need help with research paper and research experiment
______________________________
Author info: Correspondence should be sent to: Dr. Jean Gagnon, Ph.D.,
Department of Psychology, University of Montreal C.P. 6128, Centre-ville
Station, Montreal, Quebec, Canada H3C 3J7 [email protected]
North American Journal of Psychology, 2013, Vol. 15, No. 1, 165-178..
NAJP
Correlations of Impulsivity with Dysfunctional
Beliefs Associated with Borderline Personality
Jean Gagnon 1,2,3,4
Sacha Daelman 1,2
Pierre McDuff 1
1 Department of Psychology, University of Montreal, Canada
2 Centre for Interdisciplinary Research in Rehabilitation of Greater
Montreal (CRIR), Canada 3 Department of Psychology, University of Sherbrooke, Canada
4 Centre de recherche en neuropsychologie et cognition (CERNEC),
Canada
Beck’s cognitive model is widely acknowledged in the explanation of
some psychopathologies related to impulsivity, and recent studies on
cognitive distortions have shown that this model can explain the
cognitive processes underlying impulsivity. Our study examined the
relationships between dysfunctional beliefs and four dimensions of
impulsivity from the UPPS Impulsive Behavior Scale: Urgency, Lack of
Premeditation, Lack of Perseverance and Sensation Seeking. Regression
analyses revealed that borderline dysfunctional beliefs were correlated
with Negative Urgency even after controlling for age, gender, depression,
anxiety and borderline personality disorder symptomatology. These
results suggest that the Negative Urgency trait is associated with
dysfunctional beliefs that make an individual more prone to adopt
ineffective affect-regulation strategies. In contrast to Cyders’ and Smith’s
(2008) impulsivity model, Beck’s model focuses more on cognitive
processes and gives them precedence over the intensity of emotional
reactions in the dynamics of impulsive behaviors associated with
Negative Urgency.
Impulsivity has been defined as a predisposition toward reacting
quickly and without planning to internal or external stimuli, with no
thought to the consequences of these reactions for the impulsive
individual or for others (Moeller, Barratt, Dougherty, Schmitz, & Swann,
2001). Whiteside and Lynam’s (2001) model of impulsivity identified
four dimensions measured by the UPPS Impulsive Behavior Scale (see
also Whiteside, Lynam, Miller, & Reynolds, 2005): (a) Urgency refers to
the tendency to experience strong impulses in situations of intense
negative or positive emotions (e.g., negative and positive urgency,
166 NORTH AMERICAN JOURNAL OF PSYCHOLOGY
respectively) to which the individual responds by behaving impulsively
in an effort to rid himself of these emotions, regardless of any potential
consequences or risk of injury, (b) Lack of Premeditation is the tendency
to act without considering the consequences, (c) Lack of Perseverance
refers to the difficulty of concentrating on a boring or difficult task, and
(d) Sensation Seeking refers to the tendency to enjoy and pursue exciting
activities, as well as the willingness to try new experiences that may or
may not be dangerous. The UPPS Impulsive Behavior Scale has been
validated in several clinical populations and its factor structure has been
replicated in men and women, adults and adolescents, and in several
languages (d'Acremont & Van der Linden, 2005; Van der Linden et al.,
2006; Whiteside & Lynam, 2003).
The conceptualization of Urgency trait that is dominant in the
literature postulates that this trait is an emotion-based disposition and the
emergence of individual differences can be identified in the relationship
between emotion and behavior (Cyders & Smith, 2008). According to
this view, emotion has a primary role in the production of dysfunctional
impulsive behaviour associated with Urgency trait. The loss of available
cognitive resources and the interference with rational decision-making
comes as a consequence of the intensity of the emotions (Cyders &
Smith, 2008). This point of view seems in contrast to Beck’s cognitive
perspective.
Beck’s cognitive model has been empirically supported for treatment
of a variety of Axis I and Axis II disorders (Beck, 2005; Beck & Dozois,
2011; Butler, Chapman, Forman, & Beck, 2006), including disorders
associated with marked impulsivity such as borderline personality
disorders (Brown, Newman, Charlesworth, Crits-Christoph, & Beck,
2004) and pathological gambling (Fortune & Goodie, 2012). From the
perspective of cognitive theory, cognitive distortions and dysfunctional
beliefs represent central aspects of the phenomenology of these disorders.
