Impulsivity differences in recreational cannabis users and binge drinkers in a university population.

BACKGROUND Recreational cannabis use and alcohol binge drinking are the most common drug consumption patterns in young adults. Impulsivity and several psychopathological signs are increased in chronic drug users, but the implications of recreational use are still poorly understood. METHODS We evaluated impulsivity, sensation-seeking traits, impulsive decision-making, inhibitory control and possible symptoms of depression, anxiety and psychosis in three groups of young university adults: recreational cannabis users (N=20), alcohol binge drinkers (N=22) and non-drug users (N=26). RESULTS The cannabis and binge drinking groups had increased scores for impulsivity and sensation-seeking traits. Both groups also exhibited increased impulsive decision-making on the two-choice task and the Iowa gambling task; however, only the cannabis group was significantly different from the non-drug group regarding inhibitory control (go/no-go and stop tasks). The cannabis and binge drinking groups did not show differences in the psychopathological symptoms evaluated. CONCLUSIONS Our observations of this population of non-dependent drug users are consistent with the increased impulsivity traits and behaviors that have been described previously in chronic drug abusers. In this study, compared to no drug use, the recreational use of cannabis was associated with a major dysfunction of the different facets of impulsive behaviors. However, alcohol binge drinking was related only to impulsive decision-making. These results suggest that impulsivity traits and behaviors are present not only in chronic drug abusers but also in recreational drug users. Future work should continue to investigate the long-term effects of these common consumption patterns on various impulsive behaviors and psychopathological symptoms.

[1]  F. Moeller,et al.  Impulsivity and history of drug dependence. , 1998, Drug and alcohol dependence.

[2]  B. Maher,et al.  Liability to substance use disorders: 1. Common mechanisms and manifestations , 2003, Neuroscience & Biobehavioral Reviews.

[3]  J. Kopec,et al.  The CAGE questionnaire for alcohol misuse: a review of reliability and validity studies. , 2007, Clinical and investigative medicine. Medecine clinique et experimentale.

[4]  T. Wills,et al.  Alcohol abuse and dependence symptoms: a multidimensional model of common and specific etiology. , 2009, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[5]  R. Vuchinich,et al.  Hyperbolic temporal discounting in social drinkers and problem drinkers. , 1998, Experimental and clinical psychopharmacology.

[6]  P. Dannon,et al.  Risk-taking decisions in pathological gamblers is not a result of their impaired inhibition ability , 2011, Psychiatry Research.

[7]  C. Correia,et al.  An affective-motivational model of marijuana and alcohol problems among college students. , 2005, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[8]  W. Maier,et al.  Elevated impulsivity and impaired decision-making cognition in heavy users of MDMA (“Ecstasy”) , 2006, Psychopharmacology.

[9]  Rita Z. Goldstein,et al.  Drug addiction and its underlying neurobiological basis: neuroimaging evidence for the involvement of the frontal cortex. , 2002, The American journal of psychiatry.

[10]  D. Yurgelun-Todd,et al.  Why so impulsive? White matter alterations are associated with impulsivity in chronic marijuana smokers. , 2011, Experimental and clinical psychopharmacology.

[11]  H. Wit Impulsivity as a determinant and consequence of drug use: a review of underlying processes , 2009 .

[12]  W. Eddy,et al.  Brain activation, response inhibition, and increased risk for substance use disorder. , 2008, Alcoholism, clinical and experimental research.

[13]  Adrian Wells,et al.  A short form of the metacognitions questionnaire: properties of the MCQ-30. , 2004, Behaviour research and therapy.

[14]  Mike C. Jackson,et al.  New scales for the assessment of schizotypy , 1995 .

[15]  B. Grant,et al.  Psychopathology associated with drinking and alcohol use disorders in the college and general adult populations. , 2005, Drug and alcohol dependence.

[16]  Karen I Bolla,et al.  The differential relationship between cocaine use and marijuana use on decision-making performance over repeat testing with the Iowa Gambling Task. , 2007, Drug and alcohol dependence.

[17]  G. Logan,et al.  Impulsivity and Inhibitory Control , 1997 .

[18]  J. John Mann,et al.  Spanish adaptation of the Barratt Impulsiveness Scale (BIS-11) , 2001 .

[19]  Edward T. Bullmore,et al.  Drug Addiction Endophenotypes: Impulsive Versus Sensation-Seeking Personality Traits , 2010, Biological Psychiatry.

[20]  A. Damasio,et al.  Insensitivity to future consequences following damage to human prefrontal cortex , 1994, Cognition.

[21]  José Muñiz Fernández,et al.  Directrices para la traduccion y adaptacion de los tests , 2013 .

[22]  J. Ramaekers,et al.  Neurocognitive performance during acute THC intoxication in heavy and occasional cannabis users , 2009, Journal of psychopharmacology.

[23]  G. Wiesbeck,et al.  Reflection–impulsivity, personality and performance: a psychometric and validity study of the Matching Familiar Figures Test in detoxified alcoholics , 2001 .

[24]  T. Lundqvist,et al.  Imaging cognitive deficits in drug abuse. , 2010, Current topics in behavioral neurosciences.

