Executive functioning and alcohol-related aggression

Relationship status acceptance, alcohol use, and the perpetration of verbal aggression among males mandated to treatment for intimate partner violence

Forty substance using, male offenders of intimate partner violence completed measures of alcohol use and relationship status acceptance during a pretreatment screening session. They also completed a measure of verbal aggression after each month of a 12-week intervention program. Treatment length, heavy episodic drinking, and relationship status acceptance were used to assess the frequency of verbal aggression at each of the four assessment periods in a repeated measures ANCOVA. Main effects were detected for both alcohol and acceptance variables such that greater verbal aggression was observed among participants with a recent history of heavy episodic drinking and failure to accept the status of the relationship with their female victim. The interaction between time in treatment and relationship status acceptance was significant and showed that participants who accepted their relationship status reported low verbal aggression across measurement occasions while those who did not accept their relationship status reported high initial verbal aggression that decreased over treatment.

Negative Affect, Alcohol Consumption, and Female-to-Male Intimate Partner Violence: A Daily Diary Investigation

While research suggests that both negative affect and alcohol use are related to the risk of intimate partner violence (IPV) in male samples, less is known about the status of these risk factors in female samples. Forty-three college-age females who reported a recent history of IPV perpetration submitted six weeks of on-line daily reports pertaining to their levels of negative affect, alcohol consumption habits, and the occurrence of both male-to-female (MFPV) and female-to-male IPV (FMPV). Results indicated that negative affect significantly predicted increases in the daily risk of FMPV. MFPV also significantly predicted FMPV risk. Alcohol consumption failed to predict FMPV perpetration on both levels of analysis. Results are discussed in terms of prevailing models of alcohol use, negative affect, and IPV.

Alcohol cues, approach bias, and inhibitory control: applying a dual process model of addiction to alcohol sensitivity

Low sensitivity to the acute effects of alcohol is a risk factor for heavy drinking and related problems. However, little research has tested process explanations for such effects. The current study tested the hypothesis that low sensitivity is associated with automatic approach biases for alcohol cues, coupled with deficits inhibiting responses in the presence of such cues. Eighty-five participants varying in alcohol sensitivity completed an Alcohol-Approach Avoidance Task and a Cued Go/No-Go Task while event-related potentials were recorded. Low sensitivity (LS) individuals showed evidence of automatic approach tendencies toward alcohol cues in both tasks, and experienced deficits inhibiting prepotent responses cued by alcohol images. Additionally, the event-related potential data indicated that LS individuals experienced more conflict when attempting to inhibit alcohol-cued responses, but not nonalcohol-cued responses, compared with their high-sensitivity counterparts. Together, these data indicate that alcohol cues elicit an approach bias among LS individuals, translating into greater difficulty inhibiting behavioral responses in the presence of such cues, a pattern generally supportive of dual process models of substance use.

Sub-Clinical Trauma in the Treatment of Partner Violent Offenders with Substance Dependence

PURPOSE

With an established association between PTSD and the perpetration of intimate partner violence, evaluating the effectiveness of emerging integrated treatments for dual substance use and partner violent behavior on individuals with a significant trauma history may serve to improve treatment outcomes for clients with axis I psychopathology. This paper examined the association between sub-clinical trauma, treatment compliance, and recidivism in a sample of male, substance dependent intimate partner violence offenders.

DESIGN/METHODOLOGY/APPROACH

The described investigation utilized violence perpetration, substance use, and trauma data collected during a larger, randomized control treatment evaluation study. Data was collected from 56 participants at 4 time points throughout treatment.

FINDINGS

Participants with a significant trauma history comprised 33.9% of the sample and demonstrated poorer treatment attendance, as well as heightened partner violence recidivism throughout treatment, as compared to participants who denied experiencing a significant trauma. This finding held across participants receiving substance treatment only and combined treatment addressing substance use and violence.

PRACTICAL IMPLICATIONS

IPV perpetrators often have a trauma history themselves. The association between sub-clinical trauma symptomatology and poor treatment outcomes calls for the adaptation of current partner violence intervention models to accommodate the large subset of clients who suffer from either sub-clinical or clinically significant trauma.

ORIGINALITY/VALUE

This paper is the first to address the potential influence of sub-clinical trauma on the integrated treatment of substance use and partner violence within a forensic sample. Suggestions are offered to adapt existing treatment models to accommodate dual diagnosed clients.

Self-regulation, daily drinking, and partner violence in alcohol treatment-seeking men

This study builds on research identifying deficits in behavioral self-regulation as risk factors for intimate partner violence (IPV). It also builds on alcohol administration research identifying these deficits as moderators of the association between acute alcohol consumption and aggression in laboratory paradigms. Participants analyzed were 97 men seeking residential treatment for alcohol dependence who were involved in a current or recent heterosexual relationship of at least 1 year. Participants completed a self-report measure of impulsivity, neuropsychological tests of executive function, and computerized delay discounting and behavioral inhibition tasks. With the exception of the self-report measure of impulsivity, performance on measures of behavioral self-regulation was not associated with the occurrence or frequency of past year IPV in this sample. Similarly, self-reported impulsivity moderated the association between daily drinking and IPV in multivariate models controlling for daily drug use, but deficits in performance on other measures did not. Performance on a tower task moderated the association between daily drinking and the occurrence of IPV, but contrary to hypotheses, better task performance was associated with greater likelihood of IPV on drinking days. These results suggest that self-perceived impulsivity is a better predictor of IPV in alcohol treatment seeking men than deficits in performance on behavioral measures of delay discounting, behavioral inhibition, and executive function.

