Comparative study of impulsiveness in patients with major depression, anxiety disorders, and normal individuals

Document Type : Research Paper

Authors

University of Tehran

Abstract

Impulsiveness, the individual's tendency to respond quickly to a given stimulus without reflectivity and evaluation of the consequences, is considered as a determinant component of several psychiatric disorders. Dimensions of impulsiveness including lack of discipline, motor impulsiveness, and cognitive impulsiveness could influence different aspects of depression and anxiety disorders. The main aim of this study was to compare impulsiveness in patients with major depression and anxiety disorders with and normal individuals. This study demonstrates the differences of impulsivity among the three attending groups in this study. A total of 224 individuals (87 depressed, 64 anxious, 73 normal) participated in this study voluntarily. Following a psychiatric diagnosis of the psychological disorders, both the patient and normal groups were asked to complete the Barrat Impulsiveness Scale (BIS; Barratt, 1994). The results revealed that depressed patients reported significantly higher levels of motor impulsiveness and lack of descipline than did anxious patients and normal individuals. Anxious patients reported higher levels of cognitive impulsiveness than did depressed patients as well as higher levels of cognitive impulsiveness and lack of discipline than did normal individuals. Normal individuals reported lower levels of impulsiveness than did the two groups of depressed and anxious patients. Comparison of dimensions of impulsiveness in patients and normal individuals provides evidence of the possible impact of pathological impulsivity on the development and/or continuity of depression and anxiety disorders. The difference between levels and dimensions of impulsiveness of the two groups of depressed and anxious patients also could explain their differences in terms of the kind of psychological disorders.

