Abstract
Rationale
Hazardous drinking is associated with both increased impulsivity and automatic approach tendencies elicited by alcohol-related cues. However, impulsivity is a multi-factorial construct, and it is currently unclear if all components of impulsivity are associated with heavy drinking. Furthermore, emerging evidence suggests that the relationships between hazardous drinking and automatic alcohol cognitions may be moderated by individual differences in impulsivity.
Objectives
The aim of this study was to investigate the independence of measures of impulsivity and their association with hazardous drinking, and to examine if the relationship between hazardous drinking and automatic alcohol approach tendencies would be moderated by individual differences in impulsivity.
Methods
Ninety-seven social drinkers (65 female) completed questionnaire measures of trait impulsivity, alcohol consumption and hazardous drinking. Participants also completed computerised measures of automatic alcohol approach tendencies (stimulus–response compatibility (SRC) task), and two behavioural measures of impulsivity (Go/No-go and delay discounting tasks).
Results
Principal component analysis revealed that the two measures of behavioural impulsivity were distinct from each other and from self-reported trait impulsivity, although self-reported non-planning impulsivity loaded on to two factors (trait impulsivity and delay discounting). Furthermore, all measures of impulsivity predicted unique variance in hazardous drinking as did automatic alcohol approach tendencies, although the latter relationship was not moderated by impulsivity.
Conclusions
These results indicate that multiple components of impulsivity and automatic alcohol approach tendencies explain unique variance in hazardous drinking.
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References
Baron RM, Kenny DA (1986) The moderator–mediator variable distinction in social psychological research. Conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182
Bickel WK, Yi R, Landes RD, Hill PF, Baxter C (2011) Remember the future: working memory training decreases delay discounting among stimulant addicts. Biol Psychiatry 69:260–265
Colder CR, O'Connor R (2002) Attention biases and disinhibited behavior as predictors of alcohol use and enhancement reasons for drinking. Psychol Addict Behav 16:325–332
Collins RL, Lapp WM (1992) The temptation and restraint inventory for measuring drinking restraint. Br J Addict 87:625–633
Cox WM, Hogan LM, Kristian MR, Race JH (2002) Alcohol attentional bias as a predictor of alcohol abusers' treatment outcome. Drug Alcohol Depend 68:237–243
De Houwer J, Crombez G, Baeyens F, Hermans D (2001) On the generality of the affective Simon effect. Cognition and Emotion 15:189–206
de Wit H (2009) Impulsivity as a determinant and consequence of drug use: a review of underlying processes. Addict Biol 14:22–31
de Wit H, Richards JB (2004) Dual determinants of drug use in humans: reward and impulsivity. Nebr Symp Motiv Paper 50:19–55
de Wit H, Flory JD, Acheson A, McCloskey M, Manuck SB (2007) IQ and nonplanning impulsivity are independently associated with delay discounting in middle-aged adults. Personal Individ Differ 42:111–121
Du W, Green L, Myerson J (2002) Cross-cultural comparisons of discounting delayed and probabilistic rewards. Psychol Rec 52:479–492
Fadardi JS, Cox WM (2008) Alcohol-attentional bias and motivational structure as independent predictors of social drinkers' alcohol consumption. Drug Alcohol Depend 97:247–256
Faulkner S, Hendry LB, Roderique L, Thomson R (2006) A preliminary study of the attitudes, triggers and consequences of hazardous drinking in university students. Health Educ J 65:159–169
Fernie G, Cole JC, Goudie AJ, Field M (2010) Risk-taking but not response inhibition or delay discounting predict alcohol consumption in social drinkers. Drug Alcohol Depend 112:54–61
Field M, Cox WM (2008) Attentional bias in addictive behaviors: a review of its development, causes, and consequences. Drug Alcohol Depend 97:1–20
Field M, Eastwood B (2005) Experimental manipulation of attentional bias increases the motivation to drink alcohol. Psychopharmacology 183:350–357
Field M, Santarcangelo M, Sumnall H, Goudie A, Cole J (2006) Delay discounting and the behavioural economics of cigarette purchases in smokers: the effects of nicotine deprivation. Psychopharmacology 186:255–263
