Negative Emotional Action Termination (NEAT): Support for a Cognitive Mechanism Underlying Negative Urgency in Nonsuicidal Self-Injury

Negative urgency, the self-reported tendency to act impulsively when distressed, increases risk for nonsuicidal self-injury (NSSI). NSSI is also associated with impaired negative emotional response inhibition (NERI), specifically negative emotional action termination (NEAT), a cognitive process theoretically related to negative urgency. We previously found that adults with NSSI history had difficulty inhibiting behavioral responses to affective images depicting negative content (but not positive or neutral images) in an Emotional Stop-Signal Task. We sought to replicate this finding, determine whether this deficit extends to negative emotional action suppression (NEAS; an earlier stage of NERI), and explore whether impairment in these two stages of emotional response inhibition helps explain the relationship between negative urgency and NSSI. Eighty-eight adults with NSSI history (n = 45) and healthy control participants (n = 43) without NSSI history or psychopathology completed a clinical interview, symptom inventories, an impulsivity questionnaire, and behavioral assays of early and late NERI (NEAS and NEAT, respectively). The NSSI group had worse NEAT than the control group in the Emotional Stop-Signal Task, but no group differences in NEAS were observed in an Emotional Go/No-go task. However, both early and late stages of NERI accounted for independent variance in negative urgency. We additionally found that NEAT explained variance in the association between negative urgency and NSSI. These results suggest that impulsive behavior in NSSI may involve specifically impaired inhibitory control over initiated negative emotional impulses. This deficit in late response inhibition to negative emotional stimuli might reflect a cognitive mechanism or pathway to elevated negative urgency among people who self-injure.     

IMPULSIVITY AND INHIBITORY CONTROL

Abstract— We report an experiment testing the hypothesis that impulsive behavior reflects a deficit in the ability to inhibit prepotent responses Specifically, we examined whether impulsive people respond more slowly to signals to inhibit (stop signals) than non-impulsive people In this experiment, 136 undergraduate students completed an impulsivity questionnaire and then participated in a stop-signal experiment, in which they performed a choice reaction time (go) task and were asked to inhibit their responses to the go task when they heard a stop signal The delay between the go signal and the stop signal was determined by a tracking procedure designed to allow subjects to inhibit on 50% of the stop-signal trials. Reaction time to the go signal did not vary with impulsivity, but estimated stop-signal reaction time was longer in more impulsive subjects, consistent with the hypothesis and consistent with results from populations with pathological problems with impulse control.     

Heterogeneous inhibition processes involved in different facets of self-reported impulsivity: evidence from a community sample

Whiteside and Lynam (Whiteside, S. P., & Lynam, D. R. (2001). The Five Factor Model and impulsivity: Using a structural model of personality to understand impulsivity. Personality and Individual Differences, 30, 669-689) clarified the multifaceted nature of impulsivity by identifying four distinct facets of self-reported impulsive behaviors: urgency, (lack of) premeditation, (lack of) perseverance, and sensation seeking. Building on work by Bechara and Van der Linden (Bechara, A., & Van der Linden, M. (2005). Decision-making and impulse control after frontal lobe injuries. Current Opinion in Neurology, 18, 734-739), the main objective of this study was to investigate the hypothesis that perseverance and urgency map onto the two distinct inhibitory functions distinguished by Friedman and Miyake (Friedman, N. P., & Miyake, A. (2004). The relations among inhibition and interference control functions: A latent-variable analysis. Journal of Experimental Psychology: General, 133, 101-135): prepotent response inhibition and resistance to proactive interference. Participants (N = 126) completed the UPPS Impulsive Behavior Scale and three tasks: a recent-negatives task to assess proactive interference in working memory, and two Go/No-Go tasks at different paces, the slower of which also assessed task-unrelated thoughts (TUTs). Consistent with the hypothesis, TUTs were positively correlated with lack of perseverance, and multiple regressions revealed that urgency was specifically related to errors in prepotent response inhibition, and lack of perseverance to errors due to difficulties overcoming proactive interference.     

