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de Santiago-Díaz AI, Barrio-Martínez S, Gómez-Ruiz E, Carceller-Meseguer T, Sastre-Yañez J, Ortíz-García de la Foz V, Ayesa-Arriola R. Effectiveness of early and intensive intervention on suicide prevention: CARS programme. Psychiatry Res 2024; 338:115964. [PMID: 38824711 DOI: 10.1016/j.psychres.2024.115964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 05/09/2024] [Accepted: 05/11/2024] [Indexed: 06/04/2024]
Abstract
The aim of this study was to evaluate the outcomes of the Programme for Management of Suicidal Behaviour and Suicide Prevention (CARS). Individuals treated in the emergency department of University Hospital Marqués de Valdecilla for suicidal thoughts or attempts (N = 401) between 1-March-2016 and 31-December-2018 were considered. No randomization by patients or groups was performed. Student's t-test, chi-square and repeated measure analysis of variance were used. Kaplan-Meier survival function and Cox proportional hazard regression models were employed to estimate the risks of relapse. Outcome of those who voluntary enrol CARS were compared with treatment as usual (TAU) at 6- and 12-months follow-up. The results indicate a significant reduction and delayed occurrence of suicidal behaviour over a 12-month follow-up period with the CARS programme compared to TAU, along with a decreased frequency of hospital admissions. CARS programme demonstrates a substantial impact, significantly reducing the risk of recurrent suicidal behaviour by 35.5 % and the risk of repeated suicidal attempts by 47.2 % at the 12-month follow-up. The programme exhibits a dual protective effect, diminishing suicidal behaviour and fostering improved long-term outcomes. In conclusion, CARS effectively reduced suicidal behaviour recurrence, achieving significant decreases in suicidal thoughts, plans and attempts.
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Affiliation(s)
- Ana Isabel de Santiago-Díaz
- Department of Psychiatry, University Hospital Marqués de Valdecilla (HUMV), Santander, Spain; Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain.
| | | | - Elsa Gómez-Ruiz
- Department of Psychiatry, University Hospital Marqués de Valdecilla (HUMV), Santander, Spain; Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain
| | - Telva Carceller-Meseguer
- Department of Psychiatry, University Hospital Marqués de Valdecilla (HUMV), Santander, Spain; Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain
| | - Javier Sastre-Yañez
- Department of Psychiatry, University Hospital Marqués de Valdecilla (HUMV), Santander, Spain; Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain
| | - Víctor Ortíz-García de la Foz
- Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Santander, Spain
| | - Rosa Ayesa-Arriola
- Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Santander, Spain.
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Fantin EH, Benzano D, Ornell F, Ruwel AG, von Diemen L, Kessler FHP, Schuch JB. Implications of Impulsivity on Criminal Behavior in Individuals With Substance Use Disorder. J Dual Diagn 2024:1-10. [PMID: 38935384 DOI: 10.1080/15504263.2024.2370411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/28/2024]
Abstract
OBJECTIVE Our aim was to analyze the association between criminal behavior and impulsivity in individuals with drug addiction and investigate whether impulsiveness mediates the relationship between drug use severity and legal problems. METHODS This cross-sectional study included 773 men diagnosed with addiction (295 alcohol users and 478 users of crack/polysubstance) while undergoing addiction treatment. The BIS-11 and ASI-6 were applied to assess impulsivity, criminal behavior, and drug use. RESULTS The prevalence of criminal behavior was 41.7% (n = 123) in alcohol users and 64.9% (n = 310) in users of crack/polysubstance. Earlier use of different substances and higher impulsivity scores were observed in individuals with criminal history. Mediation analyses revealed that impulsiveness acts as a mediator factor between substance use and criminal behavior, enhancing the severity of legal problems. CONCLUSION Our findings can help in deciding on tailored treatment strategies, focusing not only on substance use, but also on the prevention of social problems, criminality, and impulsivity.
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Affiliation(s)
- Esther Hernández Fantin
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Daniela Benzano
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Graduate Program in Psychiatry and Behavioral Sciences, Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Felipe Ornell
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Graduate Program in Psychiatry and Behavioral Sciences, Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Andressa Goldman Ruwel
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Lisia von Diemen
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Graduate Program in Psychiatry and Behavioral Sciences, Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Felix Henrique Paim Kessler
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Graduate Program in Psychiatry and Behavioral Sciences, Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Jaqueline Bohrer Schuch
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Graduate Program in Psychiatry and Behavioral Sciences, Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
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3
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Franja S, Elliston KG, McCrae AE, Matthews AJ, Ferguson SG. Relationship between attentional bias and stimulus control: An observational study of real-world eating patterns. Appetite 2023; 190:106995. [PMID: 37558134 DOI: 10.1016/j.appet.2023.106995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Revised: 07/07/2023] [Accepted: 08/04/2023] [Indexed: 08/11/2023]
Abstract
BACKGROUND Attentional bias towards food related stimuli has been proposed as a potential target for dieting intervention, however the evidence supporting a relationship between attentional bias and food intake is mixed. Theory holds that food related attentional bias should be positively associated with measures of stimulus-controlled eating, and that implicit processes such as impulsivity moderate this association. The aim of the present study was to examine whether the proposed relationship between food-related attentional bias and stimulus control exists, and whether it is moderated by impulsivity. METHOD A community sample of 68 participants completed a food-related attentional bias task and impulsiveness scale during a laboratory visit, after which they recorded their real-world eating in real-time over 14 days using Ecological Momentary Assessment (EMA). During this time, participants also responded to 4-5 randomly timed assessments per day. Food outlet presence (e.g., fast food restaurants, cafes, corner stores etc.) was assessed during both eating and non-eating assessments. EMA data was then used to determine levels of stimulus controlled eating for each participant. FINDINGS Substantial variation was seen in both our measure of both food-related attentional bias (Range: 33.9 to 80.0) and in the degree to which the participant's eating could be categorised as being under stimulus control (Range: 0.50 to 0.93). However, food-related attentional bias scores were not a significant independent predictor of stimulus control and nor was this relationship moderated by impulsivity. CONCLUSION Contrary to theoretical predictions, we found no evidence that of an association between attentional bias, impulsivity, and stimulus control. More work is needed to better understand the implicit processes underlying eating behaviour in the real-world.