Field M, Christiansen P, Cole J, Goudie A (2007) Delay discounting and the alcohol Stroop in heavy drinking adolescents. Addiction 102:579–586
Field M, Kiernan A, Eastwood B, Child R (2008) Rapid approach responses to alcohol cues in heavy drinkers. J Behav Ther Exp Psychiatry 39:209–218
Field M, Caren R, Fernie G & De Houwer J (2011) Alcohol approach tendencies in heavy drinkers: comparison of effects in a relevant stimulus–response compatibility task and an approach/avoidance Simon task. Psychology of Addictive Behaviors (in press)
Gauggel S, Heusinger A, Forkmann T, Boecker M, Lindenmeyer J, Miles Cox W et al (2010) Effects of alcohol cue exposure on response inhibition in detoxified alcohol-dependent patients. Alcohol Clin Exp Res 34:1584–1589
Giordano LA, Bickel WK, Loewenstein G, Jacobs EA, Marsch L, Badger GJ (2002) Mild opioid deprivation increases the degree that opioid-dependent outpatients discount delayed heroin and money. Psychopharmacology 163:174–182
Goldstein RZ, Volkow ND (2002) Drug addiction and its underlying neurobiological basis: neuroimaging evidence for the involvement of the frontal cortex. Am J Psychiatry 159:1642–1652
Goudriaan AE, Oosterlaan J, De Beurs E, Van Den Brink W (2006) Neurocognitive functions in pathological gambling: a comparison with alcohol dependence, Tourette syndrome and normal controls. Addiction 101:534–547
Gunnarsson M, Petter Gustavsson J, Tengstrom A, Franck J, Fahlke C (2008) Personality traits and their associations with substance use among adolescents. Pers Indiv Differ 45:356–360
Houben K, Wiers RW (2009) Response inhibition moderates the relationship between implicit associations and drinking behavior. Alcohol Clin Exp Res 33:626–633
Hutcheson G, Sofroniou N (1999) The multivariate social scientist. Sage, London
Jentsch JD, Taylor JR (1999) Impulsivity resulting from frontostriatal dysfunction in drug abuse: implications for the control of behavior by reward-related stimuli. Psychopharmacology 146:373–390
Jolliffe IT (1972) Discarding variables in a principal component analysis I: artificial data. Springer, New York
Jolliffe IT (1986) Principal component analysis. Springer, New York
Jones A, Guerrieri R, Fernie G, Cole J, Goudie A, Field M (2011) The effects of priming restrained versus disinhibited behaviour on alcohol-seeking in social drinkers. Drug Alcohol Depend 113:55–61
Kamarajan C, Porjesz B, Jones KA, Choi K, Chorlian DB, Padmanabhapillai A, Rangaswamy M, Stimus AT, Begleiter H (2005) Alcoholism is a disinhibitory disorder: neurophysiological evidence from a Go/No-Go task. Biol Psychol 69:353–373
Kirby KN, Petry NM (2004) Heroin and cocaine abusers have higher discount rates for delayed rewards than alcoholics or non-drug-using controls. Addiction 99:461–471
Krank MD, O'Neill S, Squarey K, Jacob J (2008) Goal- and signal-directed incentive: conditioned approach, seeking, and consumption established with unsweetened alcohol in rats. Psychopharmacology 196:397–405
Logan GD, Cowan WB, Davis KA (1984) On the ability to inhibit simple and choice reaction time responses: a model and a method. J Exp Psychol Hum Percept Perform 10:276–291
MacKillop J, Mattson RE, MacKillop EJA, Castelda BA, Donovick PJ (2007) Multidimensional assessment of impulsivity in undergraduate hazardous drinkers and controls. J Stud Alcohol Drugs 68:785–788
MacKillop J, Amlung MT, Few LR, Ray LA, Sweet LH, Munafò MR (2011) Delayed reward discounting and addictive behavior: a meta-analysis. Psychopharmacology (in press)
Madden GJ, Petry NM, Badger GJ, Bickel WK (1997) Impulsive and self-control choices in opioid-dependent patients and non-drug-using control participants: drug and monetary rewards. Exp Clin Psychopharmacol 5:256–262
McAdams KK, Donnellan MB (2009) Facets of personality and drinking in first-year college students. Pers Indiv Differ 46:207–212
Myerson J, Green L, Warusawitharana M (2001) Area under the curve as a measure of discounting. J Exp Anal Behav 76:235–243
Newman JP, Kosson DS (1986) Passive avoidance learning in psychopathic and nonpsychopathic offenders. J Abnorm Psychol 95:252–260
Olmstead MC (2006) Animal models of drug addiction: where do we go from here? Q J Exp Psychol 59:625–653
Ostafin BD, Palfai TP (2006) Compelled to consume: the implicit association test and automatic alcohol motivation. Psychol Addict Behav 20:322–327
Ostafin BD, Palfai TP, Wechsler CE (2003) The accessibility of motivational tendencies toward alcohol: approach, avoidance, and disinhibited drinking. Exp Clin Psychopharmacol 11:294–301
