Emotion-related impulsivity predicts increased anxiety and depression during the COVID-19 pandemic

Johnson, Sheri L.; Porter, Patricia A.; Modavi, Kiana; Dev, Amelia S.; Pearlstein, Jennifer G.; Timpano, Kiara R.

doi:10.1016/j.jad.2022.01.037

Cited by 22 publications

(22 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Notably, some studies have demonstrated the contribution of impulsivity to internalizing psychopathology [e.g., depression and anxiety; ( 28 , 29 )]. That impulsivity predicts anxiety severity has been found in both children ( 29 ) and adults ( 24 ) who are with internalizing or externalizing symptoms. Specifically, impulsivity would engage individuals in a highly emotional state in a stressful setting, causing anxiety symptoms ( 24 ).…”

Section: Introductionmentioning

confidence: 99%

Trait Anxiety Mediates Impulsivity and Suicidal Ideation in Depression During COVID-19 Pandemic

et al. 2022

View full text Add to dashboard Cite

Suicidality in patients with major depressive disorder (MDD) has been an urgent affair during the COVID-19 pandemic. It is well-established that impulsivity and trait anxiety are two risk factors for suicidal ideation. However, literature is still insufficient on the relationships among impulsivity, (state/trait) anxiety and suicidal ideation in individuals with MDD. The present study aims to explore the relationships of these three variables in MDD patients during the COVID-19 pandemic through three scales, including Barrett Impulsivity Scale (BIS), State-Trait Anxiety Scale (STAI) and Self-rating Idea of Suicide Scale (SIOSS). Sixty-three MDD patients (low SIOSS group and high SIOSS group, which were split by the mean score of SIOSS) and twenty-seven well-matched healthy controls were analyzed. Our results showed that the high SIOSS group had higher trait anxiety (p < 0.001, 95% CI = [−19.29, −5.02]) but there was no difference in state anxiety (p = 0.171, 95% CI = [−10.60, 1.25]), compared with the low SIOSS group. And the correlation between impulsivity and suicidal ideation was significant in MDD patients (r = 0.389, p = 0.002), yet it was not significant in healthy controls (r = 0.285, p = 0.167). Further, mediation analysis showed that trait anxiety significantly mediate impulsivity and suicidal ideation in patients with depression (total effect: β = 0.304, p = 0.002, 95% CI = [0.120, 0.489]; direct effect: β = 0.154, p = 0.076, 95% CI = [−0.169, 0.325]), indicating impulsivity influenced suicidal ideation through trait anxiety in MDD patients. In conclusion, our results suggested that trait anxiety might mediate the association of impulsivity and suicidal ideation in MDD patients. Clinicians may use symptoms of trait anxiety and impulsivity for screening when actively evaluating suicidal ideation in MDD patients, especially in the setting of COVID-19 pandemic.

show abstract

Section: Introductionmentioning

confidence: 99%

Trait Anxiety Mediates Impulsivity and Suicidal Ideation in Depression During COVID-19 Pandemic

et al. 2022

View full text Add to dashboard Cite

show abstract

“…As proposed by some authors, interventions oriented to enhance mindfulness traits could be employed to prevent the negative consequences of impulsiveness on internalizing symptoms such as anxiety [ 48 ]. However, to our knowledge, little is known about the possible effects of mindfulness buffering the negative effects of impulsiveness on anxiety in female athletes.…”

Section: Discussionmentioning

confidence: 99%

“…This fact is especially important in athletes, in which emotion-related impulsiveness, such as negative urgency, could be especially important. In this regard, it has been recently found that impulsiveness in highly stressful situations could lead to anxiety reactions more easily [ 48 ]. Hence, individuals with higher levels of emotion-related impulsivity could be at high risk of developing higher levels of internalizing symptoms such as anxiety, due to their proneness to worry in ambiguous situations.…”

Section: Introductionmentioning

confidence: 99%

Effects of Impulsivity on Competitive Anxiety in Female Athletes: The Mediating Role of Mindfulness Trait

