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一种统一的在线认知冲动测试组合,揭示了与现实世界冲动行为的关系。

A unified online test battery for cognitive impulsivity reveals relationships with real-world impulsive behaviours.

机构信息

School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia.

Turning Point, Eastern Health and Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia.

出版信息

Nat Hum Behav. 2021 Nov;5(11):1562-1577. doi: 10.1038/s41562-021-01127-3. Epub 2021 May 27.

Abstract

Impulsive behaviours are a major contributor to the global burden of disease, but existing measures of cognitive impulsivity have suboptimal reliability and validity. Here, we introduce the Cognitive Impulsivity Suite, comprising three computerized/online tasks using a gamified interface. We conceptualize rapid-response impulsive behaviours (disinhibition) as arising from the failure of three distinct cognitive mechanisms: attentional control, information gathering and monitoring/shifting. We demonstrate the construct and criterion validity of the Cognitive Impulsivity Suite in an online community sample (N = 1,056), show test-retest reliability and between-subjects variability in a face-to-face community sample (N = 63), and replicate the results in a community and clinical sample (N = 578). The results support the theoretical architecture of the attentional control, information gathering and monitoring/shifting constructs. The Cognitive Impulsivity Suite demonstrated incremental criterion validity for prediction of real-world, addiction-related problems and is a promising tool for large-scale research on cognitive impulsivity.

摘要

冲动行为是全球疾病负担的一个主要因素,但现有的认知冲动性衡量标准的可靠性和有效性并不理想。在这里,我们介绍认知冲动套件,它由三个使用游戏化界面的计算机化/在线任务组成。我们将快速反应冲动行为(抑制解除)的概念化为三个不同认知机制的失败:注意力控制、信息收集和监控/转移。我们在一个在线社区样本(N=1056)中证明了认知冲动套件的结构和标准有效性,在面对面的社区样本(N=63)中展示了测试-重测可靠性和受试者间的可变性,并在社区和临床样本(N=578)中复制了结果。结果支持注意力控制、信息收集和监控/转移结构的理论架构。认知冲动套件在预测与现实世界相关的成瘾问题方面表现出了增量标准有效性,是研究认知冲动性的一种很有前途的工具。

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