Former heroin addicts with or without a history of cocaine dependence are more impulsive than controls
Open accessAbstract
Background Personality traits such as impulsivity and sensation seeking may contribute to the initiation and maintenance of illicit drug use. Since studies have reported higher impulsivity and sensation seeking traits in cocaine dependent subjects, we were interested in determining whether former heroin addicts in methadone pharmacotherapy with comorbid cocaine addiction have greater impulsivity than those without.Methods Instruments to assess impulsivity (Barratt Impulsiveness Scale version 11) and sensation seeking (Sensation Seeking Scale version V) were administered to former severe heroin addicts meeting Federal criteria for methadone maintenance pharmacotherapy with (n = 71) or without cocaine dependence (n = 31) and to 145 normal healthy (non-methadone-maintained) volunteers.Results The methadone-maintained without cocaine dependence and the methadone-maintained with cocaine dependence groups, both scored higher than did the normal volunteer group on the Barratt Impulsiveness Scale total score (p<0.001). On the Barratt Impulsiveness Scale Attentional, Nonplanning, and Motor subscales, the methadone-maintained and methadone-maintained with cocaine dependence groups scored higher than did normal volunteers with no history of drug abuse or dependence (p<0.001). There was no difference among groups on total score or any subscale of the Sensation Seeking Scale. However, males in all groups overall scored higher than did females on Disinhibition and Thrill and Adventure seeking subscales of the Sensation Seeking Scale version V (p<0.001).Conclusions This study demonstrates higher impulsivity in former severe heroin addicts meeting criteria for or currently in stable methadone maintenance pharmacotherapy, irrespective of a positive or negative history of cocaine dependence.
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“…impulsivity has been found to be associated with cocaine (Bornovalova et al., 2005a; Bornovalova et al., 2005b; Fillmore and Rush, 2002; Li et al., 2006; Moeller et al., 2002; Moeller et al., 2001; Patkar et al., 2003; Verdejo-García et al., 2007; Verdejo-Garcia et al., 2007) abuse or dependence.”
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“Cocaine users have been reported to be more impulsive than heroin users (Bornovalova et al., 2005a), although in our study the former heroin addicts with cocaine dependence were similar to those without cocaine codependence.”
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Li, C., Milivojevic, V., Kemp, K., Hong, K., & Sinha, R. (2006) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2006.04.008 · Cited by 188 · cited 2× · see citing works
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“It has been characterized as “an inability to evaluate a stimulus fully before responding to it (rapid-response impulsivity), and as an inability to delay responding despite a larger reward (reward-delay impulsivity)” (Swann et al., 2009).”
BackgroundFederal Regulation of Methadone Treatment
Rettig, R. A., & Yarmolinsky, A. (2013) · Cited by 165 · see citing works
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“Higher sensation seeking was reported in cocaine dependent subjects (Patkar et al., 2002; Patkar et al., 2004), cocaine using university students (Jaffe and Archer, 1987), and was associated with more severe symptoms of substance abuse in cocaine abusers (Ball et al., 1994).”
BackgroundResultInfluentialThe Prediction of Drug Use Among College Students From MMPI, MCMI, and Sensation Seeking Scales
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“Higher sensation seeking was reported in cocaine dependent subjects (Patkar et al., 2002; Patkar et al., 2004), cocaine using university students (Jaffe and Archer, 1987), and was associated with more severe symptoms of substance abuse in cocaine abusers (Ball et al., 1994).”
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Relationship between impulsivity and decision-making in cocaine dependence
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“Our results are similar to other reports on impulsivity in cocaine dependent subjects, who had higher scores on the Barratt Impulsiveness Scale when compared to controls (Ersche et al., 2010; Kjome et al., 2010; Moeller et al., 2002; Patkar et al., 2002; Patkar et al., 2004).”
ResultFranques, P. (2003) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(02)00309-5 · Cited by 117 · cited 2× · see citing works
“Our findings contrast with other studies on opiate use that reported higher sensation seeking on the Disinhibition and Thrill and Adventure Seeking subscales in opiate dependent subjects entering treatment (Franques et al., 2003), higher sensation seeking in families with probands seeking treatment (Kosten et al.”
