BackgroundThe concepts of impulsivity and compulsivity are commonly used in psychiatry. Little is
known about whether different manifest measures of impulsivity and compulsivity
(behavior, personality, and cognition) map onto underlying latent traits; and if so,
their inter-relationship.MethodsA total of 576 adults were recruited using media advertisements. Psychopathological,
personality, and cognitive measures of impulsivity and compulsivity were completed.
Confirmatory factor analysis was used to identify the optimal model.ResultsThe data were best explained by a two-factor model, corresponding to latent traits of
impulsivity and compulsivity, respectively, which were positively correlated with each
other. This model was statistically superior to the alternative models of their being
one underlying factor (‘disinhibition’) or two anticorrelated factors. Higher scores on
the impulsive and compulsive latent factors were each significantly associated with
worse quality of life (both p < 0.0001).ConclusionsThis study supports the existence of latent functionally impairing dimensional forms of
impulsivity and compulsivity, which are positively correlated. Future work should
examine the neurobiological and neurochemical underpinnings of these latent traits; and
explore whether they can be used as candidate treatment targets. The findings have
implications for diagnostic classification systems, suggesting that combining
categorical and dimensional approaches may be valuable and clinically relevant.