The Role of Positive and Negative Affect in Illicit Substance Use and Alcohol Use: An Ecological Momentary Assessment Study.

BACKGROUND: Theories suggest that experiences of negative and positive affect are important precursors to alcohol and illicit substance use. Research utilizing ecological momentary assessments (EMA) has generally supported the relation between momentary experiences of positive affect, but not negative affect, and subsequent substance use. Unfortunately, most of these studies have focused on alcohol use and not other substance use. The goal of this paper was to further explore the relation between momentary affect and use of both alcohol and illicit substances within a population of individuals with a history of substance use. Additionally, this study aimed to understand whether the relations between affect and substance use would vary depending on the timing of EMA assessments of affect prior to substance use. METHOD: Participants with a history of heavy substance use (N = 59) completed EMA's measuring affect and substance use using random prompts 4 times a day for 14 days. RESULTS: We found that positive affect was significantly related to later engagement in drinking, illicit substance use, and marijuana use. Moreover, timing of the affect was important. When affect was assessed in the last hour prior to substance use, relative to 7 hours prior, the relation between positive affect and illicit substance use was stronger. Negative affect was related to a lower likelihood of subsequent marijuana use, but more so when it was measured a few hours versus several hours before the use. CONCLUSION: This study further supported the relation between positive affect and both alcohol and illicit substance use.

Eyes of the beholders: Multi-method relationships between internalizing and externalizing symptom dimensions and aggression risk.

Although aggression occurs across a range of disorders, associations between dimensions of psychopathology and self- and other-directed aggression are not well understood. Investigating associations between psychopathology dimensions and aggression helps further understanding about the etiology of aggression, and ultimately, can inform intervention and prevention strategies. This study adopted a multi-method approach to examine associations between internalizing and externalizing dimensions of psychopathology and self- and other-directed aggression as a function of reporter (participant and informant) and modality of aggression measurement (subjective and objective). Participants were an unselected sample of 151 racially diverse adults recruited from the community. Dimensions of psychopathology were assessed using interview and questionnaire reports from participants and collateral informants, and forms of aggression were measured via subjective reports and an objective, laboratory aggression paradigm. Analyses of participant-reported psychological symptom data consistently linked externalizing symptoms to other-directed aggression, and internalizing symptoms to self-directed aggression. Results across informant and participant reporters replicated prior findings showing a significant interaction between internalizing and externalizing dimensions in predicting intimate partner violence. Most other effects in informant models were nonsignificant. The findings uncover consistency in and replicability of relationships between dimensions of psychopathology and certain manifestations of aggression and highlight the importance of examining multiple forms of aggression in etiological research. Examining aggression through a transdiagnostic lens can help us better understand and intervene upon processes implicated in devasting forms of self- and other-directed aggression.

Cool under fire: Psychopathic personality traits and decision making in law-enforcement-oriented populations.

OBJECTIVE: Compared with other jobs, the law enforcement profession is a high-stakes occupation that has the potential to greatly impact public safety, and officers must face daily dangers not experienced in other professions. Previous research indicates that many law enforcement officers exhibit varying degrees of psychopathic traits, which suggests that it may be useful to examine police officer performance, specifically proxies of excessive use of force, through the lens of the triarchic psychopathy domains. HYPOTHESES: We predicted that high boldness and high meanness would be associated with greater justification of excessive use of force, whereas low boldness, high meanness, and high disinhibition would relate to greater errors in high-stakes decision making ("trigger bias"). METHOD: We employed criterion profile analysis to elucidate optimal profile configurations in both law enforcement and undergraduate samples in relation to justification of use-of-force scenarios and decision making in high-pressure situations (i.e., police officer's dilemma shooter task). RESULTS: In general, combinations of triarchic psychopathy traits accounted for similar variance in performance criteria as individual psychopathy trait domains. In particular, trait elevations in meanness were associated with ratings of unjustified-use-of-force vignettes, and disinhibition was associated with commission errors on the shooter task (although effect sizes were small for the latter). CONCLUSIONS: The findings of this study support the conceptual validity of the separate dimensions of the triarchic psychopathy model and substantiate the moderate utility of personality indicators (e.g., antagonism, difficulties with impulse control) in relation to career-related performance in law enforcement. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Who bought a gun during the COVID-19 pandemic in the United States?: Associations with QAnon beliefs, right-wing political attitudes, intimate partner violence, antisocial behavior, suicidality, and mental health and substance use problems.

