Cognitive Impulsivity Research Articles

Exploring the victimization‒early substance misuse relationship: In search of moderating and mediating effects

This study was designed to address two research questions. The first research question asked whether physical abuse victimization at the hands of parents/guardians, bullying victimization at the hands of peers, and the abuse x bullying interaction encouraged early involvement in substance misuse. The second research question inquired as to whether the victimization‒substance misuse relationship was mediated by variables proposed by various theories and research studies—specifically, cognitive impulsivity, negative affect, and low self-esteem. A moderated mediation hypothesis was tested in a group of 865 (417 boys, 448 girls) schoolchildren from the Illinois Study of Bullying and Sexual Violence who were 10 to 15 years of age at the time of initial contact. A path analysis performed with three waves of data revealed that physical abuse and bullying victimization predicted substance misuse with mediation by cognitive impulsivity, but there was no evidence of moderation. On the basis of these results, it was concluded that victimization, whether through parental physical abuse or peer bullying, increases cognitive impulsivity, and that cognitive impulsivity, in turn, encourages early involvement in substance misuse. The practical implications of these results are that interventions designed to counter cognitive impulsivity and encourage cognitive control may be effective in preventing children traumatized by physical abuse and bullying from entering the early stages of a drug or substance using lifestyle.

Demographic, psychiatric, and personality correlates of adults seeking treatment for disordered gambling with a comorbid binge/purge type eating disorder.

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.

Association of adverse childhood experiences with functional identity and impulsivity among adults: a cross-sectional study.

Introduction: The present study explores the association of adverse childhood experiences with impulsivity and functional identity among Pakistani adults. Methods: In this cross-sectional study, 260 Pakistani medical students aged 18 and above were approached. A consent form, a questionnaire on sociodemographic characteristics, and an English versions of the Adverse Childhood Experiences (ACE) scale, Functions of Identity scale (FIS) and Barratt's Impulsiveness Scale (BIS-11) was employed in this study. All data were analyzed in SPSS v. 20. Results: A total of 122 (52.6%) of respondents had experienced at least one adverse childhood experience. Verbal, physical, sexual adverse events and poor support and affection from family were the most reported adverse events. ACE scores yielded a significantly positive association with cognitive stability, perseverance and motor impulsivity on the Barrat's impulsivity scale. Whereas, it yielded negative association with structure and harmony subscales of the functional identity as well as cognitive complexity subscale of the impulsivity scale. Conclusions: A high proportion of Pakistani medical students reported adverse childhood experiences, which lead to impulsive behaviors and poor functional identities.

Brains of Teen Girls Resilient to Depression Differ From Brains of Others

Brains of Teen Girls Resilient to Depression Differ From Brains of Others

Personality Traits Differentiate Subgroups of Criminal Offenders With Distinct Cognitive, Affective, and Behavioral Profiles

Mental illness and substance use disorder are prominent among jail and prison inmates. Developing more effective mental and behavioral health treatment approaches for incarcerated criminal offenders is a critical step toward reducing rates of recidivism and relapse following release. Specifying subgroups of offenders who differ in cognitive, affective, behavioral, and demographic characteristics could facilitate more targeted and effective treatment approaches. Accordingly, this study utilized model-based cluster analysis to identify subgroups of offenders in a large sample of incarcerated male offenders ( n = 2,388) using broad personality traits. Six subgroups of offenders emerged based on personality scales related to positive affect, negative affect, and behavioral control. Subsequent analyses revealed significant differences between groups on measures of cognitive ability, affect dysregulation, antisociality, substance use, and impulsivity. These findings provide insight into potential treatment and intervention strategies to target the specific needs of distinct subgroups of incarcerated offenders.

The Risk Factors of the Alcohol Use Disorders-Through Review of Its Comorbidities.

Alcohol use disorders (AUDs) represent a severe, world-wide problem, and are usually comorbid with psychiatric disorders, comorbidity increases the risks associated with AUDs, and results in more serious consequences for patients. However, currently the underlying mechanisms of comorbid psychiatric disorders in AUDs are not clear. Studies investigating comorbidity could help us understand the neural mechanisms of AUDs. In this review, we explore three comorbidities in AUDs, including schizophrenia, major depressive disorder (MDD), and personality disorders (PDs). They are all co-morbidities of AUDs with rate of 33.7, 28, and 50–70%, respectively. The rate is significantly higher than other diseases. Therefore we review and analyze relevant literature to explore whether these three diseases are the risk factors of AUDs, focusing on studies assessing cognitive function and those using neural imaging. We found that memory deficits, impairment of cognitive control, negative emotion, and impulsivity may increase an individual's vulnerability to AUDs. This comorbidity may indicate the neural basis of AUDs and reveal characteristics associated with different types of comorbidity, leading to further development of new treatment approaches for AUDs.

