Abstract
Trait impulsivity is an established risk factor for externalizing behavior problems in adolescence, but little is understood about the cognitive mechanisms involved. Negative automatic thoughts are associated with externalizing behaviors and impulsivity is associated with less cognitive reappraisal. This study sought to adapt the bioSocial Cognitive Theory (bSCT) of impulsivity and substance use (an externalizing behavior) for externalizing behavior in general. It was predicted that only the component of impulsivity characterized by lack of forethought (rash impulsiveness; RI) would be associated with (non-substance use-related) externalizing behaviors, not reward sensitivity/drive. Further, this association would be mediated by negative automatic thoughts. Participants were 404 (226 female, 63%) adolescents from 6 high schools across South-East Queensland (age = 13–17 years, mean age = 14.97 years, SD = 0.65 years) of mostly Australian/New Zealand (76%) or European (11%) descent. Participants completed self-report measures of impulsivity, negative automatic thoughts, and externalizing behaviors. Path analysis revealed that, as predicted, only RI was uniquely associated with negative automatic thoughts and externalizing behaviors. However, only negative automatic thoughts centered around hostility mediated the positive association between RI and externalizing behaviors, with the indirect mediation effect being smaller than the direct association. In contrast to substance use, only one component of impulsivity, RI, was associated with general adolescent externalizing behavior. Hostile automatic thoughts may be an important mechanism of risk, supporting a role for cognitive-behavioral interventions. Other biopsychosocial mechanisms are clearly involved and the bSCT may provide a useful framework to guide future research.
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References
Akaike, H. (1987). Factor analysis and AIC. In Selected Papers of Hirotugu Akaike (pp. 371–386). Springer.
Bandura, A., Barbaranelli, C., Caprara, G. V., & Pastorelli, C. (1996). Mechanisms of moral disengagement in the exercise of moral agency. Journal of Personality and Social Psychology, 71(2), 364–374. https://doi.org/10.1037/0022-3514.71.2.364.
Barriga, A. Q., & Gibbs, J. C. (1996). Measuring cognitive distortion in antisocial youth: Development and preliminary validation of the “how I think” questionnaire. Aggressive Behavior, 22(5), 333–343. https://doi.org/10.1002/(SICI)1098-2337(1996)22:5<333::AID-AB2>3.0.CO;2-K.
Beck, A. T., & Haigh, E. A. P. (2014). Advances in cognitive theory and therapy: The generic cognitive model. Annual Review of Clinical Psychology, 10, 1–24. https://doi.org/10.1146/annurev-clinpsy-032813-153734.
Bentler, P. M. (2007). On tests and indices for evaluating structural models. Personality and Individual Differences, 42(5), 825–829. https://doi.org/10.1016/j.paid.2006.09.024.
Berg, J. M., Latzman, R. D., Bliwise, N. G., & Lilienfeld, S. O. (2015). Parsing the heterogeneity of impulsivity: A meta-analytic review of the behavioral implications of the UPPS for psychopathology. Psychological Assessment, 27(4), 1129–1146.
Berry, W. D., Feldman, S., & Feldman, S. (1985). Multiple regression in practice. SAGE.
Bhar, S. S., Beck, A. T., & Butler, A. C. (2012). Beliefs and personality disorders: An overview of the personality beliefs questionnaire. Journal of Clinical Psychology, 68(1), 88–100. https://doi.org/10.1002/jclp.20856.
Boog, M., Goudriaan, A. E., Wetering, B. J. M. V. D., Polak, M., Deuss, H., & Franken, I. H. A. (2014). Rash impulsiveness and reward sensitivity as predictors of treatment outcome in male substance dependent patients. Addictive Behaviors, 39(11), 1670–1675. https://doi.org/10.1016/j.addbeh.2014.02.020.
Cacioppo, J. T., & Hawkley, L. C. (2009). Perceived social isolation and cognition. Trends in Cognitive Sciences, 13(10), 447–454. https://doi.org/10.1016/j.tics.2009.06.005.
Calvete, E., & Cardeñoso, O. (2005). Gender differences in cognitive vulnerability to depression and behavior problems in adolescents. Journal of Abnormal Child Psychology, 33(2), 179–192. https://doi.org/10.1007/s10802-005-1826-y.
Campo, A. E., Williams, V., Williams, R. B., Segundo, M. A., Lydston, D., & Weiss, S. M. (2008). Effects of LifeSkills training on medical students’ performance in dealing with complex clinical cases. Academic Psychiatry, 32(3), 188–194. https://doi.org/10.1176/appi.ap.32.3.188.
