THE ROLE OF IMPULSIVITY AND TRIGGERS IN EXERCISE DEPENDENCE

poster abstractExercise dependence is denoted by incessant desire to exercise, even when detrimental to one’s health. Research on this topic is sparse, and we have yet to understand the onset, maintenance, and risk factors of the disorder. The study sought to determine if impulsivity, a personality facet often present in addictive behaviors, plays a role in exercise dependence. Negative urgency, an impulsivity facet exemplified by the tendency to act rashly under negative affect, was hypothesized to predict exercise dependence. Additionally, the study sought to determine triggers for exercise dependence. We developed the Exercise Dependence Trigger Questionnaire (EDTQ), with items in six different categories: body image, mood, compensatory reactions, exercise restriction, exercise cues, and cognitive factors. We expected that mood, body image, and compensatory reactions would predict exercise dependence. Data were collected from 203 diverse participants via online surveys, including the Impulsive Behavior Scale (UPPS-P) (Cyders & Smith, 2008), EDTQ, and the Exercise Dependence Scale (EDS-21) (Hausenblas & Downs, 2002). The proposed relationship between negative urgency and exercise dependence was not supported; however, results maintained that body image, mood, and compensatory reactions have significant positive relationships with exercise dependence. Exploratory factor analyses of the EDTQ revealed seven factors; the original factors were maintained; however, mood was divided into two unique factors: positive and negative mood. The findings have implications for approaches to treatment and prevention of exercise dependence. Avenues for future research include examination of triggers in laboratory settings, attentional biases to exercise stimuli, and personality risk factors for exercise dependence

Positive and Negative Urgency Predict Problematic Alcohol Consumption for Subjects with Positive Family History of Alcohol Dependency

poster abstractImpulsivity is an established predictor of alcohol use outcomes and thus is an important construct to investigate (Clark, Vanyukov & Cornelius 2002; Dawes, Tarter & Kirisci 1997; Dick et al. 2010). Impulsivity is a multi-faceted trait, which includes multiple dispositions toward rash action including positive and negative urgency (acting rashly in response to extreme positive and negative emotional states, respectively; Cyders & Smith, 2007), which appear to be the impulsivity-related traits most highly associated with problematic alcohol use (Coskunpinar et al., under review). Furthermore, a family history of alcoholism predicts higher alcohol use in offspring of alcoholics, although this relationship is inconsistent (Dick et al. 2010), suggesting a moderator, perhaps PUR/NUR, which might change the effect of family history on problematic alcohol use. 68 undergraduates (33% male, mean age = 25), 34 of which were family history positive for problematic alcohol consumption, completed the UPPS-P Impulsive Behavioral Scale (UPPS-P), the Alcohol Use Disorders Test (AUDIT) and a family history questionnaire. Multiple regression analyses and independent t-tests were used to test study hypotheses: (1) those with a family history of alcoholism (FHP) would have higher levels of NUR and PUR and (2) the relationship between these traits and AUDIT would be moderated by family history. Those with a positive family history of alcoholism (FHP) are significantly higher in PUR than those without a family history of alcoholism (FHN) (t = 1.523, p < .134), although the groups did not differ on NUR or AUDIT. There was a marginally significant interaction between NUR and family history (Beta = 2.958, p < .040), with a positive relationship between NUR and AUDIT only for those who are FHP. There was no significant interaction with PUR. These findings suggest that genetic differences in problematic alcohol use could be driven in part by the urgency traits

Conduct disorder symptoms and illicit drug use in juvenile justice involved youth: The reciprocal relationship between positive illicit drug use attitudes and illicit drug use

Conduct disorder (CD) symptoms cooccur at high rates with illicit drug use in juvenile justice involved youth, which results in poorer outcomes; however, research has not identified where best to intervene in this relationship, limiting the identification of modifiable risk factors to reduce negative effects of CD symptoms. Two mediation models were examined to investigate the potential for CD symptoms to influence a reciprocal relationship between illicit drug use and positive drug attitudes, controlling for age, gender, and race. Data were examined for 245 juvenile justice involved youth (mean age = 15.46, SD = 1.30, range 12-18, 64.9% Black, 80.4% male) who completed court-ordered psychological assessments. Findings indicate: (1) Positive attitudes toward illicit drug use significantly mediated the relationship between CD symptoms and illicit drug use (β = 0.16, CI 0.09-0.27; test for indirect effect z = 4.17, p < .001) and (2) illicit drug use significantly mediated the relationship between CD symptoms and positive attitudes toward illicit drug use (β = 0.20, CI 0.12-0.32; test for indirect effect z = 4.87, p < .001). Overall, the present study suggests that CD symptoms impart risk for illicit drug use both indirectly, through more positive attitudes toward illicit drug use, and directly, which further strengthens positive attitudes toward illicit drug use

