Impulsivity in abstinent alcohol-dependent patients: relation to control subjects and type 1-/type 2 like traits
Abstract
Extensive literature has linked behavior control problems in childhood to risk for alcoholism, but impulsivity in alcohol-dependent adults has not been well characterized. Using a variety of laboratory measures of impulsivity, we assessed whether detoxified alcohol-dependent patients [(ADP); n = 130] were more impulsive than control subjects [(CS); n = 41]. In comparison with CS, ADP demonstrated (1) increased rates of commission errors, but not omission errors, in a continuous performance test, (2) a more severe devaluation of delayed reward, (3) increased rates of risky responses in a new risk-taking paradigm, and (4) higher psychometric scores of impulsivity and aggression. Across all subjects, aggressiveness correlated significantly with severity of delay discounting. A post hoc analysis of data obtained for male ADP indicated that, in comparison with patients with late onset of problem drinking and no problem-drinking parent, those ADP with earlier age of problem drinking and who reported a problem-drinking father (type 2-like alcohol dependence) demonstrated faster response latencies and more responses to non-target stimuli (commission errors) in the continuous performance test, as well as higher psychometric aggression. In contrast, these subtypes of male ADP did not differ in delay discounting and risk taking. These findings collectively indicate that, in comparison with CS, ADP are more impulsive in several dimensions, with elevated impulsivity in a working memory task as well as aggressivity characteristic of alcohol-dependent men with type 2-like features.
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Elevated rates of discounting have been replicated in comparisons of opioid-dependent individuals, adult cigarette smokers, adolescent smokers, alcoholics, and cocaine-dependent persons to controls.
“These elevated rates of discounting have been replicated in other studies comparing opioid dependent individuals to controls”
From Excessive discounting of delayed reinforcers as a trans-disease process contributing to addiction and other disease-related vulnerabilities: Emerging evidence (2012) · cites this paper as Bjork et al., 2004
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- Authors
- Bjork, J. M., Hommer, D. W., Grant, S. J., & Danube, C.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Bjork, James M.
- Venue
- Alcohol
- Publisher
- Elsevier BV
- Published
- 2004-10
- Volume
- 34
- Issue
- 2-3
- Pages
- 133-150
- ISSN
- 0741-8329 (ISSN-L)
- OpenAlex
- W2072715247
- Cited by
- 354
- References
- 98
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 5 · 2023: 5 · 2022: 7 · 2021: 6 · 2020: 58 · 2019: 15 · 2018: 14 · 2017: 12 · 2016: 15 · 2015: 24 · 2014: 30 · 2013: 34 · 2012: 26
- FWCI
- 4.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Alcohol (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism
- National Institute of General Medical Sciences
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- impulsivity, alcoholism, alcohol withdrawal, delay discounting, risk-taking, aggression, commission errors, omission errors, continuous performance test, working memory, paternal alcohol use
- MeSH terms
- Adolescent, Adult, Alcoholism, Female, Humans, Impulsive Behavior, Male, Middle Aged, Neuropsychological Tests, Psychomotor Performance, Reaction Time, Risk-Taking, Temperance
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