There was a large spike in gun purchases and gun violence during the first year of the COVID-19 pandemic in the United States. We used an online U.S. national survey (N = 1036) to examine the characteristics of people who purchased a gun between March 2020 and October 2021 (n = 103) and compared them to non-gun owners (n = 763) and people who own a gun but did not purchase a gun during the COVID-19 pandemic (n = 170). Compared to non-gun owners, pandemic gun buyers were younger and more likely to be male, White race, and to affiliate with the Republican party. Compared to non-gun owners and pre-pandemic gun owners, pandemic gun buyers exhibited extreme elevations on a constellation of political (QAnon beliefs, pro-gun attitudes, Christian Nationalism, approval of former President Donald Trump, anti-vax beliefs, COVID-19 skepticism; mean Cohen's d = 1.15), behavioral (intimate partner violence, antisocial behavior; mean d = 1.38), mental health (suicidality, depression, anxiety, substance use; mean d = 1.21), and personality (desire for power, belief in a dangerous world, low agreeableness, low conscientiousness; mean d = 0.95) characteristics. In contrast, pre-pandemic gun owners only endorsed more pro-gun attitudes (d = 0.67), lower approval of President Joe Biden (d = -0.41) and were more likely to be male and affiliate with the Republican party relative to non-gun owners. Pandemic gun buyers represent an extreme group in terms of political and psychological characteristics including several risk-factors for violence and self-harm.

Linking Sleep and Aggression: Examining the Role of Response Inhibition and Emotional Processing.

Although sleep loss is theorized to increase aggression risk, knowledge regarding the sleep-aggression relationship, or explanatory psychological processes, is limited. This study examined whether recent sleep duration predicted subsequent laboratory aggression, and whether neurocognitive indices of attentional and motor inhibition and negative emotional processing explained the sleep-aggression relationship. Participants (n=141) wore Fitbit Flex devices and kept a sleep diary for three days. Event-related potentials were measured during an Emotional-Linguistic Go/No-Go task, followed by a laboratory aggression paradigm. Results of mixed-model repeated measures ANOVAs linked shorter sleep duration with reduced motor inhibition processing during negative and neutral word blocks, and greater aggression. However, neurocognitive indices did not explain the sleep-aggression link. This is the first evidence that naturally occurring sleep loss predicts increases in laboratory aggression across the task and suggests that shorter sleepers are more vulnerable to rash action in negative and neutral contexts. Implications of these findings for understanding aggression will be discussed.

What is this measuring? Comment on Gatner et al. (2022).

In their crime cost estimation, Gatner et al. (2022) conclude that psychopathic personality disorder (PPD) is associated with billions of dollars of crime costs in the United States (US) and Canada. Gatner et al.'s analysis goes far in putting a cost estimate to PPD, when the burden of psychopathy for the criminal justice system has been unspecified for years. Nonetheless, in the present commentary, we identify two broad problems with their analyses that motivate caution in the interpretation of the findings and their potential applicability: (a) the conceptualization of psychopathy that formed the bases for estimates of PPD, and (b) the assumptions underlying crime cost estimates made by Gatner et al. The questionable assumptions and diminished focus on the criminal justice context in the US versus Canada limit the extent to which these estimates can produce useful policy implications and may instead perpetuate misconceptions of crime and PPD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Psychopathy facets, perceived power, and forms of aggression.