The GABAA Receptor α2 Subunit Activates a Neuronal TLR4 Signal in the Ventral Tegmental Area that Regulates Alcohol and Nicotine Abuse.

Alcoholism initiates with episodes of excessive alcohol drinking, known as binge drinking, which is one form of excessive drinking (NIAAA Newsletter, 2004) that is related to impulsivity and anxiety (Ducci et al., 2007; Edenberg et al., 2004) and is also predictive of smoking status. The predisposition of non-alcohol exposed subjects to initiate binge drinking is controlled by neuroimmune signaling that includes an innately activated neuronal Toll-like receptor 4 (TLR4) signal. This signal also regulates cognitive impulsivity, a heritable trait that defines drug abuse initiation. However, the mechanism of signal activation, its function in dopaminergic (TH+) neurons within the reward circuitry implicated in drug-seeking behavior [viz. the ventral tegmental area (VTA)], and its contribution to nicotine co-abuse are still poorly understood. We report that the γ-aminobutyric acidA receptor (GABAAR) α2 subunit activates the TLR4 signal in neurons, culminating in the activation (phosphorylation/nuclear translocation) of cyclic AMP response element binding (CREB) but not NF-kB transcription factors and the upregulation of corticotropin-releasing factor (CRF) and tyrosine hydroxylase (TH). The signal is activated through α2/TLR4 interaction, as evidenced by co-immunoprecipitation, and it is present in the VTA from drug-untreated alcohol-preferring P rats. VTA infusion of neurotropic herpes simplex virus (HSV) vectors for α2 (pHSVsiLA2) or TLR4 (pHSVsiTLR4) but not scrambled (pHSVsiNC) siRNA inhibits signal activation and both binge alcohol drinking and nicotine sensitization, suggesting that the α2-activated TLR4 signal contributes to the regulation of both alcohol and nicotine abuse.

Impulsivity traits in patients with multiple sclerosis

BackgroundMultiple sclerosis (MS) is a demyelinating disease with a lifetime prevalence of 4.41/100000 in Bogota, Colombia. It is known that it can be related with neuropsychiatric disorders, increasing by a factor of three the prevalence of depression in MS patients compared to general population. However, less attention has been given to the association between MS and impulsive behavior. MethodsThis cross-sectional study compared the levels of impulsivity controlling for the presence of MS. 60 patients with MS and 60 sex- and age-matched subjects without MS were included. In order to assess depression and impulsivity, participants completed the 13-item short form of the Beck Depression Inventory (BDI-SF), the self-report Barratt Impulsiveness Scale version 11 (BIS-11) and the Immediate and Delayed Memory Tasks (IMT-DMT) as an objective measure of impulsive behavior. ResultsTotal scores, motor and cognitive subscales on the BIS-11 were significantly higher in the MS group. However, median BDI-SF score was also higher in MS patients than in subjects without MS (p < 0.001). To rule out depression as a confounding factor, stratification was performed using the BDI-SF score. In the subgroup of individuals with a BDI-SF< 8, the BIS-11 cognitive subscale scores were significantly higher in patients with MS than in subjects without MS (p = 0.041). In the IMT/DMT test, subjects with MS had a fewer number of correct detections than did subjects without MS, after controlling for BDI-SF score (p = 0.0001/p = 0.003). The ratio of commission errors to correct detections in the IMT was significantly higher in the MS group (p = 0.011). ConclusionPatients with MS showed higher levels of cognitive impulsivity than subjects without MS. Objective measures for impulsiveness further support this finding. Impulsiveness scales scores might be biased by depression, which should be considered when assessing impulsivity in MS.

S75. Suicide: Out of Time?

Approximately 50% of suicide attempts are classified as impulsive. Suicide has been hypothesized as a means to immediate relief from overwhelming psychological pain at the expense of future life experiences. Discounting large delayed rewards in exchange for smaller immediate ones is known as cognitive impulsivity. It is unclear whether increases in cognitive impulsivity found in acutely suicidal patients are part of an array of cognitive deficits or due to anomalous time processing. To further examine cognitive impulsivity characteristics in acutely suicidal individuals, we examined associations among time processing, suicidal behavior and cognitive impulsivity. Additionally, we characterized the clinical relevance of impulsivity and time processing by examining relationships with time from suicidal ideation to attempt (TSIA).

