Nonsuicidal self-injury: relationship to behavioral and self-rating measures of impulsivity and self-aggression

Previous research using self-report measures has shown an association between nonsuicidal self-injurious behavior (NSSI) and impulsive tendencies. However, self-injurers have not been shown to be different from comparison groups on laboratory tasks putatively assessing impulsive behavior. One explanation for these contradictory findings is that self-report and laboratory measures of impulsive behavior tap into distinct but related constructs. Moreover, performance on laboratory measures of impulsive behavior can be influenced by myriad contextual and affective factors not present during past self-reported NSSI events. Accordingly, a relationship between behavioral tasks of impulsivity and self-injurious behavior could emerge if both are assessed relatively close in time under controlled laboratory conditions. To test this possibility, both self-ratings and laboratory task measures of self-injurious and impulsive behavior were employed in the current study. This multi-modal assessment approach revealed that self-rated impulsivity was associated with both self-report and behavioral measures of self-injurious behavior. Moreover, behavioral measures of impulsivity were associated with self-injurious behavior, but not NSSI history. These results provide support for the notion that a multi-modal approach to assessing self-injurious behavior is important for better understanding the correlates of nonsuicidal self-injury.     

Links between self-reported and laboratory behavioral impulsivity

Havik, M., Jakobson, A., Tamm, M., Paaver, M., Konstabel, K., Uusberg, A., Allik, J., Ööpik, V. & Kreegipuu, K. (2012). Links between self‐reported and laboratory behavioral impulsivity. Scandinavian Journal of Psychology 53, 216–223. A major problem in the research considering impulsivity is the lack of mutual understanding on how to measure and define impulsivity. Our study examined the relationship between self‐reported impulsivity, behavioral excitatory and inhibitory processes and time perception. Impulsivity – fast, premature, thoughtless or disinhibited behavior – was assessed in 58 normal, healthy participants (30 men, mean age 21.9 years). Self‐reported impulsivity as measured by Adaptive and Maladaptive Impulsivity Scale (AMIS) and behavioral excitatory and inhibitory processes as measured by Stop Signal Task were not directly related. Time perception, measured by the retrospective Time Estimation Task, was related to both. The length of the perceived time interval was positively correlated to AMIS Disinhibition subscale and negatively to several Stop Signal Task parameters. The longer subjects perceived the duration to last, the higher was their score on Disinhibition scale and the faster were their reactive responses in the Stop Signal Task. In summary our findings support the idea of cognitive tempo as a possible mechanism underlying impulsive behavior.     

The correlation of EPQ psychoticism with two behavioural measures of impulsivity

The Psychoticism (P) scale of the Eysenck Personality Questionnaire (EPQ) was correlated with performance on two behavioural measures of impulsivity: total number of Errors in a choice reaction-time (RT) task, and number of Taboo Responses in an open-ended creativity test. Experiment 1 employed 20 Ss in an auditory RT situation and using an untimed creativity test. P correlated strongly and positively with a logged Taboo Responses measure but not with a logged Errors score. The correlation of P with Errors reached statistical significance when the biserial correlation of P with Errors/No Errors was calculated. Experiment 2 employed 35 Ss in a visual choice RT situation and using a timed creativity test. Questionnaire scales of Venturesomeness, Impulsiveness and Empathy were also used. Both behavioural indices were significantly correlated with P, but not with Venturesomeness or Impulsiveness. The results constitute further support for the view that the P scale of the EPQ contains a strong impulsivity component.     

Unobtrusive measures in behavioral assessment

A major distinguishing characteristic of behavioral assessment is the direct assessment of overt behavior. Direct assessment is assumed to provide a sample of behavior that reflects client performance in the situation in which behavior is assessed, even if the assessment procedures were not implemented. Yet, in the majority of investigations, behavioral assessment procedures are obtrusive, i.e., subjects are aware that their behavior is being assessed. The potential problem with obtrusive assessment is that it may be reactive, i.e., affect how subjects perform. Recent research has demonstrated that obtrusive observations often are reactive and that behaviors assessed under obtrusive and unobtrusive conditions bear little relation. From methodological and applied perspectives, additional attention needs to be given to unobtrusive measures of behavior change. The present paper illustrates unobtrusive measures in behavior modification including direct observations, archival records, and physical traces of performance. In addition, validation and assessment problems, questions about the obtrusiveness of the measures, and ethical issues are discussed.     

The relationship between lateral differences in tympanic membrane temperature and behavioral impulsivity

In this study lateral differences in tympanic membrane temperature (T_Ty) were explored as a correlate of either impulsive or cautious responding in Go–No-Go tasks. Thirty-two women and men performed two sustained attention to response tasks (Go–No-Go tasks). Those with warmer right in comparison to left tympanic membranes were more cautious, and those with warmer left in comparison to right tympanic membranes were more impulsive. This finding is in line with previous research and theory indicating a hemispheric bias for active and passive behavior. T_Ty may be a useful addition to the techniques employed by neuropsychologists.     

