Impulsivity and Mindfulness among Inpatients with Alcohol Use Disorder

Gallo, Giovana Gonçalves; Curado, Daniela Fernández; Opaleye, Emérita Sátiro; Donate, Ana Paula Gonçalves; Scattone, Vitor Villar; Noto, Ana Regina

doi:10.1080/10826084.2020.1833924

Cited by 14 publications

(11 citation statements)

References 38 publications

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“…In AUD, taking account of anxiety and impulsivity is thus crucial since they contribute, notably in an indirect way through alteration of HRQoL, to the treatment outcome. In this respect, in addition to pharmacological treatments, several interventions such as physical activity [ 74 ] or meditation [ 75 ] could be proposed to manage anxiety and impulsivity in AUD.…”

Section: Discussionmentioning

confidence: 99%

Determinants of health-related quality of life in recently detoxified patients with severe alcohol use disorder

Lahbairi

Lanièpce

Segobin

et al. 2022

Health Qual Life Outcomes

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Background Health-related quality of life (HRQoL) is an important clinical outcome in Alcohol Use Disorder (AUD) and is considered as a relevant indicator of treatment success. While a better understanding of the factors affecting HRQoL would enable to adjust patients’ care to favour treatment outcome, the determinants of HRQoL in AUD remain unclear. This study aims at describing HRQoL in AUD patients and at identifying its best predictors. Methods 53 recently detoxified patients with severe AUD (sAUD) underwent a cognitive assessment and filled in a HRQoL questionnaire dedicated to AUD patients (Alcohol Quality of Life Scale; AQoLS), as well as questionnaires concerning socio-demographics, alcohol history, sleep quality, depression, anxiety and impulsivity. 38 healthy controls (HC) underwent the same assessment (except AQoLS) in order to identify the altered cognitive and clinical variables that could potentially be determinants of HRQoL in sAUD. Results sAUD patients reported that alcohol affects their HRQoL mainly in the “negative emotions”, “control”, “relationships”, and “sleep” domains. Compared to HC, they were impaired on episodic memory, working memory, executive functions, and processing speed tasks. They also reported lower sleep quality, higher depression, anxiety and impulsivity. No association was found between AQoLS total score and socio-demographics, cognitive performance, or sleep quality in patients. We found a significant correlation between HRQoL and depression/anxiety as well as impulsivity. Anxiety and impulsivity were indeed the only significant predictors of HRQoL, explaining 47.7% of the variance. Conclusion Anxiety and impulsivity are crucial determinants of HRQoL in recently detoxified sAUD patients. Since anxiety and impulsivity are frequent issues in addiction and especially in AUD, they should be particularly considered by clinicians to favour treatment outcomes.

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Section: Discussionmentioning

confidence: 99%

Determinants of health-related quality of life in recently detoxified patients with severe alcohol use disorder

Lahbairi

Lanièpce

Segobin

et al. 2022

Health Qual Life Outcomes

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“…Impulsivity has been observed to be modified in mindfulness intervention programs in individuals with drug abuse disorders [ 49 , 50 ]. Therefore, mindfulness interventions could help participants to better follow dietary recommendations made by dietitians in those participants with high impulsivity due to improved emotion regulation and reduction of their impulsivity traits lack of premeditation and positive urgency.…”

Section: Discussionmentioning

confidence: 99%

Impulsivity is longitudinally associated with healthy and unhealthy dietary patterns in individuals with overweight or obesity and metabolic syndrome within the framework of the PREDIMED-Plus trial