Personality and crime: Mediating the agreeableness–offending and conscientiousness–offending relationships with proactive and reactive criminal thinking

The purpose of this study was to determine whether the personality dimensions of Agreeableness and Conscientiousness are linked to future offending by way of criminal thinking. Participants were 1294 (1115 boys, 179 girls) adjudicated delinquents from the Pathways to Desistance study. The Agreeableness and Conscientiousness scales of the NEO-PI-SF served as the independent variables in this study, proactive (moral disengagement) and reactive (cognitive impulsivity) criminal thinking served as mediator variables, and the total offending variety score from the Self-Reported Offending (SRO) scale served as the dependent variable. Contrasting target (Agreeableness → moral disengagement → offending; Conscientiousness → cognitive impulsivity → offending) and control (Agreeableness → cognitive impulsivity → offending; Conscientiousness → moral disengagement → offending) pathways, it was determined that proactive but not reactive criminal thinking mediated the Agreeableness–offending relationship and that reactive but not proactive criminal thinking mediated the Conscientiousness–offending relationship.

Excitatory repetitive transcranial magnetic stimulation applied to the right inferior frontal gyrus has no effect on motor or cognitive impulsivity in healthy adults

BackgroundImpulsivity is a multi-faceted concept. It is a crucial feature of many neuropsychiatric disorders. Three subtypes of impulsivity have been identified: motor, temporal, and cognitive impulsivity. Existing evidence suggests that the right inferior frontal gyrus (rIFG) plays a crucial role in impulsivity, and such a role has been elucidated using inhibitory repetitive transcranial magnetic stimulation (rTMS). There is a dearth of studies using excitatory rTMS at the rIFG, an important gap in the literature this study aimed to address. MethodsTwenty healthy male adults completed a single-blind sham-controlled randomised crossover study aimed at assessing the efficacy of rTMS in the neuromodulation of impulsivity. This involved delivering 10-Hz excitatory rTMS to the rIFG at the intensity of 100% motor threshold with 900 pulses per session. Trait impulsivity was measured at baseline using the Barrett Impulsiveness Scale and UPPS-P Impulsiveness Scale. The Stop Signal Task (SST) and Information Sampling Task (IST), administered before and after rTMS sessions, were used as behavioural measures of impulsivity. ResultsNo significant changes on any measures from either SST or IST after active rTMS at the rIFG compared to the sham-controlled condition were found. ConclusionsExcitatory rTMS applied to the rIFG did not have a statistically significant effect on response inhibition and reflective/cognitive impulsivity. Further research is required before drawing firm conclusions. This may involve a larger sample of highly impulsive individuals, a different stimulation site or a different TMS modality such as theta burst stimulation.

Distinct patterns of blood oxygenation in the prefrontal cortex in clinical phenotypes of schizophrenia and bipolar disorder

BackgroundSchizophrenia (SZ) and bipolar disorder (BD) are characterized by different clinical symptoms, and have previously been considered as categorically separate. However, several lines of evidence controversially suggest that these two disorders may run on a continuum. While it is therefore important to evaluate the subtle differences between SZ and BD, few studies have investigated the difference of brain functioning between the two by focusing on the common symptoms of cognitive functioning and impulsivity, rather than positive/negative and mood symptoms. Recent developments in near-infrared spectroscopy (NIRS) technology have enabled noninvasive assessment of brain function in people with psychiatric disorders. MethodsNear-infrared spectroscopy (NIRS) using 24-channels was conducted during the verbal fluency task (VFT) and Stroop color-word task (SCWT) in 38 patients diagnosed with SZ, 34 patients with BD, and 26 age- and sex-matched healthy controls. ResultsOxyhemoglobin changes in the prefrontal cortex (PFC) were significantly lower particularly in the SZ compared to control group during the VFT. On the other hand, these were significantly lower particularly in the BD and SZ group to control group during the SCWT. Regression analysis showed that hemodynamic changes were significantly correlated with verbal memory and impulsivity in both disorders. ConclusionThese findings suggest that different hemodynamic responses in the prefrontal cortex might reflect cognitive functioning and impulsivity, providing a greater insight into SZ and BD pathophysiology.

White matter change with apathy and impulsivity in frontotemporal lobar degeneration syndromes.

