TY - JOUR PY - 2019// TI - Impulsivities and addictions: a multidimensional integrative framework informing assessment and interventions for substance use disorders JO - Philosophical transactions of the Royal Society of London. Series B, Biological sciences A1 - Vassileva, Jasmin A1 - Conrod, Patricia J. SP - e20180137 EP - e20180137 VL - 374 IS - 1766 N2 - Impulse control is becoming a critical survival skill for the twenty-first century. Impulsivity is implicated in virtually all externalizing behaviours and disorders, and figures prominently in the aetiology and long-term sequelae of substance use disorders (SUDs). Despite its robust clinical and predictive validity, the study of impulsivity is complicated by its multidimensional nature, characterized by a variety of trait-like personality dimensions, as well as by more state-dependent neurocognitive dimensions, with variable convergence across measures. This review provides a hierarchical framework for linking self-report and neurocognitive measures to latent constructs of impulsivity and, in turn, to different psychopathology vulnerabilities, including substance-specific addictions and comorbidities. Impulsivity dimensions are presented as novel behavioural targets for prevention and intervention. Novel treatment approaches addressing domains of impulsivity are reviewed and recommendations for future directions in research and clinical interventions for SUDs are offered. This article is part of the theme issue 'Risk taking and impulsive behaviour: fundamental discoveries, theoretical perspectives and clinical implications'.

Language: en

LA - en SN - 0962-8436 UR - http://dx.doi.org/10.1098/rstb.2018.0137 ID - ref1 ER -