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Affiliation(s)
- Stefania Franja
- Tasmanian School of Medicine, College of Health and Medicine, University of Tasmania, Australia.
| | - Katherine G Elliston
- Tasmanian School of Medicine, College of Health and Medicine, University of Tasmania, Australia
| | - Anna E McCrae
- Tasmanian School of Medicine, College of Health and Medicine, University of Tasmania, Australia
| | - Allison J Matthews
- School of Psychological Sciences, College of Health and Medicine, University of Tasmania, Australia
| | - Stuart G Ferguson
- Tasmanian School of Medicine, College of Health and Medicine, University of Tasmania, Australia
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Léda-Rêgo G, Studart-Bottó P, Sarmento S, Cerqueira-Silva T, Bezerra-Filho S, Miranda-Scippa Â. Psychiatric comorbidity in individuals with bipolar disorder: relation with clinical outcomes and functioning. Eur Arch Psychiatry Clin Neurosci 2023:10.1007/s00406-023-01562-5. [PMID: 36725737 DOI: 10.1007/s00406-023-01562-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 01/17/2023] [Indexed: 02/03/2023]
Abstract
The aim was to assess the lifetime prevalence of psychiatric comorbidity (PC) in Brazilian euthymic individuals with bipolar disorder type I, and investigate its effects on clinical outcomes and functioning. A group of 179 outpatients with BD-I in the recuperation phase were assessed, of whom 75 (41.9%) had PC and 104 (58.1%) had not. Both groups were compared using sociodemographic/clinical questionnaire, Structured Clinical Interview for DSM-IV axis I and II, Sheehan Disability and Barratt Impulsiveness Scales. Patients with PC presented less religious affiliation, more history of lifetime psychotic symptoms, rapid cycling, suicide attempts, worse scores of functioning, and higher prevalence of personality disorders. Ordinal logistic regression indicated that PC was associated with increased odds of worse levels of disability. Therefore, it could be observed that patients with BD evaluated only in euthymia presented a high mental disorders comorbidity. Considering their burdensome impact, appropriate management is a challenging reality and a crucial factor in reducing morbidity and mortality associated with BD. Further longitudinal studies on their relationship may broaden interventions to reduce patient's suffering.
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Affiliation(s)
- Gabriela Léda-Rêgo
- Mood and Anxiety Disorders Program (CETHA), Federal University of Bahia (UFBA), Salvador, BA, Brazil. .,Postgraduate Program in Medicine and Health, UFBA, Salvador, BA, Brazil.
| | - Paula Studart-Bottó
- Mood and Anxiety Disorders Program (CETHA), Federal University of Bahia (UFBA), Salvador, BA, Brazil.,Postgraduate Program in Medicine and Health, UFBA, Salvador, BA, Brazil
| | - Stella Sarmento
- Mood and Anxiety Disorders Program (CETHA), Federal University of Bahia (UFBA), Salvador, BA, Brazil.,Postgraduate Program in Medicine and Health, UFBA, Salvador, BA, Brazil
| | | | - Severino Bezerra-Filho
- Mood and Anxiety Disorders Program (CETHA), Federal University of Bahia (UFBA), Salvador, BA, Brazil
| | - Ângela Miranda-Scippa
- Mood and Anxiety Disorders Program (CETHA), Federal University of Bahia (UFBA), Salvador, BA, Brazil.,Postgraduate Program in Medicine and Health, UFBA, Salvador, BA, Brazil.,Department of Neurosciences and Mental Health, Medical School, UFBA, Salvador, BA, Brazil
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Machado RM, Kim HS, Oliveira de Andrade V, Snaychuk LA, Moura CC, Belliero Martini C, de Abreu CRFN, Hodgins DC, Tavares H. Gender differences in psychiatric comorbidity and personality characteristics among adults seeking treatment for problematic internet use. Front Psychiatry 2022; 13:1022749. [PMID: 36387002 PMCID: PMC9650421 DOI: 10.3389/fpsyt.2022.1022749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 10/10/2022] [Indexed: 11/13/2022] Open
Abstract
In the present study, we investigated gender differences in personality and psychiatric correlates among adults (N = 115) seeking treatment for problematic internet use (PIU) at a specialized clinic in São Paulo, Brazil. All participants were assessed at the beginning of their treatment for co-occurring psychiatric conditions, other addictive behaviors, and personality characteristics. Women (n = 20) were more likely to present with greater rates of psychiatric comorbidity compared to men (n = 95), including mood disorders, anxiety disorders, obsessive-compulsive disorder, post-traumatic stress disorder, and bulimia nervosa. Women also had a greater severity of certain behavioral addictions, such as compulsive buying and disordered eating. Gender differences were also found across personality characteristics, with women scoring higher on impulsivity, novelty seeking, and self-transcendence compared to men. To our knowledge, the present study is the first to investigate gender differences for PIU in a clinical sample. The results suggest that there are notable gender differences in individuals seeking treatment for PIU which underscores the importance of assessing for co-occurring conditions, especially in women. Understanding the characteristics associated with PIU can help serve to inform the most appropriate interventions to bolster treatment outcomes.
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Affiliation(s)
| | - Hyoun S. Kim
- Department of Psychology, Toronto Metropolitan University, Toronto, ON, Canada
| | | | - Lindsey A. Snaychuk
- Department of Psychology, Toronto Metropolitan University, Toronto, ON, Canada
| | | | | | | | - David C. Hodgins
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | - Hermano Tavares
- Faculty of Medicine, University of São Paulo, São Paulo, Brazil
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San Mauro Martin I, Sanz Rojo S, González Cosano L, Conty de la Campa R, Garicano Vilar E, Blumenfeld Olivares JA. Impulsiveness in children with attention-deficit/hyperactivity disorder after an 8-week intervention with the Mediterranean diet and/or omega-3 fatty acids: A randomised clinical trial. Neurologia 2022; 37:513-523. [PMID: 31883771 DOI: 10.1016/j.nrl.2019.09.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 08/12/2019] [Accepted: 09/16/2019] [Indexed: 10/25/2022] Open
Abstract
INTRODUCTION The Barratt Impulsiveness Scale (BIS) is a self-administered instrument designed to assess the personality/behavioural construct of impulsiveness. Impulsiveness has been associated with several psychiatric disorders, including attention-deficit/hyperactivity disorder (ADHD). This study assesses the progression of impulsive behaviour in children with ADHD after an 8-week dietary intervention with the Mediterranean diet and/or omega-3 fatty acid supplementation, by using a version of the 11-item BIS adapted for children (BIS-11c). METHODS This cross-sectional study includes 60 children with ADHD from the region of Madrid, Spain. Participants were divided into 4 groups, with one control group (G1) and 3 intervention groups (Mediterranean diet [G2]; omega-3 supplementation [G3]; and Mediterranean diet plus omega-3 supplementation [G4]). A personalised Mediterranean diet was designed for members of groups 2 and 4. The BIS-11c was administered to determine the level of impulsiveness, and the KIDMED test was used to assess adherence to the Mediterranean diet. RESULTS The supplementation group showed a fairly significant decrease in the total BIS-11c (P=.049). Total cognitive score slightly decreased in the diet and supplementation groups. Only the control group showed a considerable decrease in the total motor score. Total nonplanning scores were lower in all groups after the intervention. Baseline and final BIS-11c scores were positively correlated with treatments (r>0.9). CONCLUSION An intake of 550mg EPA fatty acid and 225mg DHA fatty acid per day for 8 weeks is associated with less marked impulsive behaviour in children with ADHD. A Mediterranean diet may improve BIS scores, although our results are not conclusive in this population.
