Rash Action Research Articles

The dynamics of emotion-related impulsivity: An analysis of momentary self-efficacy and daily emotion-driven urges and actions via ecological momentary assessment.

Emotion-related impulsivity-the engagement in impulsive reactions specifically in response to emotions-is considered a transdiagnostic factor underlying psychopathology. The reflexive responding to emotion (RRE) model of emotion-related impulsivity (Carver et al., 2008) suggests that sensitivities to reward and threat in combination with control over emotion are factors that result in internalizing and externalizing psychopathology. In the current study, we adapt the trait-based RRE model to momentary states by evaluating how within-person fluctuations in affect combine with perceptions of momentary emotional control to predict impulsive, rash action and inaction in daily life. Participants (college students and adults recruited from the community: N = 197) completed 8 days of ecological momentary assessment, where we assessed current affect, perceptions of momentary emotional control (via distress intolerance and willpower), and urges for rash action and inaction (5,353 momentary prompts completed). We also assessed subsequent engagement in rash action and inaction. Using multilevel modeling, we found that when people feel greater positive affect and lower negative affect, they also report greater subjective willpower and lower distress intolerance, replicating past ecological momentary assessment findings. Furthermore, we found that momentary perceptions of momentary emotional control moderated the relationship between (a) affect and urges for rash action and (b) affect and engagement in rash action at follow-up. Findings support a dynamic model of the RRE model, confirming that perceptions of momentary emotional control are relevant for both rash action and inaction, particularly when occurring alongside shifts in affect. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The relation between stress-induced dopamine release in the ventromedial prefrontal cortex, fronto-striatal functional connectivity, and negative urgency: A multimodal investigation using [18F]Fallypride PET, MRI and experience sampling

Negative urgency (NU), or the tendency to act rashly when stress of negative affect is high, could be the result of an insufficient control of the ventromedial prefrontal cortex (vmPFC) over the striatum, through an impaired dopamine (DA) transmission. Therefore, we investigated in vivo human stress-induced DA release in the vmPFC, its relation with fronto-striatal functional connectivity (FC), and NU in daily life. In total, 12 female healthy participants performed a simultaneous [18 F]fallypride PET and fMRI scan during which stress was induced. Regions displaying stress-induced DA release were identified and used to investigate stress-induced changes in fronto-striatal FC. Additionally, participants enrolled in an experience sampling study, reporting on daily life stress and rash actions over a 12-month-long period. Mixed models explored whether stress-induced DA release and FC moderated NU in daily life. Stress led to a lower FC between the vmPFC and dorsal striatum, but a higher FC between the vmPFC and contralateral ventral striatum. Participants with a higher FC between the vmPFC and dorsal striatum displayed more NU in daily life. A higher stress-induced DA release in the vmPFC was related to a higher stress-induced change in FC between the vmPFC and striatum. Participants with a higher DA release in the vmPFC displayed more NU in daily life. In conclusion, stress could differentially impact fronto-striatal FC whereby the connectivity with the dorsal striatum is especially important for NU in daily life. This could be mediated by a higher, but not a lower, stress-induced DA release in the vmPFC.

Simplifying, Innovating, and Collaborating: Educating the Health Workforce for Medicare's Middle‐age

AbstractAustralia's Medicare is at a mid‐life reflection point. This is not a moment for existential dread or rash actions. Instead, it is a time for age‐related improvement. Middle‐aged Medicare would benefit from policy that reflects the benefits of subtractive change to reduce its complexity. In addition, policies prioritising the use of data science to enact technologically innovative approaches would improve overall flexibility. Finally, policy can play an important role in strengthening connections between health profession cadres, incentivising them to work together at the top of scope. With education, practice, and policy collaborating, we can enable Medicare's wellbeing for years to come.

An examination of state and trait urgency in individuals with binge-eating disorder.

Negative urgency (i.e., acting rashly when experiencing negative affect; NU), is a theorised maintenance factor in binge-eating type eating disorders. This study examined the association between trait NU and eating disorder severity, momentary changes in state NU surrounding episodes of binge eating, and the momentary mechanistic link between affect, rash action, and binge-eating risk. Participants were 112 individuals with binge-eating disorder (BED). Baseline measures included the UPPS-P Impulsive Behaviour Scale to assess trait NU and the Eating Disorders Examination to assess binge-eating frequency and global eating disorder severity. Ecological momentary assessment captured real-time data on binge eating, negative affect, and state NU. Multiple regression analysis revealed a strong association between trait NU and eating disorder severity. Generalised estimating equations showed that state NU increased before and decreased after binge-eating episodes, and that this pattern was not moderated by trait-level NU. Finally, a multilevel structural equation model indicated that increases in rash action mediated the momentary relationship between states of high negative affect and episodes of binge eating. These findings underscore the importance of both trait and state NU in binge-eating type eating disorders, and suggest NU as a potential key target for intervention.