Despite research indicating that exerting dominance and control is characteristic of psychopathy, no research has examined the role that feelings of and desire for power plays in psychopathy-related aggression. Borrowing from various literatures and novel conceptualizations, we investigated the contributions of feeling powerful and/or desiring power and distinct psychopathy facets in explaining aggression manifested in different forms (i.e., physical, verbal, indirect) across 4 samples. Results from regression analyses within each sample and a meta-analysis across the samples indicated that the impulsive facet of psychopathy was generally related to multiple forms of aggression, and the unique variance in the affective facet was primarily related to physical aggression across samples. In contrast, the unique variance of the interpersonal facet showed a primary relationship with indirect aggression (e.g., relational, passive). Desiring power made unique contributions in relation to multiple forms of aggression, whereas feeling powerful was generally unrelated and/or negatively related to aggression. In sum, the unique variance in the psychopathy facets showed fairly specialized relationships with forms of aggression, and desire for power may be an independent explanatory construct for multiple forms of aggression proneness. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Threat effects on attention networks in individuals with a history of externalizing behaviors.

Research identifying the biobehavioral processes that link threat exposure to cognitive alterations can inform treatments designed to reduce perpetration of stress-induced aggression. The present study attempted to specify the effects of relatively predictable versus unpredictable threat on two attention networks, attentional alerting and executive control. In a sample of adults (n = 74, 35 % identifying as women, Mage = 32.85) with high rates of externalizing behaviors (e.g., substance use, criminal/legal system involvement, aggressivity), we measured event-related brain activity during an attention network test that manipulated cognitive systems activation under relatively unpredictable and predictable threat conditions. Results showed that threat exposure alters attentional alerting and executive control. The predictable threat condition, relative to unpredictable threat, increased visual alerting (N1 amplitude to alert vs. no alert cue conditions) and decreased attention to the task (P3 amplitude to subsequent task-relevant flankers, but these effects did not survive adjusting for multiple tests. In contrast, overall threat and unpredictable threat conditions were associated with faster response time to alert cue (versus no cue) and poorer conflict processing, operationalized as flanker N2 reductions and slower response time to incongruent (versus congruent) flanker trials. These results expand what is known about threat-related modulation of cognition in a sample of individuals with histories of externalizing behaviors.

A Comparison of Sexual Minority and Heterosexual College Students on Gendered Sexual Scripts and Sexual Coercion Perpetration.

Prior work has identified endorsement of gendered sexual script beliefs as predictive of sexual coercion perpetration among heterosexual individuals, primarily men. This research is lacking among sexual minority individuals and may be important in informing inclusive and effective sexual coercion prevention efforts. The current study sought to (1) assess the level of adherence to gendered sexual script beliefs, (2) report relative rates of general sexual coercion and sexual intimate partner violence (IPV), and (3) examine the relationship between gendered sexual script beliefs and self-reported sexually coercive behavior among sexual minority and heterosexual college men and women. Undergraduate students (n = 1,199; 182 sexual minorities) completed self-report measures assessing gendered sexual script beliefs, sexual coercion perpetration, and sexual IPV. Results from Gender × Sexual Minority group ANOVAs and logistic regression analyses indicated similar rates of perpetration across sexual orientation groups, with men overall reporting the most perpetration. Furthermore, men and heterosexual individuals adhered more strongly to gendered sexual scripts than women and sexual minority individuals, respectively. Results of path models revealed no moderation by sexual orientation, and that adherence to gendered sexual scripts was positively related to sexual IPV perpetration among the full sample of heterosexual and nonheterosexual individuals, though this effect was small. Gendered sexual scripts did not significantly relate to general sexual coercion perpetration among the full sample, suggesting that traditional sexual script beliefs may not be as relevant to perpetration in a contemporary college sample. This study adds to limited literature on sexual coercion perpetration among sexual minority individuals and is an important step in understanding relationships between endorsement of gendered sexual script beliefs and sexual coercion perpetration among sexual minority and heterosexual college students.

Threat effects on cognitive systems: Testing links to aggression proneness.

The biobehavioral study of aggression has implications for expanding our understanding of transdiagnostic processes that increase risk for disinhibited behaviors. Toward this end, our study tested tenets from the process model of aggression (Verona & Bresin, 2015). First, we expected that the predictability of threat would differentially alter cognitive networks, including attentional alerting and executive control. Second, we examined the moderating effects of self- and informant reports of aggression on threat-related changes in cognitive functioning. Using event-related potential (ERP) measures of cognitive-attentional processes, 143 community individuals participated in a well-validated and translational threat manipulation (NPU) task (Schmitz & Grillon, 2012) while completing the Attention Network Test (Fan et al., 2002). Analyses revealed that relatively unpredictable threat quickened alerting-related reaction time, whereas predictable threat interfered with processing of flanker task stimuli. The results, however, failed to show reliable relationships between aggression proneness and threat-related cognitive alterations. The findings fit with a broader literature on cognitive and behavioral outputs of threat activation and provide fruitful avenues for better understanding threat-related aggression. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Threat-induced alterations in cognition and associations with dysregulated behavior.