ObjectiveTo identify the white matter correlates of apathy and impulsivity in the major syndromes associated with frontotemporal lobar degeneration, using diffusion-weighted imaging and data from the PiPPIN (Pick's Disease and Progressive Supranuclear Palsy: Prevalence and Incidence) study. We included behavioral and language variants of frontotemporal dementia, corticobasal syndrome, and progressive supranuclear palsy.MethodsSeventy patients and 30 controls underwent diffusion tensor imaging at 3-tesla after detailed assessment of apathy and impulsivity. We used tract-based spatial statistics of fractional anisotropy and mean diffusivity, correlating with 8 orthogonal dimensions of apathy and impulsivity derived from a principal component analysis of neuropsychological, behavioral, and questionnaire measures.ResultsThree components were associated with significant white matter tract abnormalities. Carer-rated change in everyday skills, self-care, and motivation correlated with widespread changes in dorsal frontoparietal and corticospinal tracts, while carer observations of impulsive–apathetic and challenging behaviors revealed disruption in ventral frontotemporal tracts. Objective neuropsychological tests of cognitive control, reflection impulsivity, and reward responsiveness were associated with focal changes in the right frontal lobe and presupplementary motor area. These changes were observed across clinical diagnostic groups, and were not restricted to the disorders for which diagnostic criteria include apathy and impulsivity.ConclusionThe current study provides evidence of distinct structural network changes in white matter associated with different neurobehavioral components of apathy and impulsivity across the diverse spectrum of syndromes and pathologies associated with frontotemporal lobar degeneration.

Latent Impulsivity Subtypes in Substance Use Disorders and Interactions with Internalizing and Externalizing Co-Occurring Disorders.

This study explored the clinical importance of latent impulsivity subtypes within a sample of individuals with substance use disorders (SUDs) and high rates of co-occurring disorders (CODs) receiving residential treatment, aiming to assess the heterogeneity of the associations between SUDs and CODs across such impulsivity subtypes. The abbreviated Barratt impulsiveness scale was used to assess motor and cognitive (attentional and nonplanning) impulsivity, a structured interview for diagnosis of SUD and CODs, and other clinimetric measures for severity of substance use. Latent class analysis was conducted to extract subgroups of impulsivity subtypes and Poisson regression to analyze effects of interactions of classes by CODs on severity of substance use. 568 participants were evaluated. Results featured a four-class model as the best-fitted solution: overall high impulsivity (OHI); overall low impulsivity; high cognitive-low motor impulsivity; and moderate cognitive-low motor impulsivity (MC-LMI). OHI and MC-LMI concentrated on most of the individuals with CODs, and individuals within OHI and MC-LMI showed more severity of substance use. The expression of this severity relative to the impulsivity subtypes was modified by their interaction with internalizing and externalizing CODs in very heterogeneous ways. Our findings suggest that knowing either the presence of trait-based subtypes or CODs in individuals with SUDs is not enough to characterize clinical outcomes, and that the analysis of interactions between psychiatric categories and behavioral traits is necessary to better understand the expressions of psychiatric disorders.

Influence of Cultural Factors on Impulse Buying Tendency: A Study of Indian Consumers

Products bought on impulse occupy a significant share in the customers’ basket and with new formats of retail increasing exposure to in-store stimuli, this trend is on the upswing. However, as the number of retail stores increases, it becomes imperative for the marketer to understand the customers and what drives their choices. Literature review reveals that culture is an important variable driving consumer behaviour. Thus, the present study was conducted to determine whether individual cultural values can influence consumers’ impulse buying tendencies among Indian consumers. The factors that were under investigation in this study were power distance (PD), uncertainty avoidance (UA), collectivism (Coll), masculinity (Mas) and long-term orientation (LTO). Primary data for the study, collected by means of questionnaires filled by 724 Indian consumers, was analysed using confirmatory factor analysis and multiple linear regression. The results indicated that PD, LTO and Mas influence individuals’ affective impulse buying tendency (AIBT), whereas UA and LTO were found to be significantly related to cognitive impulse buying tendency (CIBT). The findings of the study will enhance the understanding of marketers regarding how to influence consumers to buy impulsively in order to drive sales and increase market share through appropriate marketing strategies.

An Analysis of the Associations among Cognitive Impulsiveness, Reasoning Process, and Rational Decision Making.

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.

Dopaminergic Therapy Increases Go Timeouts in the Go/No-Go Task in Patients with Parkinson's Disease.