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“Higher sensation seeking was reported in cocaine dependent subjects (Patkar et al., 2002; Patkar et al., 2004), cocaine using university students (Jaffe and Archer, 1987), and was associated with more severe symptoms of substance abuse in cocaine abusers (Ball et al., 1994).”
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“, 1997) as well with other measures of impulsivity (Clark et al., 2006; Lejuez et al., 2005; VerdejoGarcia et al., 2007).”
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“A recent study that used rats separated into high and low impulsive groups found that “trait-like impulsivity” did not predict escalation of heroin self-administration across 18 days of six hour sessions (McNamara et al., 2010).”
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“Acute morphine administration increased specific measures of impulsivity in rats (Kieres et al., 2004; Pattij et al., 2009).”
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“Since differential results by gender have been reported, we included gender in our analyses (Allen et al., 1998, Andrucci et al., 1989b, Kosten et al., 1994, Lejuez et al., 2007, Satinder and Black, 1984, Sutker et al., 1978, Zuckerman, 1972).”
BackgroundMethodInfluentialEndogenous Opioid Blockade and Impulsive Responding in Alcoholics and Healthy Controls
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“Higher sensation seeking was reported in cocaine dependent subjects (Patkar et al., 2002; Patkar et al., 2004), cocaine using university students (Jaffe and Archer, 1987), and was associated with more severe symptoms of substance abuse in cocaine abusers (Ball et al., 1994).”
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“High sensation seeking predicted an earlier age of onset for substance use and abuse (Ball et al., 1994; Sutker et al., 1978), and adolescent drug use in a longitudinal study (Teichman et al., 1989).”
BackgroundInfluentialA Sibling Study of Sensation Seeking and Opiate Addiction
Kosten, T. A., Ball, S. A., & Rounsaville, B. J. (1994) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199405000-00006 · Cited by 71 · cited 9× · see citing works
“, 2003), higher sensation seeking in families with probands seeking treatment (Kosten et al., 1994; Luthar et al., 1992), and higher scores on the Sensation Seeking Scale Nielsen et al.”
BackgroundMethodResultInfluentialPatterns of drug abuse: Relationships with ethnicity, sensation seeking, and anxiety.
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“Early studies hypothesized that subjects preferring sedating or depressant drugs, such as heroin, might be low in sensation seeking (Kaestner et al., 1977; Kohn et al., 1979).”
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“Sensation seeking behavior may be predictive of drug abuse vulnerability, particularly in adolescence (Martin et al., 2004).”
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“Siblings of opioid addicted subjects were more likely to use drugs if they had tried drugs as teenagers, had used drugs with peers, and/ or had scored higher on sensation seeking as measured by the Sensation Seeking Scale (Kosten et al., 1994; Luthar et al., 1992).”
BackgroundDrug Abuse: Current Concepts and Research
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“Since differential results by gender have been reported, we included gender in our analyses (Allen et al., 1998, Andrucci et al., 1989b, Kosten et al., 1994, Lejuez et al., 2007, Satinder and Black, 1984, Sutker et al., 1978, Zuckerman, 1972).”
Cannabis Use and Sensation-Seeking Orientation
Satinder, K. P., & Black, A. (1984) · The Journal of Psychology · doi:10.1080/00223980.1984.9923623 · Cited by 33 · cited 3× · see citing works
“Since differential results by gender have been reported, we included gender in our analyses (Allen et al., 1998, Andrucci et al., 1989b, Kosten et al., 1994, Lejuez et al., 2007, Satinder and Black, 1984, Sutker et al., 1978, Zuckerman, 1972).”
BackgroundMethodResultSubstance Abuser Impulsivity Decreases with a Nine-Month Stay in a Therapeutic Community
Bankston, S., Carroll, D. D., Cron, S. G., Granmayeh, L. K., Marcus, M. T., Moeller, F. G., Schmitz, J. M., Swank, P. R., & Liehr, P. R. (2009) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952990903410707 · Cited by 30 · cited 1× · see citing works
“A nine month stay in a therapeutic community reduced Barratt Impulsiveness Scale version 11 scores of substance abusers (Bankston et al., 2009).”