Application of a behavioral theory of motivation to the concepts of anxiety and impulsivity

Gray's model has been employed in attempts to formulate theories concerning the processes underlying various types of psychopathology. In the most direct application of his model, the dominant mood is assumed to reflect the strength of the underlying motivational system—i.e., strong anxiety with a strong behavioral inhibition system (BIS), strong positive affect with a strong behavioral activation system (BAS). This approach would predict strong anxiety to be associated with a dominance of passive avoidance and extinction and, similarly, strong positive affect with a dominance of impulsivity and other approach behaviors.The present paper has argued that these expectations are based on an implicit assumption that equally stressful environments are encountered—an assumption that would be undermined by individual differences in the very motivational systems under consideration. Examination of the approach-avoidance conflict paradigm supported the argument that, at least in the case of anxiety, one should not expect a strong association between behavior and motivational states. In particular, a weak behavioral inhibition system or strong behavioral activation system is likely to facilitate anxiety-producing impulsive behavior, whereas a strong behavioral inhibition system or weak behavioral activation system may facilitate anxiety-reducing cautious behavior. Other factors were also thought to promote independence of affective states and behavioral traits across individuals.On this argument, trait anxiety conceptualized as resulting from a strong BIS may not be highly correlated with frequent anxiety. Stating this another way, the behavioral correlates of a dominant BIS may be relatively independent of a trait involving a dominance of anxious mood. Using Tellegen's (1985) discussion of self-report measures of mood and personality traits, it was proposed that the trait factor of Constraint may be more strongly associated with behavioral consequences of the BAS and BIS, whereas the Negative Emotionality dimension is largely unrelated to the behavioral effects of the BIS. Since Negative Emotionality corresponds to the traditional anxiety/neuroticism factor, this proposal differs from the customary assumptions about the alignment of Gray's motivational systems and personality traits. The personality trait of Positive Emotionality (cf. extraversion) may be associated with individual differences in the strength of the BAS, with both affective and behavioral components. Thus, the hypothesis of motivational-behavioral uncoupling offers an alternative to the usual intepretations of the three major dimensions seen in most personality inventories. Unfortunately, it remains unclear as to how well the three major personality traits (Positive Emotionality, Negative Emotionality, and Constraint) are aligned with the hypothesized underlying motivational dimensions, and any hypotheses must be seen as extremely tentative.Finally, the question of the validity of self-report measures was discussed briefly. Of greatest interest is the possibility that a subset of subjects are unable to accurately report their emotional states, and that methods are available for identifying these individuals. If so, the validity of these self-report measures may be significantly improved, facilitating research on anxiety and impulsivity.     

Interval timing predicts impulsivity in intertemporal choice: combined behavioral and drift-diffusion model evidence

ABSTRACT

This study investigated the relationship between interval timing and impulsivity in intertemporal choice in a healthy population. A duration production task was used to assess interval timing. Choice impulsivity was assessed using a hypothetical money choice task. Results from 134 participants indicated that faster internal clock significantly predicted lower choice impulsivity. A subsequent drift-diffusion model analysis of the behavioural data revealed that in the sub-group of relatively farsighted participants, faster internal clock predicted consideration of more information before making a choice, which in turn was associated with lower choice impulsivity. In the sub-group of relatively impatient participants too, faster internal clock predicted consideration of more information, but which in turn was associated with higher choice impulsivity. It is concluded that among relatively farsighted individuals in a normal population, faster internal clock favours a more deliberate processing of the options at hand, thus eliciting less impulsive choices.     

Comparisons of women with high and low trait impulsivity using behavioral models of response-disinhibition and reward-choice

Two types of behavioral models of impulsive behavior, response-disinhibition/attentional and reward-choice response models, were used to compare women grouped by high (Impulse+, n=43) and low (Impulse−, n=43) self-reported impulsive behavior on the Eysenck I₇ Questionnaire. Two of the four different tasks tested were response-disinhibition/attentional models; these included the Immediate and Delayed Memory Task and the GoStop Task. The other two tasks were based on the reward-choice model of impulsivity and included the Single Key Impulsivity Paradigm and the Two-Choice Reward Task. Of particular interest was whether commission errors (response-disinhibition/attentional paradigms) or a preference for smaller–sooner rewards over larger–later rewards (reward-choice) would differ between the groups. Participants completed one session of each task in a single day. The most significant findings were that the Impulse+ group had: (1) elevated commission errors; (2) lower stimulus discriminability (between target and catch stimuli); and (3) poorer response inhibition to a stop signal. Responding on the response-disinhibition/attentional tasks distinguished between the impulsivity groups while the reward-choice tasks did not. These results demonstrate that women who report higher levels of trait impulsivity respond in a manner consistent with previous studies examining impulsive behavior.     

Auditory event-related potential probes and behavioral measures of aphasia

This study examined the relationship between an auditory event-related potential probe technique measure of differential hemispheric processing and traditional tests of aphasia in aphasic patients. Subjects were 10 aphasic and 10 normal adult males. The results of the electrophysiological measures indicated that the aphasic subjects responded differently from the normal group particularly when the task required processing of verbal information. During the verbal task the aphasic group showed higher amplitude right hemisphere responses as compared to left. The normal group showed little hemispheric task related asymmetries. The pattern of electrical asymmetry in the aphasic group seems to be an indicator of severity as measured by traditional aphasia examinations.     