Applying Effective Corrections Principles (RNR) to Partner Abuse Interventions

Results of outcome evaluations of the domestic violence (DV) programs are not encouraging. Overall, the most optimistic conclusion is that these programs have only a modest impact on reducing repeat partner violence. Recently, there are calls for DV programs to “grow up,” adapt a paradigm shift, shed ideology, and determine how the maximum impact can be realized from work to reduce intimate partner violence (IPV). The following review examines why program results are so unconvincing and proposes a comprehensive framework to advance the field. Specifically, it recommends that applying the risk-need-responsivity (RNR) principles of effective corrections could substantially improve treatment results. Using this framework, the article identifies selected risk assessment tools to screen offenders into appropriate levels of service (the risk principle) and provides an extensive review of the literature on appropriate targets for change (the need principle). Problems with substance use (particularly alcohol abuse), emotion management, self-regulation, and attitudes supportive of partner abuse have substantial empirical support as factors related to IPV. There is weaker but promising support for targeting the impact of association with peers who are supportive of abuse of women, poor communication skills, and motivation to change abusive behavior patterns. Responsivity could be enhanced through incorporation of motivational interviewing techniques, the processes of change identified in the Transtheoretical Model, solution-focused and strength-based approaches, and attention to identity change and cultural issues. In addition, the review describes strategies to insure ongoing program integrity, a key factor in implementing effective interventions.

The multiple systems model of angry rumination

Angry rumination is perseverative thinking about a personally meaningful anger-inducing event and is a risk factor for aggression. This article presents a new model for understanding angry rumination across five levels of analysis: cognitive, neurobiological, affective, executive control, and behavioral. The type of rumination that occurs at the cognitive level moderates affective responding and neurobiological activation, which influences executive control and aggression. Angry rumination recruits brain regions implicated in cognitive control, emotion regulation, negative affect, physiological arousal, social cognition, and self-reflection on emotional states. Moreover, angry rumination temporarily reduces self-control, which can increase aggression. The article suggests a functional account of angry rumination, identifies gaps in our knowledge, and proposes future research directions based on hypotheses derived from the model.

Does experience of failure decrease executive, regulatory abilities and increase aggression?

Recent advances in the study of affective-cognitive regulation of aggressive behavior suggest positive correlations between poor executive capacities (ECF) and dispositional negative reactivity (Posner & Rothbart, 2000). If the global assumption is correct what are the likely implications of predicted relation? The central issue in present research was to verify this assumption and examine how situational characteristics could alter executive performance in persons with Dysexecutive Syndrome (DES, Baddeley, 1998) and healthy adults (students, health workers) to explore some of the consequences of those modifications for aggressive tendencies. Precisely, we expected the positive correlations between poor executive performances and high aggressive tendencies at dispositional as well situational levels, except for health workers, given their professional duties.

In order to assess cognitive capacities and dispositional as well as situational aggressive tendencies, during two studies (First study: N=60 students; Second study: N= 60 students, N= 24 patient with Dysexecutive Syndrome, N= 45 health care workers) right-handed French-speakers participants completed twice, during an initial phase of the study and one week after, a series of standard executive functions neuropsychological tests and aggression questionnaires. During second phase, participants executed a task introducing the experimental feedbacks (success, neutral, failure) before completion of neuropsychological tests and questionnaires. The results provided evidence of a dispositional relationship between poor executive functioning and aggressive tendencies, and extended it to situational level. For all participants, it showed that increases in impulsiveness (negative emotionality and aggressive choices) due to a negative feedback were concomitant with an inability to focus individuals’ attention on ongoing tasks.

Liquid courage or liquid fear: alcohol intoxication and anxiety facilitate physical aggression

Participants were 138 male social drinkers between 18 and 30 years of age from a university community in the southeastern United States in 2000. Trait and state anxiety was measured using the Trait Anxiety Inventory and the Facial Action Coding System, respectively. Participants consumed an alcoholic or nonalcoholic control beverage and completed a shock-based aggression task. Regression analysis indicated that alcohol-facilitated elevations in anxiety mediated the relation between alcohol consumption and aggression and that trait anxiety and physical provocation moderated this effect. Implications and limitations of this study are noted and future research directions are suggested.

Gender differences in alcohol-related non-consensual sex; cross-sectional analysis of a student population

BACKGROUND

Sexual offences are a global public health concern. Recent changes in the law in England and Wales have dramatically altered the legal landscape of sexual offences, but sexual assaults where the victim is voluntarily intoxicated by alcohol continue to have low conviction rates. Worldwide, students are high consumers of alcohol. This research aimed to compare male and female students in relation to their knowledge and attitudes about alcohol and sexual activity and to identify factors associated with being the victim of alcohol-related non-consensual sex.

METHODS

1,110 students completed an online questionnaire. Drinking levels were measured using the Alcohol Use Disorder Identification Test. Non-consensual sexual experiences were measured using the Sexual Experience Survey. Univariate and multivariate analyses were undertaken using chi square and backwards stepwise logistic regression respectively.

