Impulsivity across Substance Use Categories: Consideration of Sex/Gender
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Purpose of review The goal was to review recent (1/2015-2/2020) evidence of impulsivity as a feature of substance use disorders or use of substances (alcohol, cannabis, nicotine, opioids, stimulants) in males compared to females in terms of: a) impulsivity in substance-using groups (or substance-using compared to control groups), and b) relationship between impulsivity and substance use behavior, clinical severity, or treatment outcomes. Recent findings Of 361 papers identified by the searches, 69 met inclusion criteria, and 39 were highlighted for considering sex/gender in relation to impulsivity in substance-using populations. Taken together, findings supported higher impulsivity in males and females who use substances, relative to controls; and higher impulsivity was linked with more substance use/severity in both sex/genders. There were mixed findings regarding male versus female differences in impulsivity among individuals who use substances, or in the magnitude of the relationship between impulsivity and substance use severity. Summary The current body of evidence does not point to a consistent sex/gender difference in the role of impulsivity within and across substance use disorders. Impulsivity is a clinically-relevant construct for male and female individuals who use substances, across a range of substances.
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Impulsivity is a core predictor of addictive behaviors and of negative outcomes associated with addiction.
“Extant literature has highlighted impulsivity as a core predictor of addictive behaviors and negative outcomes associated with addiction (DeVito et al., 2020; Koob & Volkow, 2010).”
From Problematic social media use and inhibitory control among post-secondary students (2025) · cites this paper as DeVito et al., 2020
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Cited by
Sorted by citations
Problematic social media use and inhibitory control among post-secondary students
Shannon, H., Montgomery, M., Guimond, S., & Hellemans, K. (2025) · Addictive Behaviors · doi:10.1016/j.addbeh.2025.108307 · Cited by 16 · see citing works
Mascaro, L., Drummond, S. P. A., Leota, J., Boardman, J. M., Hoffman, D., Rajaratnam, S. M. W., Aidman, E., & Facer-Childs, E. R. (2023) · Frontiers in Physiology · doi:10.3389/fphys.2023.1118822 · Cited by 10 · see citing works
- Authors
- DeVito, E. E., Weinberger, A. H., Pang, R. D., Petersen, N., Fagle, T., & Allen, A. M.
- Affiliations
- Yale University (US)
- Albert Einstein College of Medicine (US)
- University of Southern California (US)
- University of Arizona (US)
- Corresponding author
- DeVito, Elise E.
- Venue
- Current Behavioral Neuroscience Reports
- Published
- 2020-07-15
- Volume
- 7
- Issue
- 3
- Pages
- 109-127
- ISSN
- 2196-2979 (ISSN-L)
- PMC
- PMC7891462
- OpenAlex
- W3043741430
- Cited by
- 28
- References
- 3
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 2 · 2021: 3
- FWCI
- 1.79
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Behavioral Neuroscience Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute on Drug Abuse (K01 DA040043, K99045749)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Keywords
- impulsivity, sex differences, gender differences, substance use disorders, alcohol consumption, cannabis use, nicotine use, opioid use, stimulant use, substance use severity, treatment outcomes, clinical severity
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