BackgroundImpulsiveness and subjective effects of intravenous cocaine administration in the laboratory.
Cascella, N., Nagoshi, C., Muntaner, C., Walter, D., Haertzen, C., & Kumor, K. (1994) · Journal of Substance Abuse · doi:10.1016/s0899-3289(94)90278-x · Cited by 27 · cited 2× · see citing works
“An association has been reported between impulsivity and subjective euphoria following acute cocaine administration in male intravenous cocaine users (Cascella et al., 1994), average daily cocaine use, and cocaine withdrawal symptoms (Moeller et al.”
BackgroundPatkar, A. A., Gottheil, E., Thornton, C. C., Hill, K. P., Weinstein, S. P., & Berrettini, W. H. (2003) · Journal of Addictive Diseases · doi:10.1300/j069v22n01_06 · Cited by 13 · cited 4× · see citing works
“…impulsivity has been found to be associated with cocaine (Bornovalova et al., 2005a; Bornovalova et al., 2005b; Fillmore and Rush, 2002; Li et al., 2006; Moeller et al., 2002; Moeller et al., 2001; Patkar et al., 2003; Verdejo-García et al., 2007; Verdejo-Garcia et al., 2007) abuse or dependence.”
BackgroundInfluentialExperience-seeking characteristics of methadone clients.
Kohn, P. M., & al., E. (1979) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.47.5.980 · Cited by 12 · cited 2× · see citing works
“Patients in methadone treatment scored higher on a novelty seeking scale, marginally higher on external sensation seeking, and appeared “more bored and desirous of change in their lives” than were controls (Kohn et al., 1979).”
BackgroundExperience-seeking characteristics of methadone clients.
Kohn, P. M., Barnes, G. E., Fishlinsky, M., et al. (1979) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.47.5.980 · Cited by 9 · see citing works
Factor structure of the Barratt impulsiveness scale
Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995) · Journal of Clinical Psychology · doi:10.1002/1097-4679(199511)51:6
Flagged first, then by citations
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The neurobiology of impulsivity and substance use disorders: implications for treatment
Kozak, K., Lucatch, A. M., Lowe, D. J. E., Balodis, I., Mackillop, J., & George, T. P. (2018) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.13977 · Cited by 266 · see citing works
Impulsivity as a predictor of treatment outcome in substance use disorders: Review and synthesis
Loree, A. M., Lundahl, L. H., & Ledgerwood, D. M. (2014) · Drug and Alcohol Review · doi:10.1111/dar.12132 · Cited by 192 · see citing works
“Self-reported impulsivity has been found to be elevated among alcohol [45], cocaine [46], opiate [47] and cannabis-dependent [44] individuals.”
BackgroundAddictions and Personality Traits: Impulsivity and Related Constructs
Mitchell, M. R., & Potenza, M. N. (2014) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-013-0001-y · Cited by 153 · see citing works
Attentional bias for nondrug reward is magnified in addiction.
Anderson, B. A., Faulkner, M. L., Rilee, J. J., Yantis, S., & Marvel, C. L. (2013) · Experimental and Clinical Psychopharmacology · doi:10.1037/a0034575 · Cited by 131 · see citing works
“…Passetti, Humphris, & Matthews, 2012; Garavan & Hester, 2007) and increased impulsiveness (e.g., Hester & Garavan, 2004; Khurana et al., 2013; Nielsen et al., 2012; Papachristou, Nederkoorn, Havermans, van der Horst, & Jansen, 2012), and these two characteristics are known risk factors for…”
BackgroundHerrmann, E. S., Hand, D. J., Johnson, M. W., Badger, G. J., & Heil, S. H. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.07.026 · Cited by 100 · see citing works
“It has emonstrated reliability and validity, and has been used previously with OD individals (Hanson et al., 2008; Huang et al., 2013; Marino et al., 2013; Nielsen et al., 2012; atton et al., 1995).”