Keywords


Aron, A. R. (2007). The neural basis of inhibition in cognitive control. Neuroscientist, 13, 214-228.
Barratt, E. S. (1994). Impulsivity: integrating cognitive, behavioral, biological, and environmental data. In W. B. McCown, J. L. Johnson, and M. B. Shure (Eds.): The impulsive client: Theory, research and reatment (pp. 39-45). Washington, DC: American Psychological Association.
Barratt, E. S., & Patton, J. H. (1983). Impulsivity: cognitive, behavioral, and psychophysiological correlates. In M. Zuckerman(Ed.), Biological basis of sensation-seeking, impulsivity, and anxiety (pp. 77-116). Hillsdale, NJ: Lawrence Erlbaum Associates.
Barratt, E. S., Stanford, M. S., Felthous, A. R, & Kent, T. A. (1997). The effects of phenytoin on impulsive and premeditated aggression: A controlled study. Journal of Clinical Psychopharmacology, 17, 341-349.
Besharat, M. A. (2008). Psychometric properties of The Barrat Impulsiveness Scale. Unpublished research report. Tehran: University of Tehran. (Persian)
Cassidy, F., Murry, E., Forest, K., & Carroll, B. J. (1998). Signs and symptoms of mania in pure and mixed episodes. Journal of Affective Disorders, 50, 187-201.
Corruble, E., Benyamina, A., Bayle, F., Falissard, B., & Hardy, P. (2003). Understanding impulsivity in severe depression? A psychometrical contribution. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 27, 829-833.
Damasio, A. R., Tranel, D., & Damasio, H. (1990). Individuals with sociopathicbehavior caused by frontal damage fail to respond autonomically to social stimuli. Behavioural Brain Research, 41, 81-94.
Dickman, S. J. (1990). Functional and dysfunctional impulsivity: personality and cognitive correlates. Journal of Personality and Social Psychology, 58, 95-102.
Dickman, S. J. (1993). Impulsivity and information processing, in the impulsive client: theory, research, and treatment. In W. G. McCown, J. L. Johnson,& M. B. Shure (Eds.), The impulsiveclient: Theory, research and treatment (pp. 151-184).Washington, DC: American Psychological Association.
Dougherty, D., Mathias, C., Marsh, D., Moeller, F., & Swann, A. (2004). Suicidal behaviors and drug abuse: impulsivity and its assessment. Drug and Alcohol Dependence, 76, 93-105.
Ekhtiari, H., Rezvanfard, M., & Mokri, A. (2008). Impulsivity and its measurements: Perspectives and assessments. Iranian Journal of Psychiatry and Clinical Psychology, 3, 247-257.
Evans, J., Reeves, B., Platt, H., Leibenau, A., Goldman, D., et al. (2000). Impulsiveness, serotonin genes and repetition of deliberate self-harm (DSH). Psychological Medicine, 30, 1327-1334.
Evenden, J. A. (1999). Varieties of impulsivity. Psychopharmacology, 146, 348-361.
Eysenck, H. J. (1993). The nature of impulsivity. In W. G. McCown, J. L. Johnson, & M. B. Shure (Eds.), The impulsive client: Theory, research and treatment (pp. 57-69). Washington, DC: American Psychological Association.
Eysenck, S. B. G., & Eysenck, H. J. (1977). The place of impulsiveness in a dimensional system of personality description. British Journal of Social and Clinical Psychology, 16, 57-68.
Ginzburg, K., Ein-Dor, T., & Solomon, Z. (2010). Comorbidity of posttraumatic stress disorder, anxiety and depression: A 20-year longitudinal study of war veterans. Journal of Affective Disorders, 123, 249-257.
Gray, J. A. (1995). A model of the limbic system and basal ganglia: Applicationsto anxiety and schizophrenia. In M. S.Gazzaniga (Ed.), The cognitive neurosciences (pp. 1165-1176). Cambridge, MA: MIT Press.
Hollander, E., & Evers, E. (2001). New developments inimpulsivity. Lancet, 358, 949-950.
Kashdan, T. B., & Hofmann, S. G. (2008). The high-novelty-seeking, impulsive subtype of generalized social anxiety disorder. Depression and Anxiety, 25, 535-541.
Kessler, R. C., Borges, G., & Walters, E. E. (1999).Prevalence of and risk factor for lifetime suicide attempts in the national comorbidity survey. Archives of General Psychiatry, 56, 617-626.
Lane, S. D., & Cherek, D. R. (2000). Analysis of risk in adults with a history of high risk behavior. Drug and Alcohol Dependence, 60, 179-187.
Mann, J. J., Waternaux, C., Haas, G. L., & Malone, K. M. (1999). Toward a clinical model of suicidal behavior in psychiatric patients. American Journal of Psychiatry, 156, 181-189.
Maser, J. D., Akiskal, H. S., Schettler, P., Scheftner, W., Mueller, T., et al. (2002). Can temperament identify affectively ill patients who engage in lethal or near-
lethal suicidal behavior? A 14-year prospective study. Suicide and Life-Threatening Behavior, 32, 10-32.