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Affiliation(s)
| | - S Sanz Rojo
- Research Centres in Nutrition and Health, Madrid, España
| | | | | | | | - J A Blumenfeld Olivares
- Hospital El Escorial, San Lorenzo de El Escorial, Madrid, España; Facultad de Medicina, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, España
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7
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Aguiar AM, de Meneses AM, de Souza Aranha E Silva RA, Baltieri DA. Personality-related factors among incarcerated recidivist drug dealers: A path analysis. CRIMINAL BEHAVIOUR AND MENTAL HEALTH : CBMH 2021; 31:387-398. [PMID: 34590360 DOI: 10.1002/cbm.2217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Accepted: 09/09/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Although drug trafficking is one of the most prevalent crimes around the world, drug dealers used to be a hard-to-reach population far away from attention by public health programmes. Decisions to participate in such instrumental crimes, however, are based on external and internal factors that could be investigated and perhaps modified. AIM To identify drug use problems and personality factors consistently related to the drug trafficking recidivism among incarcerated drug dealers. METHOD Data were from 179 men serving a sentence for drug trafficking in two Brazilian penitentiaries who were asked to complete mainly self-ratings of alcohol and drug use, impulsiveness, personality and criminological features. Data were analysed using descriptive statistics and structured equation modelling. RESULTS Incarcerated recidivist drug dealers are younger, more likely to be non-white, have more frequently used illicit drugs before the penalty and have higher alcohol use-severity than non-recidivists. Neuroticism, extraversion, severity of alcohol use and drug use before the penalty were each positively correlated with recidivism. Openness to experience was not associated with a history of recidivism but, rather, positively correlated with better school achievement. One third of the men took up the offer of feedback from the research assessment. CONCLUSIONS Our study showed that social, drug-related and personality style variables come together to allow likely recidivist drug dealers to be distinguished from those unlikely to resume dealing after imprisonment. Given scarce resources for constructive intervention, this is important. We were impressed by the men's willingness to co-operate with the study, despite their reputation for being in thrall to the drug trade hierarchy, and by their curiosity about themselves. This bodes well for further investigation of relevant psychological indicators and consequently informed intervention.
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Affiliation(s)
- Annalu Moreira Aguiar
- Department of Neurosciences, Sexual Disorders Outpatient Clinic (ABSex), Faculdade de Medicina do ABC, São Paulo, Brazil
| | - Adriano Moura de Meneses
- Department of Neurosciences, Sexual Disorders Outpatient Clinic (ABSex), Faculdade de Medicina do ABC, São Paulo, Brazil
| | | | - Danilo Antonio Baltieri
- Department of Neurosciences, Sexual Disorders Outpatient Clinic (ABSex), Faculdade de Medicina do ABC, São Paulo, Brazil
- Department of Psychiatry, ABC Medical School, São Paulo, Brazil
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8
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Impulsiveness in children with attention-deficit/hyperactivity disorder after an 8-week intervention with the Mediterranean diet and/or omega-3 fatty acids: a randomised clinical trial. NEUROLOGÍA (ENGLISH EDITION) 2021; 37:513-523. [PMID: 34656505 DOI: 10.1016/j.nrleng.2019.09.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Accepted: 09/16/2019] [Indexed: 10/20/2022] Open
Abstract
INTRODUCTION The Barratt Impulsiveness Scale (BIS) is a self-administered instrument designed to assess the personality/behavioural construct of impulsiveness. Impulsiveness has been associated with several psychiatric disorders, including attention-deficit/hyperactivity disorder (ADHD). This study assesses the progression of impulsive behaviour in children with ADHD after an 8-week dietary intervention with the Mediterranean diet and/or omega-3 fatty acid supplementation, by using a version of the 11-item BIS adapted for children (BIS-11c). METHODS This cross-sectional study includes 60 children with ADHD from the region of Madrid, Spain. Participants were divided into 4 groups, with one control group and 3 intervention groups (Mediterranean diet; omega-3 supplementation; and Mediterranean diet plus omega-3 supplementation). A personalised Mediterranean diet was designed for members of groups 2 and 4. The BIS-11c was administered to determine the level of impulsiveness, and the KIDMED test was used to assess adherence to the Mediterranean diet. RESULTS The supplementation group showed a fairly significant decrease in the total BIS-11c (P = .049). Total cognitive score slightly decreased in the diet and supplementation groups. Only the control group showed a considerable decrease in the total motor score. Total nonplanning scores were lower in all groups after the intervention. Baseline and final BIS-11c scores were positively correlated with treatments (r > 0.9). CONCLUSION An intake of 550 mg EPA fatty acid and 225 mg DHA fatty acid per day for 8 weeks is associated with less marked impulsive behaviour in children with ADHD. A Mediterranean diet may improve BIS scores, although our results are not conclusive in this population.
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9
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Emotional eating. PSICO 2021. [DOI: 10.15448/1980-8623.2021.1.35452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Emotional Eating (EE) is defined as eating under the influence of negative emotions, and is associated with Eating Disorders, impulsivity, depression and weight gain. However, previous literature is not clear regarding how these variables explain EE. The present study aimed to identify predictors of EE and its relationship to impulsivity, depression, eating style, and weight status in young adults. Sex differences in eating style were examined, and differences in EE between obese/overweight and normal/underweight individuals were tested. Two-hundred college students completed online questionnaires assessing all variables. Low inhibitory control, depression symptoms, female sex, and higher body mass index significantly predicted scores on EE. Obese/overweight and female participants presented increased EE. Correlation analysis evidenced positive associations between EE, Uncontrolled Eating, body mass, and low inhibitory control. Results indicate that EE is related to psychological factors such as impulsivity and depression, and to biological factors, such as sex and body mass.
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10
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Figueiredo T, Fortes D, Erthal P, Bortolini T, Segenreich D, Malloy-Diniz L, Mattos P. Impulsivity as an Endophenotype in ADHD: Negative Findings. J Atten Disord 2021; 25:502-507. [PMID: 30520670 DOI: 10.1177/1087054718816161] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Impulsivity has a strong genetic component and is considered an endophenotype in many psychiatric disorders. Impulsivity in adult ADHD has become a focus of interest more recently because of its suggested prominence in this age. Objective: This study aimed to access self-reported impulsivity levels in biological parents of ADHD offspring, according to their status: non-ADHD (controls), remitted, nonremitted. Method: Impulsivity levels of 155 parents of ADHD children were compared according to their status using the Barratt Impulsiveness Scale (BIS-11). Results: The ADHD group presented the highest levels of impulsivity compared with all other groups. The remitted ADHD and control groups showed no significant differences in impulsivity levels. Conclusion: Impulsivity tended to remit alongside ADHD symptoms in remitters and to persist in those presenting with the residual form of adult ADHD suggesting it should not be considered as an endophenotype. Only the attentional dimension was impaired, cautioning against Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) impulsivity proposed criteria.