MethodThe Role of Family Expressed Emotion and Perceived Social Support in Predicting Addiction Relapse
Atadokht, A., Hajloo, N., Karimi, M., & Narimani, M. (2015) · International Journal of High Risk Behaviors and Addiction · doi:10.5812/ijhrba.21250 · Cited by 98 · see citing works
“Addiction relapse is one of the important issues in addiction recovery (6).”
BackgroundMahoney, J. J., Thompson-Lake, D. G. Y., Cooper, K., Verrico, C. D., Newton, T. F., & Garza, R. D. L. (2014) · Journal of Psychopharmacology · doi:10.1177/0269881114560182 · Cited by 76 · see citing works
“Moreover, our results are similar to other findings on impulsivity in cocaine-dependent subjects assessed in other laboratories, who also demonstrated higher scores on the BIS when compared to healthy controls (Ersche et al., 2010; Kjome et al., 2010; Moeller et al., 2002; Nielsen et al., 2012; Patkar et al., 2002, 20…”
ResultMurphy, A., Taylor, E., & Elliott, R. (2012) · Frontiers in Integrative Neuroscience · doi:10.3389/fnint.2012.00101 · Cited by 60 · see citing works
Common and specific liability to addiction: Approaches to association studies of opioid addiction
Nielsen, D. A., & Kreek, M. J. (2012) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2012.03.026 · Cited by 55 · see citing works
“Recent studies from our laboratory have shown that former heroin addicts in methadone maintenance treatment have higher impulsivity than controls, regardless of comorbid cocaine dependence (Nielsen et al., 2012).”
BackgroundSelf-citationGrit in patients with substance use disorders
Griffin, M. L., McDermott, K. A., McHugh, R. K., Fitzmaurice, G. M., & Weiss, R. D. (2016) · American Journal on Addictions · doi:10.1111/ajad.12460 · Cited by 47 · see citing works
Neural correlates of adherence to extended-release naltrexone pharmacotherapy in heroin dependence
Wang, A. L., Elman, I., Lowen, S. B., Blady, S. J., Lynch, K. G., Hyatt, J. M., O’Brien, C. P., & Langleben, D. D. (2015) · Translational Psychiatry · doi:10.1038/tp.2015.20 · Cited by 41 · see citing works
Marino, E. N., Rosen, K. D., Gutierrez, A., Eckmann, M. S., Ramamurthy, S., & Potter, J. S. (2013) · Addictive Behaviors · doi:10.1016/j.addbeh.2013.01.020 · Cited by 37 · see citing works
“of impulsivity compared to controls (Kirby, Petry, & Bickel, 1999; Nielsen et al., 2012; Robles, Huang, Simpson, & McMillan, 2011).”
InfluentialFareed, A., Kim, J., Ketchen, B. R., Kwak, W. J., Wang, D., Shongo-Hiango, H., & Drexler, K. P. G. (2017) · Journal of Addictive Diseases · doi:10.1080/10550887.2017.1280898 · Cited by 37 · see citing works
“It has been well-established in the literature that heroin-dependent individuals (HDI) are more likely to engage in risky behaviors compared to healthy subjects.(4,5) These behaviors are often associated with increased risk of heroin overdose, transmission of infectious diseases, and premature death.”
BackgroundPaydary, K., Torabi, S. M., SeyedAlinaghi, S., Noori, M., Noroozi, A., Ameri, S., & Ekhtiari, H. (2016) · AIDS Research and Treatment · doi:10.1155/2016/5323256 · Cited by 36 · see citing works
“Considering that using drugs through injection and unprotected sex are the major routes of HIV transmission, identification of the underlying psychological factors in HIV patients would be of utmost importance [6–8].”
BackgroundAggression and Impulsivity in Different Groups of Alcohol and Heroin Dependent Inpatient Men
Bozkurt, M., Evren, C., Yilmaz, A., Can, Y., & Çetingök, S. (2013) · Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology · doi:10.5455/bcp.20130127021314 · Cited by 29 · see citing works
Tsai, T.-Y., Wang, T., Liu, Y. C., Lee, P.-W., Chang, W. H., Lu, T., Tseng, H., Lee, S.-Y., Chang, Y.-H., Yang, Y., et al. (2021) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2020.1849247 · Cited by 27 · see citing works
“that individuals with OUD displayed higher levels of impulsivity compared to controls (69).”