Castagna, P. J., Calamia, M., & Davis 3rd., T. E. (2017). Childhood ADHD and negative self-statements: Important differences associated with subtype and anxiety symptoms. Behavior Therapy, 48(6), 793–807. https://doi.org/10.1016/j.beth.2017.05.002.
Castellanos-Ryan, N., & Conrod, P. J. (2011). Personality correlates of the common and unique variance across conduct disorder and substance misuse symptoms in adolescence. Journal of Abnormal Child Psychology, 39(4), 563–576. https://doi.org/10.1007/s10802-010-9481-3.
Castellanos-Ryan, N., Rubia, K., & Conrod, P. J. (2011). Response inhibition and reward response Bias mediate the predictive relationships between impulsivity and sensation seeking and common and unique variance in conduct disorder and substance misuse. Alcoholism: Clinical and Experimental Research, 32(3), 188–193. https://doi.org/10.1111/j.1530-0277.2010.01331.x.
Castellanos-Ryan, N., Struve, M., Whelan, R., Banaschewski, T., Barker, G. J., Bokde, A. L. W., et al. (2014). Neural and cognitive correlates of the common and specific variance across externalizing problems in Young adolescence. American Journal of Psychiatry, 171(12), 1310–1319. https://doi.org/10.1176/appi.ajp.2014.13111499.
Castellanos-Ryan, N., The IMAGEN Consortium, Brière, F. N., O’Leary-Barrett, M., Banaschewski, T., Bokde, A., … Conrod, P. (2016). The structure of psychopathology in adolescence and its common personality and cognitive correlates. Journal of Abnormal Psychology, 15(8), 1039–1052. doi: https://doi.org/10.1037/abn0000193
Chatterjee, S., & Hadi, A. S. (2015). Regression analysis by example. New York: John Wiley & Sons.
Charles, N. E., Floyd, P. N., & Barry, C. T. (2019). The structure, measurement invariance, and external validity of the Barratt impulsiveness scale–brief in a sample of at-risk adolescents. Assessment. https://doi.org/10.1177/1073191119872259.
Chen, C., Li, C., Wang, H., Ou, J.-J., Zhou, J.-S., & Wang, X.-P. (2014). Cognitive behavioral therapy to reduce overt aggression behavior in Chinese young male violent offenders. Aggressive Behavior, 40(4), 329–336. doi : https://doi.org/10.1002/ab.21521
Conrod, P. J., Stewart, S. H., Pihl, R. O., Côté, S., Fontaine, V., & Dongier, M. (2000). Efficacy of brief coping skills interventions that match different personality profiles of female substance abusers. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 14(3), 231–242. https://doi.org/10.1037//0893-164X.14.3.231.
Cooper, A., & Gomez, R. (2008). The development of a short form of the sensitivity to punishment and sensitivity to reward questionnaire. Journal of Individual Differences, 29(2), 90–104. doi: https://doi.org/10.1027/1614-0001.29.2.90
Crick, N. R., & Dodge, K. A. (1994). A review and reformulation of social information-processing mechanisms in children’s social adjustment. Psychological Bulletin, 115(1), 74.
Cross, C. P., Copping, L. T., & Campbell, A. (2011). Sex differences in impulsivity: A meta-analysis. Psychological Bulletin, 137(1), 97–130.
Dawe, S., Gullo, M. J., & Loxton, N. J. (2004). Reward drive and rash impulsiveness as dimensions of impulsivity: Implications for substance misuse. Addictive Behaviors, 29(7), 1389–1405. doi: https://doi.org/10.1016/j.addbeh.2004.06.004
Del Vecchio, T., & O’Leary, K. D. (2004). Effectiveness of anger treatments for specific anger problems: A meta-analytic review. Clinical Psychology Review, 24(1), 15–34.
Dodge, K. A., & Pettit, G. S. (2003). A biopsychosocial model of the development of chronic conduct problems in adolescence. Developmental Psychology, 39(2), 349–371. https://doi.org/10.1037//0012-1649.39.2.349.
Dodge, K. A., & Somberg, D. R. (1987). Hostile attributional biases among aggressive boys are exacerbated under conditions of threats to the self. Child Development, 58(1), 213–224. https://doi.org/10.1111/j.1467-8624.1987.tb03501.x.
Frick, P. J. (2001). Effective interventions for children and adolescents with conduct disorder. The Canadian Journal of Psychiatry, 46(7), 597–608. https://doi.org/10.1177/070674370104600703.
Frick, P. J., & Viding, E. (2009). Antisocial behavior from a developmental psychopathology perspective. Development and Psychopathology, 21(4), 1111–1131.