Assessment of various dimensions of impulsivity and their expression in unipolar and bipolar affective disorder

IntroductionImpulsivity is the tendency to take quick and rash actions without the ability to assess their consequences, resulting in an increased frequency of risky behaviors. In recent years, it has been indicated that impulsivity is a multidimensional construct with different ways of expression in various mental illnesses. Moreover, personality traits might predispose do different psychiatric diagnoses and impact its course.ObjectivesBecause differences in the manifestation of impulsivity can be observed at several levels (e.g., behavioral/motor, cognitive, attention, or emotionally related), we applied several tools to check whether they would allow for the differentiation of unipolar (UD) and bipolar (BD) affective disorders.MethodsThe study used data from 282 patients with affective disorders and 95 healthy controls of both sexes. Among the patients, we distinguished a subgroup diagnosed with UD and BD. We included a homogeneous group of patients in euthymia state at the end of hospitalization due to the last depressive episode. The following tools were used: subdimension novelty seeking (NS) of The Temperament and Character Inventory (TCI) and The Barratt Impulsiveness Scale version 11 (BIS-11) to assess various dimensions of impulsivity. The Coping Orientation to Problems Experienced (COPE) was used to assess the strategy of coping with stress. Statistical analyses were performed in Statistica 13.3 StatSoft, Krakow, Poland.Results We observed significant differences in BIS-11 dimensions such as motor (MI) (p=0.0006), nonplanning (NP) (p=0.0249), and the sum of impulsivity (p= 0.0095) between UD and BD patients. We found no significant differences in the intensity of impulsivity measured by the NS subdimension, regardless of the type of affective disorder. In the Spearman rank correlation analysis, the following correlations of novelty seeking were revealed (p>0.05):NS with BIS-11 MI (rs=0.3877, p=0001), BIS-11 NP (rs=-0.2926, p=0042) and COPE-planning (rs=-0.2552, p=0191) dimensions. Moreover, a unique and strong correlation of NS with COPE - focus on and venting of emotions was revealed in BD patients (rs=0.5402, p=0.0461).ConclusionsThe obtained correlation results confirm the multidimensional nature of impulsivity. The relationship between NS and the motor and nonplanning dimensions comes to the fore. Among the tests used, BIS-11 best differentiated unipolar and bipolar patients.Disclosure of InterestNone Declared

Impulsivity Profile in the Prison Population – a Comparative Case-Control Study

ABSTRACTImpulsivity tends to play an important role in many behavioral disorders, especially in the population of incarcerated offenders, where the prevalence of impulsivity is expected to be high. Prisoners sentenced for violent or property crimes, recruited from 12 participating prisons in the Czech Republic, completed self-reported questionnaires of impulsivity. Results were compared to a non-prison control group from the general population. Analyses pointed toward significantly higher levels of impulsivity in the prison population sample, particularly in terms of motor and non-planning impulsivity, emotion based rash action and sensation seeking, and impulsivity toward physical pleasures, social interactions and money. Findings were adjusted to demographic confounders. The relevance and importance of these findings within the forensic context is discussed.

Влияние стиля управления на уровень конфликтогенности в воинских коллективах

The aim of this article is to study the influence of management style on the level of conflictogenicity in the mili-tary collectives. To achieve this goal, as part of the research, the author has analyzed the existing management styles of military collectives and their impact on building relationships between officers and military personnel. One of the key objectives of this study was to determine the relationship between management style and the factors that have a direct impact on the conflictogenicity in the military collectives, namely: socio-psychological climate, compliance with internal informal rules and norms, and the presence of informal microgroups. Be-sides, the author has analyzed the phenomenon of conflictogenicity: its essence, components, peculiarities of monitoring and detection of conflictogenicity in in the military collectives. It is revealed that the level of conflic-togenicity in the military collectives is significantly influenced by the implemented management style, as the leader’s behavior affects not only the socio-psychological climate of the military collectives, but also the mani-festation of psycho-emotional reactions and social behavior of its members. Conclusions. According to the re-sults of the conducted research, the author revealed that the following is a characteristic feature of the military collectives: the management style should be sufficiently rigid so that in situations of increasing social tension the participants of the military collectives do not carry out rash actions that go beyond the established norms and rules.