BackgroundVassileva, J., Paxton, J., Moeller, F., Wilson, M. J., Bozgunov, K., Martin, E., Gonzalez, R., & Vasilev, G. (2013) · Addictive Behaviours · doi:10.1016/j.addbeh.2013.11.020 · Cited by 29 · see citing works
“Studies have also demonstrated that compared to controls, abstinent HDIs continue to show greater trait impulsivity (Nielsen et al., 2012).”
BackgroundSex modulates approach systems and impulsivity in substance dependence
Perry, R. I., Krmpotich, T. D., Thompson, L. L., Mikulich‐Gilbertson, S. K., Banich, M. T., & Tanabe, J. (2013) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2013.04.032 · Cited by 27 · see citing works
“Studies indicate that SDI samples are more impulsive than ontrols (Moeller and Dougherty, 2002; Nielsen et al., 2012) and uch increases in impulsivity appear to contribute to substance se severity and vulnerability to dependence (Lejuez et al.”
BackgroundStriatal functional connectivity in chronic ketamine users: a pilot study
Hung, C., Zhang, S., Chen, C., Duann, J., Lin, C., Lee, T. S., & Li, C. R. (2019) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2019.1624764 · Cited by 23 · see citing works
Locomotor activity does not predict individual differences in morphine self-administration in rats
Swain, Y., Muelken, P., LeSage, M. G., Gewirtz, J. C., & Harris, A. C. (2018) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2018.01.008 · Cited by 22 · see citing works
“…relationship between sensation-seeking and opioid use in humans (Franques et al., 2003; Kosten et al., 1994; Vest et al., 2016), while others have shown either no relationship (Conrod et al., 2000; Marino et al., 2013; Nielsen et al., 2012) or a negative relationship (Ahn and Vassileva, 2016).”
Butelman, E. R., Chen, C. Y., Brown, K. G., & Kreek, M. J. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.107657 · Cited by 18 · see citing works
“Trait impulsivity has been examined for its association to opioid or cocaine use disorders, and persons with these SUD typically exhibit greater impulsivity than controls (Coffey et al., 2003; Moeller et al., 2001; Nielsen et al., 2012).”
BackgroundSelf-citationÇiçek, İ. E., Çíçek, E., Demirel, B., Ayhan, M. G., Varsak, N., Özbek, S. Y., Selçuk, M., & Eren, İ. (2017) · Personality and Individual Differences · doi:10.1016/j.paid.2017.05.031 · Cited by 18 · see citing works
Relationships of personality dimensions with impulsivity in alcohol-dependent inpatient men
Bozkurt, M., Evren, C., Can, Y., Evren, B., Çetingök, S., & Yilmaz, A. (2013) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2013.830772 · Cited by 16 · see citing works
“Impulsivity may mediate the effects of substance on aggression (15, 16), might contribute signifi cantly to the risk of suicide attempts in substance-dependent patients (17, 18) and may interrupt with their outpatient or inpatient treatment (19 – 21).”
BackgroundSwain, Y., Gewirtz, J. C., & Harris, A. C. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.108561 · Cited by 18 · see citing works
Fielenbach, S., Donkers, F. C. L., Spreen, M., & Bogaerts, S. (2017) · JMIR Research Protocols · doi:10.2196/resprot.6907 · Cited by 16 · see citing works
“Primary outcome variables are the degree of impulsivity as measured with the Dutch version of the BIS-11 [39]; inhibitory control as measured with a cued go/no-go reaction time task [40]; degree of drug craving as measured with an altered version of the Desire for Alcohol Questionnaire (DAQ) [41]; actual drug use as m…”
InfluentialBasharpoor, S., Khosravinia, D., Atadokht, A., Daneshvar, S., Narimani, M., & Massah, O. (2014) · Practice in Clinical Psychology · Cited by 16 · see citing works
Evren, C., Alnıak, İ., Karabulut, V., Cetin, T., Umut, G., Ağaçhanlı, R., & Evren, B. (2018) · Psychiatry Investigation · doi:10.30773/pi.2017.05.14.1 · Cited by 16 · see citing works
High Concomitant Misuse of Fentanyl in Subjects on Opioid Maintenance Treatment
Krause, D., Plörer, D., Koller, G., Martin, G., Winter, C., Adam, R., Canolli, M., Al-Iassin, J., Musselmann, R., Walcher, S., et al. (2017) · Substance Use & Misuse · doi:10.1080/10826084.2016.1246571 · Cited by 15 · see citing works
“Also, there have been reports on more impulsiveness in heroindependent patients, possibly leading to a stronger desire for concomitant drugs (Nielsen et al., 2012).”
