Behavioral components of impulsivity predict alcohol consumption in adults with ADHD and healthy controls
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Background The degree to which distinct behavioral components of impulsivity predict alcohol consumption is as yet not well-understood. Further, the possibility that this relation might be more pronounced in groups characterized by heightened impulsivity (i.e., individuals with ADHD) has not been tested.Methods The current study examined the degree to which three specific behavioral components of impulsivity (i.e., poor response inhibition, poor attentional inhibition, and increased risk-taking) were associated with quantity and frequency of alcohol consumption in a group of young adult social drinkers with ADHD (n = 33) and in a comparison control group (n = 21). Participants performed the delayed ocular return task (attentional inhibition), the cued go/no-go task (behavioral inhibition), and the balloon analogue risk task (risk-taking).Results Both poor behavioral inhibition and greater risk-taking were related to greater quantity of consumption in the entire sample, whereas poor attentional inhibition was related to greater quantity specifically among those with ADHD. By contrast, only risk-taking was associated with frequency of consumption, and this was found specifically in the control group.Conclusions These findings provide important information regarding the potential role of distinct behavioral components of impulsivity in drinking behavior, and highlight unique relevance of attentional impairments to drinking behavior in those with ADHD.
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Two studies investigated the performance of adults with ADHD on the BART and neither revealed significant differences in risky performance between adults with ADHD and NCs.
“Two studies investigated the performance of adults with ADHD on the BART and neither study revealed significant differences in risky performance between adults with ADHD and NCs [64], [65].”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [65]
Weafer et al. did not find any group differences in the total number of pumps on the BART between adults with ADHD and NCs (Cohen's d = 0.14).
“Similarly, Weafer et al. [65] did not find any group differences in the total number of pumps on the BART between adults with ADHD and NCs (Cohen’s d = 0.14).”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [65]
It is unlikely that age contributed meaningfully to the outcomes of the studies, because all studies except one controlled for age by group matching or statistical correction (24/25 = 96%).
“In terms of the effect of age within the individuals studies, it is unlikely that age contributed meaningfully to the outcomes of the studies, because all studies except one [65] controlled for age by group matching or statistical correction (24/25 = 96% of studies controlled for age as an alternate explanatory factor).”
From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [65]
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- Authors
- Weafer, J., Milich, R., & Fillmore, M. T.
- Affiliations
- University of Kentucky (US)
- Corresponding author
- Fillmore, Mark T.
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2011-01
- Volume
- 113
- Issue
- 2-3
- Pages
- 139-146
- ISSN
- 0376-8716 (ISSN-L)
- PMC
- PMC3010339
- OpenAlex
- W2003692825
- Cited by
- 92
- References
- 82
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 6 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 4 · 2017: 7 · 2016: 7 · 2015: 7 · 2014: 7 · 2013: 16 · 2012: 10
- FWCI
- 7.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UKnowledge (University of Kentucky) (submittedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01 AA012874, R01AA012895, R01AA018274, F31AA018584)
- National Institute on Drug Abuse (R21DA021027, DA005312)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- impulsivity, alcohol consumption, attention deficit hyperactivity disorder, behavioral inhibition, attentional inhibition, risk-taking, response inhibition, alcohol quantity, young adults, social drinkers, attentional impairment
- MeSH terms
- Alcohol Drinking, Attention, Attention Deficit Disorder with Hyperactivity, Female, Humans, Impulsive Behavior, Inhibition, Psychological, Male, Psychomotor Performance, Risk-Taking, Young Adult
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