Reconsideration of the factorial structure of the Barratt Impulsiveness Scale (BIS-11): Assessment of impulsivity in a large population of euthymic bipolar patients

Kahn, Jean‐Pierre; Cohen, R.; Étain, Bruno; Aubin, V.; Bellivier, Frank; Belzeaux, Raoul; Bougerol, Thierry; Courtet, Philippe; Dubertret, Caroline; Gard, Sébastien; Henry, Chantal; Olié, Émilie; Polosan, Mircea; Passerieux, Christine; Leboyer, Marion

doi:10.1016/j.jad.2019.04.060

Cited by 12 publications

(4 citation statements)

References 34 publications

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“…Impulsivity represents an important building block in our understanding of behaviour beyond defined psychiatric diagnoses. Despite the information already acquired, there is often still no consensus regarding its exact dimensional classification [ 78 , 79 , 80 , 81 ]. Further studies with larger cohorts are therefore of great importance for a detailed understanding of this behavioural phenomenon.…”

Section: Discussionmentioning

confidence: 99%

Impulsivity and Attention in Obsessive Compulsive and Tic Disorders: Mismatch in Self-Report and Behavioural Data

Koenn

Kohl

Schleyken

et al. 2023

JCM

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Impulsivity is a multidimensional, cross-diagnostic behavioural construct that has been described in various psychiatric disorders including obsessive-compulsive disorder (OCD) and Tourette syndrome (TS). Different interpretations of results in the past have raised the question of heightened impulsivity as an explanatory model for self-described impulsive behaviour, especially in OCD. Our study included 16 patients with OCD, 14 patients with TS, and 28 healthy control subjects (HC). Self-assessed impulsivity was examined by the Barratt Impulsiveness Scale-11 (BIS-11), and the behavioural test used was the immediate and delayed memory task (IMT/DMT). Significantly heightened self-assessed impulsivity of the patient collective compared to HC could be observed in in only one dimension: lack of attention (χ2 (2) = 24.910, p < 0.001). Post-hoc tests were performed using Bonferroni adjusted alpha levels of 0.0167 per test (0.05/3) and revealed significantly higher scores in patients with OCD (M = 19.57, SD = 2.82), z = 4.292, p < 0.001 as with TS (M = 19.38, SD = 3.62), z = 3.832, p < 0.001 compared to HC (M = 13.78, SD = 3.18). In patients with OCD, correlations between the dimension of obsessive thoughts with a lack of attention in the form of first-order factor cognitive instability could be shown (n = 14, p = 0.024, rs = 0.599) while in patients with TS, tic symptomatology correlated significantly with second-order factor attentional impulsivity (n = 12, p = 0.027, rs = 0.635). In behavioural testing, no significant group differences could be observed either in impulsive behaviour (IMT: χ2 (2) = 4.709, p = 0.824; DMT: χ2 (2) = 0.126, p = 0.939) or in sustained attention (IMT: χ2 (2) = 0.388, p = 0.095; DMT: χ2 (2) = 0.663, p = 0.718). Heightened impulsivity as an explanatory model for the observed lack of attention, especially in patients with OCD, should be questioned and interpretation biases considered in the future. The necessity of a multidimensional approach to the research of impulsivity is underscored by our results.

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Section: Discussionmentioning

confidence: 99%

Impulsivity and Attention in Obsessive Compulsive and Tic Disorders: Mismatch in Self-Report and Behavioural Data

Koenn

Kohl

Schleyken

et al. 2023

JCM

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“…Moreover, the manner in which impulsivity was assessed may further account for different relations between diagnoses. The BIS-11 is the most widely used instrument for the assessment of impulsivity in clinical populations but a very recent examination of its reliability in euthymic BD suggests the original item structure may not be optimal (64). Although BIS-11 scores in BD and BPD were similar in the current study (BPD marginally higher, but not significantly different) the instrument may show greater item proximity to the experiences of individuals with BPD compared to BD which may also contribute to the closer associations detected.…”

Section: Discussionmentioning

confidence: 99%

Actigraphic patterns, impulsivity and mood instability in bipolar disorder, borderline personality disorder and healthy controls

