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Cultural adaptation and validation of the Barratt Impulsiveness Scale (BIS) in a population of Iranian drug and alcohol addicts

Maliheh Khalvati, Gholamreza Ghaedamini Harouni, Masumeh Ghazanfarpour, Mohammadreza Asgari, Pezhman Hadinezhad, Shaghayegh Khosravifar, Masoudeh Babakhanian

Article ID: 2042
Vol 9, Issue 6, 2024, Article identifier:

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Abstract

ARTICLE INFO

Received: 30 August 2023 | Accepted: 5 December 2023 | Available online: 12 March 2024

CITATION

Khalvati M, Harouni GG, Ghazanfarpour M, et al. Cultural adaptation and validation of the Barratt Impulsiveness Scale (BIS) in a population of Iranian drug and alcohol addicts. Environment and Social Psychology 2024; 9(6): 2042. doi: 10.54517/esp.v9i6.2042

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Copyright © 2024 by author(s). Environment and Social Psychology is published by Asia Pacific Academy of Science Pte. Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), permitting distribution and reproduction in any medium, provided the original work is cited.

This study aimed to culturally adapt and validate the Barratt Impulsiveness Scale (BIS) in a population of Iranian drug and alcohol addicts. The statistical population in this cross-sectional, descriptive, scale development study consisted of all the drug and alcohol addicts in Iran. Of these, 518 were selected as participants using convenient sampling. The measurement tools included a demographic checklist, the BIS, and the Distress Tolerance Scale (DTS). The adaptability and stability of the tool were tested using Cronbach’s alpha and ICC to measure its reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were also employed to assess the construct validity of the tool. The clinical cut-off point was determined following the psychiatrist interview (as the gold standard) using the rocking curve (to determine the tool’s sensitivity and specificity) in MedCalc-19.4.0. Moreover, CFA, EFA, and descriptive analysis of participants’ demographics were performed in AMOS-18, SPSS-24, and SPSS-26, respectively. The mean age of participants was 31.9 ± 9.3 years. Drug abuse was the most common type of addiction among the participants (77.8%). Scratching the body, punching a hard object, and self-injection were the most common impulsive actions. The ICC score calculated using the consistency type was 0.78 (95% Cl: 0.45–0.80). A significant inverse relationship was found between BIS and DTS (P = 0.000, r = −0.021). Three factors were extracted from the Varimax rotation of the factors, and two items (5 and 14) were excluded. The results showed a cut-point of 65, with the best balance exhibiting sensitivity values of 76.6 (62.0–87.7) and specificity values of 52.5 (47.9–57.1) for BIS. Items 27, 29, and 30 were excluded based on the correction indices provided for CFA in AMOS. The goodness of fit indices was satisfactory (CMIN/DF = 2.20, GFI = 0.826, AGFI = 0.792, CFI = 0.754, RMSEA = 0.071). Based on the study findings, it can be concluded that the right diagnostic tools can help policymakers, therapists, and other relevant authorities to predict people’s proclivity to abuse drugs.


Keywords

impulsivity; drugs; alcohol; Iran

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References

1. Agency IN. There are 4 million and 400 thousand addicts in the country. 2022 [Available from: https://www.imna.ir/news/579195/%DB%B4-%D9%85%DB%8C%D9%84%DB%8C%D9%88%D9%86-%D9%88-%DB%B4%DB%B0%DB%B0-%D9%87%D8%B2%D8%A7%D8%B1-%D9%86%D9%81%D8%B1-%D9%85%D8%B9%D8%AA%D8%A7%D8%AF-%D8%AF%D8%B1-%DA%A9%D8%B4%D9%88%D8%B1-%D9%88%D8%AC%D9%88%D8%AF-%D8%AF%D8%A7%D8%B1%D8%AF. (accessed on 1 June 2022)

2. Thombs DL, Osborn CJ. Introduction to addictive behaviors. New York: Guilford Press; 2019.

3. Sim T, Wong D. Working with Chinese families in adolescent drug treatment. Journal of Social Work Practice. 2008;22(1):103–118. https://doi.org/10.1080/02650530701872439.