Previous literature suggests that threat disrupts cognitive control, especially for those prone to engaging in dysregulated behaviors (i.e., maladaptive attempts at regulating stress). However, this relationship is not well understood and has yet to be directly examined. The current study extends previous literature by examining the link between individual differences in dysregulation and threat-related alterations in neurocognitive and behavioral indicators of cognitive control. Using a diverse community sample (N = 143), we recorded participants' brain activity during a flanker task under conditions of predictable, unpredictable, and no threat-of-shock. Findings revealed a nuanced relationship, whereby predictable threat, relative to unpredictable threat, was associated with larger N2 to flankers, perhaps at the expense of a reduced later P3. We also found a relationship between proneness toward dysregulated behaviors and threat-induced alterations of cognitive control, with those higher in dysregulation showing reduced conflict P3 differentiation and accuracy interference during threat vs. no threat conditions. This research expands what is known about how threat can modulate cognition in everyday life and linked it to dysregulated behaviors with high societal burden.

Assessment of HiTOP Constructs Across the Population: A Commentary on the HiTOP Measure Development Project.

The set of articles in this issue demonstrates the promise of the HiTOP collaborative effort in advancing a viable alternative dimensional taxonomy of psychopathology. Besides transcending the limitations of our current taxonomic system and categorical diagnoses, the potential contributions of HiTOP should extend to also critically examining long-standing notions of psychopathology and mental wellness, evaluating the ability of symptom measures to capture the various manifestations of disorder in the population, and questioning the emphasis on predominant Western cultural norms as a basis for our definitions of psychopathology and their measurement. This commentary addresses the extent to which the implementation of the measurement studies featured in the special issue centered these goals, drawing on the work of scholars from within and outside the fields of psychiatry and clinical psychology, some who have taken a critical view of these fields. The hope is that we work to challenge some basic assumptions and increase self-reflection, with an eye toward reducing bias and mental health disparities.

Psychopathic traits in the context of paid erotic services and sex exchange among college students.

Scholars have begun to explore college student engagement in erotic services (e.g., pornography, escort); however, few studies in the United States have examined the prevalence of erotic service involvement among college students and which personality traits are associated with such engagement. This study examined the relevance of gender and psychopathic traits, above the influence of substance use, for understanding erotic service involvement in men and women college students. A total of 1,250 undergraduate students (800 women) completed the Self-Report Psychopathy Scale-III and Erotic Activity Questionnaire. Men and women, respectively, endorsed low-moderate provision levels (12.25% and 11.00%) and moderate-high consumption levels (44.17% and 26.16%) of erotic services and/or sex exchange. Impulsive-antisocial psychopathic traits were related to erotic service provision. In contrast, participants high on both interpersonal-affective and impulsive-antisocial factors of psychopathy were most likely to consume services. These relations did not change when adjusting for substance use. Lastly, although associations between psychopathic traits and provision were not dependent on gender, the interpersonal-affective traits were associated with increased consumption of physical contact services in women, whereas consumption was similar in men across levels of these traits. Results inform college student involvement in erotic services and highlight personality correlates of engagement in understanding risks and benefits. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Psychopathic traits, inhibition, and positive and negative emotion: Results from an emotional Go/No-Go task.