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Affiliation(s)
- Tiago Figueiredo
- Federal University of Rio de Janeiro, Brazil.,D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil
| | - Dídia Fortes
- Federal University of Rio de Janeiro, Brazil.,D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil
| | - Pilar Erthal
- D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil
| | - Tiago Bortolini
- D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil
| | | | | | - Paulo Mattos
- Federal University of Rio de Janeiro, Brazil.,D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil
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11
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A 12-Week Randomized, Double-Blind, Placebo-Controlled Clinical Trial of Topiramate for the Treatment of Compulsive Buying Disorder. J Clin Psychopharmacol 2020; 40:186-190. [PMID: 32134854 DOI: 10.1097/jcp.0000000000001183] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
BACKGROUND Topiramate is an anticonvulsant that has shown promise as a pharmacological agent for the treatment of addictive disorders, including compulsive buying disorder (CBD). The aim of the present study was to examine the efficacy of topiramate in the treatment of CBD and its associated characteristics using a 12-week randomized, double-blind, placebo-controlled design. METHODS Fifty patients seeking treatment of CBD who met the inclusion criteria were randomly assigned to either the experimental group (n = 25) or the control group (n = 25). Both groups received 4 sessions of psychoeducation. RESULTS Forty-four participants completed the follow-up with no differences in the rate of dropout between groups. There were no differences between participants who received topiramate or placebo in reducing CBD symptoms assessed by the primary outcome scale (Yale-Brown Obsessive-Compulsive Scale - Shopping Version). However, participants who received topiramate were significantly more likely to show clinical improvement when assessed by a secondary outcome measure, the Compulsive Buying Follow-Up Scale. In addition, there was a trend among participants who received topiramate to report improvements in aspects of hoarding and impulsivity compared with the control group. There were significant improvements in comorbid depression and social adjustments over time, but no group × time interaction was found. CONCLUSIONS The results do not provide support for the use of topiramate in the treatment of CBD. Future investigation with larger and representative samples and longer follow-up period are needed.
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12
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de Paula JJ, Costa DDS, Miranda DMD, Romano-Silva MA. The abbreviated version of the Barratt Impulsiveness Scale (ABIS): Psychometric analysis, reliable change indexes in clinical practice and normative data. Psychiatry Res 2020; 291:113120. [PMID: 32535505 DOI: 10.1016/j.psychres.2020.113120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Revised: 05/20/2020] [Accepted: 05/22/2020] [Indexed: 10/24/2022]
Abstract
Impulsivity is highly associated with psychopathology and dysfunctional behavior. An abbreviated Barratt Impulsiveness Scale (ABIS) was proposed as a validated, reliable and less time-consuming scale. We tested in a sample of adults, its psychometric properties and computed a reliable change index for clinical use. Internal consistency, test-retest stability suggested high reliability, while significant correlations with measures of psychiatric symptoms, and the original scale were evidence of validity. If a patient presents a change of 4 points between two applications of ABIS this indicates a reliable change, which can be used to evaluate the effect of patients' treatment or interventions.
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Affiliation(s)
- Jonas Jardim de Paula
- Programa de Pós-Graduação em Medicina Molecular, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Department of Psychology, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil.
| | - Danielle de Souza Costa
- Programa de Pós-Graduação em Medicina Molecular, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Débora Marques de Miranda
- Programa de Pós-Graduação em Medicina Molecular, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Marco Aurélio Romano-Silva
- Programa de Pós-Graduação em Medicina Molecular, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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13
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Kapitány-Fövény M, Urbán R, Varga G, Potenza MN, Griffiths MD, Szekely A, Paksi B, Kun B, Farkas J, Kökönyei G, Demetrovics Z. The 21-item Barratt Impulsiveness Scale Revised (BIS-R-21): An alternative three-factor model. J Behav Addict 2020; 9:225-246. [PMID: 32609636 PMCID: PMC8939423 DOI: 10.1556/2006.2020.00030] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Revised: 01/04/2020] [Accepted: 04/04/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND AND AIMS Due to its important role in both healthy groups and those with physical, mental and behavioral disorders, impulsivity is a widely researched construct. Among various self-report questionnaires of impulsivity, the Barratt Impulsiveness Scale is arguably the most frequently used measure. Despite its international use, inconsistencies in the suggested factor structure of its latest version, the BIS-11, have been observed repeatedly in different samples. The goal of the present study was therefore to test the factor structure of the BIS-11 in several samples. METHODS Exploratory and confirmatory factor analyses were conducted on two representative samples of Hungarian adults (N = 2,457; N = 2,040) and a college sample (N = 765). RESULTS Analyses did not confirm the original model of the measure in any of the samples. Based on explorative factor analyses, an alternative three-factor model (cognitive impulsivity; behavioral impulsivity; and impatience/restlessness) of the Barratt Impulsiveness Scale is suggested. The pattern of the associations between the three factors and aggression, exercise, smoking, alcohol use, and psychological distress supports the construct validity of this new model. DISCUSSION The new measurement model of impulsivity was confirmed in two independent samples. However, it requires further cross-cultural validation to clarify the content of self-reported impulsivity in both clinical and nonclinical samples.
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Affiliation(s)
- Máté Kapitány-Fövény
- Faculty of Health Sciences, Semmelweis University, Budapest, Hungary,Nyírő Gyula National Institute of Psychiatry and Addictions, Budapest, Hungary,Corresponding author. E-mail: Tel.: +36 20 522 1850
| | - Róbert Urbán
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Gábor Varga
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Marc N. Potenza
- Yale School of Medicine, Connecticut Council on Problem Gambling and Connecticut Mental Health Center, New Haven, CT, USA
| | - Mark D. Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK
| | - Anna Szekely
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Borbála Paksi
- Institute of Education, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Bernadette Kun
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Judit Farkas
- Nyírő Gyula National Institute of Psychiatry and Addictions, Budapest, Hungary,Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Gyöngyi Kökönyei
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Zsolt Demetrovics
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary,Corresponding author. E-mail:
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14
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Frydman I, Mattos P, de Oliveira-Souza R, Yücel M, Chamberlain SR, Moll J, Fontenelle LF. Self-reported and neurocognitive impulsivity in obsessive-compulsive disorder. Compr Psychiatry 2020; 97:152155. [PMID: 31864219 PMCID: PMC7102901 DOI: 10.1016/j.comppsych.2019.152155] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Revised: 11/22/2019] [Accepted: 12/07/2019] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Although a behavioural addiction model of obsessive-compulsive disorder (OCD) has been proposed, it is still unclear if and how self-report and neurocognitive measures of impulsivity (such as risk-taking-, reflection- and motor-impulsivities) are impaired and/or inter-related in this particular clinical population. METHODS Seventeen OCD patients and 17 age-, gender-, education- and IQ-matched controls completed the Barratt Impulsivity Scale, the Obsessive-Compulsive Inventory-Revised, and the Beck Depression Inventory and were evaluated with the Yale-Brown Obsessive-Compulsive Scale and three computerized paradigms including reward (the Cambridge Gambling Task), reflection (the Information Sampling Task) and motor impulsivity (Stop Signal Task). RESULTS Despite not differing from healthy controls in any neurocognitive impulsivity domain, OCD patients demonstrated increased impulsivity in a self-report measure (particularly attentional impulsivity). Further, attentional impulsivity was predicted by severity of obsessive-compulsive symptoms. CONCLUSIONS Our findings suggest that OCD is characterized by a subjective (rather than objective) impulsivity; in addition, self-reported impulsivity was largely determined by severity of OCD symptoms.