Gagnon, J., Daelman, S., McDuff, P., & Kocka, A. (2013). UPPS dimensions of impulsivity. Journal of Individual Differences, 34(1), 48–55. doi: https://doi.org/10.1027/1614-0001/a000099
Giunta, L. D., Di Giunta, L., Iselin, A.-M. R., Eisenberg, N., Pastorelli, C., Gerbino, M., … Thartori, E. (2017). Measurement invariance and convergent validity of anger and sadness self-regulation among youth from six cultural groups. Assessment, 24(4), 484–502. doi: https://doi.org/10.1177/1073191115615214
Goodman, A., Lamping, D. L., & Ploubidis, G. B. (2010). When to use broader Internalising and Externalising subscales instead of the hypothesised five subscales on the strengths and difficulties questionnaire (SDQ): Data from British parents, teachers and children. Journal of Abnormal Child Psychology, 38(8), 1179–1191. doi : https://doi.org/10.1007/s10802-010-9434-x
Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38(5) 581–586. doi : https://doi.org/10.1111/j.1469-7610.1997.tb01545.x
Goodwin, B. C., Browne, M., Rockloff, M., & Loxton, N. (2016). Differential effects of reward drive and rash impulsivity on the consumption of a range of hedonic stimuli. Journal of Behavioral Addictions, 5(2), 192–203. doi: https://doi.org/10.1556/2006.5.2016.047
Graham, J. W. (2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60, 549–576. https://doi.org/10.1146/annurev.psych.58.110405.085530.
Gullo, M. J., Dawe, S., Kambouropoulos, N., Staiger, P. K., & Jackson, C. J. (2010). Alcohol expectancies and drinking refusal self-efficacy mediate the association of impulsivity with alcohol misuse. Alcoholism, Clinical and Experimental Research, 34(8), 1386–1399. doi: https://doi.org/10.1111/j.1530-0277.2010.01222.x
Gullo, M. J., St. John, N., Young, R. M., Saunders, J. B., Noble, E. P., & Connor, J. P. (2014). Impulsivity-related cognition in alcohol dependence: Is it moderated by DRD2/ANKK1 gene status and executive dysfunction? Addictive Behaviors, 39(11), 1663–1669. doi: https://doi.org/10.1016/j.addbeh.2014.02.004
Gunn, R. L., & Finn, P. R. (2015). Applying a dual process model of self-regulation: The association between executive working memory capacity, negative urgency, and negative mood induction on pre-potent response inhibition. Personality and Individual Differences, 75, 210–215. doi: https://doi.org/10.1016/j.paid.2014.11.033
Hamilton, K. R., Littlefield, A. K., Anastasio, N. C., Cunningham, K. A., Fink, L. H. L., Wing, V. C., Mathias, C. W., Lane, S. D., Schütz, C. G., Swann, A. C., Lejuez, C. W., Clark, L., Moeller, F. G., & Potenza, M. N. (2015a). Rapid-response impulsivity: Definitions, measurement issues, and clinical implications. Personality Disorders: Theory, Research, and Treatment, 6(2), 168–181.
Hamilton, K. R., Mitchell, M. R., Wing, V. C., Balodis, I. M., Bickel, W. K., Fillmore, M., Lane, S. D., Lejuez, C. W., Littlefield, A. K., Luijten, M., Mathias, C. W., Mitchell, S. H., Napier, T. C., Reynolds, B., Schütz, C. G., Setlow, B., Sher, K. J., Swann, A. C., Tedford, S. E., White, M. J., Winstanley, C. A., Yi, R., Potenza, M. N., & Moeller, F. G. (2015b). Choice impulsivity: Definitions, measurement issues, and clinical implications. Personality Disorders: Theory, Research, and Treatment, 6(2), 182–198.
Harnett, P. H., Lynch, S. J., Gullo, M. J., Dawe, S., & Loxton, N. (2013). Personality, cognition and hazardous drinking: Support for the 2-component approach to reinforcing substances model. Addictive Behaviors, 38(12), 2945–2948. doi: https://doi.org/10.1016/j.addbeh.2013.08.017
Helmond, P., Overbeek, G., Brugman, D., & Gibbs, J. C. (2015). A meta-analysis on cognitive distortions and externalizing problem behavior: Associations, moderators, and treatment effectiveness. Criminal Justice and Behavior, 42(3), 245–262. https://doi.org/10.1177/0093854814552842.
