Validation of the UPPS-P Impulsive Behavior Scale and Clinical Correlates of its Scores in French-Speaking Patients Starting a Residential Detoxification Program
Clinical Psychology; Psychiatry and Mental health; Impulsivity; Substance use disorder; Comorbidity; UPPS-P; Risk factors; addiction
Abstract :
[en] Background: Impulsivity is a multifaceted construct that plays a prominent role in substance use disorder (SUD). The UPPS-P model distinguishes five impulsivity components (positive urgency, negative urgency, lack of perseverance, lack of premeditation, and sensation seeking). This study aimed to explore the structure of the UPPS-P in patients hospitalized for SUDs and to investigate the relationship between the dimensions of impulsivity and clinical variables. Method: Inpatients of a residential detoxification service ( n = 125) were recruited. A confirmatory factor analysis was performed, and associations were assessed between the components of impulsivity and clinical indexes. Results: The factor analysis supported a model of impulsivity with five interrelated latent variables. Good internal consistency was found. External validity was supported by relationships with psychological difficulties. Multiple correlations (Kendall) suggested that, except for its sensation-seeking component, impulsivity is a significant risk factor for both the severity of addictive problems and their comorbidities. Conclusion: This study provides further evidence in favor of the 5-dimensional model of impulsivity. It highlights impulsivity as a transdiagnostic risk factor that should be considered in the management of SUD.
Kempeneers, Philippe ; Université de Liège - ULiège > Département de Psychologie > Psychologie clinique cognitive et comportementale ; Alexians’ Psychiatric Hospital (CPFA), 68 rue du Château de Ruyff, 4841 Henri-Chapelle, Belgium.
Mreyen, Kristina; Psychology and Neuroscience of Cognition Research Unit (PsyNCog), University of Liège, Quartier Agora, 2 Place des Orateurs, 4000 Liège, Belgium.
Pallincourt, Romain ; Université de Liège - ULiège > Département des sciences cliniques > Psychiatrie et psychologie médicale ; Alexians’ Psychiatric Hospital (CPFA), 68 rue du Château de Ruyff, 4841 Henri-Chapelle, Belgium.
Remacle, Florine; Alexians’ Psychiatric Hospital (CPFA), 68 rue du Château de Ruyff, 4841 Henri-Chapelle, Belgium. ; Psychology and Neuroscience of Cognition Research Unit (PsyNCog), University of Liège, Quartier Agora, 2 Place des Orateurs, 4000 Liège, Belgium.
Wildemeersch, Géraldine ; Université de Liège - ULiège > Département des sciences cliniques > Psychiatrie et psychologie médicale ; Alexians’ Psychiatric Hospital (CPFA), 68 rue du Château de Ruyff, 4841 Henri-Chapelle, Belgium.
Simon, Jessica ; Université de Liège - ULiège > Département de Psychologie > Psychologie quantitative
Language :
English
Title :
Validation of the UPPS-P Impulsive Behavior Scale and Clinical Correlates of its Scores in French-Speaking Patients Starting a Residential Detoxification Program
Bteich G, Berbiche D, Khazaal Y. Validation of the short Arabic UPPS-P impulsive behavior scale. BMC Psychiatry, 2017; 17(1): 244. 10.1186/s12888-017-1407-y
Cándido A, Orduña E, Perales JC, et al. Validation of a short Spanish version of the UPPS-P impulsive behaviour scale. Trastor Adict, 2012; 14(3): 73–78.
Claréus B, Daukantaitė D, Wångby-Lundh M, et al. Validation of a Swedish version of the short UPPS-P impulsive behavior scale among young adults. Addict Behav Rep, 2017; 6: 118–122.
Cyders MA and Smith GT. Emotion-based dispositions to rash action: Positive and negative urgency. Psychol Bull, 2008; 134(6): 807–828.
D’Orta I, Burnay J, Aiell D, et al. Development and validation of a short Italian UPPS-P impulsive behavior scale. Addict Behav Rep, 2015; 2: 19–22.
Lim SY and Kim SJ. Validation of a short Korean version of the UPPS-P impulsive behavior scale. Asia Pac Psychiatry, 2018; 10(3): e12318. 10.1111/appy.12318
Whiteside SP and Lynam DR. The five factor model and impulsivity: Using a structural model of personality to understand impulsivity. Pers Individ Differ, 2001; 30(4): 669–689.
Billieux J, Rochat L, Ceschi G, et al. Validation of a short French version of the UPPS-P impulsive behavior scale. Compr Psychiatry, 2012; 53(5): 609–615.
