Impulsivity-targeted selective preventive interventions and treatments in addictive behaviors

  1. Víctor Martínez-Loredo 1
  2. José Ramón Fernández-Hermida 1
  1. 1 University of Oviedo, Spain
Revista:
Revista de Psicología Clínica con Niños y Adolescentes

ISSN: 2340-8340

Año de publicación: 2019

Título del ejemplar: Prevención en psicología clínica y de la salud infanto-juvenil

Volumen: 6

Número: 3

Páginas: 48-54

Tipo: Artículo

Otras publicaciones en: Revista de Psicología Clínica con Niños y Adolescentes

Resumen

Impulsivity is one of the personality characteristics most associated with several psychopathological problems, and it is proposed as a transdiagnostic marker. One of the important health-related issues most consistently associated with high impulsivity is that of addictive behaviors. Specifically, facets such as positive and negative urgency, lack of premeditation and impulsive choice have the greatest empirical support. Several studies have developed psychological interventions and techniques aimed at reducing impulsivity in both healthy and substance using and dependent individuals. Emotional regulation training, trigger identification and training in alternative behaviors and dialectical-behavioral skills have shown to be effective in reducing urgency. Regarding lack of premeditation, problem solving strategies and goal management training are shown as effective techniques. Finally, several experimental techniques (framing, priming and reward bundling) have obtained promising results in reducing impulsive choice. Despite the available evidence, most results are based on preliminary and/or experimental studies, and more research is necessary to replicate these findings and to examine the best approach for translating the available evidence into clinical practice in order to generalize the study findings to real world behaviors.

