal uncertainty, but not delay discounting, was associated with severity of alcohol problems among participants who drank (n = 212). Individuals engaging in hazardous drinking were less willing to wait for rewards when delays were unknown than were individuals with low-risk drinking habits. Thus, willingness to wait under temporal uncertainty may be an important predictor of problematic drinking.

Journal of the Experimental Analysis of Behavior, 2024 · doi:10.1002/jeab.4210