Urgency and negative emotions: Evidence for moderation on negative alcohol consequences

Prior research had shown that impulsivity may enhance the impact of negative emotions on alcohol related problems. However, these studies used broad measures of both negative emotions and impulsivity that may have obscured the effects of more specific constructs of impulsivity or negative emotions. One such construct is urgency, which is defined as the tendency to act impulsively in the face of strong positive emotions (positive urgency) or negative emotions (negative urgency). The present study tested whether urgency moderated the association between separate negative emotions (anger, depression and anxiety) and alcohol related problems. Data were obtained from a large online sample of currently drinking college students attending a large Northwestern university (n = 442). Findings indicated that alcohol related problems were directly associated with anger and both urgency facets. Additionally, positive urgency, but not negative urgency, enhanced the effects of depression, while the buffering effects of positive urgency on the anxiety-consequences association approached significance. These results suggest the importance of emotional context in understanding how dispositions towards rash action may lead to problematic alcohol use.     

A preliminary investigation of impulsivity in generalized anxiety disorder

Few studies have examined the association between impulsivity and generalized anxiety disorder (GAD). This study examined whether individuals with probable GAD display impulsivity in a particular way, and the extent to which impulsivity uniquely predicts GAD severity and GAD status, over and above intolerance of uncertainty (IU), a key cognitive factor in GAD. Individuals with (n = 63) and without (n = 77) probable GAD completed self-report measures of impulsivity and IU. Results revealed that elevations in the severity of GAD symptoms and in IU were associated with impulsive actions in the face of negative affect (i.e., negative urgency), but also greater premeditation and lower “functional” impulsivity (i.e., the ability to take quick action when it is advantageous to do so). Impulsivity led to an increment in the prediction of GAD symptoms and GAD status, over and above IU. Negative urgency and lower functional impulsivity were significant unique predictors of GAD severity or GAD status. The findings highlight a need to consider impulsivity in theories that implicate intolerance of negative affect and uncertainty in excessive and uncontrollable worry.     

Aging and inhibition of a prepotent motor response during an ongoing action

Inhibitory functions are key mechanisms underlying age related decline (Park & Gutchess, 2000, in: Cognitive aging: A primer. Hove: Psychology Press), yet few studies have investigated their impact on everyday tasks involving action as well as cognition. Using an everyday-based go/no-go task we devised a motor analogy of traditional neuropsychological tests to investigate in 134 older (aged 60-88) and 133 younger adults (aged 20-59) the ability to inhibit a prepotent motor response during an ongoing action. Older adults produced more inhibition failures as expected, but more strikingly inhibitory errors were not all or none; even when the inappropriate response was successfully inhibited, difficulties controlling ongoing movements emerged from as young as people in their 40s. The ability to inhibit therefore does not ensure control of ongoing tasks, and traditional cognitive tests may be unable to detect such difficulties. Furthermore, performance did not covary with education or action speed. Implications for neuropsychological theory and assessing/enhancing functional ability are discussed.     

Impaired Pavlovian conditioned inhibition in offenders with personality disorders

Certain types of violent offending are often accompanied by evidence of personality disorders (PDs), a range of heterogeneous conditions characterized by disinhibited behaviours that are generally described as impulsive. The tasks previously used to show impulsivity deficits experimentally (in borderline personality disorder, BPD) have required participants to inhibit previously rewarded responses. To date, no research has examined the inhibition of responding based on Pavlovian stimulus-stimulus contingencies, formally "conditioned inhibition" (CI), in PDs. The present study used a computer-based task to measure excitatory and inhibitory learning within the same CI procedure in offenders recruited from the "personality disorder" and the "dangerous and severe personality disorder" units of a high-security psychiatric hospital. These offenders showed a striking and statistically significant change in the expression of inhibitory learning in a highly controlled procedure: The contextual information provided by conditioned inhibitors had virtually no effect on their prepotent associations. Moreover, this difference was not obviously attributable to nonspecific cognitive or motivational factors. Impaired CI would reduce the ability to learn to control associative triggers and so could provide an explanation of some types of offending behaviour.     