Difficulty stopping unwanted or inappropriate actions (i.e., inhibitory control) is implicated in antisocial behaviors, which are common in people high in psychopathic traits. Recent research indicates that, for those with antisocial personality, inhibitory control is impaired under negative emotional contexts; however, it is unclear whether this impairment extends to persons with psychopathic traits and to impairments under positive emotional contexts. Identifying some of these distinctions can point to therapeutics that target negative emotion specifically or emotion dysregulation broadly. We sought to identify unique relationships between distinct facets of psychopathy and inhibitory control in the context of positive, negative, and neutral stimuli. Using a community sample (N = 117), event-related potentials were recorded during an emotional-linguistic Go/No-Go task. Results indicated distinct cognition-emotion relationships for each psychopathy facet. Higher interpersonal facet scores related to reciprocal interference between cognition and emotion. Higher callous affect facet scores related to reduced inhibitory and emotional processing, except when stimuli were most engaging (emotional No-Go trials). Higher erratic lifestyle facet scores related to increased effort required to process both emotion and inhibition cues. Finally, higher antisocial facet scores related to poorer behavioral inhibition overall. This research challenges the theoretical accounts of psychopathy focused on specific deficits in negative emotion, such as fearlessness, while offering some support for theories related to attentional dysfunction. Results also highlight the importance of facet-level theorizing, as results varied by facet. This study may inform efforts to reduce disinhibited behaviors, particularly in emotional contexts, among those high in certain psychopathic traits.

Internalizing and externalizing symptoms and aggression and violence in men and women.

Literature linking aggressive behavior across internalizing and externalizing disorders support the co-occurrence of aggression and various mental health diagnoses. However, research has yet to examine relationships between aggression and dimensional psychopathology models that cut across diagnostic boundaries (e.g., internalizing, externalizing composites) and capture shared liability across common disorders. The role of gender has also been largely ignored in prior work, despite evidence that men and women manifest psychopathology differently. The present study examined cross-sectional and longitudinal relationships between psychopathology composites (i.e., Internalizing, Externalizing) and different manifestations of physical aggression (i.e., aggressive traits, general violence, physical intimate partner violence, and self-directed aggression), as well as moderation by gender. Internalizing (INT) and Externalizing (EXT) lifetime symptoms and various physically aggressive behaviors were assessed at baseline and at 6 months and 1 year follow up in a sample of 319 adults with violence and/or substance use histories. Cross-sectional results showed that INT was associated with all forms of aggression, and women showed stronger relationships between INT and both physical intimate partner violence (IPV) and self-directed aggression. EXT was specifically linked to general violence, and a stronger relationship between EXT and self-directed aggression emerged in men compared to women. Longitudinal relationships were mostly small and nonsignificant. Results support the co-occurrence of aggression with distinct forms of psychopathology, as well as gender-dependent relationships, but do not support the predictive validity of symptom composites in aggression risk. Findings implicate the need for aggression interventions tailored within gender.

Psychopathic Traits and Sexual Coercion Against Relationship Partners in Men and Women.

The present study examined the relationships between psychopathic traits, gender, and sexual coercion perpetration in the specific context of intimate partner relationships. Community-dwelling adult men and women with recent criminal or substance-use histories (N = 300) completed self-report measures of psychopathic personality traits (interpersonal, affective, lifestyle, and antisocial facets), sexual coercion perpetrated within their most recent relationship, and other relevant behaviors including physical intimate partner violence perpetration and sexual coercion victimization. Results of regression analyses showed that the relationship between psychopathic trait facets and sexual coercion was moderated by gender, with effects varying based on level of coercion severity. Specifically, women who showed high levels of interpersonal psychopathic traits (superficial charm, social dominance) were more likely to engage in any sexual coercion and minor severity sexual coercion than women with low levels of interpersonal traits. For severe coercion, women who showed low levels of affective psychopathic traits (coldness, lack of empathy) or high levels of antisocial psychopathic traits (aggressiveness, criminality) were more likely to be sexually coercive than other women. Relationships between the four psychopathic trait facets and sexual coercion were more modest and nonsignificant for men at any level of coercion severity. Results are discussed in the context of sociocultural factors that may influence the role of psychopathic traits on sexual coercion as a function of gender and relationship contexts, including traditional sexual scripts, the cultural role of women as sexual gatekeepers, and beliefs about token resistance.

Craving and substance use: Examining psychophysiological and behavioral moderators.