RESULTS

A third of respondents had experienced alcohol-related non-consensual sex. Male and female students differed in the importance they gave to cues in deciding if a person wished to have sex with them and their understanding of the law of consent. 82.2% of women who had experienced alcohol-related non-consensual sex were hazardous drinkers compared to 62.9% who drank at lower levels (P < 0.001). Differences existed between men and women, and between those who had and had not experienced alcohol-related non-consensual sex, in relation to assessments of culpability in scenarios depicting alcohol-related intercourse. A third of respondents believed that a significant proportion of rapes were false allegations; significantly more men than women responded in this way.

CONCLUSIONS

Alcohol-related coerced sexual activity is a significant occurrence among students; attitudinal and knowledge differences between males and females may explain this. Educational messages that focus upon what is deemed acceptable sexual behaviour, the law and rape myths are needed but are set against a backdrop where drunkenness is commonplace.

Relative Importance of Emotional Dysregulation, Hostility, and Impulsiveness in Predicting Intimate Partner Violence Perpetrated by Men in Alcohol Treatment

The current study employs dominance analysis to assess the relative importance of three constructs-hostility, impulsiveness, and emotional dysregulation (difficulties managing one's emotions when experiencing negative emotion or distress)-in explaining psychological, physical, and sexual intimate partner violence (IPV) perpetration by men seeking alcohol treatment. A sample of 121 predominantly White, heterosexual men (average age 33.28, range = 18 - 62) enrolled in residential substance abuse treatment completed measures of emotional dysregulation, hostility, and impulsiveness, which are three highly related constructs identified as risk factors for both substance use disorders and IPV. The constructs collectively accounted for 20-25% of the variance in each form of IPV. Because impulsiveness, hostility, and emotional dysregulation are highly correlated, dominance analysis was used to examine which factor most strongly predicted each form of IPV. Dominance analysis findings favored hostility as a predictor of physical IPV perpetration, and impulsiveness as a predictor of sexual and psychological IPV perpetration. Differential associations between the constructs and each form of IPV may be used to inform assessment and treatment planning of men who abuse alcohol. Better understanding, preventing, and treating male-to-female IPV will protect women from the far-reaching consequences of this violence.

Failure to Consider Future Consequences Increases the Effects of Alcohol on Aggression

The failure to consider the future consequences of one's behavior is a major risk factor for aggression. Aggressive people tend to act first, and think later. Some people focus on the -here and now rather than on the future, a tendency measured by the Consideration of Future Consequences (CFC) scale (Strathman, Gleicher, Boninger, & Edwards, 1994). Alcohol intoxication is a neuro-biological variable that produces similar effects. Participants in the present experiment completed the CFC scale and then consumed either an alcohol or a placebo beverage. Next, they competed against a same-sex ostensible partner on an interpersonally adversarial competitive task in which the winner could administer electric shocks to the loser (the aggression measure). As expected, aggression was highest in intoxicated persons with low CFC scores. Being unconcerned about the future consequences of one's actions, in conjunction with acute alcohol intoxication, combine in a pernicious manner to increase aggression.

Identifying component-processes of executive functioning that serve as risk factors for the alcohol-aggression relation

The present investigation determined how different component-processes of executive functioning (EF) served as risk factors for intoxicated aggression. Participants were 512 (246 males and 266 females) healthy social drinkers between 21 and 35 years of age. EF was measured using the Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A) that assesses nine EF components. After the consumption of either an alcohol or a placebo beverage, participants were tested on a modified version of the Taylor Aggression Paradigm in which mild electric shocks were received from, and administered to, a fictitious opponent. Aggressive behavior was operationalized as the shock intensities and durations administered to the opponent. Although a general BRIEF-A EF construct consisting of all nine components predicted intoxicated aggression, the best predictor involved one termed the Behavioral Regulation Index that comprises component processes such as inhibition, emotional control, flexible thinking, and self-monitoring.

The role of executive functions in the control of aggressive behavior

An extensive literature suggests a link between executive functions and aggressive behavior in humans, pointing mostly to an inverse relationship, i.e., increased tendencies toward aggression in individuals scoring low on executive function tests. This literature is limited, though, in terms of the groups studied and the measures of executive functions. In this paper, we present data from two studies addressing these issues. In a first behavioral study, we asked whether high trait aggressiveness is related to reduced executive functions. A sample of over 600 students performed in an extensive behavioral test battery including paradigms addressing executive functions such as the Eriksen Flanker task, Stroop task, n-back task, and Tower of London (TOL). High trait aggressive participants were found to have a significantly reduced latency score in the TOL, indicating more impulsive behavior compared to low trait aggressive participants. No other differences were detected. In an EEG-study, we assessed neural and behavioral correlates of error monitoring and response inhibition in participants who were characterized based on their laboratory-induced aggressive behavior in a competitive reaction time task. Participants who retaliated more in the aggression paradigm and had reduced frontal activity when being provoked did not, however, show any reduction in behavioral or neural correlates of executive control compared to the less aggressive participants. Our results question a strong relationship between aggression and executive functions at least for healthy, high-functioning people.

Cognitive and neurobiological mechanisms of alcohol-related aggression

Alcohol-related violence is a serious and common social problem. Moreover, violent behaviour is much more common in alcohol-dependent individuals. Animal experiments and human studies have provided insights into the acute effect of alcohol on aggressive behaviour and into common factors underlying acute and chronic alcohol intake and aggression. These studies have shown that environmental factors, such as early-life stress, interact with genetic variations in serotonin-related genes that affect serotonergic and GABAergic neurotransmission. This leads to increased amygdala activity and impaired prefrontal function that, together, predispose to both increased alcohol intake and impulsive aggression. In addition, acute and chronic alcohol intake can further impair executive control and thereby facilitate aggressive behaviour.