Ostafin BD, Marlatt GA, Greenwald AG (2008) Drinking without thinking: an implicit measure of alcohol motivation predicts failure to control alcohol use. Behav Res Ther 46:1210–1219
Palfai TP, Ostafin BD (2003) Alcohol-related motivational tendencies in hazardous drinkers: assessing implicit response tendencies using the modified-IAT. Behav Res Ther 41:1149–1162
Patton JH, Stanford MS, Barratt ES (1995) Factor structure of the Barratt Impulsiveness Scale. J Clin Psychol 51:768–774
Petry NM (2001) Delay discounting of money and alcohol in actively using alcoholics, currently abstinent alcoholics, and controls. Psychopharmacology 154:243–250
Reynolds B, Ortengren A, Richards JB, de Wit H (2006) Dimensions of impulsive behavior: personality and behavioral measures. Pers Indiv Differ 40:305–315
Robinson TE, Berridge KC (2001) Incentive-sensitization and addiction. Addiction 96:103–114
Saunders JB, Aasland OG, Babor TF, De la Fuente JR, Grant M (1993) Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption II. Addiction 88:791–804
Sobell LC, Sobell MB (1990) Self-report issues in alcohol abuse: state of the art and future directions. Behav Assess 12:77–90
Stacy AW, Wiers RW (2010) Implicit cognition and addiction: a tool for explaining paradoxical behavior. Annu Rev Clin Psychol 6:551–575
Stetter F, Ackermann K, Bizer A, Straube ER, Mann K (1995) Effects of disease-related cues in alcoholic inpatients: results of a controlled ‘alcohol stroop’ study. Alcohol Clin Exp Res 19:593–599
Stevens JP (2002) Applied multivariate statistics for the social sciences (fourth edition). Erlbaum, New Jersey
Swann AC, Bjork JM, Moeller FG, Dougherty DM (2002) Two models of impulsivity: relationship to personality traits and psychopathology. Biol Psychiatry 51:988–994
Thush C, Wiers RW, Ames SL, Grenard JL, Sussman S, Stacy AW (2008) Interactions between implicit and explicit cognition and working memory capacity in the prediction of alcohol use in at-risk adolescents. Drug Alcohol Depend 94:116–124
Townshend JM, Duka T (2001) Attentional bias associated with alcohol cues: differences between heavy and occasional social drinkers. Psychopharmacology 157:67–74
Von Diemen L, Bassani DG, Fuchs SC, Szobot CM, Pechansky F (2008) Impulsivity, age of first alcohol use and substance use disorders among male adolescents: a population based case–control study. Addiction 103:1198–1205
Von Knorring L, Oreland L, Von Knorring AL (1987) Personality traits and platelet MAO activity in alcohol and drug abusing teenage boys. Acta Psychiatr Scand 75:307–314
Vuchinich RE, Simpson CA (1998) Hyperbolic temporal discounting in social drinkers and problem drinkers. Exp Clin Psychopharmacol 6:292–305
White JL, Moffitt TE, Caspi A, Bartusch DJ, Needles DJ, Stouthamer-Loeber M (1994) Measuring impulsivity and examining its relationship to delinquency. J Abnorm Psychol 103:192–205
Wicki M, Kuntsche E, Gmel G (2010) Drinking at European universities? A review of students' alcohol use. Addict Behav 35:913–924
Wiers RW, Bartholow BD, van den Wildenberg E, Thush C, Engels RCME, Sher KJ, Grenard J, Ames SL, Stacy AW (2007) Automatic and controlled processes and the development of addictive behaviors in adolescents: a review and a model. Pharmacol Biochem Behav 86:263–283
Wiers RW, Rinck M, Dictus M, Van Den Wildenberg E (2009) Relatively strong automatic appetitive action-tendencies in male carriers of the OPRM1 G-allele. Genes Brain Behav 8:101–106
Wiers RW, Rinck M, Kordts R, Houben K, Strack F (2010) Retraining automatic action-tendencies to approach alcohol in hazardous drinkers. Addiction 105:279–287
Wiers RW, Eberl C, Rinck M, Becker ES, Lindenmeyer J (2011) Retraining automatic action tendencies changes alcoholic patients' approach bias for alcohol and improves treatment outcome. Psychol Sci 22:490–497
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This research was funded by a research grant from the Medical Research Council (reference GO601070), awarded to the last three authors.
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Christiansen, P., Cole, J.C., Goudie, A.J. et al. Components of behavioural impulsivity and automatic cue approach predict unique variance in hazardous drinking. Psychopharmacology 219, 501–510 (2012). https://doi.org/10.1007/s00213-011-2396-z
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DOI: https://doi.org/10.1007/s00213-011-2396-z