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From Impulse to Action? Cognitive Mechanisms of Impulsivity-Related Risk for Externalizing Behavior

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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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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.

Funding

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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Correspondence to Matthew J. Gullo.

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The authors declare that they have no conflict of interest.

Ethical Approval

Ethical clearance was granted by the University of Queensland Behavioural and Social Sciences Ethical Review Committee (No. 2015000875), the Brisbane Catholic Education (No. 196). The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12616000077460). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research ethics committee (BSSERC #2015000875) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Written informed consent was first obtained from participants’ parents or guardians before obtaining written assent from all individual participants included in the study.

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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

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