Does distraction reduce the alcohol-aggression relation? A cognitive and behavioral test of the attention-allocation model

OBJECTIVE

This study provided the first direct test of the cognitive underpinnings of the attention-allocation model and attempted to replicate and extend past behavioral findings for this model as an explanation for alcohol-related aggression.

METHOD

A diverse community sample (55% African American) of men (N = 159) between 21 and 35 years of age (M = 25.80) were randomly assigned to 1 of 2 beverage conditions (i.e., alcohol, no-alcohol control) and 1 of 2 distraction conditions (i.e., distraction, no-distraction). Following beverage consumption, participants were provoked via reception of electric shocks and a verbal insult from a fictitious male opponent. Participants' attention allocation to aggression words (i.e., aggression bias) and physical aggression were measured using a dot probe task and a shock-based aggression task, respectively.

RESULTS

Intoxicated men whose attention was distracted displayed significantly lower levels of aggression bias and enacted significantly less physical aggression than intoxicated men whose attention was not distracted. However, aggression bias did not account for the lower levels of alcohol-related aggression in the distraction, relative to the no-distraction, condition.

CONCLUSIONS

These results replicated and extended past evidence that cognitive distraction is associated with lower levels of alcohol-related aggression in highly provoked males and provide the first known cognitive data to support the attentional processes posited by the attention-allocation model. Discussion focused on how these data inform intervention programming for alcohol-related aggression.

Sweetened blood cools hot tempers: physiological self-control and aggression

Aggressive and violent behaviors are restrained by self-control. Self-control consumes a lot of glucose in the brain, suggesting that low glucose and poor glucose metabolism are linked to aggression and violence. Four studies tested this hypothesis. Study 1 found that participants who consumed a glucose beverage behaved less aggressively than did participants who consumed a placebo beverage. Study 2 found an indirect relationship between diabetes (a disorder marked by low glucose levels and poor glucose metabolism) and aggressiveness through low self-control. Study 3 found that states with high diabetes rates also had high violent crime rates. Study 4 found that countries with high rates of glucose-6-phosphate dehydrogenase deficiency (a metabolic disorder related to low glucose levels) also had higher killings rates, both war related and non-war related. All four studies suggest that a spoonful of sugar helps aggressive and violent behaviors go down.

Agreeableness and alcohol-related aggression: the mediating effect of trait aggressivity

This study investigated the mediating effect of trait aggressivity on the relation between agreeableness and alcohol-related aggression in a laboratory setting. Participants were 116 healthy male social drinkers between 21 and 30 years of age. Agreeableness and trait aggressivity were measured using the Big Five Inventory and the Buss-Perry Aggression Questionnaire, respectively. Following the consumption of an alcohol or no-alcohol control beverage, participants completed a modified version of the Taylor Aggression Paradigm, in which electric shocks were received from and administered to a fictitious opponent during a competitive task. Aggression was operationalized as the proportion of the most extreme shocks delivered to the fictitious opponent under conditions of low and high provocation. Results indicated that lower levels of agreeableness were associated with higher levels of trait aggressivity. In turn, higher levels of trait aggressivity predicted extreme aggression in intoxicated, but not sober, participants under low, but not high, provocation. Findings highlight the importance of examining determinants of intoxicated aggression within a broader theoretical framework of personality.

Oscillatory brain activity related to control mechanisms during laboratory-induced reactive aggression

Aggressive behavior is a common reaction in humans after an interpersonal provocation, but little is known about the underlying brain mechanisms. The present study analyzed oscillatory brain activity while participants were involved in an aggressive interaction to examine the neural processes subserving the associated decision and evaluation processes. Participants were selected from a larger sample because of their high scores in trait aggressiveness. We used a competitive reaction time task that induces aggressive behavior through provocation. Each trial is separated in a decision phase, during which the punishment for the opponent is set, and an outcome phase, during which the actual punishment is applied or received. We observed provocation-related differences during the decision phase in the theta band which differed depending on participants’ aggressive behavior: high provocation was associated with an increased frontal theta response in participants refraining from retaliation, but with reduced theta power in those who got back to the opponent. Moreover, more aggressive decisions after being punished were associated with a decrease of frontal theta power. Non-aggressive and aggressive participants differed also in their outcome-related response: being punished led to an increased frontal theta power compared to win trials in the latter only, pointing to differences in evaluation processes associated with their different behavioral reactions. The data thus support previous evidence for a role of prefrontal areas in the control of reactive aggression and extend behavioral studies on associations between aggression or violence and impaired prefrontal functions.

Correlates of dating violence among male and female heavy-drinking college students

OBJECTIVE

To evaluate the correlates for dating violence among heavy-drinking college students.

METHOD

Participants were at least 18 years old and reported at least one heavy-drinking episode in the past 2 weeks.

RESULTS

After covariate adjustment, estimated peak blood alcohol concentration during the past month was associated with higher victims' verbal-emotional abuse score, and perpetrators' verbal-emotional abuse and threatening abuse scores ( N = 280). In addition, being non-White was significantly associated with higher victims' threatening abuse, physical abuse, and total abuse scores and perpetrators' threatening abuse and physical abuse scores. Moreover, male students had significantly lower victims' threatening abuse and physical abuse scores and perpetrators' threatening abuse scores compared to female students.