[25]  Mark D'Esposito,et al.  Impulsive responding in alcoholics. , 2005, Alcoholism, clinical and experimental research.

[26]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[27]  M. Pérez-García,et al.  What are the specific vs. generalized effects of drugs of abuse on neuropsychological performance? , 2011, Neuroscience & Biobehavioral Reviews.

[28]  Michael Vanyukov,et al.  Predictors of marijuana use in adolescents before and after licit drug use: examination of the gateway hypothesis. , 2006, The American journal of psychiatry.

[29]  Nora D. Volkow,et al.  Brain glucose metabolism in chronic marijuana users at baseline and during marijuana intoxication , 1996, Psychiatry Research: Neuroimaging.

[30]  J. Richards,et al.  Effects of THC on Behavioral Measures of Impulsivity in Humans , 2003, Neuropsychopharmacology.

[31]  R. Elliott,et al.  Response inhibition and impulsivity: an fMRI study , 2003, Neuropsychologia.

[32]  Jorge Pérez,et al.  FIABILIDAD Y VALIDEZ DE LA VERSION ESPA~OLADE LA ESCALA DE BUSOUEDA DE SENSACIONES (FORMA V) , 1986 .

[33]  A. Pfefferbaum,et al.  Preliminary evidence of reduced cognitive inhibition in methamphetamine-dependent individuals , 2002, Psychiatry Research.

[34]  L. Clark,et al.  Disrupted ‘reflection’ impulsivity in cannabis users but not current or former ecstasy users , 2009, Journal of psychopharmacology.

[35]  Flor Zaldívar-Basurto,et al.  The Role of Personality Variables in Drug Abuse in a Spanish University Population , 2009, International Journal of Mental Health and Addiction.

[36]  K. Sher,et al.  Decision making and binge drinking: a longitudinal study. , 2007, Alcoholism, clinical and experimental research.

[37]  W. Pedersen,et al.  Mental health, sensation seeking and drug use patterns: a longitudinal study. , 1991, British journal of addiction.

[38]  José Antonio Velásquez Costa,et al.  Características que definen el fenómeno del botellón en universitarios y adolescentes , 2007 .

[39]  M. Paulus,et al.  Functional MRI of inhibitory processing in abstinent adolescent marijuana users , 2007, Psychopharmacology.

[40]  Luke Clark,et al.  Impulsivity and response inhibition in alcohol dependence and problem gambling , 2009, Psychopharmacology.

[41]  T. Naimi,et al.  Binge Drinking and Associated Health Risk Behaviors Among High School Students , 2007, Pediatrics.

[42]  C. Boettiger,et al.  Impulsivity, frontal lobes and risk for addiction , 2009, Pharmacology Biochemistry and Behavior.

[43]  L. Clark,et al.  Impulsivity as a vulnerability marker for substance-use disorders: Review of findings from high-risk research, problem gamblers and genetic association studies , 2008, Neuroscience & Biobehavioral Reviews.

[44]  B. Maher,et al.  Liability to substance use disorders: 2. A measurement approach , 2003, Neuroscience & Biobehavioral Reviews.

[45]  Alvaro C Magalhaes,et al.  Functional Magnetic Resonance and Spectroscopy in Drug and Substance Abuse , 2005, Topics in magnetic resonance imaging : TMRI.

[46]  Deborah A Yurgelun-Todd,et al.  Neuroimaging of marijuana smokers during inhibitory processing: a pilot investigation. , 2005, Brain research. Cognitive brain research.

[47]  S. Tapert,et al.  Alcohol, psychological dysregulation, and adolescent brain development. , 2008, Alcoholism, clinical and experimental research.

[48]  J. Richards,et al.  Dimensions of impulsive behavior: Personality and behavioral measures , 2006 .

[49]  L. Spear The adolescent brain and age-related behavioral manifestations , 2000, Neuroscience & Biobehavioral Reviews.

[50]  Paloma Chorot,et al.  Propiedades psicométricas del índice de sensibilidad a la ansiedad , 2005 .

[51]  John Polich,et al.  Binge drinking in young adults: Data, definitions, and determinants. , 2009, Psychological bulletin.

[52]  P. Conrod,et al.  Response inhibition and reward response bias mediate the predictive relationships between impulsivity and sensation seeking and common and unique variance in conduct disorder and substance misuse. , 2011, Alcoholism, clinical and experimental research.

[53]  J. Richards,et al.  Acute Administration of d-Amphetamine Decreases Impulsivity in Healthy Volunteers , 2002, Neuropsychopharmacology.

[54]  S. Lane,et al.  Laboratory and psychometric measurements of impulsivity among violent and nonviolent female parolees , 1999, Biological Psychiatry.

[55]  M. López,et al.  Instrumentos de evaluación en salud mental , 2002 .

[56]  Jennifer L. Perry,et al.  The role of impulsive behavior in drug abuse , 2008, Psychopharmacology.

[57]  N. Petry,et al.  Delay discounting of money and alcohol in actively using alcoholics, currently abstinent alcoholics, and controls , 2001, Psychopharmacology.

[58]  José Antonio Velásquez Costa,et al.  Aspectos cognitivos relacionados con la práctica del botellón , 2008 .