Referencias bibliográficas

  • Albert, D., & Steinberg, L. (2011). Judgment and Decision Making in Adolescence. Journal of Research on Adolescence, 21(1), 211-224. doi: 10.1111/j.1532-7795.2010.00724.x
  • Alfonso, J. P., Caracuel, A., Delgado-Pastor, L. C., & Verdejo-García, A. (2011). Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers. Drug and Alcohol Dependence, 117(1), 78–81. doi: 10.1016/j.drugalcdep.2010.12.025
  • Audrain-McGovern, J., Rodriguez, D., Epstein, L. H., Cuevas, J., Rodgers, K., & Wileyto, E. P. (2009). Does delay discounting play an etiological role in smoking or is it a consequence of smoking? Drug and Alcohol Dependence, 103(3), 99-106. doi: 10.1016/j.drugalcdep.2008.12.019
  • Balevich, E. C., Wein, N. D., & Flory, J. D. (2013). Cigarette smoking and measures of impulsivity in a college sample. Substance Abuse, 34(3), 256-262. doi: 10.1080/08897077.2012.763082
  • Bechara, A. (2005). Decision making, impulse control and loss of willpower to resist drugs: a neurocognitive perspective. Nature neuroscience, 8(11), 1458-1463. doi: 10.1038/nn1584
  • Bickel, W. K., Jarmolowicz, D. P., Mueller, E. T., Gatchalian, K. M., & McClure, S. M. (2012). Are executive function and impulsivity antipodes? A conceptual reconstruction with special reference to addiction. Psychopharmacology (Berl), 221(3), 361-387. doi: 10.1007/s00213-012-2689-x
  • Bold, K. W., Fucito, L. M., deMartini, K. S., Leeman, R. F., Kranzler, H. R., Corbin, W. R., & O’Malley, S. S. (2017). Urgency traits moderate daily relations.
  • Bowden-Jones, H., McPhillips, M., Rogers, R., Hutton, S., & Joyce, E. (2005). Risk taking on tests sensitive to ventromedial prefrontal cortex dysfunction predicts early relapse in alcohol dependency: a pilot study. The Journal of Neuropsychiatry and Clinical Neurosciences, 17(3), 417-420. doi: 10.1176/jnp.17.3.417
  • Brooks, S., Lochner, C., Shoptaw, S., & Stein, D.J. (2017). Using the research domain criteria (RDoC) to conceptualize impulsivity and compulsivity in relation to addiction. Progress in Brain Research, 235, 177-218. doi: 10.1016/bs.pbr.2017.08.002
  • Challet-Bouju, G., Bruneau, M., IGNACE Group, Victorri-Vigneau, C., & Grall-Bronnec, M. (2017) Cognitive Remediation Interventions for Gambling Disorder: A Systematic Review. Frontiers in Psychology, 8:1961. doi: 10.3389/fpsyg.2017.01961
  • Cyders, M. A., & Coskunpinar, A. (2011). Measurement of constructs using self-report and behavioral lab tasks: Is there overlap in nomothetic span and construct representation for impulsivity? Clinical Psychology Review, 31(6), 965-982. doi: 10.1016/j.cpr.2011.06.001
  • Cyders, M. A., & Coskunpinar, A. (2012). The relationship between self-report and lab task conceptualizations of impulsivity. Journal of Research in Personality, 46, 121-124. doi: 10.1016/j.jrp.2011.11.005
  • Cyders, M. A., Smith, G. T., Spillane, N. S., Fischer, S., Annus, A. M., & Peterson, C. (2007). Integration of impulsivity and positive mood to predict risky behavior: development and validation of a measure of positive urgency. Psychological Assessment, 19(1), 107-118. doi: 10.1037/1040-3590.19.1.107
  • Dassen, F. C. M., Jansen, A., Nederkoorn, C., & Houben, K. (2015). Focus on the future: Episodic future thinking reduces discount rate and snacking. Appetite, 96, 327-332. doi: 10.1016/j.appet.2015.09.032
  • Dir, A. L., Banks, D. E., Zapolski, T. C. B., McIntyre, E., & Hulvershorn, L. A. (2016). Negative Urgency and Emotion Regulation Predict Positive Smoking Expectancies in Non-Smoking Youth. Addictive Behaviors, 58, 47-52. doi: 10.1016/j.addbeh.2016.02.014
  • Dir, A. L., Coskunpinar, A., & Cyders, M. A. (2014). A meta-analytic review of the relationship between adolescent risky sexual behavior and impulsivity across gender, age, and race. Clinical Psychology Review, 34(7), 551-562. doi: 10.1016/j.cpr.2014.08.004