DISCUSSION

Preventive programs that target dating violence among heavy-drinking college students should consider alcohol use as an important risk factor for abusive behaviors, both for the victims as well as the perpetrators.

Executive functioning, irritability, and alcohol-related aggression

The purpose of this investigation was to examine (a) whether irritability mediates the relation between executive functioning (EF) and alcohol-related aggression and (b) whether the alcohol-aggression relation is better explained by the interactive effects of EF and irritability above and beyond the effects of either variable alone. EF was measured using seven well-established neuropsychological tests. Irritability was assessed with the Caprara Irritability Scale. Participants were 313 male and female social drinkers between 21 and 35 years of age. Following the consumption of an alcohol or a placebo beverage, participants were tested on a laboratory aggression task in which electric shocks were given to and received from a fictitious opponent under the guise of a competitive reaction-time task. Aggression was operationalized as the shock intensities administered to the fictitious opponent. Results indicated that irritability successfully mediated the relation between EF and intoxicated aggression for men only. Despite the fact that irritability and EF both independently moderated the alcohol-aggression relation in previous studies, no significant interaction for their combined effect was detected here. The findings are discussed, in part, within a cognitive neoassociationistic framework for aggressive behavior.

Self-regulation, alcohol consumption, and consequences in college student heavy drinkers: a simultaneous latent growth analysis

OBJECTIVE

Lower levels of self-regulation have been associated with higher rates of alcohol-related consequences. Self-regulation refers to the effortful ability to plan and achieve delayed adaptive outcomes through goal-directed behavior, and this skill may play a role in adaptive behavioral change. The purpose of this prospective, longitudinal study was to test predictions from self-regulation theory about the relationship among self-regulation and weekly alcohol consumption and alcohol-related consequences over 12 months.

METHOD

Participants were 170 heavy drinking college students who provided data on alcohol use and consequences at baseline and at 1-, 6-, and 12-month assessments.

RESULTS

Using a simultaneous latent growth model, self-regulation ability predicted the amount of initial alcohol-related consequences, the rate of change for alcohol-related consequences, and the rate of change for drinks per week. In contrast, self-regulation was not related to the initial level of alcohol use.

CONCLUSIONS

Collectively, these results suggest that lower self-regulation ability functions as a risk factor for experiencing alcohol-related consequences and attenuates naturally occurring reductions in alcohol use and consequences over time for heavier drinking college students.

Effects of alcohol consumption and alcohol expectancy on the categorisation of perceptual cues of emotional expression

RATIONALE

Evidence that alcohol leads to increased aggressive behaviour is equivocal and confounded by evidence that such effects may operate indirectly via expectancy. One mechanism by which alcohol consumption may increase aggressive behaviour is via alterations in the processing of emotional facial cues.

OBJECTIVES

We investigated whether acute alcohol consumption or the expectancy of consuming alcohol (or both) induces differences in the categorisation of ambiguous emotional expressions. We also explored differences between male and female participants, using male and female facial cues of emotional expression.

METHODS

Following consumption of a drink, participants completed a categorisation task in which they had to identify the emotional expression of a facial stimulus. Stimuli were morphed facial images ranging between unambiguously angry and happy expressions (condition 1) or between unambiguously angry and disgusted expressions (condition 2). Participants (N = 96) were randomised to receive an alcoholic or non-alcoholic drink and to be told that they would receive an alcoholic or non-alcoholic drink.

RESULTS

Significant effects of alcohol were obtained in the angry-disgusted task condition, but only when the target facial stimulus was male. Participants tended to categorise male disgusted faces as angry after alcohol, but not after placebo.

CONCLUSIONS

Our data indicate that alcohol consumption may increase the likelihood of an ambiguous but negative facial expression being judged as angry. However, these effects were only observed for male faces and therefore may have been influenced by the greater expectation of aggression in males compared to females. Implications for alcohol-associated aggressive behaviour are discussed.

Effects of acute alcohol intoxication and paroxetine on aggression in men

BACKGROUND

The purpose of this study was to examine the role of the serotonin (5-HT) system in alcohol-related aggression.

METHODS

Specifically, we experimentally examined the effects of 5-HT augmentation on alcohol-related aggression in men (n = 56). After consuming either alcohol (mean blood alcohol concentration of 0.10%) or a placebo (no alcohol) drink, and taking either 20 mg of paroxetine (Paxil) or a placebo pill, participants were provided the opportunity to administer electric shock to a (faux) opponent during a task disguised as a reaction-time game. Aggression was defined as the intensity of shock chosen and the frequency with which an extreme (clearly painful) shock was chosen. We predicted that 5-HT augmentation would be associated with lower aggressive behavior overall, and also reduce the aggression facilitating effects of acute alcohol intoxication.

RESULTS

The results indicated that alcohol intoxication increased aggression, particularly under low provocation. Paroxetine decreased aggression, particularly during high provocation. These effects, however, occurred independently of each other.

CONCLUSIONS

The effect of alcohol on extreme aggression was moderated by previous aggression history, with more aggressive individuals showing greater alcohol-related increases in extreme aggression.

