Impulse control difficulties while distressed: A facet of emotion dysregulation links to Non-Suicidal Self-Injury among psychiatric inpatients at military treatment facilities

Baer, Margaret M.; LaCroix, Jessica M.; Browne, Joy C.; Hassen, Helena O.; Perera, Kanchana U.; Soumoff, Alyssa; Weaver, Jennifer; Ghahramanlou‐Holloway, Marjan

doi:10.1016/j.psychres.2018.08.082

Cited by 14 publications

(16 citation statements)

References 44 publications

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“…For instance, it was shown that suicide accounts for up to 35% of premature deaths in heroin-dependent individuals [16]. Thus, emotional dysregulation and impulsivity, both implicated in ADHD [17], have been strongly associated with suicide by overdose [18]. As such, comorbid ADHD in patients with SUD might also increase severity of other mental health problems, including suicidal behavior, as previously reported [19].…”

Section: Introductionmentioning

confidence: 89%

Attention Deficit/Hyperactivity Disorder and Global Severity Profiles in Treatment-Seeking Patients with Substance Use Disorders

et al. 2020

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Introduction: Comorbid attention deficit/hyperactivity disorder (ADHD) is present in 15-25% of all patients seeking treatment for substance use disorders (SUDs). Some studies suggest that comorbid ADHD increases clinical severity related to SUDs, other psychiatric comorbidities, and social impairment, but could not disentangle their respective influences. Objectives: To investigate whether comorbid adult ADHD in treatment-seeking SUD patients is associated with more severe clinical profiles in these domains assessed altogether. Methods: Treatment-seeking SUD patients from 8 countries (N = 1,294: 26% females, mean age 40 years [SD = 11 years]) were assessed for their history of DSM-IV ADHD, SUDs, and other psychiatric conditions and sociodemographic data. SUD patients with and without comorbid ADHD were compared on indicators of severity across 3 domains: addiction (number of SUD criteria and diagnoses), psychopathological complexity (mood disorders, borderline personality disorder, lifetime suicidal thoughts, or behavior), and social status (education level, occupational and marital Icick et al.

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Section: Introductionmentioning

confidence: 89%

Attention Deficit/Hyperactivity Disorder and Global Severity Profiles in Treatment-Seeking Patients with Substance Use Disorders

et al. 2020

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“…Emotional impulsivity was assessed with the impulse control difficulties scale of the Difficulties in Emotion Regulation questionnaire, which was designed to assess individual differences in various forms of emotion dysregulation (Gratz & Roemer, 2004). The impulse control difficulties scale squarely focuses on losses of control in emotional contexts (e.g., “When I’m upset, I become out of control”; 1 = almost never , 5 = almost always ) and this scale, in particular, has been linked to drinking problems (Dvorak et al, 2014), binge eating problems (Racine & Wildes, 2013), nonsuicidal self-injury (Baer et al, 2018), and the like. This manner of assessing emotional impulsivity was favored over using an urgency scale (Whiteside & Lynam, 2001) because many urgency items do not reference emotional triggers (e.g., “I often get involved in things I later wish I could get out of,” which could occur for nonemotional reasons).…”

Section: Methodsmentioning

confidence: 99%

The momentary and the macro in action control: A motor control analysis of impulse control difficulties.

Robinson¹,

Klein²

2022

Emotion

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According to cybernetic models of self-regulation, the success of one’s overt behaviors may very well depend on how well one controls one’s behaviors in more momentary terms. The present research applies such perspectives to the analysis of individual differences in impulse control difficulties, which are thought to constitute losses of control in responses to stressors or distress, representing a form of emotional impulsivity. In three studies (total N = 349), undergraduate participants were asked to perform motor control tasks involving stationary or moving targets, which permitted the computation of a tremor instability index that represented the extent to which movements were noisy or unpredictable (less controlled) from moment to moment. Study 1 found that individuals with higher levels of impulse control difficulties exhibited higher levels of tremor, Study 2 replicated this pattern, and Study 3 showed that the tremor instability index predicted similar contingencies in daily life. The findings, in total, identify a micromomentary signature of macrolevel tendencies toward emotional impulsivity.

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“…Most recently, depressed adults with a suicide attempt history reported greater difficulties with impulsivity and emotional clarity when compared to depressed adults without a suicide attempt history (Neacsiu, Fang, Rodriguez, & Rosenthal, ). However, other studies have found no difference in emotion dysregulation between those with and without a history of suicide attempt (Preyde et al., ) or between those with a history of one versus multiple attempts (Baer et al., under review; Rajappa, Gallagher, & Miranda, ). Finally, an unpublished study did not find a link between worst point lifetime suicide ideation and current emotion dysregulation after controlling for hopelessness or depression (Baer et al., under review).…”

mentioning

confidence: 93%

“…EMOTIONAL AWARENESS LINKS TO SUICIDE RISK INDICES experience increased burdensomeness. Similarly, recent studies have found that non-suicidal self-injury (NSSI), a largely emotionregulating behavior, does not link to perceived burdensomeness, but robustly links with thwarted belongingness (Assavedo & Anestis, 2016;Baer et al, 2018). Although another study has linked emotion dysregulation to perceived burdensomeness, this study operationalized emotion dysregulation as distress tolerance and negative urgency, and utilized a civilian undergraduate sample .…”

mentioning

confidence: 94%

Lack of Emotional Awareness is Associated with Thwarted Belongingness and Acquired Capability for Suicide in a Military Psychiatric Inpatient Sample

Baer

LaCroix

Browne

et al. 2018

Suicide & Life Threat Behav

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Objective To examine potential links between facets of impulsivity and emotion dysregulation to components of the Interpersonal‐Psychological Theory of Suicide (thwarted belongingness, perceived burdensomeness, and acquired capability) among U.S. military personnel. Method The current study performed secondary data analysis from a randomized control trial testing the efficacy of a cognitive therapy for 134 service members (71.64% male, 68.66% Caucasian; mean age: 30.14) admitted to a psychiatric inpatient unit for a suicide‐related crisis. We utilized the Difficulties in Emotion Regulation Scale, the Barratt Impulsivity Scale, the Acquired Capability for Suicide Scale, and the Interpersonal Needs Questionnaire. Results All emotion dysregulation dimensions and one impulsivity facet (attentional) were positively correlated with perceived burdensomeness and thwarted belongingness. Lack of emotional awareness was positively associated with acquired capability. After controlling for depression, hopelessness, and demographic covariates, lack of emotional awareness was significantly associated with both thwarted belongingness and acquired capability, but not perceived burdensomeness, and impulsivity dimensions did not link to any variable of interest. Conclusions Findings imply that individuals with reduced emotional awareness may have difficulty cultivating interpersonal bonds and be more vulnerable to elevated acquired capability. Lack of emotional awareness may be a potential contributor to both suicidal desire and capability.

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Impulse control difficulties while distressed: A facet of emotion dysregulation links to Non-Suicidal Self-Injury among psychiatric inpatients at military treatment facilities

Cited by 14 publications

References 44 publications

Attention Deficit/Hyperactivity Disorder and Global Severity Profiles in Treatment-Seeking Patients with Substance Use Disorders

Attention Deficit/Hyperactivity Disorder and Global Severity Profiles in Treatment-Seeking Patients with Substance Use Disorders

The momentary and the macro in action control: A motor control analysis of impulse control difficulties.

Lack of Emotional Awareness is Associated with Thwarted Belongingness and Acquired Capability for Suicide in a Military Psychiatric Inpatient Sample

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