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Affiliation(s)
- Ilana Frydman
- Obsessive, Compulsive, and Anxiety Spectrum Research Program. Institute of Psychiatry, Federal University of Rio de Janeiro, Brazil,D’Or Institute for Research and Education, Rio de Janeiro, Brazil
| | - Paulo Mattos
- D’Or Institute for Research and Education, Rio de Janeiro, Brazil
| | | | - Murat Yücel
- Brain & Mental Health Laboratory, Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Victoria, Australia
| | - Samuel R. Chamberlain
- Department of Psychiatry, University of Cambridge, Cambridge and Peterborough NHS Foundation Trust (CPFT), UK
| | - Jorge Moll
- D’Or Institute for Research and Education, Rio de Janeiro, Brazil
| | - Leonardo F. Fontenelle
- Obsessive, Compulsive, and Anxiety Spectrum Research Program. Institute of Psychiatry, Federal University of Rio de Janeiro, Brazil,D’Or Institute for Research and Education, Rio de Janeiro, Brazil,Correspondence and reprints: Leonardo F. Fontenelle, M.D., Ph.D., Rua Visconde de Pirajá, 547, 617, Ipanema, Rio de Janeiro-RJ, Brazil, CEP: 22410-003, Fax and tel.+ 55-21-2239-4919,
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15
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Disinhibition in Frontotemporal Dementia and Alzheimer's Disease: A Neuropsychological and Behavioural Investigation. J Int Neuropsychol Soc 2020; 26:163-171. [PMID: 31543087 DOI: 10.1017/s1355617719000973] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVE Cognitive tests of inhibitory control show variable results for the differential diagnosis between behavioural variant of Frontotemporal Dementia (bvFTD) and Alzheimer's disease (AD). We compared the diagnostic accuracies of tests of inhibitory control and of a behavioural questionnaire, to distinguish bvFTD from AD. METHODS Three groups of participants were enrolled: 27 bvFTD patients, 25 AD patients, and 24 healthy controls. Groups were matched for gender, education, and socio-economic level. Participants underwent a comprehensive neuropsychological assessment of inhibitory control, including Hayling Test, Stroop, the Five Digits Test (FDT) and the Delay Discounting Task (DDT). Caregivers completed the Barratt Impulsiveness Scale 11th version (BIS-11). RESULTS bvFTD and AD groups showed no difference in the tasks of inhibitory control, while the caregiver questionnaire revealed that bvFTD patients were significantly more impulsive (BIS-11: bvFTD 76.1+9.5, AD 62.9+13, p < .001). CONCLUSIONS Neuropsychological tests of inhibitory control failed to distinguish bvFTD from AD. On the contrary, impulsivity caregiver-completed questionnaire provided good distinction between bvFTD and AD. These results highlight the current limits of cognitive measures of inhibitory control for the differential diagnosis between bvFTD and AD, whereas questionnaire information appears more reliable and in line with clinical diagnostics.
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16
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Khoury JM, Neves MDCLD, Roque MAV, Freitas AACD, da Costa MR, Garcia FD. Smartphone and Facebook addictions share common risk and prognostic factors in a sample of undergraduate students. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2020; 41:358-368. [PMID: 31967196 DOI: 10.1590/2237-6089-2018-0069] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Accepted: 03/08/2019] [Indexed: 11/21/2022]
Abstract
INTRODUCTION To improve the comprehension of the interface between smartphone addiction (SA) and Facebook addiction (FA), we hypothesize that the occurrence of both technological addictions correlate, with higher levels of negative consequences. Moreover, we hypothesize that SA is associated with lower levels of social support satisfaction. METHODS We recruited a convenience sample of undergraduate students from Universidade Federal de Minas Gerais, with age ranging between 18 and 35 years. All subjects completed a self-fulfilled questionnaire comprising sociodemographic data, the Brazilian Smartphone Addiction Inventory (SPAI-BR), the Bergen Scale for Facebook Addiction, the Barrat Impulsivity Scale 11 (BIS-11), the Social Support Satisfaction Scale (SSSS), and the Brief Sensation Seeking Scale (BSSS-8). After completing the questionnaire, the interviewer conducted a Mini-International Neuropsychiatric Interview (MINI). RESULTS In the univariate analysis, SA associated with female gender, with ages 18 to 25 years, FA, substance abuse disorders, major depressive disorder, anxiety disorders, low scores in SSSS, high scores in BSSS-8, and high scores in BIS. The group with SA and FA presented a higher prevalence of substance abuse disorders, depression, and anxiety disorders when compared to the group with SA only. CONCLUSION In our sample, co-occurrence of SA and FA correlated with higher levels of negative consequences and lower levels of social support satisfaction. These results strongly suggest that SA and FA share some elements of vulnerability. Further studies are warranted to clarify the directions of these associations.
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Affiliation(s)
- Julia Machado Khoury
- Departamento de Saúde Mental, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.,Programa de Pós-Graduação em Medicina Molecular, Faculdade de Medicina, UFMG, Belo Horizonte, MG, Brazil
| | - Maila de Castro Lourenço das Neves
- Departamento de Saúde Mental, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.,Núcleo de Pesquisa em Vulnerabilidade a Saúde (NAVES), UFMG, Belo Horizonte, MG, Brazil
| | | | | | | | - Frederico Duarte Garcia
- Departamento de Saúde Mental, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.,Programa de Pós-Graduação em Medicina Molecular, Faculdade de Medicina, UFMG, Belo Horizonte, MG, Brazil.,Núcleo de Pesquisa em Vulnerabilidade a Saúde (NAVES), UFMG, Belo Horizonte, MG, Brazil.,Unité Inserm U1073, Rouen, France
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17
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Scherer JN, Silvello D, Volpato VL, Roglio VS, Fara L, Ornell F, von Diemen L, Kessler FP, Pechansky F. Predictive factors associated with driving under the influence among Brazilian drug-using drivers. ACCIDENT; ANALYSIS AND PREVENTION 2019; 123:256-262. [PMID: 30553128 DOI: 10.1016/j.aap.2018.12.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Revised: 12/04/2018] [Accepted: 12/05/2018] [Indexed: 06/09/2023]
Abstract
The incidence of driving under the influence of psychoactive substances (DUI) and its recidivism can be curtailed by the proper identification of specific and predictive characteristics among drug users. In this sense, interpersonal violence (IV), psychiatric comorbidity and impulsivity seem to play an important role in DUI engagement according to previous studies. There are, however, limited data originated from low and middle income countries. In the present study, drug-using Brazilian drivers reporting DUI (n = 75) presented a higher prevalence of bipolar disorders (BD; DUI: 8% vs. non-DUI: 0%, p < 0.001), lower prevalence of obsessive-compulsive disorder (OCD; DUI: 0% vs. non-DUI: 12.6%, p < 0.001), and higher prevalence of childhood trauma (DUI: 65.3% vs. non-DUI: 46.8%, p = 0.022) than those not reporting DUI (n = 79). The evaluation of impulsivity though the Barratt Impulsivity Scale, which give impulsivity scores ranging from 30 to 120, showed higher impulsivity scores in the DUI group (80.4 ± 8) than in the non-DUI group (77.2 ± 10, p = 0.045). In general, subjects were young adults (mean age of 36 ± 9 years), Caucasians (58.4%), not married (61.0%), and with elementary schooling (40.3%) with no significant differences in demographic characteristics between drivers with and without DUI behavior. A multiple Poisson regression model showed that individuals reporting IV as perpetrators and history of childhood trauma were more likely to report DUI (PR: 1.66, 95%CI 1.22-2.7; PR: 1.57, 95%CI 1.02-2.42, respectively). The overlapping of violent situations (childhood trauma, IV and DUI) in some individuals presented here corroborates literature data suggesting that DUI can be an externalizing expression of a range of risky behavior, such as impulsiveness and aggressiveness. Moreover, while BD and higher impulsivity scores seem to act as risk factors for DUI, OCD was shown as a protective factor. These results corroborate the hypothesis that individuals with high risk for DUI could probably be identified by multidimensional assessment of cognitive, risky taking, and personality traits, which perhaps could facilitate the development of focused interventions.
