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La Escala de Evaluación de la Impulsividad (IRS): resultados preliminares

Published online by Cambridge University Press:  12 May 2020

Y. Lecrubier
Affiliation:
NSERM U 302, Hospital de la Salpétriére, París
A. Braconnier
Affiliation:
Centro Philippe Paumelle, París, Francia
S. Said
Affiliation:
NSERM U 302, Hospital de la Salpétriére, París
C. Payan
Affiliation:
NSERM U 302, Hospital de la Salpétriére, París
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Resumen

Hasta ahora, los instrumentos para la valoración clínica de la impulsividad han dependido esencialmente de inventarios de personalidad o, en menor medida, de cuestionarios específicos. Por tanto, este texto presenta los resultados preliminares de una nueva escala de evaluación: la Escala de Evaluación de la Impulsividad (IRS). Esta escala es un instrumento de hetero-valoración de la impulsividad de 7 elementos basado en la conducta del paciente en situaciones habituales de la vida. La administración de la escala es sencilla y breve: 15 minutos. La IRS se puso a prueba en cinco muestras de población diferentes: 31 pacientes internos impulsivos, 36 adultos con episodio depresivo mayor, 15 sujetos de control sanos, 56 fumadores antes y después de una semana de supresión del tabaco y 47 pacientes internos adolescentes deprimidos antes y cuatro semanas después de tratamiento antidepresivo. Los resultados muestran buena validez de constructo, buena validez concurrente, buena fiabilidad interevaluador y sensibilidad al cambio. Un umbral de 8 para la puntuación total (rango de 0 a 21) da buena especificidad y sensibilidad. El análisis de componentes principales muestra la existencia de un factor principal compuesto por todos los elementos, con correlación más baja para dos elementos que pueden pertenecer a un segundo factor que requiere nuevas investigaciones.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 1996

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References

BIBLIOGRAFIA

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 3rd ed revised. Washington, DC: APA, 1987.Google Scholar
Apter, Avan Praag, HMPlutchilk, RSevy, SKorn, MBrown, SL. Interrelationships among anxiety, aggression, impulsivity and mood: a serotonergically linked cluster? Psychiatry Res 1990; 32: 191–9.CrossRefGoogle ScholarPubMed
Asberg, M. Psychobiology of suicide, impulsivity, and related phenomena.In: Meltzer, HY, ed. Psychopharmacology: Third Generation of Progress. New York: Raven Press, 1987; 655-88.Google Scholar
Askenazy, F. Impulsivite et serotonin chez l’adolescent. These pour le doctorat de medecine, Nice 1992. Barratt ES. Factor analysis of some psychometric measures of impulsiveness and anxiety. Psychol Rep 1965; 16: 547–54.Google Scholar
Brown, GLEbert, MEGoyer, PFet al. Aggression, suicide and serotonin: relationship to CSF amine metabolites. Am J Psychiatry 1982; 139: 741–6.Google Scholar
Buss, AHPlomin, R. A temperament theory of personality development. New York: Wiley, 1975.Google Scholar
Candido, MAskenazy, FMiquel, MChambón, PDarcourt, G. Tryptophanemia and Tyrosinemia in adolescents with impulsive behavior. J Clin Psychopharmacol 1993; 8: 129–32.CrossRefGoogle Scholar
Cattel, RBEber, HWTatsuoka, MM. Handbook for the Sixteen Personality Factor Questionnaire. Champain, IL: IPAT, 1970.Google Scholar
Chapman, LJChapman, JPNumbers, JSEdell, WSCarpenter, BNBeckfield, D. Impulsive monconformity as a trait contributing to the prediction of psychotic like and schizotypal symptoms. J Nerv Ment Dis 1984; 11: 681–91.CrossRefGoogle Scholar
Eysenck, SBGEysenck, HJ. On the dual nature of Extraversión. Br J Soc Clin Psychol 1963; 2: 4655.CrossRefGoogle Scholar
Eysenck, SBGEysenck, HJ. The place of impulsiveness in a dimensional system of personality description. Br J Soc Clin Psychol 1977; 16: 5768.CrossRefGoogle Scholar
Eysenck, SBGEysenck, HJ. Impulsiveness and Venturesomeness: their position in a dimensional system of personality description. Psychol Rep 1978; 43: 1247–55.CrossRefGoogle Scholar
Eysenck, SBGEysenck, HJ. A revised versión of the Psychoticism scale. Pers individ Diff 1985a; 6: 2129.CrossRefGoogle Scholar
Eysenk, SBGPearson, PREasting, GAllsopp, JF. Age norms for impulsiveness, venturesomeness and empathy in adults. Pers Individ Diff 1985b; 6: 613-19.CrossRefGoogle Scholar
Guilford, JPGuilford, JSZimmerman, WS. The Guilford- Zimmerman Temperament Survey: manual for instructions and interpretations. San Diego, CA: Edits publishers, 1978.Google Scholar
Haertzen, CAMarin, WRRoss, FENeidert, MS. Psychopatic State inventory (PSI): development of a short test for measuring psychopatic states. Intern J Addict 1980; 15: 137–46.CrossRefGoogle Scholar
Jackson, DN. Personality research form manual. Port Huron, MI: Research Psychologist Press, 1967.Google Scholar
Kahn, RS. Serotonin and anxiety revisited. Biol Psychiatry 1988; 23189-208.Google Scholar
Kaiser, HF. A second generation Little Jiffy, Psychometrika 1970; 35: 401–15.CrossRefGoogle Scholar
Linnoila, MVirkhunen, MScheinin, MNuutila, ARimon, RGoogwin, FK. Low cerebrospinal fluid 5-hydroxyindolacetic acid concentration differentiates impulsives from nonimpulsive violent behaviour. Life Sci 1983; 33: 2609–14.CrossRefGoogle Scholar
Linnoila, MVirkkunen, M. Biologic correlates of suicidal risk and aggressive behavioural traits. J Clin Psychopharmacol 1992; 12: 19S-29S.Google Scholar
López-Ibor, JJ. The involvement of serotonin in psychiatric disorders and behavior. Br J Psychiatry 1988; 153 (suppl 3): 2639.CrossRefGoogle Scholar
Lorr, MYouniss, RP. An inventory of interpersonal style. Personal Assess 1973; 30: 165–73.CrossRefGoogle Scholar
Mann, JJMcBride, PABrown, RPet al. Relationship between central and peripheral serotonin indexes in depressed and suicidal psychiatrie inpatients. Arch Gen Psychiatry 1992; 49: 442–6.CrossRefGoogle Scholar
Oas, P. The psychological assessment of impulsivity: a review. J Psychoeduc Assess 1985; 3: 141–56.CrossRefGoogle Scholar
Plutchik, Rvan Praag, HMPicard, SConte, HRKom, M. Is there a relation between the seriousness of suicida] intent and the lethality of the suicide attempt? Psychiatry Res 1989; 27: 71–9.CrossRefGoogle Scholar
Schalling, DEdman, GAsberg, M. Impulsive cognitive style and inability to tolerate boredom: psychophysiological studies of temperamental vulnerability.In: Zuckerman, M, ed. Biological basis of sensation seeking, impulsivity and anxiety. Hillsdale, NJ: Erlbaum, 1983; kl23-45.Google Scholar
Van Praag, HMKahn, RSAsnis, GMet al. Denosologization of biological psychiatry or the specificity of 5- HT disturbances in psychiatrie disorders. J Affect Dis 1987; 13: 18.CrossRefGoogle ScholarPubMed
Van Praag, HM. Serotoninergic mechanisms and suicidal behaviour. Psychiatr Psychobiol 1988; 5: 111.Google Scholar