Fundamental beliefs or cognitive schemas are deep, unconscious and
stable structures that influence our assessment of reality and guide all
cognitive processes, from encoding to the selection and expression of
behavioral responses. Although Beck’s model was not designed to
explain impulsive behaviors, several components of the model refer to
these behaviors (Ivanoff, Linehan, & Brown, 2001). First, the model
posits that when a schema becomes rigid and dysfunctional, it becomes
hypervalent, or easily activated by a trivial stimulus. A dysfunctional,
hypervalent schema can also become prepotent and inhibit other schemas
that are better adjusted to reality. In such a case, the schema can generate
an intense emotional response, create attentional biases and decrease the
processing of information needed for affective and behavioral regulation.
Second, Beck’s model views personality as a stable organization
Gagnon, Daelman, & McDuff DYSFUNCTIONAL BELIEFS 167
composed of different interrelated systems, each composed of several
schemas with their own function: cognitive schemas (interpretation),
affective schemas (generalization of feelings), motivational schemas
(desires), action schemas (preparing the action), and control schemas.
Functioning alongside the action system, the “control” system modulates,
modifies and inhibits impulses. This system is comprised of beliefs that
outline what we can or cannot do and can be translated into commands. It
also governs the processes of anticipation that inhibit action when the
expected result is unfavorable. Among the control systems are the self-
schemas, which form the basis of how we evaluate and judge ourselves,
favorably or unfavorably, realistically or unrealistically (Beck, Freeman,
& Davis, 2004).
The existence of a relationship between impulsivity traits and
dysfunctional cognitions has received some support. Two studies by
Mobini and colleagues (Mobini, Grant, Kass, & Yeoman, 2007; Mobini,
Pearce, Grant, Mills, & Yeoman, 2006) have shown that age and
impulsivity, as measured with the Barratt Impulsiveness Scale–11th
version (BIS-11; Patton, Stanford, & Barratt, 1995), were significant
predictors of the incidence of cognitive distortions and that cognitive
distortions were associated with dysfunctional impulsivity. A recent
study (Gagnon, Daelman, McDuff, & Kocka, 2013), conducted on
undergraduates, examined the relationships between cognitive
distortions, childhood maltreatment and the four dimensions of
impulsivity of the UPPS Impulsive Behavior Scale. Analyses revealed
that Premature Processing, a term applied to a group of seven cognitive
distortions (such as emotional reasoning and confusing needs and wants),
as well as childhood maltreatment, was able to predict significantly and
independently, the Negative Urgency dimension of impulsivity above
and beyond gender and the three other subscales of the UPPS Impulsive
Behavior Scale. These results suggest that Negative Urgency trait is
associated with cognitive distortions that can undermine thought
processes in a variety of ways, increasing the likelihood of acting rashly.
From a cognitive perspective, these results seem to support the view that
cognition has a primary role in the production of dysfunctional impulsive
behaviour associated with Urgency trait. One question open to further
investigation is whether dysfunctional beliefs (schemas) are related to
UPPS dimensions of impulsivity. However, to our knowledge, there is no
direct evidence of a relationship between trait impulsivity and
dysfunctional beliefs.
We chose to study the relationship between Negative Urgency and
dysfunctional schemas associated with borderline personality disorder for
several reasons. Unlike the other subscales of the UPPS Impulsive
Behaviors Scale, Negative Urgency was specifically predicted by a group
168 NORTH AMERICAN JOURNAL OF PSYCHOLOGY
of cognitive distortions (Gagnon et al., 2013). Moreover, the nature of
cognitive schemas or core beliefs linked to Negative Urgency remains
unknown. However, Negative Urgency has been strongly and uniquely
related to borderline features (Whiteside et al., 2005), which in turn are
associated with specific core beliefs (Butler, Brown, Beck, & Grisham,
2002). These core beliefs, as measured by the Borderline Personality
Disorder subscale of the Personality Beliefs Questionnaire (PBQ-BPD),
reflect themes of dependency, helplessness, distrust, fears of
rejection/abandonment/losing emotional control, and extreme attention-
seeking behaviors (Butler et al., 2002). A study examining the factor
structure of the PBQ-BPD in a sample of patients with borderline
personality disorder yielded three factors relating to beliefs of self as
helpless and others as untrustworthy, and the belief that one should
engage pre-emptively in defensive behaviors to avoid being hurt,
exploited or harmed (Bhar, Brown, & Beck, 2008). Butler et al. (2002)
hypothesized that these beliefs motivate the self-defeating and self-
destructive behaviors associated with borderline personality disorder and
that beliefs about the need to act pre-emptively to protect oneself may be
associated with different types of psychopathology such as anger and
poor impulse control. A previous study on borderline features among
undergraduate students showed that 37.9% had committed potentially
destructive impulsive behaviors, 39.8% had experienced intense and
inappropriate rages, and 10.7% had carried out suicidal acts or threatened
to commit suicide on more than one occasion (Trull, 1995). The question
remains whether the Negative Urgency associated with these impulsive
behaviors is associated as well with borderline dysfunctional beliefs.