Theories of substance use have emphasized the role of craving and inhibitory control in continued use, yet few studies have examined the interplay between momentary craving and inhibitory control in predicting illicit drug use in everyday life. The primary goal of this study was to examine whether individual differences in inhibitory control, indexed by laboratory-assessed electrophysiology and behavior, moderate the relation between momentary craving and alcohol and drug use assessed outside the lab using a smartphone. A secondary goal was to examine the extent of coherence in the results across different ERP components (e.g., no-go P3, ERN) purported to assess inhibitory control. Participants were current illicit drug users, who completed a flanker task that also contained go/no-go trials, and participated in two weeks of ambulatory assessments of their drug and alcohol craving and use. The results showed that craving a few hours before was related to subsequent drug and alcohol use; however, traditional measures of inhibitory control (e.g., go/no-go P3) did not moderate these effects as expected for illicit drug use. For alcohol use, individuals with less post-error slowing had a stronger relation between craving and alcohol use than those higher in post-error slowing. These results highlight that different cognitive processes are assessed by electrophysiological and behavioral measures of inhibitory control and may play different roles in drug and alcohol use and craving.

Facets of externalizing psychopathology in relation to inhibitory control and error processing.

A prominent characteristic of externalizing psychopathology is the inability to suppress or modulate behavioral responses and impulses. These tendencies have been associated with cognitive indicators of inhibitory control (P3) and error processing (error-related negativity [ERN] and positivity [Pe]). However, the extent to which these trait-like components are characteristic of specific manifestations, or externalizing proneness more generally, remains unclear. Our study aimed to further contextualize externalizing behaviors by examining associations between distinct facets of externalizing symptoms and relevant behavioral phenotypes (substance use, aggression, pathological personality and internalizing symptoms) as well as electrophysiological and behavioral indices of inhibitory control (congruence and no-go P3, flanker interference, commission errors) and error processing (ERN and Pe, post-error slowing). Using a sample of community and jail dwelling offenders (N = 497), we used Confirmatory Factor Analyses to estimate a general externalizing factor (EXT), representing shared variance, and latent factors representing symptoms related to callous-aggression (CAL; conduct disorder and antisocial personality disorder) and alcohol and drug dependence (AD and DD). Additionally, a subset of participants (N = 89) had their brain activity recorded during a flanker task. Factor analyses supported general EXT and CAL factors; however, unique AD/DD overlapped highly with shared EXT, suggesting that DSM substance use symptoms in our study reflect more general problems with disconstraint/impulsivity rather than variance specific to substances. The general EXT was marked by behavioral correlates of impulsivity and negative affect, and laboratory task deficits in error monitoring, but with greater differential processing of inhibitory cues. The CAL specific factor was associated with affective shallowness phenotype, and, interestingly, laboratory measures of enhanced processing of inhibitory cues and error adjustment. This research has implications for understanding neurocognitive processes associated with distinct manifestations of disordered behavioral inhibition.

Psychopathy and substance use in relation to prostitution and pimping among women offenders.

Much research exists examining sex work in relation to substance use and other physical health risks. However, there is a paucity of research exploring person-level characteristics, such as pathological personality traits, in relation to sex work. This study used a large sample of incarcerated women (n = 310) to address 2 aims involving prostitution and pimping. The first aim was an attempt to replicate and generalize previous findings from Edwards and Verona (2016) on associations among psychopathic traits, substance use, and prostitution. The second aim explored relationships among substance use, psychopathic traits, and pimping. Psychopathy and substance use were measured using the Psychopathy Checklist-Revised and a modified version of the Addiction Severity Index, respectively. Prostitution and pimping were coded through institutional file review and self-report. Results replicated those of the study by Edwards and Verona (2016), such that psychopathy, and impulsive-antisocial traits specifically, positively related to prostitution above substance use. Results for the second aim showed that PCL-R total and impulsive-antisocial traits were also related to pimping, above the influence of substance use. Substance use was also higher in women who engaged in pimping versus those who did not. Results indicate that substance use and impulsive-antisocial traits of psychopathy are independently related to engagement in distinct roles across sex work contexts among incarcerated women. (PsycInfo Database Record (c) 2021 APA, all rights reserved).