Tomko Rachel L, Solhan Marika B, Carpenter Ryan W, Brown Whitney C, Jahng Seungmin, Wood Phillip K, Trull Timothy J
Department of Psychological Sciences.
Psychol Assess. 2014 Jun;26(2):339-49. doi: 10.1037/a0035083. Epub 2013 Nov 25.
Impulsivity is a core feature of many psychiatric disorders. Traditionally, impulsivity has been assessed using retrospective questionnaires or laboratory tasks. Both approaches neglect intraindividual variability in impulsivity and do not capture impulsivity as it occurs in real-world settings. The goal of the current study was to provide a method for assessing impulsivity in daily life that provides both between-individual and within-individual information. Participants with borderline personality disorder (BPD; n = 67) or a depressive disorder (DD; n = 38) carried an electronic diary for 28 days and responded to 9 impulsivity items up to 6 times per day. Item distributions and iterative exploratory factor analysis (EFA) results were examined to select the items that best captured momentary impulsivity. A brief 4-item scale was created that can be used for the assessment of momentary impulsivity. Model fit was good for both within- and between-individual EFA. As expected, the BPD group showed significantly higher scores on our Momentary Impulsivity Scale than the DD group, and the resulting scale was moderately correlated with common trait impulsivity scales.
冲动性是许多精神疾病的核心特征。传统上,冲动性是通过回顾性问卷或实验室任务来评估的。这两种方法都忽略了冲动性的个体内部变异性,并且无法捕捉到现实生活中出现的冲动性。本研究的目的是提供一种评估日常生活中冲动性的方法,该方法既能提供个体间信息,也能提供个体内信息。患有边缘性人格障碍(BPD;n = 67)或抑郁症(DD;n = 38)的参与者携带电子日记28天,每天最多对9个冲动性项目进行6次回应。检查项目分布和迭代探索性因素分析(EFA)结果,以选择最能捕捉瞬间冲动性的项目。创建了一个简短的4项量表,可用于评估瞬间冲动性。个体内和个体间EFA的模型拟合都很好。正如预期的那样,BPD组在我们的瞬间冲动性量表上的得分显著高于DD组,并且所得量表与常见的特质冲动性量表具有中度相关性。