Exploring the Relations Among Executive Functions, Fluid Intelligence, and Personality

Executive functions (EFs) are important for goal-directed behavior and have been linked with a number of important constructs like intelligence. The current study examined the link between EFs and aspects of normal and abnormal personality. Latent variables of working memory, fluency, response inhibition, and vigilance EFs were examined along with fluid intelligence (gF). It was found that the EFs were separate yet correlated, and that each was related to gF. Furthermore, it was found that aspects of personality as measured by the Five-Factor Model and the BIS/BAS were differentially related to the EFs and gF. Examination of personality disorder measures also demonstrated differential relationships with the EFs and gF. The results suggest a number of systematic and important links between EFs and personality and suggest the need for a more unified field of individual differences.

Applying the attention-allocation model to the explanation of alcohol-related aggression: implications for prevention

The primary purpose of this article is to apply the attention-allocation model (AAM; Steele and Josephs, 1990 ) to the explanation, as well as the prevention, of alcohol-related violence. The AAM contends that alcohol has a "myopic" effect on attentional capacity that presumably facilitates aggression by narrowing attentional focus on the most salient provocative cues that are naturally present in hostile situations, rather than on less salient inhibitory cues. Data are presented to demonstrate support for the AAM with regard to alcohol-related aggression. The model has also been expanded to suggest some intermediary mechanisms that may account for how distracting attention away from provocative cues might be involved in the reduction of aggression. Finally, a number of practical suggestions are put forth regarding how the AAM can be applied to the prevention of intoxicated aggression.

Alcohol consumption-related antigay aggression: theoretical considerations for individual- and societal-level interventions

A substantial literature has identified risk factors for intoxicated aggression and the mechanisms by which these effects are exerted. This theoretical and empirical foundation is a valuable resource for the development of treatment inventions. In contrast, a comparable literature is not available to guide development of clinical interventions for intoxicated antigay aggression. To address this gap in the literature, the present article (1) identifies risk factors and mechanisms pertinent to alcohol consumption-related antigay aggression, (2) advances predictions regarding how alcohol will increase antigay aggression, and (3) reviews societal- and individual-level considerations for intervention based upon these hypotheses.

Trait aggressiveness modulates neurophysiological correlates of laboratory-induced reactive aggression in humans

Reactive aggression following provocation is a frequent form of human social behavior. The neural basis of reactive aggression, especially its control, remains poorly understood, however. We conducted an event-related potential (ERP) study using a competitive reaction time task that elicits aggression through provocation. Participants were selected from a larger sample because of extreme scores in trait aggressiveness, yielding high and low trait aggressive groups. As each trial in the task is separated into a decision phase, during which the punishment level for the opponent is set, and an outcome phase, during which the punishment is applied or received, we were able to disentangle provocation-related and evaluation-related modulations of the ERPs during the aggressive interaction. Specifically, we observed an enhanced frontal negativity during the decision phase under high provocation that was positively correlated with the participants' ability to refrain from retaliation. This held true for high trait aggressive participants only, pointing to a higher need for inhibitory and control processes in these people when provoked. During the outcome phase, we detected a mediofrontal negativity in loss compared to win trials, resembling previous ERP findings to negative feedback stimuli, which have been linked to the evaluation of an outcome's valence. This mediofrontal negativity was differentially pronounced in aggressive and nonaggressive participants: Nonaggressive participants showed only a slightly smaller mediofrontal negativity in win than in loss trials, suggesting that for them punishing the opponent had a similar negative valence as being punished.

Effects of alcohol intoxication and aggressivity on aggressive verbalizations during anger arousal

We examined the moderating effect of dispositional aggressivity on the relationship between alcohol intoxication and aggressive verbalizations. Using a laboratory anger-induction task that simulated an interpersonal conflict as a method to assess aggressive verbalizations (the articulated thoughts in simulated situations paradigm), 70 participants (33 women, 37 men) consumed either an alcoholic or a placebo beverage, and then imagined a series of audiorecorded interpersonal scenarios. Two blind-to-condition raters assessed the frequency of participants' aggressive verbalizations (insults, aggressive threats, belligerent provocations) articulated during anger arousal. Aggressivity was assessed using a standard measure of dispositional aggression. Results supported the aggressivity moderation hypothesis: intoxicated participants high in aggressivity responded with significantly more aggressive verbalizations relative to low-aggressivity participants regardless of beverage condition, and three times more aggressive verbalizations relative to the high-aggressivity/placebo group. There were no gender effects. These data support the hypothesis that alcohol potentiates aggression primarily among individuals at dispositional risk for engaging in such a behavior. Aggr. Behav. 34:428-436, 2008. (c) 2008 Wiley-Liss, Inc.

Factors related to correctional facility incarceration among active injection drug users in Baltimore, MD

AIM

We investigated the moderating effect of impulse control on the association between drug use and incarceration among active injection drug users (IDU).

METHODS

The study sample consisted of 282 IDUs aged 15-50 years from the Baltimore metropolitan region who reported injection drug use within the past 6 months and indicated that heroin or speedball was their drug of choice. Impulse control was measured using commission error standardized scores from the Test of Variables of Attention (TOVA). Incarceration was obtained using self-reported lifetime history of incarceration in correctional facilities.

