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

Antonio Verdejo-GarciaJeggan TiegoNaomi KakoschkeNeda MoskovskyKatharina VoigtAlexandra C AndersonJulia KoutoulogenisDaniel I LubmanMark A Bellgrove
Published in: Nature human behaviour (2021)
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.
Keyphrases
  • mental health
  • healthcare
  • health information
  • electronic health record
  • clinical decision support