Calzada G, Rothen S, Radziejewska D, et al. Validation of a short French UPPS-P impulsive behavior scale in patients with substance use disorder. Int J Ment Health Addiction, 2017; 15: 1096–1102.
Cyders MA and Smith GT. Mood-based rash action and its components: Positive and negative urgency. Pers Individ Differ, 2007; 43(4): 839–850.
Verdejo-García A, Lozano Ó, Moya M, et al. Psychometric properties of a Spanish version of the UPPS–P impulsive behavior scale: Reliability, validity and association with trait and cognitive impulsivity. J Pers Assess, 2010; 92(1): 70–77.
Berg JM, Latzman RD, Bliwise NG, et al. Parsing the heterogeneity of impulsivity: A meta-analytic review of the behavioral implications of the UPPS for psychopathology. Psychol Assess, 2015; 27(4): 1129–1146.
Hershberger AR, Um M, Cyders MA. The relationship between the UPPS-P impulsive personality traits and substance use psychotherapy outcomes: A meta-analysis. Drug Alcohol Depend, 2017; 178: 408–416.
Jacob GA, Gutz L, Bader K, et al. Impulsivity in borderline personality disorder: Impairment in self-report measures, but not behavioral inhibition. Psychopathology, 2010; 43: 180–188.
Aas CF, Vold JH, Gjestad R, et al. Substance use and symptoms of mental health disorders: A prospective cohort of patients with severe substance use disorders in Norway. Subst Abuse: Treat Prev Policy, 2021; 16(1): 20. 10.1186/s13011-021-00354-1
Domingo-Salvany A, Torrens M, Mestre-Pintó J-I. Comorbidity of Substance use and Mental Disorders in Europe. Publications Office of the European Union, 2015. https://data.europa.eu/doi/10.2810/532790
Kienast T, Stoffers J, Bermpohl F, et al. Borderline personality and comorbid addiction. Dtsch Arztebl Int, 2014; 111(16): 280–286.
McHugh RK and Weiss RD. Alcohol use disorder and depressive disorders. Alcohol Res, 2019; 40(1): arcr.v40.1.01. 10.35946/arcr.v40.1.01
Parmar A and Kaloiya G. Comorbidity of personality disorder among substance use disorder patients: A narrative review. Indian J Psychol Med, 2018; 40(6): 517–527.
Loree AM, Lundahl LH, Legerwood DM. Impulsivity as a predictor of treatment outcome in substance use disorders: Review and synthesis. Drug Alcohol Rev, 2015; 34(2): 119–134.
Müller A, Znoj H, Moggi F. How are self-efficacy and motivation related to drinking five years after residential treatment a longitudinal multicenter study. Eur Addict Res, 2019; 25(5): 213–223.
Evern C, Durkaya M, Evren B, et al. Relationship of relapse with impulsivity, novelty seeking and craving in male alcohol-dependent inpatients. Drug Alcohol Rev, 2012; 31(1): 81–90.
Ehring T and Watkins ER. Repetitive negative thinking as a transdiagnostic process. Int J Cogn Ther, 2008; 1(3): 192–205.
Devynck F, Kornacka M, Baeyens C, et al. Perseverative thinking questionnaire (PTQ): French validation of a transdiagnostic measure of repetitive negative thinking. Front Psychol, 2017; 8. 10.3389/fpsyg.2017.02159
Ehring T, Zetsche U, Weidacker K, et al. The perseverative thinking questionnaire (PTQ): Validation of a content- independent measure of repetitive negative thinking. J Behav Ther Exp Psychiatry, 2011; 42(2): 225–232.
Lannoy S, Heeren A, Rochat L, et al. Is there an all-embracing construct of emotion reactivity? Adaptation and validation of the emotion reactivity scale among a French-speaking community sample. Compr Psychiatry, 2014; 55(8): 1960–1967.
Nock MK, Wedig MM, Holmberg EB, et al. The emotion reactivity scale: Development, evaluation, and relation to self-injurious thoughts and behaviors. Behav Ther, 2008; 39(2): 107–116.
Loas G, Otmani O, Verrier A, et al. Factor analysis of the French version of the 20-item Toronto Alexithymia scale (TAS-20). Psychopathology, 1996; 29(2): 139–144.
Bagby RM, Parker JDA, Taylor GJ. The twenty-item Toronto Alexithymia scale—I. Item selection and cross- validation of the factor structure. J Psychosom Res, 1994; 38(1): 23–32.