RESULTS

Findings indicated that impulse control moderated the association between years of injection drug use and incarceration in correctional facilities adjusting for ethnicity, gender, estimated pre-morbid intelligence, and age of first injection use. Specifically, among individuals who were intact in impulse control, four or more years of injection drug use was associated with incarceration (AOR=4.97, 95% CI: 2.02-12.23). This finding was not observed among individuals with impaired impulse control (AOR=0.57, 95% CI: 0.10-3.23). Furthermore, impulse control moderated the association between regular cocaine use and incarceration. Among individuals who had a history of cocaine use, individuals with low impulse control but not impaired were more likely to have reported time in a correctional facility (AOR=6.28, 95% CI: 1.68-23.60). There was no association among individuals with impaired or intact impulse control.

CONCLUSION

Results highlight the importance of considering cognitive measures of impulse control in addressing negative outcomes associated with drug use.

Alcohol: effects on neurobehavioral functions and the brain

Alcoholism results from an interplay between genetic and environmental factors, and is linked to brain defects and associated cognitive, emotional, and behavioral impairments. A confluence of findings from neuroimaging, physiological, neuropathological, and neuropsychological studies of alcoholics indicate that the frontal lobes, limbic system, and cerebellum are particularly vulnerable to damage and dysfunction. An integrative approach employing a variety of neuroscientific technologies is essential for recognizing the interconnectivity of the different functional systems affected by alcoholism. In that way, relevant experimental techniques can be applied to assist in determining the degree to which abstinence and treatment contribute to the reversal of atrophy and dysfunction.

Executive cognitive functioning and the recognition of facial expressions of emotion in incarcerated violent offenders, non-violent offenders, and controls

Violence is a social problem that carries enormous costs; however, our understanding of its etiology is quite limited. A large body of research exists, which suggests a relationship between abnormalities of the frontal lobe and aggression; as a result, many researchers have implicated deficits in so-called "executive function" as an antecedent to aggressive behaviour. Another possibility is that violence may be related to problems interpreting facial expressions of emotion, a deficit associated with many forms of psychopathology, and an ability linked to the prefrontal cortex. The current study investigated performance on measures of executive function and on a facial-affect recognition task in 20 violent offenders, 20 non-violent offenders, and 20 controls. In support of our hypotheses, both offender groups performed significantly more poorly on measures of executive function relative to controls. In addition, violent offenders were significantly poorer on the facial-affect recognition task than either of the other two groups. Interestingly, scores on these measures were significantly correlated, with executive deficits associated with difficulties accurately interpreting facial affect. The implications of these results are discussed in terms of a broader understanding of violent behaviour.

Condom use with a casual partner: what distinguishes college students' use when intoxicated?

Determining alcohol's precise role in sexual risk taking has proven to be an elusive goal. Past research has produced mixed results, depending on characteristics of individuals, their partners, and the situation, as well as how the link between alcohol consumption and sexual behavior was assessed. In this study, cross-sectional predictors of the frequency of condom use were examined for 298 heterosexual college students at a large urban university. In hierarchical multiple regression analyses that controlled for frequency of condom use when sober, alcohol expectancies regarding sexual risk taking and self-efficacy regarding condom use when intoxicated were significant predictors of frequency of condom use when intoxicated. These findings highlight the importance of targeting beliefs about alcohol's disinhibiting effects in STD- and HIV-prevention programs.

The underlying role of aggressivity in the relation between executive functioning and alcohol consumption

The research literature on the relation between cognitive functioning and alcohol consumption is inconsistent and difficult to interpret. The purpose of this study was to test a causal model that might help reconcile some of these conflicts. The model specifies that aggressivity is an important intermediary mechanism underlying the relation between executive functioning (EF) and alcohol consumption. Participants were 310 (152 men and 158 women) healthy social drinkers between 21 and 35 years of age tested in a laboratory setting. EF was measured with a battery of neuropsychological tests. Aggressivity and alcohol consumption (as well as cigarette and drug use frequency) were measured with self-report and interview formats. Aggressivity played a mechanistic role in the relation between EF and alcohol/drug use for men but not for women. Women evinced some unexpected positive relations between EF and alcohol use. This study serves as a first step in trying to reconcile previous inconsistent findings regarding the relation between cognitive functioning and alcohol use by demonstrating that a better understanding of this relation involves considering aggressivity as an intermediary variable.

Effects of alcohol intoxication on anger experience and expression among partner assaultive men

The author investigated the acute effects of alcohol intoxication on anger experience and expression among 46 maritally violent (MV) and 56 maritally nonviolent (NV) men randomly assigned to receive alcohol, placebo, or no alcohol. Participants completed an anger-arousing articulated thoughts in simulated situations (ATSS) paradigm and imagined marital conflict scenarios. Anger experience was operationalized as subjective ratings of anger experienced during ATSS, and anger expression was measured as ATSS anger statements and aggression verbalizations. MV men given alcohol articulated significantly more aggressive verbalizations than all other groups, with high trait anger and increased anger experience predicting more aggressive verbalizations. Thus, alcohol may exert proximal effects on abusive behavior among individuals already prone to respond to conflict with increased anger.

Brain activation during mental maze solving

BACKGROUND

So-called Porteus mazes are used to investigate prefrontal cortex (PFC) functioning in normal subjects and patients with different neuropsychiatric disorders. Here we present data confirming the involvement of the PFC for the first time by means of functional magnetic resonance imaging (fMRI). To minimize motor-related activation, mental mazes were used.

METHODS

Mazes as well as pseudo-mazes without any bifurcations were presented to 49 healthy participants during fMRI scans.