The objective of this study was to verify the existence of relationships
between borderline dysfunctional beliefs and the four UPPS dimensions
of impulsivity. It is hypothesized that dysfunctional beliefs associated
with borderline personality disorder would distinctively predict Negative
Urgency even after controlling for the effects of age, gender, anxiety,
depression and borderline psychopathology.
METHOD
Participants
The sample was composed of 150 undergraduate university students
(126 female, 24 male) in a large Canadian metropolitan area, whose
average age was 23.34 years (SD=5.93; ranging from 18 to 53 years).
The participants were recruited among students from several different
courses in social sciences programs. Taking into consideration that the
subject sample was not balanced in terms of gender and varied in terms
of age, age was controlled in the main analysis, as well as gender.
Gagnon, Daelman, & McDuff DYSFUNCTIONAL BELIEFS 169
Measures
Personality Beliefs Questionnaire—Borderline Personality Subscale
(PBQ-BPD). The PBQ is a self-report questionnaire measuring beliefs
related to personality disorders (Beck et al., 2001). For the present study,
only the PBQ-BPD was used to measure beliefs related to borderline
psychopathology. This instrument was developed with 14 PBQ items,
rated on a 5-point Likert scale (0 to 4) that discriminated BPD patients
from others with personality disorders (Butler et al., 2002). A total score
(M=12.68; SD=9.02; α=.88) is obtained by summing the items. The
beliefs related to BPD measured by the questionnaire reflect dependency,
helplessness, distrust, rejection, abandonment, losing emotional control
and histrionic behavior.
UPPS Impulsive Behavior Scale. The UPPS Impulsive Behavior
Scale (Whiteside & Lynam, 2001) and its French version (Van der
Linden et al., 2006) are a 45-item self-report questionnaire that measures
impulsive behaviors according to dimensions of Negative Urgency
(M=26.22; SD=7.08; α=0.90), Lack of Premeditation (M=20.88;
SD=5.21; α=.86), Lack of Perseverance (M=18.50; SD=5.25; α=.87) and
Sensation Seeking (M=30.23; SD=7.69; α=.88; see definitions of each
dimension in the introduction), with each item describing a way of
behaving or thinking. Respondents indicate their degree of agreement or
disagreement with each item on a Likert scale ranging from 1 (strongly
agree) to 4 (strongly disagree).
The Borderline Symptoms List (BSL-23). The BSL-23 (Bohus et al.,
2009) is a questionnaire used to assess the degree of symptoms of BPD,
such as poor self-esteem, dysphoric emotions, suicidal intention and
impulsive behaviors. A total score for borderline symptoms (M=15.24;
SD=12.16; α=.91) is obtained by summing 23 items on a 5-point Likert
scale (0 to 4). This questionnaire was used in the present study to
statistically control for the effect of borderline symptomatology on
impulsivity traits (Whiteside et al., 2005).
Beck Depression Inventory (BDI-II). The BDI-II (Beck, Steer, &
Brown, 1996) is a self-report questionnaire comprising 21 items
measuring symptoms or manifestations of depression in adolescents and
adults. The symptoms are rated on a 4-point scale (0 to 3), each value
representing increasing levels of severity, and the questionnaire is scored
by summing the highest ratings for each symptom (M=10.32; SD=8.36;
α=0.90). A number of studies have investigated the psychometric
characteristics of the BDI-II through clinical and non-clinical populations
(for a review, see Steer & Beck, 2004).
Beck Anxiety Inventory (BAI). The BAI is a 21-item self-report
questionnaire measuring the manifestations and severity of anxiety (Beck
& Steer, 1993). Each of its symptoms is rated on a 4-point scale ranging
170 NORTH AMERICAN JOURNAL OF PSYCHOLOGY
from 0 to 3. The questionnaire is scored by summing the scores for each
item (M=10.51; SD=8.44; α=0.88). Psychometric characteristics have
been examined in several studies with clinical and non-clinical
populations (e.g. Beck & Steer, 1993; Kabacoff, Segal, Hersen, & Van
Hasselt, 1997; Osman, Barrios, Aukes, Osman, & Markway, 1993).