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Affiliation(s)
- Juliana N Scherer
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil.
| | - Daiane Silvello
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Vanessa L Volpato
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Vinícius S Roglio
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Letícia Fara
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Felipe Ornell
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Lisia von Diemen
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Felix Paim Kessler
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
| | - Flavio Pechansky
- Center for Drug and Alcohol Research, Hospital de Clínicas de Porto Alegre, Rua Professor Álvaro Alvim, 400, 90420-020, Porto Alegre, RS, Brazil
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18
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Juneja R, Chaiwong W, Siripool P, Mahapol K, Wiriya T, Shannon JS, Petchkrua W, Kunanusont C, Marriott LK. Thai adaptation and reliability of three versions of the Barratt Impulsiveness Scale (BIS 11, BIS-15, and BIS-Brief). Psychiatry Res 2019; 272:744-755. [PMID: 30832195 DOI: 10.1016/j.psychres.2018.12.173] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 12/20/2018] [Accepted: 12/30/2018] [Indexed: 01/06/2023]
Abstract
Long, short, and brief versions of the Barratt Impulsiveness scale (BIS-11, BIS-15, and BIS-Brief) were tested in an adult Thai population. The BIS-11T and BIS-15T were translated, back-translated, and administered to a non-clinical population (n = 305) of native Thai speakers who returned 2 weeks later for re-test. BIS-Brief-T psychometrics were calculated post-hoc. Impulsivity scores were normally distributed for the BIS-11T and BIS-15T, but not BIS-Brief-T. Excellent internal consistency was observed, with Cronbach's alpha coefficients above 0.80 for all translated instruments: BIS-11T (α = 0.86), BIS-15T (α = 0.81), BIS-Brief-T (α = 0.81). A total of 260 participants completed both instruments (85%), with test-retest reliability exceeding r = 0.81. All three instruments were highly correlated (r = 0.83-0.89). Confirmatory factor analysis supports a three factor structure (attention, motor, non-planning) for BIS-15T and two factor structure for BIS-11T. BIS scales can support measurement of a range of impulsivity scores in an adult Thai population, though predictive validity of these scales remains unexplored.
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Affiliation(s)
- R Juneja
- Bangkok Health Research Center, Bangkok Dusit Medical Services, Bangkok, Thailand
| | - W Chaiwong
- Bangkok Health Research Center, Bangkok Dusit Medical Services, Bangkok, Thailand
| | - P Siripool
- Bangkok Health Research Center, Bangkok Dusit Medical Services, Bangkok, Thailand; OHSU/PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA
| | - K Mahapol
- Bangkok Health Research Center, Bangkok Dusit Medical Services, Bangkok, Thailand; OHSU/PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA
| | - T Wiriya
- Bangkok Health Research Center, Bangkok Dusit Medical Services, Bangkok, Thailand
| | - J S Shannon
- OHSU/PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA
| | - W Petchkrua
- Bangkok Health Research Center, Bangkok Dusit Medical Services, Bangkok, Thailand
| | - C Kunanusont
- Bangkok Health Research Center, Bangkok Dusit Medical Services, Bangkok, Thailand
| | - L K Marriott
- OHSU/PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA.
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19
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Portugal ACA, Afonso AS, Caldas AL, Maturana W, Mocaiber I, Machado-Pinheiro W. Inhibitory mechanisms involved in Stroop-matching and stop-signal tasks and the role of impulsivity. Acta Psychol (Amst) 2018; 191:234-243. [PMID: 30343096 DOI: 10.1016/j.actpsy.2018.10.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Revised: 10/08/2018] [Accepted: 10/12/2018] [Indexed: 11/28/2022] Open
Abstract
Stroop-like and stop-signal tasks are commonly used to evaluate "inhibition", a multifaceted concept fundamental to better understanding of executive functions. Both tasks demand inhibitory processes for their execution; the first requires inhibition of an irrelevant attribute, while the second involves the inhibition of a prepotent motor response. Impulsivity and decision-making represent two other factors that could be associated to executive control and to inhibitory dyscontrol. In this study we developed a behavioral protocol combining the Stroop-matching (a variation of the classic Stroop task) and the stop-signal tasks to investigate possible interactions between the inhibitory mechanisms involved in both tasks. Moreover, we searched for associations between behavioral performance of healthy participants, and self-reported impulsivity and decision-making processes assessed by the BIS-11 scale and IGT, respectively. Our results showed that the primary-task reaction time in the Stroop-matching task influenced the ability to inhibit motor responses in the stop-signal task. Moreover, impulsiveness scores (but not decision-making) were associated to behavioral performance. Importantly, motor and attentional impulsiveness correlated differently to performance depending on the existence of stop-signal trials in the task. Our protocol revealed promising findings concerning the interaction between different inhibitory processes and their association with impulsivity levels.
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Affiliation(s)
| | | | - Ariane L Caldas
- Fluminense Federal University, Rio de Janeiro, Brazil; South of Bahia Faculty, Brazil
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20
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McGowan NM, Coogan AN. Sleep and circadian rhythm function and trait impulsivity: An actigraphy study. Psychiatry Res 2018; 268:251-256. [PMID: 30071388 DOI: 10.1016/j.psychres.2018.07.030] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Revised: 06/15/2018] [Accepted: 07/18/2018] [Indexed: 01/25/2023]
Abstract
We report the relationship between daily rest-activity patterns and trait impulsivity in healthy young adults. The Barratt Impulsiveness Scale was used to identify high and low impulsive individuals among a group of 51 volunteers. Participants' sleep behaviour and circadian rhythm function was assessed using week-long actigraphy. High impulsive individuals displayed phase-delayed patterns of sleep, a decreased total sleep time and sleep efficiency, and disrupted circadian function. Such outcomes were also associated with greater self-reported attention deficit hyperactivity disorder symptoms. The results highlight that sleep and circadian rhythm disturbances may be associated with impulsive traits replicating relationships described in psychiatric illnesses in which impulsivity is a core feature.
