Berg Joanna M, Latzman Robert D, Bliwise Nancy G, Lilienfeld Scott O
Department of Psychology, Emory University.
Department of Psychology, Georgia State University.
Psychol Assess. 2015 Dec;27(4):1129-46. doi: 10.1037/pas0000111. Epub 2015 Mar 30.
The construct of impulsivity is implicated in a wide variety of psychopathology. However, the heterogeneous factors or subcomponents that differentially predict outcomes are still in the process of being parsed. The present review and meta-analysis focuses on the psychopathological correlates of the Negative Urgency, (lack of) Premeditation, (lack of) perseverance, Sensation Seeking, and Positive Urgency (UPPS/UPPS-P; Whiteside & Lynam, 2001). which provides a relatively new model of impulsivity that posits 5 potentially overlapping pathways to impulsive action. The present meta-analysis included 115 studies that used the UPPS, with a total of 40,432 participants. Findings suggested that the Negative Urgency pathway to impulsivity demonstrated the greatest correlational effect sizes across all forms of psychopathology, with the Positive Urgency pathway demonstrating a pattern of correlations similar to that of Negative Urgency. These findings raise questions regarding the conceptual and practical separability of these pathways. Lack of Premeditation and Lack of Perseverance also demonstrated similar correlational patterns, suggesting that further investigation of the distinctiveness of these pathways is warranted.
冲动性这一概念与多种精神病理学现象相关。然而，那些能不同程度预测结果的异质性因素或子成分仍在解析过程中。本综述及荟萃分析聚焦于负性紧迫性、（缺乏）预谋性、（缺乏）坚持性、感觉寻求和正性紧迫性（UPPS/UPPS-P；怀特赛德和莱纳姆，2001）的精神病理学相关性，该理论提供了一个相对较新的冲动性模型，假定有5条可能重叠的冲动行为途径。本荟萃分析纳入了115项使用UPPS的研究，共有40432名参与者。研究结果表明，冲动性的负性紧迫性途径在所有形式的精神病理学中表现出最大的相关效应量，正性紧迫性途径表现出与负性紧迫性相似的相关模式。这些发现引发了关于这些途径在概念和实践上可分离性的问题。缺乏预谋性和缺乏坚持性也表现出相似的相关模式，这表明有必要进一步研究这些途径的独特性。
