@article{TEXTUAL,
      recid = {10337},
      author = {Crisp, Zharia C. and Grant, Jon E.},
      title = {Impulsivity across psychiatric disorders in young adults},
      journal = {Comprehensive Psychiatry},
      address = {2024-01-04},
      number = {TEXTUAL},
      abstract = {<p>Purpose: Impulsivity is a common cognitive issue across  several psychiatric illnesses but is most frequently  associated with the DSM-5 Disruptive, Impulse Control and  Conduct Disorders, ADHD, and addictive disorders. We  hypothesized that a wide range of psychiatric disorders  would be associated with elevated impulsivity, not just  those commonly linked to impulsiveness. This study aimed to  explore the relationship between impulsivity and various  psychiatric disorders in young adults.</p> <p>Procedures:  700 non-treatment seeking participants (aged 18–29 years)  were enrolled from the general community, provided  demographic information, and underwent a psychiatric  evaluation to screen for various psychiatric disorders.  Each participant then completed the Barratt Impulsiveness  Scale (BIS), a self-report measure of impulsivity, followed  by the Stop Signal Task (SST), a computerized  stop-attention task that measures impulse control.  Impulsivity levels across psychiatric disorders were  examined by analyzing z-scores relative to controls.</p>  <p>Main findings: Patients with bulimia nervosa, comorbid  panic disorder with agoraphobia, and borderline personality  disorder showed the highest levels of attentional, motor,  and non-planning impulsivity, respectively. The effect size  of the difference in total BIS impulsivity was large (d >  0.8) for several conditions including eating, personality,  addictive, and mood disorders. The effect size of the  difference in impulsivity was not large for any of the  measures of ADHD. As compared to other psychiatric  disorders analyzed, trichotillomania showed the greatest  levels of impulsivity as measured by SST.</p> <p>Principal  conclusions: This data indicates that a wide range of  psychiatric disorders exhibit heightened impulsivity with  findings differing across various cognitive domains.  Comorbidity resulted in unique findings of elevated  impulsivity. This may suggest utility in viewing  impulsivity as a transdiagnostic factor for a broad range  of psychiatric disorders. Future studies should analyze  comorbidities and whether patient psychiatric medication  impacts these findings.</p>},
      url = {http://knowledge.uchicago.edu/record/10337},
}