A multidimensional approach of impulsivity in adult attention deficit hyperactivity disorder
Abstract
We aimed to compare adult patients with attention deficit hyperactivity disorder (ADHD) and matched controls on four dimensions of impulsivity (urgency, lack of premeditation, lack of perseverance, and sensation seeking) and to examine the association between impulsivity and ADHD symptoms. The study was conducted on 219 participants: 72 adult ADHD patients and 147 aged and gender matched controls. All participants completed questionnaires measuring the various facets of impulsivity (UPPS Impulsive Behavior Scale), ADHD and depressive symptoms severity. Patients were also assessed for ADHD subtypes, mood disorders, and addictive behaviors. ADHD patients exhibited higher urgency, lower premeditation and lower perseverance in comparison to controls. Lack of perseverance showed the strongest association with ADHD (area under curve=0.95). Patients with combined inattentive and hyperactive/impulsive subtypes reported more frequently substance abuse problems and had higher scores on urgency and sensation seeking dimensions of impulsivity than those with predominantly inattentive subtype. We report for the first time a multidimensional evaluation of impulsivity in adult ADHD patients. The UPPS Impulsive Behavior Scale may constitute a useful screening tool for ADHD in adults and may help to further understanding the psychological mechanisms underlying the differences between the ADHD subgroups.
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The additional ICD-11 hyperactivity-impulsivity item was added to better correspond to adult manifestations of impulsivity.
“This item was added to better correspond to adult manifestations of impulsivity 36 .”
From An organization‐ and category‐level comparison of diagnostic requirements for mental disorders in <scp>ICD</scp> ‐11 and <scp>DSM</scp> ‐5 (2021) · cites this paper as [36]
Sensation-Seeking may be specifically associated with hyperactivity-impulsivity and with higher testosterone.
“Sensation-Seeking (tendency to seek adventure) may be more specifically associated with hyperactivity-impulsivity (Lopez et al., 2015), as well as related to higher T (Campbell et al., 2010; Daitzman & Zuckerman, 1980; Roberti, 2004).”
From Reproductive steroids and ADHD symptoms across the menstrual cycle (2018) · cites this paper as Lopez et al., 2015
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Measuring Impulsivity and Its Underlying Features in ADHD
Linhartová, P., Horký, M., Radimecká, M., Širůček, J., & Theiner, P. (2023) · Autism and child psychopathology series · doi:10.1007/978-3-031-41709-2_16
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Bouteloup, M., Besch, V., Hasler, R., Nicastro, R., Pham, E., Dieben, K., Blay, M., Rüfenacht, E., Perroud, N. A., & Debbané, M. (2026) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2026.101060
Cunff, A. L., Russell, C., & Dommett, E. J. (2026) · BMC Psychology · doi:10.1186/s40359-026-04504-7
Nurkhametova, D., Yudina, E. V., Wei, Y., Abakumova, T. R., & Зиганшина, Л. Е. (2026) · International Journal of Risk & Safety in Medicine · doi:10.1177/09246479261461033
- Authors
- Lopez, R., Dauvilliers, Y., Jaussent, I., Billieux, J., & Bayard, S.
- Affiliations
- Inserm (FR)
- UCLouvain (BE)
- Centre Hospitalier Universitaire de Montpellier (FR)
- Corresponding author
- Lopez, Régis
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2015-06
- Volume
- 227
- Issue
- 2-3
- Pages
- 290-295
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2058327672
- Cited by
- 63
- References
- 47
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 2 · 2023: 9 · 2022: 4 · 2021: 8 · 2020: 6 · 2019: 9 · 2018: 3 · 2017: 4 · 2016: 5 · 2015: 2
- FWCI
- 3.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Digital Access to Libraries (submittedVersion)
- Open Repository and Bibliography (University of Luxembourg) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- adult ADHD, impulsivity, urgency, lack of premeditation, lack of perseverance, sensation seeking, ADHD subtypes, inattentive subtype, hyperactive-impulsive subtype, substance abuse, depressive symptoms, mood disorders, addictive behavior, screening tool
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Female, Humans, Impulsive Behavior, Male, Middle Aged, Surveys and Questionnaires, Substance-Related Disorders, Young Adult
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