Vallieres EF and Vallerand RJ. Traduction et validation canadienne-française de l’échelle de l’estime de soi de Rosenberg. Int J Psychol, 1990; 25(2): 305–316.
Rosenberg M. Society and the Adolescent Self-Image. Princeton: Princeton University Press, 1979. 10.1515/9781400876136
Bruchon-Schweitzer M and Paulhan I. Inventaire d’anxiété Trait-état. Forme Y. STAI-Y. Paris: Les éditions du Centre de Psychologie Appliquée, 1993.
Spielberger CD, Gorsuch R, Lushene R, et al. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press, 1983.
Ercan I, Hafizoglu S, Ozkaya G, et al. Examining cutoff values for the state-trait anxiety inventory. Rev Argentina de Clin Psicol, 2005; 24: 143–148.
Fuhrer R and Rouillon F. La version française de l’échelle CES-D (Center for Epidemiologic Studies-Depression Scale) [The French version of the CES-D (Center for Epidemiologic Studies-Depression Scale)]. Psychiatrie & Psychobiologie, 1989; 4(3): 163–166.
Radloff LS. The CES-D Scale: A self- report depression scale for research in the general population. Appl Psychol Meas, 1977; 1(3): 385–401.
Morin AJS, Moullec G, Maïano C, et al. Psychometric properties of the center for epidemiologic studies depression scale (CES-D) in French clinical and nonclinical adults. Rev Epidemiol Sante Publique, 2011; 59(5): 327–340.
Lesage F-X, Berjot S, Deschamps F. Psychometric properties of the French versions of the perceived stress scale. Int J Occup Med Environ Health, 2012; 25(2): 178–184.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav, 1983; 24(4): 385–396.
DiStefano C and Morgan GB. A comparison of diagonal weighted least squares robust estimation techniques for ordinal data. Struct Equ Model, 2014; 21(3): 425–438.
Finney SJ, DiStefan C, Kopp JP. Overview of estimation methods and preconditions for their application with structural equation modeling. In: Schweizer K and DiStefano C (eds). Principles and methods of test construction: Standards and recent advancements. Boston, MA: Hogrefe, 2016, pp. 135–165.
Cangur S and Ercan I. Comparison of model fit indices used in structural equation modeling under multivariate normality. J Mod Appl Stat, 2015; 14(1): 152–167.
Bentler PM. Comparative fit indexes in structural models. Psychol Bull, 1990; 107(2): 238–246.
Hu LT and Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model, 1999; 6(1): 1–55.
Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research, 2003; 8(2): 23–74.
Revelle W and Zinbarg RE. Coefficients alpha, beta, omega, and the glb: Comments on Sijtsma. Psychometrika, 2008; 74(1): 145. 10.1007/s11336-008-9102-z
Kozak K, Lucatch AM, Lowe DJE, et al. The neurobiology of impulsivity and substance use disorders: Implications for treatment. Ann N Y Acad Sci, 2019; 1451(1): 71–91.
Perry JL and Carroll ME. The role of impulsive behavior in drug abuse. Psychopharmacology, 2008; 200(1): 1–26.
Verdejo-Garcia A and Albein-Urios N. Impulsivity traits and neurocognitive mechanisms conferring vulnerability to substance use disorders. Neuropharmacology, 2021; 183: 108402. 10.1016/j.neuropharm.2020.108402
Argyriou E, Um M, Carron C, et al. Age and impulsive behavior in drug addiction: A review of past research and future directions. Pharmacol Biochem Behav, 2018; 164: 106–117.
Lai HMX, Cleary M, Sitharthan T, et al. Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990–2014: A systematic review and meta-analysis. Drug Alcohol Depend, 2011; 154: 1–13.
Davis L, Uezato A, Newell JM, et al. Major depression and comorbid substance use disorders. Curr Opin Psychiatry, 2008; 21(1): 14–18.
Nolen-Hoeksema S and Watkins ER. A heuristic for developing transdiagnostic models of psychopathology: Explaining multifinality and divergent trajectories. Perspect Psychol Sci, 2011; 6(6): 589–609.
Smith GT, Fischer S, Cyders MA, et al. On the validity and utility of discriminating among impulsivity-like traits. Assessment, 2007; 14(2): 155–170.
Goldbeck R, Myatt P, Aitchison T. End-of-treatment self-efficacy: A predictor of abstinence. Addiction, 1997; 92(3): 313–324.
Sayette MA, Shiffman S, Tiffany ST, et al. The measurement of drug craving. Addiction, 2000; 95(Suppl 2): S189–210.