RESULTS

Both, mazes as well as pseudo-mazes, activated a large network from visual to parietal regions, reflecting the dorsal stream of visual information processing. Mazes but not pseudo-mazes also activated bilateral areas of the PFC indicating their special role in decision processes. In addition, although no motor response was required during maze performance, both tasks activated subcortical and cortical motor areas.

CONCLUSIONS

These tasks are suitable for investigating and specifying PFC functioning and its impairment in psychiatric disorders such as schizophrenia. In addition, mental mazes might be a suitable task for the investigation of patients with motor disturbances.

The influence of difficult temperament on alcohol-related aggression: better accounted for by executive functioning?

The purpose of this investigation was to test the hypothesis that executive functioning (EF) would mediate the relation between difficult temperament (DT) and intoxicated aggression. Participants were 165 social drinking men and women between the ages of 21-35years old. DT was measured using the Dimension of Temperament Scale - Revised and EF was measured using seven well-established neuropsychological tests. Following consumption of an alcoholic beverage, participants were tested on a laboratory aggression measure in which electric shocks were received from and administered to a fictitious opponent under the guise of a competitive reaction time task. Aggression was operationalized as shock intensities administered to the fictitious opponent under conditions of low and high provocation. Results indicated that EF successfully mediated the relation between DT and intoxicated aggression for men but not for women. These findings are discussed with regard to how they influence current models of aggressive behavior as well as their implications for future violence prevention efforts.

A Further Examination of the Relation Between Trait Anger and Alcohol-Related Aggression: The Role of Anger Control

BACKGROUND

Trait anger has been identified as a risk factor for alcohol-related aggression. However, to develop a more accurate risk profile, it is necessary to examine the interactive relations between trait anger and other key personality variables. The present study examined the influence of anger control on alcohol-related aggression.

METHODS

Participants were 164 social drinking men age 21-35 years old. Trait anger and anger control were assessed with the State-Trait Anger Expression Inventory (Spielberger, 1996). Following consumption of an alcoholic or placebo beverage, participants competed in an aggression paradigm in which electric shocks were received from and administered to a fictitious opponent during a competitive reaction time task. Aggression was operationalized as shock intensities administered to the opponent under conditions of low and high provocation.

RESULTS

Analyses indicated that trait anger significantly predicted aggression, but only among men who were intoxicated and reported low levels of anger control.

CONCLUSIONS

The present findings suggest that anger control may be a crucial risk factor in determining whether one's anger proneness will lead to intoxicated aggression following provocation.

Reduced ability of ethanol drinkers for social communication in honeybees (Apis mellifera carnica Poll.)

Foraging behavior was evaluated in honeybees trained to fly to a feeder containing sucrose only, 1% ethanol, 5% ethanol, or 10% ethanol. The results indicated that exposure to ethanol disrupted several types of honeybee social behavior within the hive. Consumption of ethanol at the feeding site reduced waggle dance activity in foraging bees and increased occurrence of tremble dance, food exchange, and self-cleaning behavior. These ethanol-induced changes in behavior may reflect effects on the central nervous system similar to the previously observed effects of food poisoning with sublethal doses of insecticides.

Endophenotypes in the personality disorders

The identification of endophenotypes in the personality disorders may provide a basis for the identification of underlying genotypes that influence the traits and dimensions of the personality disorders, as well as susceptibility to major psychiatric illnesses. Clinical dimensions of personality disorders that lend themselves to the study of corresponding endophenotypes include affective instability impulsiwity aggression, emotional information processing, cognitive disorganization, social deficits, and psychosis. For example, the propensity to aggression can be evaluated by psychometric measures, interview, laboratory paradigms, neurochemical imaging, and pharmacological studies. These suggest that aggression is a measurable trait that may be related to reduced serotonergic activity. Hyperresponsiveness of amygdala and other limbic structures may be related to affective instability, while structural and functional brain alterations underlie the cognitive disorganization in psychoticlike symptoms of schizotypal personality disorder. Thus, an endophenotypic approach not only provides clues to underlying candidate genes contributing to these behavioral dimensions, but may also point the way to a better understanding of pathophysiological mechanisms.

The acute effect of alcohol on decision making in social drinkers

RATIONALE

Many studies have reported the long-term adverse effects of alcohol on executive cognitive function in chronic alcohol abusers, yet little research has investigated the acute effects of alcohol in social drinkers. Studies on acute effects report alcohol-induced deficits on tasks that require executive cognitive processes, with alcohol acting to increase preservative errors and reduce planning.

AIM

The present investigation examines the acute effects of a moderate dose of alcohol on a decision-making task that involves participants making a forced choice between two simultaneously presented binary-outcome gambles.

METHODS

Alcohol (0.6 g/kg) or placebo was administered to 32 social drinkers. Participants completed the task, making a total of 80 decisions about gambles that varied in the magnitude of expected gains, losses and the probability with which these outcomes were delivered. Participants also chose between gambles probing identified non-normative biases in human decision making, namely, risk aversion for choosing between gains and risk seeking for choosing between losses.

RESULTS

All participants picked the experimental gamble more frequently when the probability of winning was high vs low, when the gains were large vs small and when the losses were small vs large; the alcohol group had an impaired ability to factor in the magnitude of gains and the likelihood of winning when the losses were large. Deliberation time did not differ between the groups.

CONCLUSION

These data suggest that alcohol given acutely impairs risky decision making. In particular, alcohol impairs one's ability to alter responding in light of changing prospective rewards in order to make favourable decisions.