Along with the BDI-II, this questionnaire was used in the present study
to statistically control for the effect of depression and anxiety on
impulsivity traits, since they are generally related to impulsivity (Clark,
2006; Miller, Flory, Lynam, & Leukefeld, 2003; Steinberg et al., 2008;
Van der Linden et al., 2006).
RESULTS
Examination of the skewness and kurtosis statistics and their standard
error for each variables showed that, as expected with a sample
composed of undergraduate students, many clinical variables of the study
presented positively skewed distributions. Thus, square root data
transformations were performed on Negative Urgency, Lack of
Perseverance, BSL-23, BAI, and BDI-II scores. Moreover, only a
logarithmic data transformation on PBQ-BPD allowed obtaining a
normal distribution (Tabachnick & Fidell, 2001). After these
transformations, all the variables showed normal distributions: Negative
Urgency, BSL-23, PBQ-BPD and BAI by using Kolmogorov-Smirnov
test (p>.10) and Lack of Perseverance and BDI by using examination of
skewness and its standard error (Tabachnick & Fidell, 2001).
Table 1 presents Pearson correlations between age, depression (BDI-
II), anxiety (BAI), borderline personality disorder symptomatology
(BSL-23), dysfunctional beliefs associated with borderline personality
disorder (PBQ-BPD) and each UPPS dimension. Notably, Negative
Urgency showed significant correlations with all clinical variables
whereas Lack of Perseverance showed moderate positive correlations
with borderline beliefs and symptomatology as well as with depression
symptoms. However, Lack of Premeditation was only weakly correlated
to anxiety and none of the clinical variables were correlated to Sensation
Seeking.
Hierarchical multiple regression was used to assess the ability of the
dysfunctional beliefs measure (PBQ-BPD score) to predict Negative
Urgency, after controlling for age, gender, depression (BDI-II score),
anxiety (BAI score) and borderline symptoms (BSL-23 score; see Table
2). To test the specific relationship between dysfunctional beliefs and
Negative Urgency, the same hierarchical multiple regression was
conducted on Lack of Perseverance, given that it was the only other
subscale (besides Negative Urgency) on the UPPS Impulsive Behavior
Scale significantly correlated with PBQ-BPD. Preliminary analyses were
Gagnon, Daelman, & McDuff DYSFUNCTIONAL BELIEFS 171
conducted to ensure there was no violation of the assumptions of
normality, linearity, multicollinearity and homoscedasticity. Even though
there was a strong correlation between BDI-II and BSL-23, both
variables were included in the analysis as control measures, since
Variance Inflation Factors were in the acceptable range (under 4; 'Brien,
2007).
To predict the Negative Urgency subscale, Step 1 involved entering
age, gender, BDI-II score and BAI score, since they are related to
impulsivity (Clark, 2006; Miller et al., 2003; Steinberg et al., 2008; Van
der Linden et al., 2006); these variables explained 30% of the variance in
Negative Urgency (R 2
adj=0.30). Then, in Step 2, since borderline
personality disorder symptomatology is specifically associated with
Negative Urgency (Whiteside et al., 2005), the BSL-23 score was
entered, bringing the explanation of the variance of Negative Urgency to
31% (R 2
adj=0.31). The BSL-23 score thus explained a significantly addi-
tional 1% of the variance of Negative Urgency (p<.05), after controlling
for age, gender, BDI score and BAI score. Finally, after the PBQ-BPD
score was entered in Step 3 to verify the unique contribution of
borderline dysfunctional beliefs to Negative Urgency, the total variance
explained by the model as a whole was 38% (R 2
adj=0.38; F(6,142)=16.11,
TABLE 1 Correlations between Age, Depression, Anxiety, Borderline
Symptomatology, Borderline Dysfunctional Beliefs & UPPS Impulsivity
Age BDI-II BAI BSL-
23
PBQ-
BPD
UU Lpers Lprem
Age 1.0
BDI-II 0.03 1.0
BAI -0.22 **
0.64 ***
1.0
BSL-23 -0.12 0.80 ***
0.70 ***
1.0
PBQ-
BPD -0.09 0.64 ***
0.58 ***
0.64 ***
1.0
U -0.04 0.54 ***
0.47 ***
0.53 ***
0.59 ***
1.0
Lpers 0.02 0.30 ***
0.15 0.34 ***
0.24 **
0.38 ***
1.0
Lprem 0.01 0.12 0.16 * 0.14 0.12 0.47
*** 0.39
*** 1.0
SS -0.02 0.11 0.01 0.11 0.07 0.25 **
0.11 0.38 ***
* p<.05;
** p<.01;
*** p<.001; Beck Depression Inventory = BDI-II; Beck Anxiety Inventory =
BAI; Borderline Symptoms List = BSL-23; Personality Beliefs Questionnaire-Borderline
Personality Subscale = PBQ-BPD; Negative Urgency = U; Lack of Perseverance = Lpers;
Lack of Premeditation = Lprem; Sensation Seeking=SS; n=150.