Martínez

Babió

Júlvez

et al. 2022

Int J Behav Nutr Phys Act

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Background Few studies have analyzed the associations between impulsivity and dietary patterns. Some of them have shown a cross-sectional inverse relationship between impulsivity and healthy diet scores, whereas others reported a positive association with unhealthy dietary assessments. We aimed to examine longitudinal associations of impulsivity trait with adherence to healthy and unhealthy dietary patterns in older participants at high risk of cardiovascular disease over 3 years of follow-up. Methods A 3-year prospective cohort analysis within the PREDIMED-Plus-Cognition study conducted in 4 PREDIMED-Plus study centers was performed. The PREDIMED-Plus study aimed to test the beneficial effect of a lifestyle intervention on the primary prevention of cardiovascular disease. The participants with overweight or obesity and metabolic syndrome included in the present study (n = 462; mean age of 65.3 years; 51.5% female) completed both the UPPS-P Impulsive Behavior Scale (range: 0–236 points) and the 143-item Food Frequency Questionnaire at baseline, 1-year and 3-years of follow-up. Ten diet scores assessing healthy and unhealthy dietary patterns were evaluated. Linear mixed models were performed adjusting by several confounders to study the longitudinal associations between impulsivity trait and adherence to dietary pattern scores over 3 years of follow-up (also assessing interactions by sex, age, and intervention group). Results Impulsivity were negatively associated with adherence to the Healthy Plant-Based [β = -0.92 (95%CI -1.67, -0.16)], Mediterranean [β = -0.43 (95%CI -0.79, -0.07)], Energy-Restricted Mediterranean [β = -0.76 (95%CI -1.16, -0.37)], Alternative Healthy Eating Index [β = -0.88 (95%CI -1.52, -0.23)], Portfolio [β = -0.57 (95%CI -0.91, -0.22)], and DASH [β = -0.50 (95%CI -0.79, -0.22)] diet scores over 3 years of follow-up, whereas impulsivity was positively related with adherence to the unhealthy Western diet [β = 1.59 (95%CI 0.59, 2.58)] over time. An interaction by intervention group was found, with those participants in the intervention group with high impulsivity levels having lower adherence to several healthy dietary patterns. Conclusions Heightened impulsivity was longitudinally associated with lower adherence to healthy dietary patterns and higher adherence to the Western diet over 3 years of follow-up. Furthermore, nutritional intervention programs should consider impulsivity as a relevant factor for the intervention success. Trial registration Name of registry: Effect of an energy-restricted Mediterranean diet, physical activity and behavioral intervention on the primary prevention of cardiovascular disease. Trial registration number: ISRCTN 89,898,870. Date of registration: 05/28/2014.

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“…The level of mindfulness is reportedly inversely linked to alcohol use [47] . The lower level of mindfulness could also be due to higher traits of aggression [48] and impulsivity [49] among tribals, and elevated impulsivity may inversely be linked to mindfulness in alcohol use disorder [50] and normal population [51] . Aggression and impulsivity [52], [53] may also contribute to the elevated prevalence of alcohol use disorder among tribals [2],[18], [3], [5], [54] .…”

Section: Discussionmentioning

confidence: 99%

Levels and relationships of Mindfulness, Distress Tolerance, and Severity of Dependence among tribals with alcohol use disorder among tribals in East India: A preliminary study

Ram

Joseph²,

Mushtaq

et al. 2022

Preprint

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Objective: The research aimed to investigate the levels and relationships of Mindfulness, Distress Tolerance, and Dependence Severity among tribal individuals with alcohol use disorder. Methods: Two hundred tribals with alcohol use disorder were recruited at three tertiary health care centre in three districts and assessed with the Sociodemographic and clinical proforma, Cognitive and Affective Mindfulness Scale-Revised (CAMSR), The Severity of Dependence Scale (SDS), and Distress Tolerance Scale (DTS). Results: The mean score on the SDS, CAMSR, and DTS was 4.99, 23.52, and 33.44, respectively. There were no statistically significant relationships between the measure of mindfulness scores and dependence severity scores. However, the perceived capacity to endure emotional suffering and negative emotions consuming one's focus was significantly inversely linked to the severity of dependence. Conclusion: There appear to be lower levels of distress tolerance and mindfulness among tribals with alcohol use disorder. The severity of alcohol use has no significant link with mindfulness but has inversely linked with emotional distress tolerance and attention absorption by negative emotions.

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Impulsivity and Mindfulness among Inpatients with Alcohol Use Disorder

Cited by 14 publications

References 38 publications

Determinants of health-related quality of life in recently detoxified patients with severe alcohol use disorder

Determinants of health-related quality of life in recently detoxified patients with severe alcohol use disorder

Impulsivity is longitudinally associated with healthy and unhealthy dietary patterns in individuals with overweight or obesity and metabolic syndrome within the framework of the PREDIMED-Plus trial

Levels and relationships of Mindfulness, Distress Tolerance, and Severity of Dependence among tribals with alcohol use disorder among tribals in East India: A preliminary study

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