Co-Active Coping Inventory: Development and Validation for the Chilean Population.

Co-active coping is a fundamental construct in organizational and work environments as it allows for the exploration of individual and group behaviors within organizations. The aim of this study was to develop a new scale called the Co-Active Coping Inventory in the Chilean context. The sample was comprised of 1,442 workers with an average age of 30.48 years (SD = 11.13). 55% were public-sector workers, 34.5% were workers in private commercial organizations, and 10.5% belonged to non-profit private organizations. Different exploratory factor analyses were performed, and the best exploratory model was verified with a confirmatory factor analysis. In addition, multiple linear regressions were used to analyze which dimensions of co-active coping helped predict workers' burnout (emotional exhaustion, affective hardening, and personal fulfillment) and symptomatology (psychological and somatic). Based on the exploratory and confirmatory approach, the Co-Active Coping Inventory showed a good fit to a structure of five correlated factors (Reflective Action, Rash Action, Search for Spiritual Support, Search for Affective Support and Evasion), demonstrating measurement invariance in terms of sex and type of organization. The different domains of co-active coping explain between 20% (emotional exhaustion) and 41% (affective hardening) of occupational burnout and around 3-5% of workers' symptomatology, with reflective action being the most important variable. These results indicate that the new scale has suitable psychometric properties; it can assess coping strategies in the Chilean organizational context in a reliable and valid way. These coping strategies have demonstrated certain importance in relation to organizational and clinical variables.

How negative affect does and does not lead to binge eating-The importance of craving and negative urgency in bulimia nervosa.

Studies suggest that negative affect (NA) can trigger binge eating (BE) in patients with bulimia nervosa (BN). Important factors in this relation between NA and BE could be craving (an intense desire for a BE episode) and negative urgency (the tendency to act rashly when NA is high). Therefore, this study wants to firstly explore the relations between NA, craving, rash action, and BE in daily life and secondly whether craving and rash action mediate the relationship between NA and BE. A sample of 70 female patients with BN and 76 female healthy controls (HC) took part in an experience sampling study where they reported on momentary NA, craving, rash action, and eating behaviors in daily life in a burst-measurement design over a period of 12 months. Assessments occurred eight times a day on Thursdays, Fridays, and Saturdays in seven bursts of 3 weeks, all separated by 5-week periods of no assessment. First, NA predicted subsequent rash action in the whole sample but this was more pronounced in patients with BN. Second, NA predicted subsequent craving in patients with BN, but not in HC. Third, rash action and craving predicted subsequent BE in patients with BN. Fourth, NA had competing effects on eating in patients with BN, predicting subsequent BE through rash action and craving, but also predicting subsequent not eating. These results suggest that NA can lead to BE in daily life through rash action and craving, but that NA can also lead to dietary restriction. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Мағжан Жұмабаев шығармашылығының философиялық аспектілері

This article was written as part of the 130th anniversary of M. Zhumabaev. The article examined the issues of philosophical reflection of the work of M. Zhumabaev. M. Bekenuly is a poet lyricist and he is truly perceived as a single, public figure of the Turkic peoples. The poet's work is characterized not only by historicism, reflections on spirituality, but also by an irrational experience, abstract imagination. The article contains a study of the spiritual activity of M. Zhumabaev and a comparison of his works with the philosophical views of the German philosopher F. Nietzsche on art. A comparative study by F. Nietzsche on the role, specifics of categories of religion, art and philosophy in determining the cognitive actions of a person was used. The poetic heritage of M. Zhumabaev passed the test of time and proved its artistic value and synthesized the categories of humanism, nobility, happiness and pan-Turkism, pessimism and lyrical experience of the aspirations of Kazakh society. The article uses the hermeneutic method of contents of the verse “Prophet” and “Flood” to determine the philosophical meaning of artistic images. The revival of national identity in modern Kazakh society, the strengthening of independence aroused interest in the poetic activities of Magzhan as an object of philosophical research. The field of study of the works of Magzhan strengthened the spiritual, historical self-awareness of generations. She laid the groundwork for shaping it as ideological content of public policy. He painfully assessed radical changes in society, trying to comprehend the future of the Kazakh people and the tragedy of the rash action of contemporaries. The value of M. Zhumabaev's creative contribution for the culture and historical memory of Kazakhstan was analyzed.