Henwood, K. S., Browne, K. D., & Chou, S. (2018). A randomized controlled trial exploring the effects of brief anger management on community-based offenders in Malta. International Journal of Offender Therapy and Comparative Criminology, 62(3), 785–805. doi: https://doi.org/10.1177/0306624X16666338
Hogendoorn, S. M., Wolters, L. H., Vervoort, L., Prins, P. J. M., Boer, F., Kooij, E., & de Haan, E. (2010). Measuring negative and positive thoughts in children: An adaptation of the Children’s automatic thoughts scale (CATS). Cognitive Therapy and Research, 34(5), 467–478. doi: https://doi.org/10.1007/s10608-010-9306-2
Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65(4), 599–610. https://doi.org/10.1037//0022-006x.65.4.599.
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. doi: https://doi.org/10.1080/10705519909540118
Knyazev, G. G. (2004). Behavioural activation as predictor of substance use: Mediating and moderating role of attitudes and social relationships. Drug and Alcohol Dependence, 75(3), 309–321. doi: https://doi.org/10.1016/j.drugalcdep.2004.03.007
Leamy, T. E., Connor, J. P., Voisey, J., Young, R. M., & Gullo, M. J. (2016). Alcohol misuse in emerging adulthood: Association of dopamine and serotonin receptor genes with impulsivity-related cognition. Addictive Behaviors 63, 29–36. doi: https://doi.org/10.1016/j.addbeh.2016.05.008
Lessard, L. M., & Juvonen, J. (2018). Friendless adolescents: Do perceptions of social threat account for their internalizing difficulties and continued friendlessness? Journal of Research on Adolescence, 28(2), 277–283. doi: https://doi.org/10.1111/jora.12388
Liu, J. (2004). Childhood externalizing behavior: Theory and implications. Journal of Child and Adolescent Psychiatric Nursing, 17(3), 93–103. https://doi.org/10.1111/j.1744-6171.2004.tb00003.x.
MacKinnon, D. P., Fritz, M. S., Williams, J., & Lockwood, C. M. (2007). Distribution of the product confidence limits for the indirect effect: Program PRODCLIN. Behavior Research Methods, 39(3), 384–389. https://doi.org/10.3758/BF03193007.
MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7(1), 83–104. https://doi.org/10.1037/1082-989X.7.1.83.
Makin-Byrd, K., Bierman, K. L., & Conduct Problems Prevention Research Group. (2013). Individual and family predictors of the perpetration of dating violence and victimization in late adolescence. Journal of Youth and Adolescence, 42(4), 536–550. doi: https://doi.org/10.1007/s10964-012-9810-7
Mauss, I. B., Cook, C. L., Cheng, J. Y. J., & Gross, J. J. (2007). Individual differences in cognitive reappraisal: Experiential and physiological responses to an anger provocation. International Journal of Psychophysiology, 66(2), 116–124. doi: https://doi.org/10.1016/j.ijpsycho.2007.03.017
Moeller, F. G., Gerard Moeller, F., 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: https://doi.org/10.1176/appi.ajp.158.11.1783
Moffitt, T. E., Arseneault, L., Belsky, D., Dickson, N., Hancox, R. J., Harrington, H., Houts R., Poulton R., Roberts B.W., Ross S., Sears M.R., Thomson W.M. Caspi, A. (2011). A gradient of childhood self-control predicts health, wealth, and public safety. Proceedings of the National Academy of Sciences of the United States of America, 108(7), 2693–2698. doi: https://doi.org/10.1073/pnas.1010076108
O’Leary-Barrett, M., Castellanos-Ryan, N., Pihl, R. O., & Conrod, P. J. (2016). Mechanisms of personality-targeted intervention effects on adolescent alcohol misuse, internalizing and externalizing symptoms. Journal of Consulting and Clinical Psychology, 84(5), 438–452. https://doi.org/10.1037/ccp0000082.
Papinczak, Z. E., Connor, J. P., Feeney, G. F. X., Harnett, P., Young, R. M., & Gullo, M. J. (2019). Testing the biosocial cognitive model of substance use in cannabis users referred to treatment. Drug and Alcohol Dependence, 194, 216–224. doi: https://doi.org/10.1016/j.drugalcdep.2018.09.032
Papinczak, Z. E., Connor, J. P., Harnett, P., & Gullo, M. J. (2018). A biosocial cognitive model of cannabis use in emerging adulthood. Addictive Behaviors, 76, 229–235. doi: https://doi.org/10.1016/j.addbeh.2017.08.011
Patterson, C. M., Mark Patterson, C., & Newman, J. P. (1993). Reflectivity and learning from aversive events: Toward a psychological mechanism for the syndromes of disinhibition. Psychological Review, 100(4), 716–735. : https://doi.org/10.1037//0033-295x.100.4.716
Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the barratt impulsiveness scale. Journal of Clinical Psychology, 61(6), 768–774. https://doi.org/10.1002/1097-4679(199511)51:6<768::aid-jclp2270510607>3.0.co;2-1.