Neural basis of individual differences in impulsivity: contributions of corticolimbic circuits for behavioral arousal and control

The objective of the current study was to analyze the neural correlates of behavioral arousal and inhibitory control as they relate to individual differences in impulsivity via well-established functional MRI amygdala reactivity and prefrontal inhibitory control paradigms in healthy adult subjects. Impulsivity correlated positively with activity of the bilateral ventral amygdala, parahippocampal gyrus, dorsal anterior cingulate gyrus (BA 32), and bilateral caudate. Conversely, impulsivity correlated negatively with activity of the dorsal amygdala and ventral prefrontal cortex (BA 47). Together, these findings suggest that dispositional impulsivity is influenced by the functional interplay of corticolimbic behavioral arousal and control circuits.     

Immediate and delayed memory tasks: A computerized behavioral measure of memory, attention, and impulsivity

The Immediate and Delayed Memory Task (IMT/DMT), a variant of the Continuous Performance Test (CPT), is a new software package designed to be a flexible research tool for the study of attention, memory, and impulsivity. This package allows researchers to determine the design to be used during a testing session and to manipulate many of the parameters. It features two components: the IMT and the DMT, both of which present sequential 2- to 7-digit stimuli with variable presentation rates and intertrial intervals. Subjects respond to identically matched stimuli presented consecutively, spanning a brief period of time (IMT), or to stimuli spanning a greater period of time (during which intervening stimuli to be ignored appear; DMT). Task complexity can be adjusted to suit applications for both children and adults. Preliminary studies have demonstrated that these laboratory tasks are sensitive to group differences, produce stable baselines of performance, and are sensitive to drug-induced performance decrements.     

A psychometric evaluation of behavioral inhibition and approach self-report measures

Despite the putative applicability and unquestioned heuristic value of capturing individual variation in behavioral inhibition (BIS) and approach system (BAS) sensitivities, the field has yet to achieve widespread agreement regarding a self-report instrument of choice. The current study evaluates perhaps the two strongest candidates, the BIS/BAS scales (Carver & White, 1994) and the Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ; Torrubia, Avila, Molto, & Caseras, 2001). Using both confirmatory and exploratory factor analytic techniques in two university samples, we determined that neither measure achieved adequate fit to our data set, and both contain multiple items we deemed to be problematic. Models trimmed of the poor items achieved better fit than the full models. However, even after trimming the data, model fit was marginal at best. Caution is urged in the continued use of both measures on conceptual and psychometric grounds.     

Psychometric properties of attitudinal measures of behavioral treatment in geriatric settings

Internal consistency of two forms of the Geriatric Treatment Acceptability Survey (GTAS) and the Attitudes toward Behavior Analysis Scale (ABAS), a global measure of attitudes toward behavior modification, was evaluated. Alpha coefficients regarding treatment acceptability ratings for GTAS Form H were: (a) wandering 0.94; (b) hoarding 0.96; (c) disruptive behavior 0.92; (d) property destruction 0.95; and (e) aggression 0.94. Internal consistency for Form NH was: (a) wandering 0.96; (b) hoarding 0.97; (c) disruptive behavior 0.96; (d) property destruction 0.97; and (e) aggression 0.76. Internal consistency of the ABAS resulted in alpha coefficients of 0.90 (total score); 0.87 (ethics and humaneness); and 0.76 (use). These measures appear useful in assessing older adults, nursing home patients' and geriatric nursing staffs' global and specific attitudes regarding the use of behavioral treatments with older adults. Further research is needed to establish psychometric constructs assessed by the instruments and sensitivity to detecting change in attitudes based on educational or clinical interventions.     

Laboratory and performance-based measures of depression in children and adolescents

Reviews laboratory and performance-based measures for the assessment of symptoms and correlates of depression in children and adolescents. First, we briefly review limitations of self-report and other report measures of depression. Next, we describe four laboratory methods, including social interaction tasks, information-processing tasks, measures of psychological deficits and laboratory analogue designs, and sleep studies. We then summarize the specific depressive symptoms measured by each of these methods. Finally, we discuss issues of the validity and utility of these methods.     

A device for silent on-line recording of continuously changing behavioral measures

A nonintrusive method of monitoring continuously changing behavior frequently is required in experimentation with human subjects, particularly infants. The touch-sensor switch box provides the observer with an ongoing record on a polygraph and allows the observer to give undivided attention to the subject. The mode of operation is completely silent.     

Evaluation of behavioral measures of risk taking propensity with inner city adolescents

The current study examined the utility of behavioral measures of risk-taking propensity in the assessment of self-reported real-world risk-taking behaviors using a sample of 51 high-school-aged inner-city adolescents. Results indicated that performance on one behavioral measure, the balloon analogue risk task, accounted for unique variance in self-reported delinquency/safety risk behaviors as well as substance use risk behaviors, above and beyond that provided with demographics and self-report measures of risk-related constructs (i.e., impulsivity and sensation seeking). These results are discussed in relation to the potential utility of using a multimethod assessment approach for better understanding risk-taking vulnerability among adolescents.