The Interaction of Shame and Urgency in Non-Suicidal Self-Injury and Suicide Attempts

Urgency, the trait-like tendency to respond to heightened emotion states with rash action, has been associated with both non-suicidal self-injury (NSSI) and suicide attempts (Lynam et al., 2011). Limited research has sought to identify specific emotions that may trigger NSSI or suicide attempts for those with high urgency. We examined shame as a candidate emotion. We hypothesized that greater shame-proneness, in combination with greater urgency, would explain unique variance in NSSI and suicide attempt history in two community samples (Ns = 192 and 225). Logistic and negative binomial regression analyses examined the effects of shame, urgency, and their interaction on the presence (vs. absence) and frequency of NSSI and suicide attempts. The proposed interaction of shame and urgency was related to greater risk and frequency of NSSI and suicide attempts when examining simple slopes, across the six models tested, particularly when urgency was high. Further research should examine shame as a trigger for self-harm in the context of heightened urgency using time series designs.

Impulsivity in amphetamine use disorder: Examination of sex differences.

This study aimed to test whether there are sex differences in the relationship between impulsivity and amphetamine use disorder (AMP). A naturalistic cross-sectional design was used. The Tulsa 1000 study was held in Tulsa, OK, USA. There were two groups in this study: AMP+ (29F, 20M) and AMP- (57F, 33M). This project focuses on data related to impulsivity: UPPS-P impulsive behavior scale and a stop signal task (SST) during functional magnetic resonance imaging (fMRI) recording. Group, sex and their interaction were compared for UPPS-P ratings and SST fMRI and behavioral responses. AMP+ reported higher UPPS-P positive and negative urgency scores (Ps< 0.001; r = 0.56 and 0.51) and displayed greater bilateral insula and amygdala responses across correct SST trials (Ps < 0.001, g range = 0.57-0.81) than AMP-. fMRI results indicated that AMP+ exhibited larger right anterior/middle insula, amygdala and nucleus accumbens signals during successful difficult stop trials than AMP- (Ps< 0.01; g = 0.63, 0.54 and 0.44, respectively). Crucially, two group × sex effects emerged: (a) within females, AMP+ reported larger UPPS-P lack of premeditation scores than AMP- (P < 0.001, r = 0.51), and (b) within males, AMP+ showed greater left middle insula signals than AMP- across correct SST trials (P = 0.01, g = 0.78). Both female and male amphetamine users appear to be characterized by rash action in the presence of positive and negative mood states as well as heightened recruitment of right hemisphere regions during behavioral inhibition. In contrast, planning ahead may be particularly difficult for female amphetamine users, whereas male amphetamine users may need to recruit additional left hemisphere resources during inhibitory processing.

Linking Sleep and Aggression: Examining the Role of Response Inhibition and Emotional Processing.

Although sleep loss is theorized to increase aggression risk, knowledge regarding the sleep-aggression relationship, or explanatory psychological processes, is limited. This study examined whether recent sleep duration predicted subsequent laboratory aggression, and whether neurocognitive indices of attentional and motor inhibition and negative emotional processing explained the sleep-aggression relationship. Participants (n=141) wore Fitbit Flex devices and kept a sleep diary for three days. Event-related potentials were measured during an Emotional-Linguistic Go/No-Go task, followed by a laboratory aggression paradigm. Results of mixed-model repeated measures ANOVAs linked shorter sleep duration with reduced motor inhibition processing during negative and neutral word blocks, and greater aggression. However, neurocognitive indices did not explain the sleep-aggression link. This is the first evidence that naturally occurring sleep loss predicts increases in laboratory aggression across the task and suggests that shorter sleepers are more vulnerable to rash action in negative and neutral contexts. Implications of these findings for understanding aggression will be discussed.