BackgroundPeters, L., & Soyka, M. (2018) · Neuropsychobiology · doi:10.1159/000494697 · Cited by 15 · see citing works
Salehi, L., & Alizadeh, L. (2018) · Shiraz E-Medical Journal · doi:10.5812/semj.14170 · Cited by 13 · see citing works
Reinforcement learning modulates the stability of cognitive control settings for object selection
Sali, A. W., Anderson, B. A., & Yantis, S. (2013) · Frontiers in Integrative Neuroscience · doi:10.3389/fnint.2013.00095 · Cited by 14 · see citing works
“In a dynamic environment, any non-rewarded selection may be indicative of a decrement in the true underlying value of the selected object to below that of alternatives, or could simply result from a probabilistic instance of no reward following optimal selection.”
BackgroundMediational pathways among trait impulsivity, heroin-use consequences, and current mood state
Reid, H. H., Lundahl, L. H., Lister, J. J., Woodcock, E. A., & Greenwald, M. K. (2018) · Addiction Research & Theory · doi:10.1080/16066359.2018.1434513 · Cited by 10 · see citing works
“…frequent heroin use, injection (vs. non-injection) heroin use, greater heroin consumption and withdrawal severity, and lower likelihood of treatment seeking (Nielsen et al. 2012; Dissabandara et al. 2014); all factors associated with increased adverse consequences and dysfunction (de Wit 2009).”
BackgroundPrenatal Stress as a Factor of the Development of Addictive States
Stratilov, V. A., Tyulkova, E. I., & Vetrovoy, O. V. (2020) · Journal of Evolutionary Biochemistry and Physiology · doi:10.1134/s0022093020060010 · Cited by 9 · see citing works
The Ability of Forensic Psychiatric Patients with Substance Use Disorder to Learn Neurofeedback
Fielenbach, S., Donkers, F. C. L., Spreen, M., & Bogaerts, S. (2018) · International Journal of Forensic Mental Health · doi:10.1080/14999013.2018.1485187 · Cited by 9 · see citing works
Resting State EEG Activity Related to Impulsivity in People with Prescription Opioid Use Disorder
Corace, K., Baysarowich, R., Willows, M., Baddeley, A., Schubert, N., & Knott, V. (2022) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2022.111447 · Cited by 8 · see citing works
Liu, Y., Liu, N., Shen, W., Li, L., Zhou, W., & Xu, L. (2021) · Drug Design Development and Therapy · doi:10.2147/dddt.s305226 · Cited by 8 · see citing works
“, in which no significance is found between ATS-abusing and non-ATSabusing OMT patients.(24,25,42) The discrepancy may be attributable to the different duration of maintenance treatment between MMT and BMT populations.”
BackgroundResultStratilov, V. A., Vetrovoy, O. V., & Tyulkova, E. I. (2022) · Molecular Neurobiology · doi:10.1007/s12035-022-02866-8 · Cited by 7 · see citing works
“For many years, addiction neurobiology has been trying to decipher the mechanisms for the variability of individual predisposition to addiction [1, 2].”
BackgroundA Preliminary Comparison of Cannabis Use in Subsyndromal Gamblers
Leppink, E. W., Derbyshire, K. L., Chamberlain, S. R., & Grant, J. E. (2014) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000079 · Cited by 7 · see citing works
“Previous research using the attentional impulsivity subscale has shown significantly higher levels of various impulsive and addictive behaviors, including pathological gambling, alcohol abuse, and illegal drug abuse (Kjome et al., 2010; Knezevic & Ledgerwood, 2012; Nielsen et al., 2012; Blackwell & Burke, 2013).”
