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      Behavioral models of impulsivity in relation to ADHD: Translation between clinical and preclinical studies

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          Abstract

          Impulsivity, broadly defined as action without foresight, is a component of numerous psychiatric illnesses including attention deficit/hyperactivity disorder (ADHD), mania and substance abuse. In order to investigate the mechanisms underpinning impulsive behavior, the nature of impulsivity itself needs to be defined in operational terms that can be used as the basis for empirical investigation. Due to the range of behaviors that the term impulsivity describes, it has been suggested that impulsivity is not a unitary construct, but encompasses a variety of related phenomena that may differ in their biological basis. Through fractionating impulsivity into these component parts, it has proved possible to devise different behavioral paradigms to measure various aspects of impulsivity in both humans and laboratory animals. This review describes and evaluates some of the current behavioral models of impulsivity developed for use with rodents based on human neuropsychological tests, focusing on the five-choice serial reaction time task, the stop-signal reaction time task and delay-discounting paradigms. Furthermore, the contributions made by preclinical studies using such methodology to improve our understanding of the neural and neurochemical basis of impulsivity and ADHD are discussed, with particular reference to the involvement of both the serotonergic and dopaminergic systems, and frontostriatal circuitry.

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          Most cited references155

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          Specious reward: a behavioral theory of impulsiveness and impulse control.

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            Varieties of impulsivity.

            J Evenden (1999)
            The concept of impulsivity covers a wide range of "actions that are poorly conceived, prematurely expressed, unduly risky, or inappropriate to the situation and that often result in undesirable outcomes". As such it plays an important role in normal behaviour, as well as, in a pathological form, in many kinds of mental illness such as mania, personality disorders, substance abuse disorders and attention deficit/hyperactivity disorder. Although evidence from psychological studies of human personality suggests that impulsivity may be made up of several independent factors, this has not made a major impact on biological studies of impulsivity. This may be because there is little unanimity as to which these factors are. The present review summarises evidence for varieties of impulsivity from several different areas of research: human psychology, psychiatry and animal behaviour. Recently, a series of psychopharmacological studies has been carried out by the present author and colleagues using methods proposed to measure selectively different aspects of impulsivity. The results of these studies suggest that several neurochemical mechanisms can influence impulsivity, and that impulsive behaviour has no unique neurobiological basis. Consideration of impulsivity as the result of several different, independent factors which interact to modulate behaviour may provide better insight into the pathology than current hypotheses based on serotonergic underactivity.
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              A continuous performance test of brain damage.

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                Author and article information

                Journal
                Clin Psychol Rev
                Clinical Psychology Review
                Elsevier Science Inc
                0272-7358
                1873-7811
                August 2006
                August 2006
                : 26
                : 4
                : 379-395
                Affiliations
                Department of Experimental Psychology, University of Cambridge, CB2 3EB, UK
                Author notes
                [* ]Corresponding author. University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75390-9070, USA. Tel.: +1 214 648 5936; fax: +1 214 648 4182. cath.winstanley@ 123456UTsouthwestern.edu
                Article
                CPR762
                10.1016/j.cpr.2006.01.001
                1892795
                16504359
                ac3cd4d7-43bf-4eaf-a97c-cba4c06dc0e3
                © 2006 Elsevier Ltd.

                This document may be redistributed and reused, subject to certain conditions.

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                Categories
                Article

                Clinical Psychology & Psychiatry
                frontal cortex,serotonin,impulsivity,inhibition,adhd,dopamine
                Clinical Psychology & Psychiatry
                frontal cortex, serotonin, impulsivity, inhibition, adhd, dopamine

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