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Affiliation(s)
- Niall M McGowan
- Department of Psychology, Maynooth University, Maynooth, Ireland.
| | - Andrew N Coogan
- Department of Psychology, Maynooth University, Maynooth, Ireland
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21
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Kim HS, von Ranson KM, Hodgins DC, McGrath DS, Tavares H. Demographic, psychiatric, and personality correlates of adults seeking treatment for disordered gambling with a comorbid binge/purge type eating disorder. EUROPEAN EATING DISORDERS REVIEW 2018; 26:508-518. [PMID: 29797743 DOI: 10.1002/erv.2606] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Revised: 02/26/2018] [Accepted: 05/06/2018] [Indexed: 02/06/2023]
Abstract
Preliminary evidence suggests that binge/purge type eating disorders and gambling disorder may commonly co-occur. However, this dual-diagnosis population remains understudied. The present research examined the prevalence rates and correlates of binge/purge type eating disorders (i.e., bulimia nervosa, binge-eating disorder, and anorexia nervosa binge/purge type) among adults seeking treatment for their gambling (N = 349). In total, 11.5% of the sample (n = 40) met criteria for a binge/purge type eating disorder, most commonly bulimia nervosa (n = 33). There was a higher preponderance of binge/purge type eating disorders in women. People with a comorbid binge/purge type eating disorder reported more days gambling, gambling-related cognitive distortions, impulsivity, suicidality, and other current psychiatric comorbidities including addictive behaviours. These findings suggest that binge/purge type eating disorders in people seeking treatment for gambling may be more common than previously believed. Furthermore, the increased psychopathology among people with binge/purge type eating disorder and gambling disorder identify vulnerabilities of this dual-diagnosed population that may require clinical attention.
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Affiliation(s)
- Hyoun S Kim
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | | | - David C Hodgins
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | - Daniel S McGrath
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | - Hermano Tavares
- Impulse Control Disorders Outpatient Unit, Institute and Department of Psychiatry, University of São Paulo, São Paulo, Brazil
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22
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Jelihovschi APG, Cardoso RL, Linhares A. An Analysis of the Associations among Cognitive Impulsiveness, Reasoning Process, and Rational Decision Making. Front Psychol 2018; 8:2324. [PMID: 29375440 PMCID: PMC5770582 DOI: 10.3389/fpsyg.2017.02324] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Accepted: 12/20/2017] [Indexed: 11/13/2022] Open
Abstract
Impulsivity may lead to several unfortunate consequences and maladaptive behaviors for both clinical and nonclinical people. It has a key role in many forms of psychopathology. Although literature has discussed the negative impact of impulsivity, few have emphasized the relationship between cognitive impulsiveness and decision making. The aim of this study is to investigate the effects of cognitive impulsiveness on decision making and explore the strategies used by participants to solve problems. For this purpose, we apply two measures of impulsivity: the self-report Barratt Impulsiveness Scale (BIS-11) and the performance based Cognitive Reflection Test (CRT). Moreover, we evaluate participants' reasoning processes employed to answer CRT questions based on the calculation expressions, data organization, and erasures they made while answering the CRT (note that we utilized the instruments using pen and paper). These reasoning processes are related to the role of executive functions in decision making, and its relationship with impulsiveness. The sample consists of 191 adults, who were either professionals or undergraduate students from the fields of business, management, or accounting. The results show that cognitive impulsiveness may negatively affect decision making, and that those who presented the calculation to answer the CRT questions made better decisions. Moreover, there was no difference in the strategies used by impulsive vs. nonimpulsive participants during decision making. Finally, people who inhibited their immediate answers to CRT questions performed better during decision making.
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Affiliation(s)
- Ana P. G. Jelihovschi
- Fundacao Getulio Vargas, Brazilian School of Public and Business Administration, Rio de Janeiro, Brazil
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23
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Lima IMM, Malloy-Diniz LF, de Miranda DM, Da Silva AG, Neves FS, Johnson SL. Integrative Understanding of Familial Impulsivity, Early Adversity and Suicide Risk. Front Psychol 2018; 8:2240. [PMID: 29312082 PMCID: PMC5743894 DOI: 10.3389/fpsyg.2017.02240] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2017] [Accepted: 12/11/2017] [Indexed: 11/30/2022] Open
Abstract
Introduction: Impulsivity is a core characteristic of bipolar disorder and it was observed as elevated in individuals with the disorder and in their relatives. Both impulsivity and history of maltreatment are risk factors for suicide attempts, however, these two key variables may not be independent, given the fact that parental impulsivity and associated social context could increase the risk of child maltreatment. In this study it was examined the association between the impulsivity of relatives and child maltreatment taking into consideration the conjoint and unique effects of these two variables on the risk of suicide attempts among the patients. Materials and Methods: Participants of the study consisted of 117 patients diagnosed with bipolar disorder and 25 first-degree relatives. Linear regression model was conducted to describe associations between facets of impulsivity of relatives and levels of child maltreatment reported by patients. The independent associations of suicide attempt history with the dimensions of impulsivity of the patient and maltreatment were tested by multinomial logistic regression. Results: Impulsivity of relatives and, more specifically, inhibitory control can predict the maltreatment of the patient. Inhibitory control and emotional abuse were related, conjointly, to a greater likelihood of having a history of more than one suicide attempt. Discussion: Considering that the impulsivity of relatives predicts child maltreatment, it is possible that a genetically shared impulsivity is an underlying feature associated with the history of multiple suicide attempts. These findings highlight the importance of considering child maltreatment, impulsivity and suicide attempt history in integrative models.
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Affiliation(s)
- Isabela M M Lima
- Graduate Program in Molecular Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Leandro F Malloy-Diniz
- Graduate Program in Molecular Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Débora M de Miranda
- Graduate Program in Molecular Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | | | - Fernando S Neves
- Department of Mental Health, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Sheri L Johnson
- Department of Psychology, University of California, Berkeley, Berkeley, CA, United States
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24
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Evren C, Umut G, Bozkurt M, Evren B. Relationship of PTSD With impulsivity Dimensions While Controlling the Effect of Anxiety and Depression in a Sample of Inpatients With Alcohol Use Disorder. J Dual Diagn 2018; 14:40-49. [PMID: 29166213 DOI: 10.1080/15504263.2017.1404665] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE The aim of the present study was to evaluate the relationship of posttraumatic stress disorder (PTSD) with impulsivity dimensions while controlling the effect of anxiety and depression in a sample of inpatients with alcohol use disorder (AUD). METHODS Participants were 190 male patients admitted to a specialized center for substance use disorders within a six month period. Participants were evaluated with the State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), the Short Form Barratt Impulsiveness Scale (BIS-11-SF), the Traumatic Experiences Checklist, and PTSD Checklist-Civilian version. RESULTS Age was lower in the group with PTSD (n = 63, 33.2%) than the group without PTSD (n = 127, 66.8%). Duration of education, marital, and employment status did not differ between the groups. STAI, BDI, and BIS-11-SF scores were higher in the group with PTSD. Trait anxiety, depression, and impulsivity predicted high PTSD risk in a logistic regression model. Same variables predicted the severity of PTSD symptoms in a linear regression. Among dimensions of impulsivity attentional component was the only predictor of PTSD symptoms severity, not motor or nonplanning impulsivity. CONCLUSIONS These findings suggest that the PTSD may be related to impulsivity, particularly attentional impulsivity, even after controlling anxiety and depression among inpatients with AUD.
