TY  - JOUR
PY  - 2017//
TI  - Are self-rated and behavioural measures of impulsivity in bipolar disorder mainly related to comorbid substance use problems?
JO  - Cognitive neuropsychiatry
A1  - Bauer, Isabelle E.
A1  - Meyer, Thomas D.
A1  - Sanches, Marsal
A1  - Spiker, Danielle
A1  - Zunta-Soares, Giovana
A1  - Soares, Jair C.
SP  - 298
EP  - 314
VL  - 22
IS  - 4
N2  - INTRODUCTION: Impulsivity is a multidimensional feature observed in bipolar disorder (BD) and substance use disorder (SUD). We previously found a relationship between SUD and risk taking in BD. It is still unclear whether self-rated and behavioral impulsivity measures differ between BD with and without comorbid SUD, or are specific to BD. <br><br>METHODS: 93 adults with BD with comorbid SUD, 91 BD without SUD, and 93 healthy controls (HC) were administered the Barratt Impulsivity Scale (BIS), the Behavioral Inhibition/Behavioral Activation System Scale (BIS/BAS), and the Cambridge Neuropsychological Test Automated Battery. Analyses compared impulsivity measures across groups controlling for age. Discriminant function analyses (DFA) assessed the combination of variables effectively predicting group membership. <br><br>RESULTS: BD displayed increased BIS, BIS/BAS scores, reduced performance on the Cambridge Gambling and Rapid Visual Processing, and Affective Go/No-Go tasks compared to HC. Comparisons between BD with and without SUD showed increased BIS Motor impulsiveness. The overall predictive power of DFA was weak. <br><br>CONCLUSIONS: Some facets of impulsivity are a core trait of BD and are partially independent from the presence of SUD. Motor impulsiveness may be distinctive of BD+SUD. More research is needed to understand the role of impulsive behaviors as risk factors for relapse in SUD.<p />  <p>Language: en</p>
LA  - en
SN  - 1354-6805
UR  - http://dx.doi.org/10.1080/13546805.2017.1324951
ID  - ref1
ER  -