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Chunk #28 — Alcohol Use Disorders (AUDs) — — Psychopathology, Violence, and Aggression

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Behavioral and biological indicators of impulsivity in the development of alcohol use, problems, and disorders.
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Psychopathology is also linked to alcohol use in psychiatric populations. For example, Rubio et al. (2007) indicated individuals with an AUD differed from controls on some dimensions of impulsivity such as delay discounting, but those with an AUD and a cluster B personality disorder evidenced additional impulsivity related impairment in other aspects of impulsivity, such as sustained attention and response inhibition. Moreover, results indicated some distinction among the cluster B personality disorders themselves (e.g., more commission errors on a continuous performance test associated with borderline personality disorder and poorer efficiency in a differential reinforcement of low rate responding associated with antisocial personality disorder). Specific to antisocial features, Whiteside & Lynam (2003) compared self-reported impulsivity using the UPPS Impulsive Behavior Scale (Whiteside & Lynam, 2001) among alcohol abusers high or low in antisocial personality traits and a control group. Individuals high on antisocial personality traits had significantly high scores on all UPPS scales (urgency, lack of premeditation, lack of perseverance, and sensation seeking), while the individuals low in antisocial personality traits and controls only had significant elevations on the Urgency subscale.