Patton, K. A., Connor, J. P., Sheffield, J., Wood, A., & Gullo, M. J. (2019). Additive effectiveness of mindfulness meditation to a school-based brief cognitive-behavioral alcohol intervention for adolescents. Journal of Consulting and Clinical Psychology, 87(5), 407–421. doi: https://doi.org/10.1037/ccp0000382
Patton, K. A., Gullo, M. J., Connor, J. P., Chan, G. C. K., Kelly, A. B., Catalano, R. F., & Toumbourou, J. W. (2018). Social cognitive mediators of the relationship between impulsivity traits and adolescent alcohol use: Identifying unique targets for prevention. Addictive Behaviors, 84, 79–85. doi: https://doi.org/10.1016/j.addbeh.2018.03.031
Schniering, C. A., & Rapee, R. M. (2002). Development and validation of a measure of children’s automatic thoughts: The children's automatic thoughts scale. Behaviour Research and Therapy, 40(9), 1091–1109. https://doi.org/10.1016/S0005-7967(02)00022-0.
Sloan, R. P., Shapiro, P. A., Gorenstein, E. E., Tager, F. A., Monk, C. E., McKinley, P. S., et al. (2010). Cardiac autonomic control and treatment of hostility: A randomized controlled trial. Psychosomatic Medicine, 72(1), 1–8.
Stautz, K., Dinc, L., & Cooper, A. J. (2017). Combining trait models of impulsivity to improve explanation of substance use behaviour. European Journal of Personality, 31(1), 118–132. https://doi.org/10.1002/per.2091.
Steinberg, L., Sharp, C., Stanford, M. S., & Tharp, A. T. (2013). New tricks for an old measure: The development of the Barratt impulsiveness scale-brief (BIS-brief). Psychological Assessment, 25(1), 216–226. doi: https://doi.org/10.1037/a0030550
Sukhodolsky, D. G., Kassinove, H., & Gorman, B. S. (2004). Cognitive-behavioral therapy for anger in children and adolescents: A meta-analysis. Aggression and Violent Behavior, 9(3), 247–269.
Thompson, S. F., Zalewski, M., & Lengua, L. J. (2014). Appraisal and coping styles account for the effects of temperament on preadolescent adjustment. Australian Journal of Psychology, 66(2), 122–129. https://doi.org/10.1111/ajpy.12048.
Torrubia, R., Ávila, C., Moltó, J., & Caseras, X. (2001). The sensitivity to punishment and sensitivity to reward questionnaire (SPSRQ) as a measure of Gray’s anxiety and impulsivity dimensions. Personality and Individual Differences, 31(6), 837–862. https://doi.org/10.1016/s0191-8869(00)00183-5.
van Goozen, S. H. M. (2015). The role of early emotion impairments in the development of persistent antisocial behavior. Child Development Perspectives, 9(4), 206–210. https://doi.org/10.1111/cdep.12134.
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.
Zadeh, Z. Y., Im-Bolter, N., & Cohen, N. J. (2007). Social cognition and externalizing psychopathology: an investigation of the mediating role of language. Journal of Abnormal Child Psychology, 35(2), 141–152.
Acknowledgements
Matthew J. Gullo was supported by a National Health and Medical Research Council (NHMRC) of Australia Early Career Fellowship (1036365) and a Medical Research Future Fund Translating Research into Practice (TRIP) Fellowship (1167986). Jason P. Connor was supported by a NHMRC Career Development Fellowship (1031909). Kiri A. Patton was supported by a Research Training Program stipend.
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Matthew J. Gullo was supported by a National Health and Medical Research Council (NHMRC) of Australia Early Career Fellowship (1036365) and a Medical Research Future Fund Translating Research into Practice (TRIP) Fellowship (1167986). Jason P. Connor was supported by a NHMRC Career Development Fellowship (1031909). Kiri A. Patton was supported by a Research Training Program stipend. The funding source had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. This study was funded by X (grant number X).
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Revill, A.S., Patton, K.A., Connor, J.P. et al. From Impulse to Action? Cognitive Mechanisms of Impulsivity-Related Risk for Externalizing Behavior. J Abnorm Child Psychol 48, 1023–1034 (2020). https://doi.org/10.1007/s10802-020-00642-7
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DOI: https://doi.org/10.1007/s10802-020-00642-7