Positive urgency is related to difficulty inhibiting prepotent responses.

Johnson, Sheri L.; Tharp, Jordan A.; Peckham, Andrew; Sanchez, Amy H.; Carver, Charles S.

doi:10.1037/emo0000182

Cited by 69 publications

(76 citation statements)

References 55 publications

(78 reference statements)

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“…For example, in a meta‐analysis, the relationship between emotion‐related impulsivity and response inhibition was more pronounced in clinical samples (Cyders & Coskunpinar, ; Johnson et. al, ). Prior work in a larger sample of undergraduates found a curvilinear, rather than linear, relationship between emotion‐related impulsivity and response inhibition ability (Johnson et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…al, ). Prior work in a larger sample of undergraduates found a curvilinear, rather than linear, relationship between emotion‐related impulsivity and response inhibition ability (Johnson et al, ). Although we considered curvilinear effects in our sample, our undergraduate sample may not have experienced sufficiently high levels of emotion‐related impulsivity to detect these effects.…”

Section: Discussionmentioning

confidence: 99%

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Neurocognitive mechanisms of emotion‐related impulsivity: The role of arousal

et al. 2018

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Prior research suggests that a traitlike tendency to experience impulsivity during states of high emotion is robustly associated with many forms of psychopathology. Several studies tie emotion‐related impulsivity to response inhibition deficits, but these studies have not focused on the role of emotion or arousal within subjects. The present study tested whether arousal, measured by pupil dilation, amplifies deficits in response inhibition for those high in emotion‐related impulsivity. Participants (N = 85) completed a measure of emotion‐related impulsivity, underwent a positive mood induction procedure that reduced heterogeneity in mood states, and completed a response inhibition task. Pupil dilation was used to index arousal during the response inhibition task. Generalized linear mixed effect modeling yielded the hypothesized interaction between arousal (pupil dilation) and emotion‐related impulsivity in predicting response inhibition performance at the trial level. Emotion‐related impulsivity relates to more difficulties with response inhibition during moments of high arousal.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Neurocognitive mechanisms of emotion‐related impulsivity: The role of arousal

et al. 2018

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“…Urgency is correlated with deficits in prepotent response inhibition (i.e., the ability to suppress a dominant response [41, 42], which in turn have been linked to symptoms of depression and anxiety [43, 44]. Thus, elevations in urgency and weaknesses in response inhibition might jointly or independently predict poor treatment outcome.…”

Section: Discussionmentioning

confidence: 99%

Turning the UPPS down: Urgency predicts treatment outcome in a partial hospitalization program

Peckham

Forgeard

Hsu

et al. 2019

Comprehensive Psychiatry

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Background: Impulsivity in response to negative mood (negative urgency) and positive mood (positive urgency) is common in psychiatric disorders. The aims of this study were to test if urgency predicts treatment response during partial hospitalization in a transdiagnostic sample, and if urgency is malleable over the course of brief treatment. Method: Participants (N = 348, 55% female, M age = 32.9) were patients presenting to a CBT-based partial hospitalization program. Urgency and a range of symptoms were assessed with self-report measures during treatment. Results: Higher negative urgency scores predicted worse outcome for depression and anxiety symptoms. Negative urgency (p < .001, Cohen’s dz = .61) and positive urgency (p < .001, Cohen’s dz = .39) significantly decreased during treatment. Discussion: Findings suggest that participants report decreases in urgency during brief partial hospitalization treatment. Higher negative urgency predicted poorer treatment response for symptoms of depression and anxiety, demonstrating the need for novel treatments for urgency.

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“…This tendency toward emotion-triggered impulsivity does not appear to be just the aftermath of the episodes, as it has also been observed among samples at risk by virtue of subsyndromal manic symptoms (Giovanelli, Hoerger, Johnson, & Gruber, 2013; Johnson, Carver, Mulé, & Joormann, 2013). Intriguingly, effects of emotion-related impulsivity do not appear to be just an effect of a higher level of emotionality or arousal, but rather, a more specific problem with constraint in the face of an emotion state (Johnson, Tharp, Peckham, Sanchez, & Carver, 2016). …”

Section: Emotion In Bipolar Disordermentioning

confidence: 99%

Cognitive deficits in bipolar disorders: Implications for emotion

Lima

Peckham

Johnson

2018

Clinical Psychology Review

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172

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Prominent cognitive deficits have been documented in bipolar disorder, and multiple studies suggest that these deficits can be observed among non-affected first-degree relatives of those with bipolar disorder. Although there is variability in the degree of cognitive deficits, these deficits are robustly relevant for functional outcomes. A separate literature documents clear difficulties in emotionality, emotion regulation, and emotion-relevant impulsivity within bipolar disorder, and demonstrates that these emotion-relevant variables are also central to outcome. Although cognitive and emotion domains are typically studied independently, basic research and emergent findings in bipolar disorder suggest that there are important ties between cognitive deficits and the emotion disturbances observed in bipolar disorder. Understanding these relationships has relevance for fostering more integrative research, for clarifying relevant aspects related to functionality and vulnerability within bipolar disorder, and for the development of novel treatment interventions. Bipolar disorder (BD) is a severe psychiatric illness that has been ranked as one of the 20 leading medical causes of disability (WHO, 2011). BD has been shown to be the psychiatric disorder with the highest rates of completed suicide across two major cohort studies (Ilgen et al., 2010; Nordentoft, Mortensen, & Pedersen, 2011). In a cross-national representative sample, one in four persons diagnosed with bipolar I disorder reported a suicide attempt (Merikangas et al., 2011). Rates of relapse remain high despite available treatments (Gitlin, Swendsen, Heller, & Hammen, 1995), and in the year after hospitalization for manic episode, two-thirds of patients do not return to work (Strakowski et al., 1998). Poverty, homelessness, and incarceration are all too common (Copeland et al., 2009). Despite the often poor outcomes, there is also evidence for outstanding accomplishments and creativity among those with milder forms of the disorder and their family members (Coryell et al., 1989; Jamison, 1993; Murray & Johnson, 2010). Some individuals appear to achieve more than the general population, suggesting the importance of understanding the variables that predict differential outcome within bipolar disorder. Within this paper, we focus on two key predictors of outcomes within bipolar disorder: cognition and emotionality. We review evidence that problems in cognition and emotionality are prominent among those diagnosed with the disorder, are not artifacts of symptom state, and relate substantively to poorer outcomes. Although traditionally studied separately, new work points toward the idea that cognition and emotionality are intricately linked within bipolar disorder. Drawing from research within bipolar disorder as well as outside of bipolar disorder, we build a model of how cognition and emotionality might be tied within bipolar disorder. We then provide suggestions for future research. Before considering findings, it is worth noting that there are several forms of th...

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Positive urgency is related to difficulty inhibiting prepotent responses.

Cited by 69 publications

References 55 publications

Neurocognitive mechanisms of emotion‐related impulsivity: The role of arousal

Neurocognitive mechanisms of emotion‐related impulsivity: The role of arousal

Turning the UPPS down: Urgency predicts treatment outcome in a partial hospitalization program

Cognitive deficits in bipolar disorders: Implications for emotion

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