McGowan

Goodwin

Bilderbeck

et al. 2020

Acta Psychiatr Scand

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Actigraphic patterns, impulsivity and mood instability in bipolar disorder, borderline personality disorder and healthy controls.Objectives: To differentiate the relation between the structure and timing of rest-activity patterns and symptoms of impulsivity and mood instability in bipolar disorder (BD), borderline personality disorder (BPD) and healthy controls (HC). Methods: Eighty-seven participants (31 BD, 21 BPD and 35 HC) underwent actigraph monitoring for 28 days as part of the Automated Monitoring of Symptom Severity (AMoSS) study. Impulsivity was assessed at study entry using the BIS-11. Mood instability was subsequently longitudinally monitored using the digital Mood Zoom questionnaire. Results: BPD participants show several robust and significant correlations between non-parametric circadian rest-activity variables and worsened symptoms. Impulsivity was associated with low interdaily stability (r = À0.663) and weak amplitude (r = À0.616). Mood instability was associated with low interdaily stability (r = À0.773), greater rhythm fragmentation (r = 0.662), weak amplitude (r = À0.694) and later onset of daily activity (r = 0.553). These associations were not present for BD or HCs. Classification analysis using actigraphic measures determined that later L5 onset reliably distinguished BPD from BD and HC but did not sufficiently discriminate between BD and HC. Conclusions: Rest-activity pattern disturbance indicative of perturbed sleep and circadian function is an important predictor of symptom severity in BPD. This appears to validate the greater subjective complaints of BPD individuals that are sometimes regarded as exaggerated by clinicians. We suggest that treatment strategies directed towards improving sleep and circadian entrainment may in the future be investigated in BPD. Significant Outcomes• Objectively determined rest-activity patterns are strongly correlated with worsened symptoms of impulsivity and longitudinally monitored mood instability in BPD.• Sleep and circadian features may impact on the chronicity of symptoms in BPD above BD and HCs.• Future studies targeting rest-activity pattern modification in BPD are indicated. Limitations• Sample heterogeneity present for gender and number of unemployed individuals. • Relative small sample size restricts stratification for medication and comorbid diagnoses.

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“…Accordingly, several studies have reported a substantial reduction in the number of items after analyzing its factor structure. For example, the analyses conducted by Morean et al (2014) and Steinberg et al (2013) reduced the scale to just 8 items, whereas the studies by Coutlee et al (2014) and Kahn et al (2019) reduced the scale to a total of 13 and 12 items, respectively. In this sense, Steinberg et al (2013) suggest that the more items included, the more likely it is that one of them departs from the central construct being measured.…”

Section: Discussionmentioning

confidence: 99%

The Barratt Impulsiveness Scale-11 in Community and Incarcerated Samples: Motor and Nonplanning Impulsivity Effects on Criminal Recidivism

Ros¹,

Zabala

Ayuso

et al. 2020

Criminal Justice and Behavior

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Although the Barratt Impulsiveness Scale Version 11 (BIS-11) is one of the most widely used instruments to assess impulsivity, its factor structure remains controversial. Several authors have suggested that cultural factors may have an impact on its factor structure. It is also necessary to study the measurement invariance of the scale in different populations, especially in the case of incarcerated individuals, given their high level of impulsivity. This study had two objectives: (a) to evaluate the factor structure of the BIS-11 and its measurement invariance across community and incarcerated samples and (b) to evaluate the effect of impulsiveness on criminal recidivism. The results revealed a two-factor structure: Motor and Nonplanning Impulsivity. This solution was invariant across groups. In addition, increased Motor Impulsivity was related to higher criminal recidivism through an increase in aggression. These results corroborate the importance of implementing interventions to reduce impulsivity as a means of preventing recidivism.

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Reconsideration of the factorial structure of the Barratt Impulsiveness Scale (BIS-11): Assessment of impulsivity in a large population of euthymic bipolar patients

Cited by 12 publications

References 34 publications

Impulsivity and Attention in Obsessive Compulsive and Tic Disorders: Mismatch in Self-Report and Behavioural Data

Impulsivity and Attention in Obsessive Compulsive and Tic Disorders: Mismatch in Self-Report and Behavioural Data

Actigraphic patterns, impulsivity and mood instability in bipolar disorder, borderline personality disorder and healthy controls

The Barratt Impulsiveness Scale-11 in Community and Incarcerated Samples: Motor and Nonplanning Impulsivity Effects on Criminal Recidivism

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