MethodImpulsivity and opioid use disorder
Evren, C., & Bozkurt, M. (2017) · Dusunen Adam The Journal of Psychiatry and Neurological Sciences · doi:10.5350/dajpn20173002001 · Cited by 8 · see citing works
“These findings were similar to previous studies showing higher impulsivity scores in patients with AUD (2) and OUD (10) compared to the general population.”
BackgroundResultNegative affectivity drivers of impulsivity in opioid use disorder
Vassileva, J., Psederska, E., & Bjork, J. M. (2025) · Nature Reviews Psychology · doi:10.1038/s44159-025-00404-6 · Cited by 6 · see citing works
“Most of the self-report studies show increased trait impulsivity in opioid users compared with control individuals with no history of chronic substance use 102–105 (Table 2).”
Treatment outcomes of drug users in probation period: three months follow-up
Bilici, R., Ögel, K., Bahadır, G. G., Maçkan, A., Orhan, N., & Tuna, Z. O. (2017) · Psychiatry and Clinical Psychopharmacology · doi:10.1080/24750573.2017.1391156 · Cited by 7 · see citing works
“Lack of anger management was stated to be among causes to abandon treatment of addiction, and impulsive behaviour was stated to be more frequently seen in addicted substance users relative to those who are not addicted [26,27].”
BackgroundBehavioral Risk Factors for HIV Infection in Hospitalized Persons Who Co-use Stimulants and Opioids
Jawa, R., Stein, M. D., Anderson, B. J., Liebschutz, J. M., Stewart, C., Phillips, K. T., & Barocas, J. A. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03460-0 · Cited by 6 · see citing works
Keihani, A., Ekhtiari, H., Batouli, S. A. H., Shahbabaie, A., Sedighi, N., Mirmohammad, M., & Oghabian, M. A. (2017) · Iranian Journal of Radiology · doi:10.5812/iranjradiol.41858 · Cited by 6 · see citing works
Heyman, G. M., Dunn, B. J., & Mignone, J. (2014) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2014.00070 · Cited by 5 · see citing works
“(12)], by choice procedures which used hypothetical rewards [e.”
Relationships of personality dimensions with impulsivity in heroin dependent inpatient men
Evren, C., Bozkurt, M., Evren, B., Can, Y., Yiğiter, S., & Yilmaz, A. (2013) · Anatolian Journal of Psychiatry · doi:10.5455/apd.40633 · Cited by 4 · see citing works
Predictors of Adolescents' Positive and Negative Risk‐Taking: Similarities and Differences
Gao, S., Wang, T., Sun, B., & Li, D. (2025) · Journal of Adolescence · doi:10.1002/jad.12482 · Cited by 3 · see citing works
Ayali, N., Tauman, R., & Peles, E. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.05.033 · Cited by 3 · see citing works
Opioid Dependence Risk Factors and Risk Assessment
McAnally, H. B. (2017) · Springer eBooks · doi:10.1007/978-3-319-47497-7_10 · Cited by 3 · see citing works
Баскевич, О. В. (2017) · Regulatory Mechanisms in Biosystems · doi:10.15421/021719 · Cited by 2 · see citing works
“Широко відома роль цих речовин у порушеннях імунної, серцево-судинної системи, органів травлення, а також патогенезі алкоголізму та наркоманії, лімітації стрес-реакції в центральній нервовій системі та периферичних органах, спотворенні антиноціоцептивної чутливості (Nielsen et al., 2012; Khalsa, 2014; Kurniasanti, 201…”
Ahmadi, S., Basharpoor, S., & Narimani, M. (2019) · International Journal of Psychology · doi:10.24200/ijpb.2018.125014.1012 · Cited by 2 · see citing works
Personality Dimensions, Impulsivity, and Heroin
Evren, C., & Bozkurt, M. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-800213-1.00091-2 · Cited by 1 · see citing works
Royle, M. L., & Connolly, E. J. (2023) · Crime & Delinquency · doi:10.1177/00111287231186080 · Cited by 1 · see citing works
“This may be due to the similarity of grit to other well-validated constructs, such as self-control, impulsivity, and sensation-seeking behavior, often associated with drug use (Griffin et al., 2016; Hittner & Swickert, 2006; Martin & Sher, 1992; Nielsen et al., 2012).”