Mathias, C. W., Dougherty, D. M., Marsh, D. M., Moeller, F. G., Hicks, L. R., et al. (2002). Laboratory of measures of impulsivity: a comparisons of women with or without childhood aggression. Psychological Record, 52, 289-303.
Mobini, S., Grant, A., Kass, A., &Yeomans, M. (2007).Relationships between functional and dysfunctional impulsivity, delay discounting and cognitive distortions. Personality and Individual Differences, 43, 1517-1528.
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, 1783-1793.
Moeller, F. G., Dougherty, D., Barratt, E., Oderinde, V., Mathias, C., et al. (2002). Increased impulsivity in cocaine dependent subjects independent of antisocial personality disorder and aggression. Drug and Alcohol Dependence, 68, 105-111.
Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995).Factor structure of the barratt impulsiveness scale. Journal of Clinical Psychology, 51, 768-774.
Peluso, M., Hatch, J. P., Glahn, D. C., Monkul, E., Sanches, M., et al. (2007). Trait impulsivity in patients with mood disorders. Journal of Affective Disorders, 100, 227-231.
Rachlin, H. (2000). The science of self control. Cambridge, MA: Harvard University Press.
Ray, C., & Chen, S. (2007). Obsessive–compulsiveness and impulsivity in a non-clinical population of adolescent males and females. Psychiatry Research, 149, 129-138.
Robinson, E. S. J., Eagle, D. M., Economidou, D., Theobald, D. E. H., Mar, A. C., et al. (2009). Behavioral characterisation of high impulsivity on the 5-choice serial reaction time task: Specific deficits in ‘waiting’ versus ‘stopping’. Behavioral Brain Research, 196, 310-316.
Simon, T. R., Swann, A. C., Powell, K. E., Potter, L. B., Kresnow, M., et al. (2002). Characteristics of impulsive suicide attempts and attempters. Suicide and Life-Threatening Behavior, 32, 49–59.
Spikman, J. M., Deelman, B. G., & Van Zomeren, A. H. (2000).Executive functioning, attention and frontal lesions in patients with chronic CHI. Journal of Clinical and Experimental Neuropsychology, 22, 325-338.
Statham, D. J., Heath, A. C., Madden, P. A. F., Buchholz, K. K., Bierut, L., et al. (1998). Suicidal behaviour: An epidemiological and genetic study. Psychological Medicine, 28, 839- 855.
Stein, D. J., Hollander, E., Simeon, D., & Cohen, L. (1994). Impulsivity scores in patients with obsessive-compulsive disorder. Journal of Nervous and Mental Disease, 182, 240-241.
Stein, D. J., Trestman, R. L., Mitropoulou, V., Coccaro, E. F., Hollander, E., et al. (1996). Impulsivity and serotonergic function in compulsive personality
disorder. The Journal of Neuropsychiatry and Clinical Neurosciences, 8, 393-398.
Sulkowski, M., Jordan, C., Reid, A., Graziano, P., Shalev, I., et al. (2009).Relations between impulsivity, anxiety, and obsessive-compulsive symptoms in a non-clinical sample. Personality and Individual Differences, 47, 620-625.
Swann, A. C., Anderson, J. C., Dougherty, D. M., & Moeller, F. G. (2001).Measurement of inter-episode impulsivity in bipolar disorder. Psychiatry Research, 101, 195-197.
Swann, A. C., Dougherty, D. M., Pazzaglia, P. J., Pham, M.,& Moeller, F. G. (2004). Impulsivity: A link between bipolar disorder and substance abuse. Bipolar Disorders, 6, 204-212.
Swann, A. C., Dougherty, D. M., Pazzaglia, P. J., Pham, M., Steinberg, J. L., et al. (2005). Increased impulsivity associated with severity of suicide attempt history in patients with bipolar disorder. American Journal of Psychiatry, 162, 1680-1687.
Swann, A. C., & Hollander, E. (2002). Impulsivity and aggression, diagnostic challenges for the clinician: A monograph for continuing medical education credit. Illinois: ACCESS Medical Group.
Swann, A. C., Moeller, F. G., Steinberg, J. L., Schneider, L., Barratt, E. S., et al. (2007). Manic symptoms and impulsivityduring bipolar depressive episodes. Bipolar Disorders, 9, 206-212.
Swann, A. C., Pazzaglia, P., Nicholls, A., Dougherty, D. M.,& Moeller, F. G. (2003).Impulsivity and phase of illness in bipolar disorder. Journal of Affective Disorders, 73, 105-111.
Swann, A. C., Steinberg, J., Lijffijt, M., & Moeller, F. (2008). Impulsivity: differential relationship to depression and mania in bipolar disorder. Journal of Affective Disorders, 106, 241-248.
Verdejo-Garcıa, A., Lawrence, A., & 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, 777-810
Volume 8, Issue 3
November 2017
Pages 15-28
  • Receive Date: 15 February 2016
  • Revise Date: 24 February 2018
  • Accept Date: 09 March 2017
  • First Publish Date: 23 October 2017
  • Publish Date: 23 October 2017