Impaired Pavlovian conditioned inhibition in offenders with personality disorders

Certain types of violent offending are often accompanied by evidence of personality disorders (PDs), a range of heterogeneous conditions characterized by disinhibited behaviours that are generally described as impulsive. The tasks previously used to show impulsivity deficits experimentally (in borderline personality disorder, BPD) have required participants to inhibit previously rewarded responses. To date, no research has examined the inhibition of responding based on Pavlovian stimulus–stimulus contingencies, formally “conditioned inhibition” (CI), in PDs. The present study used a computer-based task to measure excitatory and inhibitory learning within the same CI procedure in offenders recruited from the “personality disorder” and the “dangerous and severe personality disorder” units of a high-security psychiatric hospital. These offenders showed a striking and statistically significant change in the expression of inhibitory learning in a highly controlled procedure: The contextual information provided by conditioned inhibitors had virtually no effect on their prepotent associations. Moreover, this difference was not obviously attributable to nonspecific cognitive or motivational factors. Impaired CI would reduce the ability to learn to control associative triggers and so could provide an explanation of some types of offending behaviour.     

Trait impulsivity and callous-unemotional traits as predictors of inhibitory control and risky choices among high-risk adolescents

Trait impulsivity and callous-unemotional traits are associated with behavioural problems among high-risk adolescents. While both are known to influence behaviour, the nature of their expression in high-risk behaviours, particularly those related to inhibitory control, is not well understood. In the current, preliminary study, we examined whether and how these traits predicted deficits in behaviour driven by bottom-up, automatic versus deliberate, top-down inhibitory processes among high-risk adolescents. Two go/no-go task variants, emotional and non-emotional, were used to assess reactive response inhibition, and the Balloon Analogue Risk Task was used to assess the ability to resist deliberate risky choices. The results showed that the two types of self-reported trait measures were differentially associated with performance on the two types of behavioural inhibition tasks. Trait impulsivity predicted non-emotional inhibitory control whereas callous-unemotional traits predicted risky choices. The results also showed that the emotions task elicited slower reaction times and higher false alarm rates than did the letters task, and that participants had greater difficulty inhibiting responses to negatively than to positively valenced no-go stimuli. While preliminary, the results suggest that the interplay between trait impulsivity and callous-unemotional traits is an important determinant of inhibitory behaviour in this high-risk adolescents.     

Enhancing inhibition: How impulsivity and emotional activation interact with different implementation intentions

Implementation intentions, a strategy in which a strong link is created between a cue and a to-be-performed action, have been shown to be efficacious in improving self-regulation. The relative efficacy of verbal and visual implementation intentions, however, has yet to be determined. Implementation intentions have also been shown to be inefficacious in participants with high impulsivity, specifically in individuals who reported having a high tendency to commit rash or regrettable actions as a result of intense affect (high urgency). Nevertheless, previous studies did not assess whether the individuals were in an emotional context at the time of the experiment. In the current study, we compared different forms of implementation intentions (verbal/visual/combined verbal–visual) on a computerized inhibition task while assessing impulsivity and emotional activation. The results showed that all types of implementation intentions improved inhibition performances significantly in participants with high urgency, but only when their emotional activation was low. There was no difference between the three types of implementation intentions.     

The role of impulsivity in actual and problematic use of the mobile phone

Several authors have investigated the risks arising from the growth in mobile phone use (e.g. debts incurred by young people). The aims of the present study are (1) to validate a new questionnaire assessing problematic mobile phone use: the Problematic Mobile Phone Use Questionnaire (PMPUQ), and (2) to investigate the relationships between the PMPUQ and the multi‐faceted construct of impulsivity. With these aims, 339 subjects were screened using the PMPUQ and the UPPS Impulsive Behaviour Scale (UPPS) which assesses four distinct components associated with impulsive behaviours (urgency, lack of premeditation, lack of perseverance and sensation seeking). The results showed that the PMPUQ has an acceptable fit and assesses four different dimensions of problematic mobile phone use (prohibited use, dangerous use, dependence, financial problems). While each facet of impulsivity played a specific role in mobile phones use, urgency appeared to be the strongest predictor of problematic use. Copyright © 2008 John Wiley & Sons, Ltd.     