  • Dowling, N. A., Merkouris, S. S., Greenwood, C. J., Oldenhof, E., Toumbourou, J. W., & Youssef, G. J. (2017). Early risk and protective factors for problem gambling: A systematic review and meta-analysis of longitudinal studies. Clinical Psychology Review, 51, 109-124. doi: 10.1016/j.cpr.2016.10.008
  • Edalati, H, & Conrod, P. J. (2019). A review of personality-targeted interventions for prevention of substance misuse and related harm in community samples of adolescents. Frontiers in Psychiatry, 9:770. doi: 10.3389/fpsyt.2018.00770
  • Ellingson, J. M., Potenza, M. N., & Pearlson, G. D. (2018). Methodological factors as a potential source of discordance between self-report and behavioral measures of impulsivity and related constructs. Addictive Behaviors, 84, 126-130. doi: 10.1016/j.addbeh.2018.04.005
  • Farley, J. P., & Kim-Spoon, J. (2015). Longitudinal Associations among Impulsivity, Friend Substance Use, and Adolescent Substance Use. Journal of Addiction Research and Therapy, 6(2). doi: 10.4172/2155-6105.1000220
  • Field, M., Christiansen, P., Cole, J., & Goudie, A. (2007). Delay discounting and the alcohol Stroop in heavy drinking adolescents. Addiction, 102(4), 579-586. doi: 10.1111/j.1360-0443.2007.01743.x
  • Gratz, K. L., & Tull, M. T. (2011). Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology. Personality Disorders: Theory, Research, and Treatment, 2, 316–326. doi: 10.1037/a0022144
  • Henges, A. L., & Marczinski, C. A. (2012). Impulsivity and alcohol consumption in young social drinkers. Addictive Behaviors, 37(2), 217-220. doi: 10.1016/j.addbeh.2011.09.013
  • Houben, K.,Wiers, R. W., & Jansen, A. (2011). Getting a grip on drinking behavior: training working memory to reduce alcohol abuse. Psychological Science, 22, 968-975. doi: 10.1177/0956797611412392
  • Isen, J. D., Sparks, J. C., & Iacono, W. G. (2014). Predictive validity of delay discounting behavior in adolescence: a longitudinal twin study. Experimental and Clinical Psychopharmacology, 22(5), 434-443. doi: 10.1037/a0037340
  • Jakuszkowiak-Wojten, K., Landowski, J., Wiglusz, M. S., & Cubala, W. J. (2015). Impulsivity in anxiety disorders. A critical review. Psychiatria Danubina, 27 Suppl 1, S452-455.
  • Janssen, T., Larsen, H., Peeters, M., Boendermaker, W. J., Vollebergh, W. A. M., Wiers, R.W. (2015). Do online assessed self-report and behavioral measures of impulsivity-related constructs predict onset of substance use in adolescents? Addictive Behaviors Reports, 1, 12-18. doi: 10.1016/j. abrep.2015.01.002
  • Kale, D., Stautz, K., & Cooper, A. (2018). Impulsivity related personality traits and cigarette smoking in adults: A meta-analysis using the UPPS-P model of impulsivity and reward sensitivity. Drug and Alcohol Dependence, 185, 149-167. doi: 10.1016/j.drugalcdep.2018.01.003
  • Khurana, A., Romer, D., Betancourt, L. M., Brodsky, N. L., Giannetta, J. M., & Hurt, H. (2013). Working memory ability predicts trajectories of early alcohol use in adolescents: the mediational role of impulsivity. Addiction, 108(3), 506-515. doi: 10.1111/add.12001
  • Khurana, A., Romer, D., Betancourt, L. M., Brodsky, N. L., Giannetta, J. M., & Hurt, H. (2015). Experimentation versus progression in adolescent drug use: A test of an emerging neurobehavioral imbalance model. Development and Psychopathology, 27(3), 901-913. doi: 10.1017/S0954579414000765
  • Kim, H. S., & Hodgins, D. C. (2018). Component Model of Addiction Treatment: A Pragmatic Transdiagnostic Treatment Model of Behavioral and Substance Addictions. Frontiers in Psychiatry, 9:406. doi: 10.3389/fpsyt.2018.00406
  • Krueger, R. F., & Eaton, N. R. (2015). Transdiagnostic factors of mental disorders. World Psychiatry, 14(1), 27-29. doi: 10.1002/wps.20175
  • Kwan, D., Craver, C. F., Green, L., Myerson, J., Gao, F., Black, S. E., & Rosenbaum, R. S. (2015). Cueing the personal future to reduce discounting in intertemporal choice: Is episodic prospection necessary? Hippocampus, 25, 432-443. doi: 10.1002/hipo.22431
  • Lee, D. C., Peters, J. R., Adams, Z. W., Milich, R., & Lynam, D. R. (2015). Specific dimensions of impulsivity are differentially associated with daily and non-daily cigarette smoking in young adults. Addictive Behaviors, 46, 82-85. doi: 10.1016/j.addbeh.2015.03.009
