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P-43 - Impulsivity and Risky Behaviors in Alcohol Dependence

Published online by Cambridge University Press:  15 April 2020

A. Jakubczyk
Affiliation:
Psychiatry, Medical University of Warsaw, Warszawa, Poland
A. Klimkiewicz
Affiliation:
Psychiatry, Medical University of Warsaw, Warszawa, Poland
K. Brower
Affiliation:
Psychiatry, University of Michigan, Ann Arbor, MI, USA
M. Bugaj
Affiliation:
Psychiatry, Medical University of Warsaw, Warszawa, Poland
J. Sadowska - Mazuryk
Affiliation:
Psychiatry, Medical University of Warsaw, Warszawa, Poland
A. Topolewska - Wochowska
Affiliation:
Psychiatry, Medical University of Warsaw, Warszawa, Poland
M. Wojnar
Affiliation:
Psychiatry, Medical University of Warsaw, Warszawa, Poland Psychiatry, University of Michigan, Ann Arbor, MI, USA

Abstract

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Introduction

Impulsivity and alcohol drinking are both considered as important predictors of unintentional as well as intentional injuries. However, relationships between impulsivity and risky behaviors have not been investigated in alcohol dependence.

Objectives

The aim of this study was to analyze relationships between the frequency of risky behaviors and level of behavioral as well as cognitive impulsivity in alcohol-dependent patients.

Methods

By means of Barratt's Impulsiveness Scale and stop-signal task the levels of cognitive and behavioral impulsivity among 304 alcohol-dependent patients were measured. Also, patients were asked to answer questions from the Short Inventory of Problems applying to risky behaviors and accidents after alcohol drinking. In addition participants filled in a questionnaire to assess frequency of other behaviors from the analyzed spectrum (suicide attempts, use of other drugs, law problems).

Results

The statistical analysis revealed a significant association between impulsivity and frequency of risky behaviors in alcohol dependent patients. Individuals with higher scores in BIS behaved more frequently in a risky way (p = 0,000001) and had significantly more accidents (p = 0,00067) after alcohol drinking. The association for risky behaviors was strongest for non-planning (p = 0,000075) and attentional (p = 0,000002) impulsivity subscales, whereas frequency of accidents was particularly associated with motor impulsivity (p = 0,001). In addition, a significant association between global impulsivity and risk of suicide attempts, use of other drugs and frequency of law problems was observed. A multivariate analysis revealed that impulsivity and severity of alcohol dependence are the most important predictors of risky behaviors.

Conclusion

Impulsivity increases the frequency of risky behaviors in alcohol-dependent individuals.

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Abstract
Copyright
Copyright © European Psychiatric Association 2012
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