172 NORTH AMERICAN JOURNAL OF PSYCHOLOGY
p<.001). The PBQ-BPD score thus explained a significantly additional
7.1% of the variance of Negative Urgency (p<.001), after controlling for
the BSL-23 score. In the final model, only the PBQ-BPD score was
statistically significant (β=0.37, p<.001).
To predict the Lack of Perseverance subscale, again age, gender,
BDI-II score and BAI score were entered in Step 1, explaining 7.5% of
the variance of Lack of Perseverance (R 2
adj=0.075). The BSL-23 score
was entered in Step 2, raising the explanation of the variance of Lack of
Perseverance to 11% (R 2
adj=0.11). The BSL-23 score thus explained a
TABLE 2 Multiple Regression on Negative Urgency
Beta (β) t p R 2
adj
Step 1 0.30
Age -0.012 -0.159 0.874
Gender 0.066 0.944 0.347
BDI-II 0.407 4.394 0.000 ***
BAI 0.189 1.963 0.052 *
Step 2 0.31
Age 0.007 0.090 0.928
Gender 0.081 1.159 0.248
BDI-II 0.256 2.137 0.034 *
BAI 0.117 1.142 0.256
BSL-23 0.246 1.964 0.051 *
Step 3 0.38
Age 0.014 0.209 0.835
Gender 0.101 1.517 0.131
BDI-II 0.146 1.256 0.211
BAI 0.041 0.419 0.675
BSL-23 0.145 1.200 0.232
PBQ-
BPD 0.374 4.177 0.000 ***
Note. R²=0.41; F(6,142)=16.110; * p<.05;
*** p<.001.
Gagnon, Daelman, & McDuff DYSFUNCTIONAL BELIEFS 173
significantly additional 3.5% of the variance of Lack of Perseverance
(p<.01), after controlling for age, gender, BDI score and BAI score.
Finally, after the PBQ-BPD score was entered in Step 3, the total
variance explained by the model as a whole was 10.5% (R 2
adj=0.105;
F(6,142)=3.90, p<.001). The PBQ-BPD score thus did not explain a
significant additional variance in Lack of Perseverance, after controlling
for the BSL-23 score. In the final model, only the BSL-23 score was
statistically significant (β=0.35, p<.05).
DISCUSSION
This is the first study that has demonstrated the unique contribution of
borderline dysfunctional beliefs to the prediction of the Negative
Urgency dimension of impulsivity, even after controlling for the effects
of age, gender, anxiety, depression and borderline symptomatology. In
addition, the results suggest that this contribution is specific to Negative
Urgency, compared to the other subscales on the UPPS Impulsive
Behavior Scale. The results provide evidence for a strong association
between Negative Urgency and borderline personality features
(Whiteside et al., 2005) and suggest that core beliefs reflecting themes of
dependency, helplessness, distrust, fears of rejection/abandonment/losing
emotional control and extreme attention-seeking behavior (Butler et al.,
2002) are associated with the tendency to act rashly in situations of
negative emotions independently of negative emotions such as anxiety,
depression or those found in borderline symptomatology. Previous data
have indicated that Negative Urgency and Lack of Premeditation are two
specific facets of impulsivity which were associated with overall BPD
features in undergraduate students, even while controlling for variance
explained by affective instability (Tragesser & Robinson, 2009).
Following this line of data, Negative Urgency could be understood as a
tendency to act rashly to rid oneself of intense negative emotions, but
such actions are most likely influenced by cognitive processes that lead
the individual to believe pre-emptive action is needed for self-protection.
In the current analysis, dysfunctional beliefs were associated with
Lack of Perseverance, but this association was no longer significant after
controlling for the effects of age, gender, depression, anxiety and
borderline psychopathology. Moreover, these beliefs have no relationship
with the two other subscales on the UPPS Impulsive Behavior Scale.
Considering that Negative Urgency and Lack of Premeditation are both
associated with borderline personality traits (Tragesser & Robinson,
2009), it could be expected that Lack of Premeditation would also relate
to dysfunctional beliefs associated with borderline personality disorder.