[59]  O. Mason,et al.  Acute cannabis use causes increased psychotomimetic experiences in individuals prone to psychosis , 2008, Psychological Medicine.

[60]  D. Clark,et al.  Developmental sources of variation in liability to adolescent substance use disorders. , 2000, Drug and alcohol dependence.

[61]  D. Hommer,et al.  Impulsivity in abstinent alcohol-dependent patients: relation to control subjects and type 1-/type 2-like traits. , 2004, Alcohol.

[62]  J. Ewing,et al.  Detecting alcoholism. The CAGE questionnaire. , 1984, JAMA.

[63]  W. Overman,et al.  Performance on the IOWA card task by adolescents and adults , 2004, Neuropsychologia.

[64]  Wim van den Brink,et al.  Neurocognitive functions in pathological gambling: a comparison with alcohol dependence, Tourette syndrome and normal controls. , 2006, Addiction.

[65]  G. Fein,et al.  Impairment on a simulated gambling task in long-term abstinent alcoholics. , 2004, Alcoholism, clinical and experimental research.

[66]  J. Rehm,et al.  Cannabis use and cannabis use disorders and their relationship to mental disorders: a 10-year prospective-longitudinal community study in adolescents. , 2007, Drug and alcohol dependence.

[67]  M. J. Lynch,et al.  Biological Bases of Sensation Seeking, Impulsivity, and Anxiety , 1984 .

[68]  Jonathan D. Cohen,et al.  A Developmental Functional MRI Study of Prefrontal Activation during Performance of a Go-No-Go Task , 1997, Journal of Cognitive Neuroscience.

[69]  M. Yücel,et al.  Reflection impulsivity in adolescent cannabis users: a comparison with alcohol-using and non-substance-using adolescents , 2011, Psychopharmacology.

[70]  P. Laurienti,et al.  Long-term heavy marijuana users make costly decisions on a gambling task. , 2004, Drug and alcohol dependence.

[71]  H J Eysenck,et al.  Sensation seeking in England and America: cross-cultural, age, and sex comparisons. , 1978, Journal of consulting and clinical psychology.

[72]  D. Yurgelun-Todd,et al.  Early-onset cannabis use and cognitive deficits: what is the nature of the association? , 2003, Drug and alcohol dependence.

[73]  M. Olmstead,et al.  Recreational Drug Use and Impulsivity in a Population of Canadian Undergraduate Drinkers , 2010, Front. Psychiatry.

[74]  M. Fillmore,et al.  Impaired inhibitory control of behavior in chronic cocaine users. , 2002, Drug and alcohol dependence.

[75]  R. Murray,et al.  Opposite Effects of Δ-9-Tetrahydrocannabinol and Cannabidiol on Human Brain Function and Psychopathology , 2010, Neuropsychopharmacology.

[76]  D. Mayfield,et al.  The CAGE questionnaire: validation of a new alcoholism screening instrument. , 1974, The American journal of psychiatry.

[77]  H. Begleiter,et al.  Alcoholism is a disinhibitory disorder: neurophysiological evidence from a Go/No-Go task , 2005, Biological Psychology.

[78]  J. Ramaekers,et al.  High-Potency Marijuana Impairs Executive Function and Inhibitory Motor Control , 2006, Neuropsychopharmacology.

[79]  K. Lange,et al.  Is moderate substance use associated with altered executive functioning in a population‐based sample of young adults? , 2009, Human psychopharmacology.

[80]  P. Trower,et al.  Why does schizophrenia develop at late adolescence? , 2001, Clinical psychology review.

[81]  Janet B W Williams,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[82]  Dc Washington Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. , 1994 .

[83]  L. Degenhardt,et al.  Cannabis use and psychotic disorders: an update. , 2004, Drug and alcohol review.

[84]  J. Swendsen,et al.  Consommation de substances psychoactives, problèmes affectifs et traits de personnalité : test de deux modèles d'association , 2004 .

[85]  Antonio M. Molina Moreno,et al.  Validity of the self-report on drug use by university students: correspondence between self-reported use and use detected in urine. , 2009 .

[86]  R. Wiers,et al.  Cognitive processes in alcohol binges: a review and research agenda. , 2008, Current drug abuse reviews.

[87]  J. de Irala,et al.  Causal relationship between cannabis use and psychotic symptoms or depression. Should we wait and see? A public health perspective. , 2005, Medical science monitor : international medical journal of experimental and clinical research.

[88]  Hidenao Fukuyama,et al.  Functional relevance of pre-supplementary motor areas for the choice to stop during Stop signal task , 2011, Neuroscience Research.

[89]  E. Butelman,et al.  Genetic influences on impulsivity, risk taking, stress responsivity and vulnerability to drug abuse and addiction , 2005, Nature Neuroscience.

[90]  C. Dent,et al.  Sensation seeking and drug use among high risk Latino and Anglo adolescents , 1994 .

[91]  A. A. Pueyo,et al.  Hábito de fumar y esquizotipia , 2001 .

[92]  T. Robbins,et al.  Reflection Impulsivity in Current and Former Substance Users , 2006, Biological Psychiatry.