Parkinson’s disease (PD) is characterized by resting tremor, rigidity and bradykinesia. Dopaminergic medications such as L-dopa treat these motor symptoms, but can have complex effects on cognition. Impulse control is an essential cognitive function. Impulsivity is multifaceted in nature. Motor impulsivity involves the inability to withhold pre-potent, automatic, erroneous responses. In contrast, cognitive impulsivity refers to improper risk-reward assessment guiding behavior. Informed by our previous research, we anticipated that dopaminergic therapy would decrease motor impulsivity though it is well known to enhance cognitive impulsivity. We employed the Go/No-go paradigm to assess motor impulsivity in PD. Patients with PD were tested using a Go/No-go task on and off their normal dopaminergic medication. Participants completed cognitive, mood, and physiological measures. PD patients on medication had a significantly higher proportion of Go trial Timeouts (i.e., trials in which Go responses were not completed prior to a deadline of 750 ms) compared to off medication (p = 0.01). No significant ON-OFF differences were found for Go trial or No-go trial response times (RTs), or for number of No-go errors. We interpret that dopaminergic therapy induces a more conservative response set, reflected in Go trial Timeouts in PD patients. In this way, dopaminergic therapy decreased motor impulsivity in PD patients. This is in contrast to the widely recognized effects of dopaminergic therapy on cognitive impulsivity leading in some patients to impulse control disorders. Understanding the nuanced effects of dopaminergic treatment in PD on cognitive functions such as impulse control will clarify therapeutic decisions.

Consumo de alcohol y conducta antisocial e impulsividad en adolescentes españoles

The relationship between alcohol use and antisocial behaviour in teenagers has been widely reported in previous research. Our main aim was to evaluate this relationship, and also to study how impulsivity influences it. The instruments used were the Rutgers Alcohol Problem Index (RAPI), to evaluate alcohol consumption; the Scale of Antisocial and Criminal Behaviour in Teenagers, and the Barratt Impulsiveness Scale, to assess these behaviors in the youth. The sampling method was non probabilistic and intentional, and the sample consisted of 212 teenagers aged between 12 and 18 years (Average=14.1, SD=1.48). The results showed that the variables which better predict anti-social behaviour in teenagers are alcohol consumption and cognitive impulsiveness. On the other hand, it was found that there are significant differences in antisocial behavior according to gender, but not in terms of alcohol consumption. Regarding age level, significant differences were found in alcohol consumption between all age levels, and in antisocial behavior are concentrated between early and medium adolescence, and between early and late adolescence. The possible implications of the link between alcohol consumption and crime by virtue of the results obtained are discussed.

ARE MOTOR AND COGNITIVE CONTROL, IMPULSIVITY AND RISK-TAKING BEHAVIOUR AS WELL AS MORAL DECISION MAKING DETERMINED BY THE ACTIVITY OF PREFRONTAL CORTEX DURING STROOP TEST?

Background. The main aim of our research was to determine if there was a relationship between prefrontal cortex activity during Stroop test (dependent variables) and variables of “Go/NoGo”, Balloon Analogue Risk Task, impulsivity score, different tests of cognitive functions, moral decisions tests (altruistic or egoistic), Fitts-like motor control task, five character traits, emotional intelligence, mood, sleepiness and perceived stress, total physical activity of subjects (independent variables). Methods.In total, 20 undergraduate students (mean age were 21.3, SD = 1) met the criteria and agreed to participate in this study. Results. Our research has shown that different brain functional outcomes, that is speed-accuracy motor control, inhibition response control and cognitive performance, risky-taking behaviour and impulsivity control, management of emotion, personality consciousness and physical activity have a common correlation with the increase in prefrontal cortex activity (measured by fNIRS) during Stroop test. Conclusion. Our studies have clearly shown that different brain functional outcomes, that is speed-accuracy motor control, inhibition response control and cognitive performance, risky-taking behaviour and impulsivity control, management of emotion, personality consciousness and physical activity have a common correlation with the increase in prefrontal cortex activity (measured by fNIRS) during Stroop test. Considerable number of studies are needed to understand what is the functional essence of these relationships, but currently there is an increase of research establishing correlations between motor behaviour and cognition control.

Estimation of Reward Probability in the Fronto-parietal Functional Network: An fMRI Study

We investigated the neural representation of reward probability recognition and its neural connectivity with other regions of the brain. Using functional magnetic resonance imaging (fMRI), we used a simple guessing task with different probabilities of obtaining rewards across trials to assay local and global regions processing reward probability. The results of whole brain analysis demonstrated that lateral prefrontal cortex, inferior parietal lobe, and postcentral gyrus were activated during probability-based decision making. Specifically, the higher the expected value was, the more these regions were activated. Fronto-parietal connectivity, comprising inferior parietal regions and right lateral prefrontal cortex, conjointly engaged during high reward probability recognition compared to low reward condition, regardless of whether the reward information was extrinsically presented. Finally, the result of a regression analysis identified that cortico-subcortical connectivity was strengthened during the high reward anticipation for the subjects with higher cognitive impulsivity. Our findings demonstrate that interregional functional involvement is involved in valuation based on reward probability and that personality trait such as cognitive impulsivity plays a role in modulating the connectivity among different brain regions.