Perhaps Negative Urgency relates to borderline personality traits through
executive dysfunctions as well as the activation of dysfunctional beliefs
174 NORTH AMERICAN JOURNAL OF PSYCHOLOGY
that impulsive behavior is needed to rid oneself of intense negative
emotions, whereas Lack of Premeditation only relates to borderline
personality traits through executive dysfunctions and non-planning
impulsiveness (van Reekum et al., 1996).
In our previous study (Gagnon et al., 2013) examining the
relationships between cognitive distortions, childhood maltreatment and
the four dimensions of impulsivity from the UPPS Impulsive Behavior
Scale, analyses revealed that a group of cognitive distortions, the
Premature Processing group, was the best predictor of Negative Urgency,
along with childhood maltreatment, above and beyond gender and the
other subscales on the UPPS Impulsive Behavior Scale. In the current
study, regression analyses revealed that borderline dysfunctional beliefs
significantly predicted Negative Urgency even after controlling for age,
gender, depression, anxiety and borderline personality disorder
symptomatology. On the whole, these results are consistent with the idea
that Negative Urgency is associated with several cognitive vulnerabilities
in affect regulation.
Emotion has been considered to serve a primary role in the
production of dysfunctional impulsive behavior. According to Cyders
and Smith’s (2008) model, individual differences in Negative Urgency
trait can be identified in the relationship between emotion and behavior.
Cyders and Smith consider emotions to have adaptive value in helping us
identify our needs and the actions required to satisfy them. In addition,
more intense needs are thought to be accompanied by equally more
intense emotions, leading the individual to concentrate even more on the
immediate situation (e.g., to avoid an imminent threat) and to adopt more
extreme adaptive behavioral strategies to act on the situation (e.g., run
away). This reasoning implies: (a) that strong emotions will diminish
cognitive resources such as decision-making and the ability to anticipate
the long-term consequences of actions, and (b) that some individuals
might adopt dysfunctional behavioral strategies to regulate intense
emotions. Adopting such maladjusted strategies could lead the individual
to take impulsive actions that are increasingly likely to be repeated
because of reinforcement either from reduced negative affects (Negative
Urgency) or increased positive affects (Positive Urgency).
At the theoretical level, the findings of our two studies suggest that
Beck’s cognitive model is a useful framework to better understand
certain cognitive processes underlying the Negative Urgency dimension
of impulsivity. Moreover, our research suggests that dysfunctional
cognitive processes, and not necessarily emotional intensity as it is
conceived by Cyders and Smith (2008), contribute to Negative Urgency
trait. Independently from the intensity of negative emotion, we postulate
that these cognitive processes associated with the Negative Urgency trait
Gagnon, Daelman, & McDuff DYSFUNCTIONAL BELIEFS 175
make an individual more prone to reacting strongly to socio-affective
stimuli and to adopting ineffective affect-regulation strategies, leading to
impulsive reactions under those types of conditions. Indeed, this
dimension would be associated with cognitive distortions such as
Premature Processing distortions resulting from control schemas
comprised of dysfunctional beliefs about the self as helpless and others
as untrustworthy, and the need to act pre-emptively to avoid threat. These
errors of reasoning arising from dysfunctional beliefs activated in an
emotional context could cause some automatic thoughts that produce an
intense emotional response (e.g., emotional reasoning) and other
automatic thoughts that weaken the information processing required for
affective and behavioral regulation. As in Beck’s model, the Negative
Urgency dimension could be conceived as dysfunctional strategies for
adjusting to painful emotions arising from dysfunctional cognitive
processes. These strategies are maintained and reinforced by reducing
negative affect, regardless of any potential consequences or risk of
injury. In short, Beck’s model appears to complement Cyders and
Smith’s model of the Urgency dimension. Indeed, the neurological
emotion-based dispositions underlying Urgency could lead to the
development of dysfunctional control schemas. These schemas would
produce cognitive distortions that, in addition to increasing the intensity
of affects, would lower tolerance for delayed gratification and encourage
decision-making to obtain immediate affective relief with no
consideration of long-term negative consequences. However, in contrast
to Cyders’ and Smith’s (2008) conception, Beck’s model focuses more
on cognitive processes which take precedence over the intensity of
emotional reactions in the dynamics of impulsive behaviors associated
with Negative Urgency. Further research is needed to identify the
specific manner in which the cognitive processes and dysfunctional
beliefs underlying the Negative Urgency dimension function. The present study has limitations. First, further research is needed to
explore the extent to which our findings apply to other populations.