PTSD Symptoms Mediate the Relationship Between Sexual Abuse and Substance Use Risk in Juvenile Justice-Involved Youth

Juvenile justice-involved youth face disproportionate rates of sexual abuse, which increases the risk of post-traumatic stress disorder (PTSD) and substance use disorders (SUDs), both of which are associated with poor long-term outcomes. The present study tested two mediation and moderation models, controlling for age, race, and history of physical abuse, with gender as a moderator, to determine whether PTSD symptoms serve as a risk factor and/or mechanism in the relationship between sexual abuse and substance use. Data were examined for 197 juvenile justice-involved youth (mean age = 15.45, 68.9% non-White, 78.4% male) that completed court-ordered psychological assessments. Results indicated that PTSD symptoms significantly mediated the relationship between sexual abuse and drug (β = 3.44, confidence interval [CI] [0.26, 7.41]; test for indirect effect z = 2.41, p = .02) and alcohol use (β = 1.42, CI [0.20, 3.46]; test for indirect effect z = 2.23, p = .03). PTSD symptoms and gender were not significant moderators. Overall, PTSD symptoms mediate the relationship between sexual abuse and SUDs in juvenile justice-involved youth, which suggests viability of targeting PTSD symptoms as a modifiable risk factor to reduce the effects of sexual abuse on substance use in this high-risk population

Behavioral Measurement of Sensation Seeking Shows Positive Association with Risky Behaviors

poster abstractSensation seeking (SS; the tendency to seek out experiences that are highly varied, novel, and intense, and the willingness to take risks in order to have such experiences) is strongly related to risky behavior. However, most prior research has relied on self-report assessments of SS, which are limited by subject biases and lack of insight. This study is designed to develop and optimize a behavioral assessment of SS to be used in future brain imaging studies, and to evaluate the relationship of this behavior with selfreported SS and risky behaviors. The novel behavioral SS task employed in this study presents participants with olfactory sensory stimuli and assesses the individual’s preference to seek varied, novel, and intense sensations, with the risk of an unpleasant stimulus (“Varied”; e.g. strong orange, rose, linalyl acetate, and propionic acid) vs. weaker and mildly pleasant sensations (“Standard”; weak vanillin, orange, and rose) across two twenty-trial sessions. Hypothesis: greater preference for “Varied” odors will correlate with self-reported SS and risky behaviors. Odorants are presented as a 1-sec burst via an airdilution olfactometer within a filtered airstream. Participants are being recruited from the Introduction to Psychology class at IUPUI (currently n = 11 total, mean age (SD) = 21.2, (5.4), n = 8 women, n = 7 Caucasian). The mean preference for “Varied” was 50%, range = 28-75%. Preference for “Varied” showed a moderate relationship with negative risky behaviors (r = 0.35) and SS (Zuckerman Thrill/Adventure seeking subscale; r = 0.48), suggesting that the behavioral task is associating as expected with these self-report variables. These preliminary data suggests the feasibility of behavioral SS assessment; behavioral characterization will permit examination of how SS influences brain activity, without the limitations of self-report. How SS affects choice of and reactions to new and exciting experiences has important research and clinical implications

Impulsivity and self-harm in adolescence: a systematic review

Research supports an association between impulsivity and self-harm, yet inconsistencies in methodology across studies have complicated understanding of this relationship. This systematic review examines the association between impulsivity and self-harm in community-based adolescents aged 11-25 years and aims to integrate findings according to differing concepts and methods. Electronic searches of EMBASE, MEDLINE, PsychINFO, CINAHL, PubMed and The Cochrane Library, and manual searches of reference lists of relevant reviews, identified 4,496 articles published up to July 2015, of which 28 met inclusion criteria. Twenty-four of the studies reported an association between broadly specified impulsivity and self-harm. However, findings varied according to the conception and measurement of impulsivity and the precision with which self-harm behaviours were specified. Specifically, lifetime non-suicidal self-injury was most consistently associated with mood-based impulsivity related traits. However, cognitive facets of impulsivity (relating to difficulties maintaining focus or acting without forethought) differentiated current self-harm from past self-harm. These facets also distinguished those with thoughts of self-harm (ideation) from those who acted on thoughts (enaction). The findings suggested that mood-based impulsivity is related to the initiation of self-harm, while cognitive facets of impulsivity are associated with the maintenance of self-harm. In addition, behavioural impulsivity is most relevant to self-harm under conditions of negative affect. Collectively, the findings indicate that distinct impulsivity facets confer unique risks across the life-course of self-harm. From a clinical perspective, the review suggests that interventions focusing on reducing rash reactivity to emotions or improving self-regulation and decision-making may offer most benefit in supporting those who self-harm