Impulsivity traits as determinants for smoking behavior
Munyon, S. (2014) · Rowan Digitals Works (Rowan University)
Neural substrates of amphetamine induced impulsive behaviour
Twiston-Davies, F. L. (2013) · White Rose eTheses Online (University of Leeds, The University of Sheffield, University of York)
Moreno-Ramos, L., Fernández-Serrano, M. J., Pérez-Garcı́a, M., & António (2016)
Social support in recovery former users of psychoactive substances in Montenegro: A survey study
Grbović, E., & Mugoša, B. (2018) · Vojnosanitetski pregled · doi:10.2298/vsp180409104g
“Relapse is one of the most important topics in the recovery period (3).”
BackgroundAnalysis of Implement-Criminal Policy Discourses to Control Drug Abuse
Mokhtarnia, S., Migooni, F. A., & Esmaeli, M. (2021) · فصلنامه علمی و پژوهشی اعتیادپژوهی · doi:10.52547/etiadpajohi.15.59.335
Zumbusch, A. S., Samson, A., Chernoff, C. S., Coslovich, B., & Hynes, T. J. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.10.28.514235
“Indeed, sensation seekers are more likely to use psychostimulants (Ersche et al., 2010; Lookatch et al., 2012; Nielsen et al., 2012), opioids (Kosten et al., 1994), nicotine (Carton et al., 1994), and alcohol (Hittner & Swickert, 2006).”
BackgroundLuba, R. R. (2018) · doi:10.54014/s50j-4ntf
“Heroin users also display greater impulsive choice in delay-discounting tasks (Nielsen et al., 2012).”
BackgroundHoca, S. C., & Paltun, S. C. (2025) · Journal of Addictive Diseases · doi:10.1080/10550887.2025.2523629
“The severity of impulsivity discriminated both AUDs and OUDs from healthy controls [52,53].”
Belcher, A. M., Hamilton-Moseley, K. R., Massey, E. C., Yoon, M., Cole, T. O., Wagner, M. D., Billing, A. S., Greenblatt, A. D., WEINTRAUB, E., & Wish, E. D. (2026) · Addiction Science & Clinical Practice · doi:10.1186/s13722-026-00699-7
“…by high levels of trait impulsivity, that trait impulsivity scales with many indicators of addiction severity (i.e., steeper escalation of heroin use, greater overall heroin consumption, greater withdrawal severity), and that trait impulsivity is associated with less treatment-seeking [17–19].”
Influential
- Authors
- Nielsen, D. A., Ho, A., Bahl, A., Varma, P., Kellogg, S., Borg, L., & Kreek, M. J.
- Affiliations
- Michael E. DeBakey VA Medical Center (US)
- Rockefeller University (US)
- Corresponding author
- Kreek, Mary Jeanne
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 124
- Issue
- 1-2
- Pages
- 113-120
- ISSN
- 0376-8716 (ISSN-L)
- PMC
- PMC3372650
- OpenAlex
- W2006946842
- Cited by
- 61
- References
- 61
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 1 · 2019: 3 · 2018: 9 · 2017: 9 · 2016: 4 · 2015: 2 · 2014: 8 · 2013: 9 · 2012: 2
- FWCI
- 6.48
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Public Health Service (NIH-NIDA P60-05130, NIH/NCRR-CTSA UL1-RR024143)
- National Institute on Drug Abuse (P60DA005130, P50DA018197)
- National Center for Research Resources (UL1RR024143)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- impulsivity, sensation seeking, heroin addiction, cocaine dependence, comorbidities, methadone maintenance treatment, Barratt Impulsiveness Scale, Sensation Seeking Scale, sex differences, personality traits
- MeSH terms
- Adult, Female, Heroin Dependence, Humans, Impulsive Behavior, Male, Methadone, Middle Aged, Psychiatric Status Rating Scales, Cocaine-Related Disorders
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