Terres-Barcala

Albaladejo-Blázquez

Aparicio‐Ugarriza

et al. 2022

IJERPH

View full text Add to dashboard Cite

It has been demonstrated that athletes in competitive sports suffer from high levels of competitive anxiety, especially in the case of females. In this sense, it is necessary to identify possible risk and protective factors of those athletes in this collective who suffer from this type of anxiety. However, few studies analyze the relationship between Physical Activity (PA) and anxiety, identifying the possible mediation effect of trait variables such as impulsivity and mindfulness in female athletes. Hence, the aims of this study were: to determine differences between PA levels with anxiety, mindfulness, and impulsiveness; to identify the predictive value of sociodemographic factors and physical activity, impulsivity, and mindfulness on anxiety factors; and to analyze the possible mediating effects of mindfulness on the relationship between impulsivity and anxiety. A total of 242 female athletes underwent an assessment of physical activity, anxiety, mindfulness traits, and impulsivity using validated questionnaires. Data were analyzed according to (1) individual or collective sport, and (2) PA levels according to energy expended (METs min/day). Participants were grouped by light, moderate, and vigorous PA levels. There were 30.5% elite athletes and 73.2% collective sports athletes. Mean age was 22.1 years and mean light, moderate, and vigorous PA were 86.1 ± 136.2, 114.4 ± 159.8, and 370.1 ± 336.3 METs min/day, respectively. Those athletes performing vigorous PA exhibited lower levels of impulsiveness and higher mindfulness traits. As expected, the mindfulness trait was a mediating factor in the relationship between impulsiveness and each factor of competitive anxiety (cognitive, somatic, and self-efficacy). Female athletes could suffer competitive anxiety, especially those who present higher levels of impulsivity. However, higher levels of mindfulness traits seem to be a protective factor in the effects of impulsivity on anxiety in this population and have demonstrated to be significant mediators in this association. Further studies are needed with other female athletes to replicate these results and to determine the specific protective mechanisms of mindfulness traits in preventing competitive anxiety.

show abstract

“…Third, in contrast to the first experiment, the second experiment was conducted during the COVID-19 pandemic (Exp1: March 25, 2019-May 20, 2019; Exp2: January 13, 2021-July 19, 2021), and individuals in general are expected to be in negative mental states (e.g., high stress, depression, and anxiety) (Brooks et al, 2020; Pfefferbaum & North, 2020). Given the close relationship between the on-going pandemic and health risk behaviors (Clay & Parker, 2020; Johnson et al, 2022; Park, Lee, Sul, & Chung, 2021), we cannot overlook a possibility that the null effect of intervention training at the second experiment is associated with the environmental change and accompanied changes of mental states.…”

Section: Discussionmentioning

confidence: 99%

Simulating future rewards: exploring the impacts of implicit context association and arithmetic booster in delay discounting

Hwang

Kim

Chung

2020

Preprint

View full text Add to dashboard Cite

People have higher preference for immediate over delayed rewards, and it is suggested that such an impulsive tendency is governed by one's ability to simulate future rewards. Consistent with this view, recent studies have shown that enforcing individuals to focus on episodic future thoughts reduces their impulsivity. Yet, given its multifaceted cognitive processes involved in future thinking, it is not well understood how episodic future thinking functions as an effective tool for modulating individuals' preference for immediate (or delayed) rewards. To examine plausible mechanisms that are linked with future thinking, we used one associative memory task and one working memory task that each of which were administered to manipulate acquired amount of information and individuals' ability to construct a coherent future event, respectively. Comparing with the impacts of three control tasks, we found that individuals' impulsivity was significantly reduced as an effect of arithmetic working memory task, but not of associative memory task. Moreover, this impulsivity reduction was most pronounced in individuals who showed highest working memory training performance. These data provide a mechanistic account of how episodic future thinking affects individuals' subjective valuation of delayed rewards.

show abstract

Emotion-related impulsivity predicts increased anxiety and depression during the COVID-19 pandemic

Cited by 22 publications

References 54 publications

Trait Anxiety Mediates Impulsivity and Suicidal Ideation in Depression During COVID-19 Pandemic

Trait Anxiety Mediates Impulsivity and Suicidal Ideation in Depression During COVID-19 Pandemic

Effects of Impulsivity on Competitive Anxiety in Female Athletes: The Mediating Role of Mindfulness Trait

Simulating future rewards: exploring the impacts of implicit context association and arithmetic booster in delay discounting

Contact Info

Product

Resources

About