The Green Depression: American Ecoliterature in the 1930s and 1940s by Matthew M. Lambert

<i>The Green Depression: American Ecoliterature in the 1930s and 1940s</i> by Matthew M. Lambert

Factors of Formation of Financial Behavior Types of Economic Entities

The research is focused on determining the factors influencing the formation of the types of financial behavior of economic entities. Determining the types of economic entities’ financial behavior is necessary for implementing state economic policy measures. The subject of the study is the types of financial behavior reflecting the propensity of an economic entity to perform economic operations. Entities may exhibit active, adaptive, and reactive financial behaviors. The purpose of the work is to determine the key factors that influence the formation of types of financial behavior of economic entities. The study suggests that the formation of financial behavior types is caused by the influence of human, social and financial capital. The formation of financial behavior types is influenced by the basic characteristics associated with age, perception of the external environment, etc. The significance of certain factors is assessed using statistical analysis. The combination of these factors has a different impact on the formation of the type of financial behavior of an economic entity, but they can be significant under certain external conditions related to the economic situation. Because of the significance of individual factors, all economic entities form ‘yadernye’ (core) groups demonstrating a certain type of financial behavior, as well as groups of entities that change the type of financial behavior depending on the influence of the external environment. The change in financial behavior types is associated with a change in the strength of the impact of various factors that need to be considered in the dynamics. Entities with an active type of financial behavior, whose actions transform the external environment and stimulate other categories of entities to commit economic actions, are of significant interest for the analysis. The latter is especially actual for the financial market when entities with a reactive type of behavior under the influence of the information background commit rash actions leading them to financial losses. Based on the available sociological data, the study examines the main factors that lead to the formation of an active type of financial behavior. As a result of the construction of the econometric model, the authors conclude that the amount of available funds, the age of the respondent, the level of professional competence have a significant impact on the formation of an active type of financial behavior.

450 Gender Differences in the Association of Impulsive Behavior and Susceptibility to E-cigarette Use among Adolescents with Congenital Heart Defects

OBJECTIVES/GOALS: Adolescents with congenital heart defects (CHD) have an elevated risk for future cardiovascular events, but information about their risk for e-cigarette use (“vaping”) is unknown. This study aims to present preliminary findings on gender differences in the association of impulsive behavior and vaping susceptibility from an ongoing investigation. METHODS/STUDY POPULATION: Adolescents with CHD (12-18 years; N=63) reported their vaping susceptibility and completed subjective (UPPS-P)/objective (Iowa Gambling Task; IGT) assessments of impulsive behavior previously associated with tobacco use. The UPPS-P includes 5 facets: 1) negative urgency (impulsivity under negative emotions), 2) positive urgency (impulsivity under positive emotions), 3) lack of premeditation (acting without thinking), 4) lack of perseverance (inability to focus), and 5) sensation seeking (seeking thrilling experiences). The IGT is a computerized task that creates conflict between immediate reward and delayed punishment via selections from advantageous/disadvantageous card decks. Linear regressions stratified by gender determined associations between vaping susceptibility and impulsivity. RESULTS/ANTICIPATED RESULTS: Nearly 30% (29.7%) of adolescents with CHD were susceptible to vaping. Negative urgency was associated with vaping susceptibility among females (β = 0.44, p = .035) but not males (β = 0.25, p = .128). Positive urgency was associated with vaping susceptibility among males (β = 0.37, p = .021) and trended toward significance among females (β = 0.40, p = .058). Lack of premeditation was associated with vaping susceptibility among males (β = 0.36, p = .025) but not females (β = 0.15, p = .490). The association between lack of perseverance and vaping susceptibility trended toward significance among males (β = 0.30, p = .064) but not females (β = -0.18, p = .413). IGT performance was not associated with susceptibility to vaping among either gender. UPPS-P facets and IGT performance were not significantly correlated. DISCUSSION/SIGNIFICANCE: The association of impulsivity and vaping susceptibility appears to be characterized by emotion-based rash action (positive/negative urgency) for females and by decreased conscientiousness (lack of premeditation/perseverance) for males. If replicated, the findings have implications for assessment of vaping risk and tailored intervention.

Impulsivity Relates to Multi-Trial Choice Strategy in Probabilistic Reversal Learning.

Impulsivity is defined as a trait-like tendency to engage in rash actions that are poorly thought out or expressed in an untimely manner. Previous research has found that impulsivity relates to deficits in decision making, in particular when it necessitates executive control or reward outcomes. Reinforcement learning (RL) relies on the ability to integrate reward or punishment outcomes to make good decisions, and has recently been shown to often recruit executive function; as such, it is unsurprising that impulsivity has been studied in the context of RL. However, how impulsivity relates to the mechanisms of RL remains unclear. We aimed to investigate the relationship between impulsivity and learning in a reward-driven learning task with probabilistic feedback and reversal known to recruit executive function. Based on prior literature in clinical populations, we predicted that higher impulsivity would be associated with poorer performance on the task, driven by more frequent switching following unrewarded outcomes. Our results did not support this prediction, but more advanced, trial-history dependent analyses revealed specific effects of impulsivity on switching behavior following consecutive unrewarded trials. Computational modeling captured group-level behavior, but not impulsivity results. Our results support previous findings highlighting the importance of sensitivity to negative outcomes in understanding how impulsivity relates to learning, but indicate that this may stem from more complex strategies than usually considered in computational models of learning. This should be an important target for future research.