Snappy App: a mobile continuous performance test with physical activity measurement for assessing Attention Deficit Hyperactivity Disorder

A Continuous Performance Test (CPT) was incorporated into a smartphone application (App) to measure three symptom domains associated with Attention Deficit Hyperactivity Disorder (ADHD); attention, impulsivity and hyperactivity. The App was pilot tested on 11 healthy adults over three test-ing sessions. No differences in performance were found between testing ses-sions suggesting good test consistency. A decrement in performance over time was only found for one measure of attention and on one testing session. The CPT showed some sensitivity to ADHD-related symptoms where self-reported impulsive behaviour was related to the CPT measures of impulsivity and activi-ty. User acceptability was good although some design improvements were sug-gested. Further pilot testing of the App in a clinical population is needed

Quantifying Behavioral Sensation Seeking With the Aroma Choice Task

Our goal was to develop a behavioral measure of sensation seeking (SS). The Aroma Choice Task (ACT) assesses preference for an intense, novel, varied, and risky (exciting) option versus a mild, safe (boring) option using real-time odorant delivery. A total of 147 healthy young adults completed 40 binary choice trials. We examined (1) intensity and pleasantness of odorants, (2) stability of responding, (3) association with SS self-report, and (4) association with self-reported illicit drug use. Participants’ preference for the “exciting” option versus the safe option was significantly associated with self-reported SS (p < .001) and illicit drug use (p = .041). Odorant ratings comported with their intended intensity. The ACT showed good internal, convergent, and criterion validity. We propose that the ACT might permit more objective SS assessment for investigating the biological bases of psychiatric conditions marked by high SS, particularly addiction. The ACT measures SS behaviorally, mitigating some self-report challenges and enabling real-time assessment, for example, for functional magnetic resonance imaging (fMRI)

To Infuse or Ingest in Human Laboratory Alcohol Research

Human alcohol laboratory studies use two routes of alcohol administration: ingestion and infusion. The goal of this paper is to compare and contrast these alcohol administration methods. The work summarized in this report was the basis of a 2019 Research Society on Alcoholism Roundtable, “To Ingest or Infuse: A Comparison of Oral and Intravenous Alcohol Administration Methods for Human Alcohol Laboratory Designs.” We review the methodological approaches of each and highlight strengths and weaknesses pertaining to different research questions. We summarize methodological considerations to aid researchers in choosing the most appropriate method for their inquiry, considering exposure variability, alcohol expectancy effects, safety, bandwidth, technical skills, documentation of alcohol exposure, experimental variety, ecological validity, and cost. Ingestion of alcohol remains a common, and often a preferable, methodological practice in alcohol research. Nonetheless, the main problem with ingestion is that even the most careful calculation of dose and control of dosing procedures yields substantial and uncontrollable variability in the participants’ brain exposures to alcohol. Infusion methodologies provide precise exposure control but are technically complex and may be limited in ecological validity. We suggest that alcohol ingestion research may not be the same thing as alcohol exposure research; investigators should be aware of the advantages and disadvantages that the choice between ingestion and infusion of alcohol invokes

Self-affirmation improves music performance among performers high on the impulsivity dimension of sensation seeking

In the light of evidence that self-affirmation can mitigate the negative effects of stress on outcomes, this study tested whether a self-affirmation manipulation could improve undergraduate students’ achievement in a formal musical performance examination. The study also investigated the association between impulsivity and music performance and explored whether impulsivity moderated any impact of self-affirmation on exam performance. Methods: At baseline, participants provided demographic information and completed the UPPS-P Impulsive Behaviour Scale (short-form), which assesses five dimensions of impulsivity (negative and positive urgency, lack of premeditation, lack of perseverance, and sensation seeking). In the subsequent 14 days, participants (N = 65) completed either a self-affirmation manipulation or a control task, before reading a message about the impact of practice on music performance. Music performance was formally assessed 14 days later. Findings: Sensation seeking was the only dimension of impulsivity associated with exam performance, with participants high in sensation seeking receiving lower grades. Critically, self-affirmation promoted better music performance among those high in sensation seeking. Discussion: Self-affirmation may provide a useful intervention to augment the performance of musicians who would otherwise perform worse than their counterparts under formal evaluative circumstances, such as those high in sensation seeking