The Role of Impulsivity Dimensions in the Relation Between Probable Posttraumatic Stress Disorder and Aggressive Behavior Among Substance Users

Weiss, Nicole H.; Connolly, Kevin M.; Gratz, Kim L.; Tull, Matthew T.

doi:10.1080/15504263.2017.1293310

Cited by 14 publications

(12 citation statements)

References 74 publications

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“…As hypothesized, individuals with OUD + PTSD, OUD-PTSD, and PTSD without OUD reported a greater tendency to act impulsively in response to negative or positive emotions and a lack of premeditation compared to HCs even after controlling for demographic differences. Our data are consistent with previous studies in individuals with OUD (Nielsen et al, 2012; Peters & Soyka, 2019) and PTSD (Price et al, 2017; Roley et al, 2017; Weiss et al, 2015, 2017) and provides support for impulsivity as a transdiagnostic process underlying multiple psychiatric disorders (Amlung et al, 2019; Bickel et al, 2012; Kulacaoglu & Kose, 2018).…”

Section: Discussionsupporting

confidence: 92%

Examining associations between impulsivity, opioid use disorder, and posttraumatic stress disorder: The additive relation between disorders.

Peck¹,

Nighbor²,

Price³

2022

Experimental and Clinical Psychopharmacology

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Impulsivity is a key feature of opioid use disorder (OUD) and other psychiatric conditions, including posttraumatic stress disorder (PTSD). The relationship between disorders and impulsivity may be additive, such that individuals with multiple disorders exhibit greater impulsivity than those with a single disorder. However, the association between impulsivity, OUD, and PTSD is unclear. Accordingly, this study compared individuals with concurrent OUD and PTSD (OUD + PTSD; n = 55), OUD without PTSD (OUD-PTSD; n = 34), PTSD without OUD (n = 32), and healthy controls (HCs; n = 55) on the Short Urgency, Premeditation, Perseverance, Sensation Seeking, Positive Urgency Impulsive Behavior Scale (SUPPS-P), and the 27-item Monetary Choice Questionnaire (MCQ). With respect to the SUPPS-P, the OUD + PTSD, OUD-PTSD, and PTSD without OUD groups reported more impulsivity on the negative urgency, positive urgency, and lack of premeditation subscales compared to HCs ( p s < .001). The OUD + PTSD group also reported greater negative urgency compared to the OUD-PTSD group ( p = .001) and HCs ( p < .001), but not the PTSD without OUD group ( p = .07). Furthermore, participants with OUD + PTSD exhibited greater discounting of delayed rewards on the MCQ than those in the PTSD without OUD group and HCs ( p' s < .001). However, no significant differences were observed between the two OUD groups ( p = .86). These results support impulsivity as a mechanism underlying both OUD and PTSD. Future research should examine whether interventions targeting impulsivity, emotion regulation, and delay discounting are associated with meaningful improvements in functioning among individuals with OUD and PTSD.

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Section: Discussionsupporting

confidence: 92%

Examining associations between impulsivity, opioid use disorder, and posttraumatic stress disorder: The additive relation between disorders.

Peck¹,

Nighbor²,

Price³

2022

Experimental and Clinical Psychopharmacology

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“…The experience of negative affect such as anger could trigger impulsive behaviors including self-mutilation (Herpertz, Sass, & Favazza, 1997) and overt aggression (Shorey, Brasfield, Febres, & Stuart, 2011). Indeed, negative urgency has been shown to explain the relation between PTSD and physical aggression (Weiss, Connolly, Gratz, & Tull, 2017).…”

Section: Discussionmentioning

confidence: 99%

Examination of the heterogeneity in PTSD and impulsivity facets: A latent profile analysis

Contractor

Caldas

Weiss

et al. 2018

Personality and Individual Differences

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The experience of traumatizing events and resulting posttraumatic stress disorder (PTSD) symptomology relates to a range of impulsive behaviors. While both PTSD and impulsivity are heterogeneous and multidimensional constructs, no research has used person-centered approaches to examine subgroups of individuals based on these response endorsements. Hence, our study examined PTSD-impulsivity typologies and their construct validity in two samples: university students ( = 412) and community participants recruited through Amazon's MTurk ( = 346). Measures included the Stressful Life Events Screening Questionnaire (PTEs), PTSD Checklist for DSM-5 (PTSD severity), UPPS Impulsive Behavior Scale (negative urgency, lack of premeditation, lack of perseverance, sensation seeking). Dimensions of Anger Reaction Scale (anger), and the Patient Health Questionnaire-9 (depression). For both samples, results of latent profile analyses indicated a best-fitting 3-class solution: High, Moderate, and Low PTSD-Negative Urgency. Negative urgency was the most distinguishing impulsivity facet. Anger and depression severity significantly predicted membership in the more severe symptomatology classes. Thus, individuals can be meaningfully categorized into three subgroups based on PTSD and impulsivity item endorsements. We provide some preliminary evidence for a subtype of PTSD characterized by greater depression and anger regulation difficulties; and underscore addressing emotional regulation skills for these subgroup members.

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“…Impulse behavior has been shown to develop in response to stress due to deficits in regulatory control over emotional and motor-related behaviors ( 22 , 23 ). Drug addicts with co-morbidity of posttraumatic stress disorder exhibit stronger form of impulsive behavior, including aggression ( 24 ). Accumulating evidence suggests that BA is similarly associated with negative affects, such as depression and anxiety, independent of symptom types ( 25 – 27 ).…”

Section: Introductionmentioning

confidence: 99%

Heightened Negative Affects Associated With Neurotic Personality in Behavioral Addiction

Asaoka

Won²,

Morita³

et al. 2020

Front. Psychiatry

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Although studies have demonstrated that negative affects are critical attributes of drug addiction, this has remained less clear in behavioral addiction. In this preliminary study with a relatively small number of samples, we investigated negative affects in patients diagnosed with behavioral addiction, particularly paraphilia and kleptomania. Negative affects were examined using self-rating questionnaire and further evaluated by objective assessments in behavioral addicts and normal subjects. Explicit, self-referential negative affects, such as anxiety, stress, and depression, were higher in behavioral addicts than control subjects. Such self-referential negative affects were, although not entirely, consistent with objective evaluations by others and blood stress hormone concentrations. Further investigation of personality traits in behavioral addicts unveiled that heightened negative affects were associated with stronger neurotic personality in behavioral addicts than normal subjects. These results suggest that behavioral addiction, such as paraphilia and kleptomania, may be characterized by heightened negative affects attributable to stronger neurotic personality.

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The Role of Impulsivity Dimensions in the Relation Between Probable Posttraumatic Stress Disorder and Aggressive Behavior Among Substance Users

Cited by 14 publications

References 74 publications

Examining associations between impulsivity, opioid use disorder, and posttraumatic stress disorder: The additive relation between disorders.

Examining associations between impulsivity, opioid use disorder, and posttraumatic stress disorder: The additive relation between disorders.

Examination of the heterogeneity in PTSD and impulsivity facets: A latent profile analysis

Heightened Negative Affects Associated With Neurotic Personality in Behavioral Addiction

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