Evaluation of the Balloon Analogue Risk Task (BART) as a predictor of adolescent real‐world risk‐taking behaviours

Lejuez, Carl W.; Aklin, Will M.; Zvolensky, Michael J.; Pedulla, Christina M.

doi:10.1016/s0140-1971(03)00036-8

Cited by 503 publications

(416 citation statements)

References 8 publications

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“…Behavioral measures, and not self-reports, were significantly related to treatment outcome, consistent with earlier reports suggesting that behavioral and self-report assessments of impulsivity assessments may represent different levels of analyses, from detailing specific behavioral processes to more general trait-like impulsive tendencies (Lejuez et al, 2003, Reynolds et al, 2006. However, given the small sample size, the differences between selfreport and behavioral measures in predicting treatment outcome should be interpreted with caution.…”

Section: Discussionsupporting

confidence: 83%

Behavioral impulsivity predicts treatment outcome in a smoking cessation program for adolescent smokers

Krishnan‐Sarin¹,

Reynolds²,

Duhig³

et al. 2007

Drug and Alcohol Dependence

407

328

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Objective-To examine the relationship between impulsivity and smoking cessation treatment response among adolescents.Methods-Thirty adolescent smokers participated in a high school based smoking cessation program combining contingency management and cognitive behavioral therapy. Self-report (Barratt Impulsiveness Scale (BIS-11); Kirby Delay Discounting Measure (DDM)) and behavioral (Experiential Discounting Task (EDT); Continuous Performance Task (CPT)) measures of impulsivity were assessed at treatment onset.Results-Sixteen participants (53%) were abstinent from smoking at completion of the four-week study. Compared to abstinent adolescents, those not achieving abstinence discounted monetary rewards more on the EDT and committed more commission errors on the CPT. Group differences were not observed on the BIS-11 or DDM.Conclusions-These preliminary results suggest that specific behavioral measures of impulsivity may be associated with the ability to initiate and/or maintain abstinence from smoking among adolescent smokers.

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Section: Discussionsupporting

confidence: 83%

Behavioral impulsivity predicts treatment outcome in a smoking cessation program for adolescent smokers

Krishnan‐Sarin¹,

Reynolds²,

Duhig³

et al. 2007

Drug and Alcohol Dependence

407

328

View full text Add to dashboard Cite

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“…16,34 Specifically, risk-taking on the BART is highly correlated with measures of sensation seeking, impulsivity, and deficiencies in behavioral constraint, as well as with self-reported occurrence of addiction and other risky behaviors. [16][17][18]34 The BART simulates a balloon being inflated by the participant with each click of a mouse. Each pump is worth 5 cents.…”

Section: Methodsmentioning

confidence: 99%

Reward-Seeking Behavior in Human Narcolepsy

Dimitrova

Fronczek

Ploeg

et al. 2011

Journal of Clinical Sleep Medicine

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Study Objectives: The hypocretin system enhances signaling in the mesolimbic pathways regulating reward processing and addiction. Because individuals with narcolepsy with cataplexy have low hypocretin levels, we hypothesized that they may be less prone to risk-and reward-seeking behaviors, including substance abuse. Design: Endpoints were performance on an array of psychometric tests (including the Eysenck Impulsiveness Scale, the Zuckerman Sensation Seeking Scale, the Gormally Binge Eating Scale, and the Beck Depression and Anxiety Inventory) and on the Balloon Analogue Risk Task (BART). Setting: Tertiary narcolepsy referral centers in Leiden (The Netherlands) and Boston (USA). Patients: Subjects with narcolepsy with cataplexy (n = 30), narcolepsy without cataplexy (n = 15), and controls (n = 32) matched for age, sex, and smoking behavior. Interventions: None. Measurements and Results: There was no difference in risktaking behavior between narcolepsy with or without cataplexy and the control group, as measured using the BART and the array of questionnaires. However, subjects in the narcolepsy with cataplexy group had significantly higher scores on the Eysenck Impulsiveness Scale (p < 0.05), with 10.0% categorized as impulsive, compared to 6.7% of the narcolepsy without cataplexy group and none of the controls. Narcoleptics with cataplexy also scored significantly higher than controls on the Binge Eating Scale (p < 0.05), with moderate or severe binge eating in 23%. On the depression and anxiety scales, all narcolepsy patients, especially those with cataplexy, scored significantly higher than controls. Conclusions:We found that narcoleptics with or without cataplexy generally have normal risk-taking behavior, but narcoleptics with cataplexy were more impulsive and more prone to binge eating than patients without cataplexy and controls. Our findings shed new light on the relation between sleepiness and impulsiveness. Furthermore, rates of depression and anxiety were higher in all narcoleptic subjects. However, using the current methods, no evidence could be found to support the hypothesis that hypocretin deficiency would affect reward-processing in humans. Keywords: Narcolepsy, cataplexy, hypocretin, orexin, risktaking, addiction, reward-seeking, substance abuse, sleep, sleepiness Citation: Dimitrova A; Fronczek R; Van der Ploeg J; Scammell T; Gautam S; Pascual-Leone A; Lammers GJ. Rewardseeking behavior in human narcolepsy. S C I E N T I F I C I N V E S T I G A T I O N SN arcolepsy with cataplexy is caused by an extensive loss of the neurons producing the hypocretin (orexin) neuropeptides. 1,2 Loss of these essential signaling molecules results in chronic daytime sleepiness, cataplexy, and other REM sleep associated phenomena. 3 In addition, considerable research indicates that the hypocretin system enhances signaling in the mesolimbic pathways that regulate reward processing and addiction, and hypocretin is now considered a key factor in of the neural mechanisms of drug addiction. 4,5 In response to drugs of a...

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“…163 Paradigms measuring behaviours under specified circumstances may overcome the limitations of self-report questionnaires and prove to be valid measures of intermediate phenotypes. [164][165][166][167][168] For example, it has been demonstrated that 5-HTTLPR s allele carriers have more attentional bias towards anxiety-related stimuli compared to ll homozygotes in the dot-probe task. 168 A complementary approach will be the identification of biological endophenotypes.…”

Section: Genetic Control Of the Environmentmentioning

confidence: 99%

The moderation by the serotonin transporter gene of environmental adversity in the aetiology of mental illness: review and methodological analysis

2007

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Evaluation of the Balloon Analogue Risk Task (BART) as a predictor of adolescent real‐world risk‐taking behaviours

Cited by 503 publications

References 8 publications

Behavioral impulsivity predicts treatment outcome in a smoking cessation program for adolescent smokers

Behavioral impulsivity predicts treatment outcome in a smoking cessation program for adolescent smokers

Reward-Seeking Behavior in Human Narcolepsy

The moderation by the serotonin transporter gene of environmental adversity in the aetiology of mental illness: review and methodological analysis

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