  • Leeman, R. F., Hoff, R. A., Krishnan-Sarin, S., Patock-Peckham, J. A., & Potenza, M. N. (2014). Impulsivity, sensation-seeking, and part-time job status in relation to substance use and gambling in adolescents. Journal of Adolescent Health, 54(4), 460-466. doi: 10.1016/j.jadohealth.2013.09.014
  • Lempert, K. M., Steinglass, J. E., Pinto, A., Kable, J. W., & Simpson, H. B. (2019). Can delay discounting deliver on the promise of RDoC?. Psychological Medicine, 49(2), 190-199. doi:10.1017/s0033291718001770
  • Levine, B., Schweizer, T. A., O’Connor, C., Turner, G., Gillingham, S., Stuss, D. T., Manly, T., & Robertson, I. H. (2011). Rehabilitation of executive functioning in patients with frontal lobe brain damage with goal management training. Frontiers in Human Neuroscience, 5:9. doi: 10.3389/ fnhum.2011.00009
  • Linehan, M. M. (1993). Cognitive behavioral treatment of borderline personality disorder. New York: Guilford Press.
  • Lopez-Vergara, H. I., Spillane, N. S., Merrill, J. R., & Jackson, K. M. (2016). Developmental trends in alcohol use initiation and escalation from early to middle adolescence: Prediction by urgency and trait affect. Psychology of Addictive Behaviors, 30(5), 578-587. doi: 10.1037/adb0000173
  • MacKillop, J., Weafer, J., J, C. G., Oshri, A., Palmer, A., & de Wit, H. (2016). The latent structure of impulsivity: impulsive choice, impulsive action, and impulsive personality traits. Psychopharmacology (Berl), 233(18), 3361-3370. doi: 10.1007/s00213-016-4372-0
  • Maclaren, V. V., Fugelsang, J. A., Harrigan, K. A., & Dixon, M. J. (2011). The personality of pathological gamblers: a meta-analysis. Clinical Psychology Review, 31(6), 1057-1067. doi: 10.1016/j.cpr.2011.02.002
  • Martínez-Fernández, V., Lloret-Irles, D., & Segura-Heras, J. V. (2018). Impulsividad y búsqueda de sensaciones como predictores del consumo de drogas en adolescentes: Un estudio longitudinal [Impulsivity and sensation seeking as predictors of drug use in adolescents: A longitudinal study]. Revista de Psicología Clínica con Niños y Adolescentes, 5(3), 9-15. doi: 10.21134/rpcna.2018.05.3.1
  • Martínez-Loredo, V., Fernández-Hermida, J.R., De La Torre-Luque, A., & Fernández-Artamendi, S. (2018a). Trajectories of impulsivity by sex predict substance use and heavy drinking. Addictive Behaviors, 85, 164-172. doi: 10.1016/j.addbeh.2018.06.011
  • Martínez-Loredo, V., Fernández-Hermida, J.R., De la Torre-Luque, A., & Fernández-Artamendi, S. (2018b). Polydrug use trajectories and differences in impulsivity among adolescents. International Journal of Clinical and Health Psychology, 18, 235-244. doi: 10.1016/j.ijchp.2018.07.003
  • Martínez-Loredo, V., Fernández-Hermida, J.R., Fernández-Artamendi, S., Carballo, J.L., García-Cueto, E., & García-Rodríguez, O. (2015). The association of both self-reported and behavioral impulsivity with the annual prevalence of substance use among early adolescents. Substance Abuse Treatment, Prevention, and Policy, 10:23. doi: 10.1186/s13011-015-0019-0
  • Moeller, F. G., Barratt, E. S., Dougherty, D. M., Schmitz, J. M., & Swann, A. C. (2001). Psychiatric aspects of impulsivity. American Journal of Psychiatry, 158(11), 1783-1793. doi: 10.1176/appi.ajp.158.11.1783.
  • Moreno, M., Estevez, A. F., Zaldivar, F., Montes, J. M., Gutierrez-Ferre, V. E., Esteban, L., … Flores, P. (2012). Impulsivity differences in recreational cannabis users and binge drinkers in a university population. Drug and Alcohol Dependence, 124(3), 355-362. doi: 10.1016/j.drugalcdep.2012.02.011
  • Nezu, A. M., Greenfield, A. P., Nezu, C. M. (2015). Contemporary problem-solving therapy: a transdiagnostic intervention. In: C.M. Nezu, & A. M. Nezu, editors. The Oxford Handbook of Cognitive and Behavioral Therapies. Oxford: Oxford University Press. p.160–171.