Because our sample consisted of undergraduate students, the majority of
whom were female, the generalizability of the conclusions to other non-
clinical populations is constrained. Also, the small size of our sample
lessens the statistical power of some of the analyses, and the present
correlational study design precludes any conclusions on causal
relationships between dysfunctional beliefs and UPPS dimensions.
Finally, it would be useful to investigate cognitive distortions and
dysfunctional beliefs together in a single study to better understand their
respective roles and how these factors interact with each other when an
individual acts on impulses in the context of negative affects.
176 NORTH AMERICAN JOURNAL OF PSYCHOLOGY
The study’s findings contribute conceptually to the current literature
by indicating that Negative Urgency trait is associated with borderline
dysfunctional beliefs. Indeed, dysfunctional beliefs can make an
individual more prone to reacting strongly to socio-affective stimuli and
to adopting ineffective affect-regulation strategies.
REFERENCES
Beck, A.T. (2005). The current state of cognitive therapy: A 40-year
retrospective. Archives of General Psychiatry, 62, 953-959.
Beck, A.T., Butler, A.C., Brown, G.K., Dahlsgaard, K.K., Newman, C.F., &
Beck, J. (2001). Dysfunctional beliefs discriminate personality disorders.
Behaviour Research and Therapy, 39, 1213-1225.
Beck, A.T., & Dozois, D.J.A. (2011). Cognitive therapy: Current status and
future directions. Annual Review of Medicine, 62, 397-409.
Beck, A.T., Freeman, A., & Davis, D.D. (2004). Cognitive therapy of personality
disorders (2nd ed.). New York: The Guilford Press.
Beck, A.T., & Steer, R. A. (1993). Beck Anxiety Inventory. San Antonio:
Harcourt Brace & Company.
Beck, A.T., Steer, R.A. , & Brown, G.K. (1996). Manual for the Beck Depression
Inventory-II. San Antonio, TX: Psychological Corporation.
Bhar, S.S., Brown, G.K., & Beck, A.T. (2008). Dysfunctional beliefs and
psychopathology in borderline personality disorder. Journal of Personality
Disorders, 22(2), 165-177.
Bohus, M., Kleindienst, N., Limberger, M.F., Stieglitz, R.D., Domsalla, M., &
Chapman, A. L. (2009). The short version of the Borderline Symptom List
(BSL-23): Development and initial data on psychometric properties.
Psychopathology, 42, 32-39.
Brown, G. K., Newman, C. F., Charlesworth, S. E., Crits-Christoph, P., & Beck,
A. T. (2004). An open clinical trial of cognitive therapy for borderline
personality disorder. Journal of Personality Disorders, 18(3), 257-271.
Butler, A.C., Brown, G.K., Beck, A.T., & Grisham, J.R. (2002). Assessment of
dysfunctional beliefs in borderline personality disorder. Behaviour Research
and Therapy, 40, 1231-1240.
Butler, A.C., Chapman, J.E., Forman, E.M., & Beck, A.T. (2006). The empirical
status of cognitive-behavioral therapy: A review of meta-analyses. Clinical
Psychology Review, 26(1), 17-31.
Clark, D. (2006). Impulsivity as a mediator in the relationship between
depression and problem gambling. Personality and Individual Differences,
40(1), 5-15.
Cyders, M.A., & Smith, G.T. (2008). Emotion-based dispositions to rash action:
Positive and negative urgency. Psychological Bulletin, 134, 807-828.
d'Acremont, M., & Van der Linden, M. (2005). Adolescent impulsivity: Findings
from a community sample. Journal of Youth and Adolescence, 34(5), 427-
435.
Fortune, E.E., & Goodie, A.S. (2012). Cognitive distortions as a component and
treatment focus of pathological gambling: A review. Psychology of Addictive
Behaviors, 26, 298-310.
Gagnon, Daelman, & McDuff DYSFUNCTIONAL BELIEFS 177
Gagnon, J., Daelman, S., McDuff, P., & Kocka, A. (2013). UPPS dimensions of
impulsivity: Relationships with cognitive distortions and childhood
maltreatment. Journal of Individual Differences, 34, 48-55.
Ivanoff, A, Linehan, Marsha M., & Brown, M. (2001). Dialectical behavior
therapy for impulsive self-injurious behaviors. In D. Simeon & E. Hollander
(Eds.), Self-injurious behaviors: Assessment and treatment (pp. 149-174).
Washington, DC: American Psychiatric Publishing.
Kabacoff, R. I., Segal, D. L., Hersen, M., & Van Hasselt, V. B. (1997).