Rhesus macaques (Macaca mulatta) spontaneously generalize to novel quantities in a reverse-reward contingency task

Abstracting generalities from concrete experience allows the application of acquired knowledge to novel situations, a hallmark of primate cognition. Abstraction may also enable some animals to overcome prepotent biases, by allowing them to treat prepotent stimuli and responses more flexibly. The aim of the current study was to determine whether rhesus macaques (Macaca mulatta) could generalize successful performance on an executive control task with one training exemplar to novel exemplars. Three monkeys learned a reverse-reward task in which they chose between one and four food items. They had to select the smaller quantity to receive the larger one, and so had to inhibit the prepotent selection of the larger quantity. After they learned the task, a transfer test assessed whether they had learned only about the quantities experienced or whether they could generalize to novel quantities. All three rhesus monkeys spontaneously generalized to novel quantities, showing that this species has the ability to generalize significantly beyond the immediate perceptual experience and use this ability to control lower-level, prepotent responses.     

High-restrained eaters only overeat when they are also impulsive

Recent work shows that the inability to inhibit basic motor responses (like pressing a button) is related to overeating, weight gain and overweight. In the present study it was tested whether this inability to inhibit motor responses - or impulsivity - can differentiate between successful and unsuccessful restrained eaters. A typical preload and food exposure paradigm was used and it was hypothesized that only the high-restrained eaters that are simultaneously inefficient inhibitors of prepotent motor responses would overeat when confronted with tempting foods. In line with the hypothesis, the data show that overeating follows from an interaction between restraint and impulsivity; high-restrained eaters only overate when they were also impulsive. It is concluded that being restrained per se is not a determinant of overeating. Being a restrained eater only bears the risk of overeating in case of coexisting impulsivity.     

Applying a dual process model of self-regulation: The association between executive working memory capacity,negative urgency,and negative mood induction on pre-potent response inhibition

This study tested a dual-process model of self-control where the combination of high impulsivity (negative urgency – NU), weak reflective/control processes (low executive working memory capacity – E-WMC), and a cognitive load is associated with increased failures to inhibit pre-potent responses on a cued go/no-go task. Using a within-subjects design, a cognitive load with and without negative emotional load was implemented to consider situational factors. Results suggested that: (1) high NU was associated with low E-WMC; (2) low E-WMC significantly predicted more inhibitory control failures across tasks; and (3) there was a significant interaction of E-WMC and NU, revealing those with low E-WMC and high NU had the highest rates of inhibitory control failures on all conditions of the task. In conclusion, results suggest that while E-WMC is a strong independent predictor of inhibitory control, NU provides additional information for vulnerability to problems associated with self-regulation.     

Emotional inhibition of effective contraception

Negative emotional responses to sex such as anxiety, guilt and fear tend to inhibit sexual behavior. When they are not sufficient to inhibit sexual intercourse, however, they frequently interfere with the ability to plan for, or cope with the consequences of sexual activity. More specifically, these emotional responses to sex frequently interfere with the ability to apply thoughtful and careful logic to contraceptive decision making, and thereby inhibit the use of effective methods of birth control. The current article is a review of the empirical support for emotional inhibition of contraception, and an examination of the psychological mechanisms by which these responses to sex mediate birth control behavior.     

Prepotent response inhibition predicts treatment outcome in attention deficit/hyperactivity disorder

Objective: Inhibition deficits, including deficits in prepotent response inhibition and interference control, are core deficits in ADHD. The predictive value of prepotent response inhibition and interference control was assessed for outcome in a 10-week treatment trial with methylphenidate. Methods: Thirty-four children with ADHD (ages 8–12) received 10 weeks of methylphenidate treatment. At pretest prepotent response inhibition was assessed using the Stop-Signal Task; interference control was assessed using the Stroop Color-Word task. Methylphenidate was individually titrated to an optimal dose. Treatment outcome was assessed by parent- and teacher-rated ADHD behavior. Results: Only stop-signal reaction time of the Stop-Signal Task was a significant predictor of parent-rated levels of inattention and hyperactivity/impulsivity at outcome. Children with lower levels of inhibition showed worse outcome after 10 weeks of treatment, independent of medication dose. Conclusions: Low levels of prepotent response inhibition are associated with worse response to treatment with methylphenidate. Prepotent response inhibition may be an intermediate phenotypical predictor of treatment outcome.     