  • O’Loughlin, J. L., Dugas, E. N., O’Loughlin, E. K., Karp, I., & Sylvestre, M. P. (2014). Incidence and determinants of cigarette smoking initiation in young adults. Journal of Adolescent Health, 54(1), 26-32 e24. doi: 10.1016/j. jadohealth.2013.07.009
  • Petry, N. M., Alessi, S. M., Olmstead, T. A., Rash, C. J., & Zajac, K. (2017). Contingency management treatment for substance use disorders: How far has it come, and where does it need to go? Psychology of Addictive Behaviors, 31, 897-906. doi: 10.1037/adb0000287
  • Pilatti, A., Lozano, O. M., & Cyders, M. A. (2015). Psychometric properties of the Spanish version of the UPPS-P Impulsive Behavior Scale: A Rasch rating scale analysis and confirmatory factor analysis. Psychological Assessment, 27(4), e10-21. doi: 10.1037/pas0000124. Epub
  • Rezapour, T., DeVito, E. E., Sofuoglu, M., and Ekhtiari, H. (2016). Perspectives on neurocognitive rehabilitation as an adjunct treatment for addictive disorders: from cognitive improvement to relapse prevention. Progress in Brain Research. 224, 345–369. doi: 10.1016/bs.pbr.2015.07.022
  • Richardson, C. G., & Edalati, H. (2016). Application of a brief measure of delay discounting to examine the relationship between delay discounting and the initiation of substance use among adolescents. Substance Use & Misuse, 51(4), 540-544. doi: 10.3109/10826084.2015.1126740
  • Robinson, J. M., Ladd, B. O., & Anderson, K. G. (2014). When you see it, let it be: Urgency, mindfulness and adolescent substance use. Addictive Behaviors, 39, 1038-1041. doi: 10.1016/j.addbeh.2014.02.011
  • Rogers, A. H., Bakhshaie, J., Viana, A. G., Manning, K., Mayorga, N. A., Garey, L., ... & Zvolensky, M. J. (2018). Emotion dysregulation and smoking among treatment-seeking smokers. Addictive Behaviors, 79, 124-130. doi: 10.1016/j.addbeh.2017.12.025
  • Rung, J. M., & Madden, G. J. (2018a). Experimental reductions of delay discounting and impulsive choice: A Systematic review and meta-analysis. Journal of Experimental Psychology: General, 147, 1349-1381. doi: 10.1037/ xge0000462
  • Rung, J. M., & Madden, G. J. (2018b). Demand characteristics in episodic future thinking: Delay discounting and healthy eating. Experimental and Clinical Psychopharmacology, 26, 77–84. doi: 10.1037/pha0000171
  • Rung, J. M., & Madden, G. J. (2019). Demand characteristics in episodic future thinking II: The role of cues and cue content in changing delay discounting. Experimental and Clinical Psychopharmacology, advance online publication. doi: 10.1037/pha0000260
  • Schag, K., Schonleber, J., Teufel, M., Zipfel, S., & Giel, K. E. (2013). Food-related impulsivity in obesity and binge eating disorder—a systematic review. Obesity Reviews, 14(6), 477-495. doi: 10.1111/obr.12017
  • Sharma, L., Markon, K. E., & Clark, L. A. (2014). Toward a theory of distinct types of “impulsive” behaviors: A meta-analysis of self-report and behavioral measures. Psychological Bulletin, 140(2), 374-408. doi: 10.1037/a0034418
  • Stautz, K., & Cooper, A. (2013). Impulsivity-related personality traits and adolescent alcohol use: a meta-analytic review. Clinical Psychology Review, 33(4), 574-592. doi: 10.1016/j.cpr.2013.03.003
  • Stein, J. S., Smits, R. R., Johnson, P. S., Liston, K. J., & Madden, G. J. (2013). Effects of reward bundling on male rats’ preference for larger-later food rewards. Journal of the Experimental Analysis of Behavior, 99, 150–158. doi: 10.1002/jeab.11
  • Stein, J. S., Tegge, A. N., Turner, J. K., & Bickel, W. K. (2017). Episodic future thinking reduces delay discounting and cigarette demand: an investigation of the good-subject effect. Journal of Behavioral Medicine, 41, 269-279. doi: 10.1007/s10865-017-9908-1
  • Stein, J. S., Wilson, A. G., Koffarnus, M. N., Daniel, T. O., Epstein, L. H., & Bickel, W. K. (2016). Unstuck in time: episodic future thinking reduces delay discounting and cigarette smoking. Psychopharmacology, 233:, 3771-3778. doi: 10.1007/s00213-016-4410-y