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Affiliation(s)
- Cuneyt Evren
- a Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM) , Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery , Istanbul , Turkey
| | - Gokhan Umut
- a Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM) , Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery , Istanbul , Turkey
| | - Muge Bozkurt
- a Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM) , Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery , Istanbul , Turkey
| | - Bilge Evren
- b Department of Psychiatry , Baltalimani State Hospital for Muskuloskeletal Disorders , Istanbul , Turkey
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Affiliation(s)
- Filiz Kulacaoglu
- Department of Psychiatry, Health Sciences University Bagcilar Research and Training Hospital, Istanbul, Turkey
| | - Samet Kose
- Department of Psychology, Hasan Kalyoncu University, Gaziantep, Turkey
- Department of Psychiatry, University of Texas Medical School of Houston, Houston, TX, USA
- Center for Neurobehavioral Research on Addictions, Houston, TX, USA
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Gomes ÁKV, Diniz LFM, Lage GM, de Miranda DM, de Paula JJ, Costa D, Albuquerque MR. Translation, Adaptation, and Validation of the Brazilian Version of the Dickman Impulsivity Inventory (Br-DII). Front Psychol 2017; 8:1992. [PMID: 29209247 PMCID: PMC5702288 DOI: 10.3389/fpsyg.2017.01992] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Accepted: 10/31/2017] [Indexed: 11/15/2022] Open
Abstract
Impulsivity has mainly been described as a negative or dysfunctional characteristic associated with several disorders. However, impulsivity is not only related to dysfunctional outcomes and may explain individual differences in optimal human functioning as well. The Dickman Impulsivity Inventory (DII) is a self-report instrument measuring both the dysfunctional and the functional aspects of impulsivity. In this study, we performed the translation and cultural adaptation of the DII to the Brazilian context and analyzed its psychometric properties. Translation and cultural adaptation followed a rigorous process, which relied on an expert panel in the cross-cultural adaptation of psychological instruments. Data from 405 undergraduate students were obtained for the Brazilian version of the DII (Br-DII). The 23 items of the Br-DII was considered unsuitable according to model fit indices of the Confirmatory Factor Analysis (both for Oblique and Orthogonal models). Exploratory Factor Analysis showed an 18 items version of the Br-DII to be suitable (CFI = 0.92; TLI = 0.90, and RMSEA = 0.057). The DII's 18 items version also showed adequate Cronbach's alpha, intraclass correlation coefficient, and convergent and discriminant validity with the BIS-11. Therefore, the Br-DII demonstrated reliability and validity in the measurement of functional and dysfunctional impulsivity.
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Affiliation(s)
- Áurea K. V. Gomes
- Postgraduate Program in Physical Education, Universidade Federal de Viçosa, Vicosa, Brazil
| | - Leandro F. M. Diniz
- Department of Mental Health, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Guilherme M. Lage
- Department of Physical Education, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Débora M. de Miranda
- Department of Pediatrics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Jonas J. de Paula
- Department of Psychology, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil
| | - Danielle Costa
- Postgraduate Program in Molecular Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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Bayati M, Rashidian A, Akbari Sari A, Emamgholipour S. General practitioners' views on key factors affecting their desired income: A principal component analysis approach. Med J Islam Repub Iran 2017; 31:41. [PMID: 29445670 PMCID: PMC5804451 DOI: 10.14196/mjiri.31.41] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Indexed: 11/26/2022] Open
Abstract
Background: Based on the target income hypothesis, the economic behavior of physicians is mainly affected by their target income. This study aimed at designing an instrument to explain how general practitioners (GPs) set their desired income. Methods: A self-administered questionnaire of affecting factors on GPs' target income was extracted from literature reviews and a small qualitative study. Respondents were 666 GPs who completed the questionnaire (response rate= 52%) during 2 seasonal congresses of Iranian GPs. The principal component analysis (PCA) with varimax rotation was used to classify the variables and data reduction. Sample adequacy test, sphericity test, eigenvalues of components, and scree plot were evaluated for PCA. Cronbach's alpha was also checked to assess the internal consistency of the principal components. Results: The results of the KMO measure of sampling adequacy (0.657) and Bartlett's test of sphericity (809.05, p<0.001) revealed that the collected data were suitable for PCA. Based on the scree plot pattern and eigenvalues greater than 1, 6 components including perceived comparative income, importance of responsiveness to patients, perceived socioeconomic status, economic expectations, socioeconomic status of paternal family, and provision of luxury services were selected, which explained 65.19% of the total variance. Finally, only those with a Cronbach's alpha value higher than 0.6 were considered reliable (the first 4 components). Conclusion: Based on the target income hypothesis, a physician's desired level of income affects their behavior. Our developed instrument and its mentioned components can be used in future studies related to GPs' behavior, especially those studies related to the economic aspects of GPs' behavior. It also helps formulate a better payment mechanism for primary care providers.
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Affiliation(s)
- Mohsen Bayati
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Arash Rashidian
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Akbari Sari
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Sara Emamgholipour
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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Kulacaoglu F, Solmaz M, Belli H, Ardic FC, Akin E, Kose S. The relationship between impulsivity and attention-deficit/hyperactivity symptoms in female patients with borderline personality disorder. PSYCHIAT CLIN PSYCH 2017. [DOI: 10.1080/24750573.2017.1342317] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Affiliation(s)
- Filiz Kulacaoglu
- Department of Psychiatry, Bagcilar Research and Training Hospital, Health Sciences University, Istanbul, Turkey
| | - Mustafa Solmaz
- Department of Psychiatry, Bagcilar Research and Training Hospital, Health Sciences University, Istanbul, Turkey
| | - Hasan Belli
- Department of Psychiatry, Bagcilar Research and Training Hospital, Health Sciences University, Istanbul, Turkey
| | - Ferhat Can Ardic
- Department of Psychiatry, Bagcilar Research and Training Hospital, Health Sciences University, Istanbul, Turkey
| | - Ercan Akin
- Department of Psychology, Hasan Kalyoncu University, Gaziantep, Turkey
| | - Samet Kose
- Department of Psychology, Hasan Kalyoncu University, Gaziantep, Turkey
- Department of Psychiatry and Behavioral Sciences, University of Texas Medical School of Houston, Houston, TX, USA
- Center for Neurobehavioral Research on Addictions, Houston, TX, USA
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