Multidimensional Impulsive Personality Traits Mediate the Effect of Parent Substance Use Disorder on Adolescent Alcohol and Cannabis Use.

Theory suggests that behavioral undercontrol mediates the effect of parental substance disorder on offspring substance use, but no studies have tested multidimensional impulsive personality traits as mechanisms of risk. Adolescents (N = 392; 48% female) from a multigenerational study of familial alcohol disorder self-reported impulsive personality traits via the UPPS-P (Mage = 16.09; Range = 13-19) and alcohol/cannabis frequency one year later. The UPPS-P assesses negative and positive urgency (i.e., rash action in a negative or positive mood state), lack of premeditation (i.e., lack of planning/forethought), lack of perseverance (i.e., inability to finish tedious/boring tasks), and sensation seeking (i.e., thrill seeking/risk taking). Parent substance disorder was assessed via diagnostic interviews. Two-part hurdle models tested predictors of any substance use (i.e., binary part) and frequency of use (i.e., continuous part). Parent substance disorder was indirectly associated with any alcohol/cannabis use (binary part) and higher cannabis frequency (continuous part) through negative urgency. Parental substance disorder was associated with higher alcohol frequency through a lack of premeditation. Sensation seeking was associated with any alcohol/cannabis use but unrelated to parental substance disorder. Despite indirect effects, strong effects of parental substance disorder on substance use remained. The findings are discussed in terms of theory and public health implications.

Daily sensation-seeking and urgency in young adults: Examining associations with alcohol use and self-defined risky behaviors

PurposeTo examine the dynamic expression of sensation-seeking and urgency in daily life and the implications for alcohol use and risk-taking during young adulthood. MethodsDaily diary surveys were administered to young adults (n = 77) aged 18–25 years every evening for 21 days to assess day’s sensation-seeking, urgency, risk-taking, and alcohol use. ResultsDays of higher than usual sensation-seeking are also days of higher than usual risk-taking and are more likely to be alcohol use days than days of lower than usual sensation-seeking. Day’s urgency was not associated with day’s alcohol use or risk-taking. We extracted 10 themes from self-reports of the day’s riskiest behavior: transportation (29.9%), social (22.8%), recreation (17.4%), work (14.8%), school (13.5%), food (9.5%), sleep (9.2%), substance use (5.8%), other (5.2%), and jaywalking (1.5%), and 14.6% of self-reported risky behaviors were considered threatening to safety, health, or wellbeing. ConclusionsRisks taken during daily life have mostly positive outcomes and a minority represent threats to safety, health, and wellbeing. Risk-taking and alcohol use in young adult’s daily lives is more likely to be driven by the desire to experience novel and exciting experiences than by rash action.

Cognitive control training for urgency: A pilot randomized controlled trial in an acute clinical sample

Urgency – rash action in the context of strong emotion – is a facet of impulsivity closely related to many psychological disorders. Deficits in working memory and response inhibition are potential mechanisms underlying urgency, and a previous study showed that cognitive training targeting these domains is efficacious in reducing urgency. However, the feasibility and efficacy of this intervention has not yet been tested in a clinical sample or naturalistic treatment setting. To fill this gap, we conducted a pilot study of cognitive training for individuals reporting high levels of urgency in a partial hospitalization program. We evaluated this intervention in an open trial (n = 20), followed by a randomized controlled trial (n = 46) comparing cognitive training plus treatment as usual to treatment as usual. Results supported the feasibility and acceptability of cognitive training. Participants in the training group showed significant improvement on cognitive tasks, but groups did not differ in urgency. In pooled analyses combining the open trial and RCT, there was a significant reduction in distress intolerance in the training group only. Results indicate the potential benefit of cognitive training for distress intolerance, but do not support the use of cognitive training for urgency in acute clinical settings.The study conducted in the RCT phase of this manuscript is registered on ClinicalTrials.gov (NCT: NCT03527550). The full trial protocol is available on ClinicalTrials.gov.