Psychometric properties and diagnostic utility of the Beck Anxiety Inventory
and the State-Trait Anxiety Inventory with older adult psychiatric outpatients.
Journal of Anxiety Disorders, 11(1), 33-47.
Miller, J., Flory, K., Lynam, D., & Leukefeld, C. (2003). A test of the four-factor
model of impulsivity-related traits. Personality and Individual Differences,
34(8), 1403-1418.
Mobini, S., Grant, A., Kass, A.E., & Yeoman, M.R. (2007). Relationships
between functional and dysfunctional impulsivity, delay discounting and
cognitive distortions. Personality and Individual Differences, 43, 1517-1528.
Mobini, S., Pearce, M., Grant, A., Mills, J., & Yeoman, M.R. (2006). The
relationship between cognitive distortions, impulsivity and sensation seeking
in a non-clinical population sample. Personality and Individual Differences,
40, 1153-1163.
Moeller, F., Barratt, E.S., Dougherty, D.M., Schmitz, J.M., & Swann, A.C.
(2001). Psychiatric aspects of impulsivity. The American Journal of
Psychiatry, 158(11), 1783-1793.
O'Brien, R.M. (2007). A caution regarding rules of thumb for variance inflation
factors. Quality and Quantity, 41, 673-690.
Osman, A., Barrios, F.X., Aukes, D., Osman, J.R., & Markway, K. (1993). The
Beck Anxiety Inventory: Psychometric properties in a community population.
Journal of Psychopathology and Behavioral Assessment, 15, 287-297.
Patton, J.H., Stanford, M.S., & Barratt, E.S. (1995). Factor structure of the
Barratt Impulsiveness Scale. Journal of Clinical Psychology, 51(6), 768-774.
Steer, R. A., & Beck, A. T. (2004). The Beck Depression Inventory-II. In W. E.
Craighead & C. B. Nemeroff (Eds.), The concise Corsini encyclopedia of
psychology and behavioral science (3rd ed., pp. 104-105). New York: Wiley.
Steinberg, L., Dustin, A., Cauffman, E., Banich, M., Graham, S., & Woolard, J.
(2008). Age differences in sensation seeking and impulsivity as indexed by
behavior and self-report: Evidence for a dual systems model. Developmental
Psychology, 44(6), 1764-1778.
Tabachnick, B.G., & Fidell, L.S. (2001). Using mutivariate statistics (4th ed.).
Needham, Heights: Allyn and Bacon.
Tragesser, S.L., & Robinson, J. (2009). The role of affective instability and UPPS
impulsivity in borderline personality disorder features. Journal of Personality
Disorders, 23(4), 370-383.
Trull, T.J. (1995). Borderline personality disorder features in nonclinical young
adults: 1. Identification and validation. Psychological Assessment, 7(1), 33-
41.
Van der Linden, M., d'Acremont, M., Zermatten, A., Jermann, F., Laroi, F.,
Willems, S., Bechara, A. (2006). A French adaptation of the UPPS Impulsive
178 NORTH AMERICAN JOURNAL OF PSYCHOLOGY
Behavior Scale: Confirmatory factor analysis in a sample of undergraduate
students. European Journal of Psychological Assessment, 22(1), 38-42.
van Reekum, R., Links, P.S., Finlayson, M., Boyle, M., Boiago, I., & Ostrander,
L.A. (1996). Repeat neurobehavioral study of borderline personality disorder.
Journal of Psychiatry & Neuroscience, 21(1), 13-20.
Whiteside, S.P., & Lynam, D.R. (2001). The Five Factor Model and impulsivity:
Using a structural model of personality to understand impulsivity. Personality
and Individual Differences, 30, 669-689.
Whiteside, S.P., & Lynam, D.R. (2003). Understanding the role of impulsivity
and externalizing psychopathology in alcohol abuse: Application of the UPPS
Impulsive Behavior Scale. Experimental and Clinical Psychopharmacology,
11(3), 210-217.
Whiteside, S.P., Lynam, D.R., Miller, J.D., & Reynolds, S.K. (2005). Validation
of the UPPS impulsive behaviour scale: A four-factor model of impulsivity.
European Journal of Personality, 19(7), 559-574.
Acknowledgements: We wish to express our appreciation to the Centre for
Interdisciplinary Research in Rehabilitation of Greater Montreal for its support
during the research. This study was supported by a research grant to JG from the
Fonds de recherche sur la société et la culture (FQRSC).
Copyright of North American Journal of Psychology is the property of North American Journal of Psychology
and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright
holder's express written permission. However, users may print, download, or email articles for individual use.