  • Stevens, L., Verdejo-García, A., Goudriaan, A. E., Roeyers, H., Dom, G., & Vanderplasschen, W. (2014). Impulsivity as a vulnerability factor for poor addiction treatment outcomes: A review of neurocognitive findings among individuals with substance use disorders. Journal of Substance Abuse Treatment, 47, 58-72. doi: 10.1016/j.jsat.2014.01.008
  • Swann, A. C., Anderson, J. C., Dougherty, D. M., & Moeller, F. G. (2001). Measurement of inter-episode impulsivity in bipolar disorder. Psychiatry Research, 101(2), 195-197. doi: 10.1016/S0165-1781(00)00249-3
  • Tang, Y. Y, Tang, R., & Posner, M. I. (2016). Mindfulness meditation improves emotion regulation and reduces drug abuse. Drug and Alcohol Dependence, 163(Suppl.1), S13–8. doi: 10.1016/j.drugalcdep.2015.11.041
  • Tomko, R. L., Prisciandaro, J. J., Falls, S. K., & Magid, V. (2016). The structure of the UPPS-R-Child impulsivity scale and its relations with substance use outcomes among treatment-seeking adolescents. Drug and Alcohol Dependence, 161, 276-283. doi: 10.1016/j.drugalcdep.2016.02.010
  • Torres, A., Catena, A., Megias, A., Maldonado, A., Candido, A., Verdejo-Garcia, A., & Perales, J. C. (2013). Emotional and non-emotional pathways to impulsive behavior and addiction. Frontiers in Human Neuroscience, 7, 43. doi: 10.3389/fnhum.2013.00043
  • Turner, D., Sebastian, A., & Tuscher, O. (2017). Impulsivity and Cluster B Personality Disorders. Current Psychiatry Reports, 19(3), 15. doi: 10.1007/ s11920-017-0768-8
  • Valls-Serrano, C., Caracuel, A., & Verdejo-Garcia, A. (2016). Goal management training and mindfulness meditation improve executive functions and transfer to ecological tasks of daily life in polysubstance users enrolled in therapeutic community treatment. Drug and Alcohol Dependence, 165, 9–14. doi: 10.1016/j.drugalcdep.2016.04.040
  • VanderVeen, J. D., Hershberger, A. R., & Cyders, M. A. (2016). UPPS-P model impulsivity and marijuana use behaviors in adolescents: A meta-analysis. Drug and Alcohol Dependence, 168, 181-190. doi: 10.1016/j.drugalcdep.2016.09.016
  • Vassileva, J., & Conrod, P. J. (2019). Impulsivities and addictions: a multidimensional integrative framework informing assessment and interventions for substance use disorders. Philosophical Transactions of the Royal Society B: Biological Sciences, 374: 20180137. doi: 10.1098/rstb.2018.0137
  • Verdejo-Garcia, A., Alcázar-Córcoles, M. A., & Albein-Urios, N. (2018). Neuropsychological Interventions for Decision-Making in Addiction: a Systematic Review. Neuropsychology Review. doi: 10.1007/s11065-018-9384-6
  • Verdejo-Garcia, A., Lawrence, A. J., & Clark, L. (2008). Impulsivity as a vulnerability marker for substance-use disorders: review of findings from high-risk research, problem gamblers and genetic association studies. Neuroscience and Biobehavioral Reviews, 32(4), 777-810. doi: 10.1016/j. neubiorev.2007.11.003.
  • Weiss, N. H., Tull, M. T., Davis, L. T., Searcy, J., Williams, I, & Gratz, K. L. (2015). A Preliminary Experimental Investigation of Emotion Dysregulation and Impulsivity in Risky Behaviours. Behaviour Change, 32, 127-142. doi: 10.1017/bec.2015.5
  • Whiteside, S. P., & Lynam, D. R. (2001). The Five Factor Model and impulsivity: using a structural model of personality to understand impulsivity. Personality and Individual Differences, 30, 669-689. doi: 10.1016/S0191- 8869(00)00064-7
  • Woicik, P. A., Stewart, S. H., Pihl, R. O., & Conrod, P. J. (2009). The substance use risk profile scale: A scale measuring traits linked to reinforcement-specific substance profiles. Addictive Behaviors, 34, 1042-1055. doi: 10.1016/j. addbeh.2009.07.001
  • Zapolski, T. C. B., Settles, R. E., Cyders, M. A., & Smith, G. T. (2010). Borderline personality disorder, bulimia nervosa, antisocial personality disorder, ADHD, substance use: Common threads, common treatment needs, and the nature of impulsivity. Independent practitioner, 30(1), 20-23.
  • Zapolski, T. C. B., & Smith, G. T. (2017). Pilot study: Implementing a brief DBT skills program in schools to reduce health risk behaviors among early adolescents. The Journal of School Nursing, 33(3), 1-7. doi: 10.1177/1059840516673188