Is hostile attributional bias associated with negative urgency and impulsive behaviors? A social-cognitive conceptualization of impulsivity

The aim of this study was to verify the relevance of social information-processing (SIP) models in the study of impulsivity. 170 undergraduates completed the UPPS Impulsive Behavior Scale relevant to negative urgency, the SIP–AEQ and control measures. The SIP–AEQ consists of eight vignettes featuring a social situation measuring hostile attributional bias (HAB), emotional responses and impulsive behaviors in response to an ambiguous social provocation. Regression analyses showed negative urgency’s unique contribution to indirect HAB after controlling for the effects of aggressiveness, negative emotions and lack of perseverance, another UPPS dimension of impulsivity. Analyses also revealed that indirect HAB mediates the relationship between negative urgency and impulsive behaviors, after controlling for the effects of aggressiveness and negative emotions. Results suggest that SIP models are relevant to study the active social cognitive processes in impulsive behaviors of high-urgency individuals.     

Impulsivity and Nonsuicidal Self-Injury: Examining the Role of Affect Manipulation

The assessment of impulsivity is complicated by the construct’s multi-faceted nature and poor correspondence between self-report and behavioral measures. These complications extend to populations anecdotally described as impulsive, including individuals who engage in nonsuicidal self-injury (NSSI). Research suggests that self-injurers report impulsivity, primarily negative urgency. Thus, negative affect may be an important prerequisite for increased impulsive behaviors. The present laboratory study examined self-report impulsivity differences between individuals with and without a history of NSSI and if self-injurers demonstrated behavioral impulsivity when experiencing negative affect. Undergraduates with (N?=?54) and without (N?=?61) a history of NSSI participated in a two-part laboratory-based study that investigated the role of affect manipulation in impulsivity and NSSI. Participants were randomly assigned to either a negative or a neutral-relaxing mood induction. Participants completed self-report measures of impulsivity, NSSI, and negative affect. A behavioral measure of impulsivity was administered during Session 1 (prior to a mood induction task) and again during Session 2 (following a mood induction task) to determine whether affect had an effect on behavioral impulsivity task performance. Self-injurers reported higher negative urgency and lack of perseverance but did not display impulsivity on the behavioral task, even under conditions of negative affect.     

Anticipatory affect during action preparation: evidence from backward compatibility in dual-task performance

Upcoming responses in the second of two subsequently performed tasks can speed up compatible responses in the temporally preceding first task. Two experiments extend previous demonstration of such backward compatibility to affective features: responses to affective stimuli were faster in Task 1 when an affectively compatible response effect was anticipated for Task 2. This emotional backward-compatibility effect demonstrates that representations of the affective consequences of the Task 2 response were activated before the selection of a response in Task 1 was completed. This finding is problematic for the assumption of a serial stimulus-response translation stage. It also shows that the affective consequence of a response is anticipated during, and has an impact on stimulus-response translation, which implies that action planning considers codes representing and predicting the emotional consequences of actions. Implications for the control of emotional actions are discussed.     

Task-irrelevant emotional faces impair response adjustments in a double-step saccade task

Cognitive control enables us to adjust behaviours according to task demands, and emotion influences the cognitive control. We examined how task-irrelevant emotional stimuli impact the ability to inhibit a prepared response and then programme another appropriate response. In the study, either a single target or two sequential targets appeared after emotional face images (positive, neutral, and negative). Subjects were required to freely viewed the emotional faces and make a saccade quickly upon target onset, but inhibit their initial saccades and redirect gaze to the second target if it appeared. We found that subjects were less successful at inhibiting their initial saccades as the inter-target delay increased. Emotional faces further reduced their inhibition ability with a longer delay, but not with a shorter delay. When subjects failed to inhibit the initial saccade, the longer delay produced longer intersaccadic interval. Especially, positive faces lengthened the intersaccadic interval with a longer delay. These results showed mere presence of emotional stimuli influences gaze redirection by impairing the ability to cancel a prepared saccade and delaying the programming of a corrective saccade. Therefore, we propose that the modulation of response adjustment exerted by emotional faces is related to the stage of initial response programming.