A Combination of Impulsivity Subdomains Predict Alcohol Intoxication Frequency

L. O'Halloran, B. Pennie, L. Jollans, H. Kiiski, N. Vahey, L. Rai, L. Bradley, R. Lalor, R. Whelan

Research output: Contribution to journalArticlepeer-review

Abstract

Background
Impulsivity, broadly characterized as the tendency to act prematurely without foresight, is linked to alcohol misuse in college students. However, impulsivity is a multidimensional construct and different subdomains likely underlie different patterns of alcohol misuse. Here, we quantified the association between alcohol intoxication frequency and alcohol consumption frequency and choice, action, cognitive, and trait domains of impulsivity.

Methods
University student drinkers (n = 106) completed a battery of demographic and alcohol-related items, as well as self-report and task-based measures indexing different facets of impulsivity. Two orthogonal latent factors, intoxication frequency and alcohol consumption frequency, were generated. Their validity was demonstrated with respect to adverse consequences of alcohol use. Machine learning with penalized regression and feature selection was then utilized to predict intoxication and alcohol consumption frequency using all impulsivity subdomains. Out-of-sample validation was used to quantify model performance.

Results
Impulsivity measures alone were significant predictors of intoxication frequency, but not consumption frequency. Propensity for increased intoxication frequency was characterized by increased trait impulsivity, including the Disinhibition subscale of the Sensation Seeking Scale, Attentional and Non-planning subscales of the Barratt Impulsiveness Scale, increased task-based cognitive impulsivity (response time variability), and increased choice impulsivity (steeper delay discounting on a delay discounting questionnaire). A model combining impulsivity domains with other risk factors (gender; nicotine, cannabis, and other drug use; executive functioning; and learning processes) was also significant but did not outperform the model comprising of impulsivity alone.

Conclusions
Intoxication frequency, but not consumption frequency, was characterized by a number of impulsivity subdomains.
Original languageEnglish
Pages (from-to)1530-1540
Number of pages11
JournalAlcoholism: Clinical and Experimental Research
Volume42
Issue number8
DOIs
Publication statusPublished - 2018

Keywords

  • Alcohol
  • Impulsivity
  • Intoxication
  • Machine Learning
  • Young Adults

Fingerprint

Dive into the research topics of 'A Combination of Impulsivity Subdomains Predict Alcohol Intoxication Frequency'. Together they form a unique fingerprint.

Cite this