4. Heather N. Is the concept of compulsion useful in the explanation or description of addictive behaviour and experience? Addictive behaviors reports. 2017;6:15–38.10.1016/j.abrep.2017.05.002.

5. Segal B, Morral AR, Stevens SJ. Adolescent substance abuse treatment in the United States: Exemplary models from a national evaluation study: Routledge; 2014.

6. Demetrovics Z, van den Brink W, Paksi B, Horváth Z, Maraz A. Relating compulsivity and impulsivity with severity of behavioral addictions: A dynamic interpretation of large-scale cross-sectional findings. Frontiers in Psychiatry. 2022;13:831992. doi: 10.3389/fpsyt.2022.

7. Kapitány-Fövény M, Urbán R, Varga G, Potenza MN, Griffiths MD, Szekely A, et al. The 21-item Barratt impulsiveness scale revised (BIS-R-21): An alternative three-factor model. Journal of Behavioral Addictions. 2020;9(2):225–246. https://doi.org/10.1556/2006.20.00030.

8. Farahani M-N, Amin-Esmaeili M, Baheshmat Juybari S. The mediating role of self efficacy in the relationship between impulsivity and evoidant coping with relapse in opioid dependence. Scientific Quarterly Research on Addiction. 2019;13(51):143–166. http://etiadpajohi.ir/article-1-1647-en.html.

9. Kozak K, Lucatch AM, Lowe DJ, Balodis IM, MacKillop J, George TP. The neurobiology of impulsivity and substance use disorders: implications for treatment. Annals of the New York Academy of Sciences. 2019;1451(1):71–91. DOI:10.1111/nyas.13977

10. Argyriou E, Um M, Carron C, Cyders MA. Age and impulsive behavior in drug addiction: A review of past research and future directions. Pharmacology Biochemistry and Behavior. 2018;164:106–117. Doi: 10.1016/j.pbb.2017.07.013.

11. Shamsnajafi ZS, Hassanzadeh R, Emadian SO. The Effectiveness of Dialectical Behavior Therapy on Emotional Processing Defects and Impulsivity of Soldiers Aged 18 to 20 Years with High-risk Behaviors. Modern Care Journal. 2023;20(3):e135447.DOI: https://doi.org/10.5812/modernc-.

12. Strickland JC, Johnson MW. Rejecting impulsivity as a psychological construct: A theoretical, empirical, and sociocultural argument. Psychological review. 2021;128(2):336–361. DOI: 10.1037/rev0000263

13. Ettelt S, Ruhrmann S, Barnow S, Buthz F, Hochrein A, Meyer K, et al. Impulsiveness in obsessive-compulsive disorder: results from a family study. Acta Psychiatrica Scandinavica. 2007;115(1):41–47. DOI: 10.1111/j.600-0447.2006.00835.x

14. Albertella L, Rotaru K, Christensen E, Lowe A, Brierley M-E, Richardson K, et al. The influence of trait compulsivity and impulsivity on addictive and compulsive behaviors during COVID-19. Frontiers in psychiatry. 2021;12:634583. https://doi.org/10.3389/fpsyt.2021.

15. Stahl C, Voss A, Schmitz F, Nuszbaum M, Tüscher O, Lieb K, et al. Behavioral components of impulsivity. Journal of Experimental Psychology: General. 2014;143(2):850–886. DOI: 10.1037/a0033981

16. Al-Dababneh KA, Al-Zboon EK. Understanding impulsivity among children with specific learning disabilities in inclusion schools. Learning Disability Quarterly. 2018;41(2):100–112. DOI: 10.1177/0731948717726497.

17. Um M, Hershberger AR, Whitt ZT, Cyders MA. Recommendations for applying a multi-dimensional model of impulsive personality to diagnosis and treatment. Borderline personality disorder and emotion dysregulation. 2018;5(1):1–17. https://doi.org/0.1186/s40479-018-0084-x.

18. Flory JD, Harvey PD, Mitropoulou V, New AS, Silverman JM, Siever LJ, et al. Dispositional impulsivity in normal and abnormal samples. Journal of psychiatric research. 2006;40(5):438–447. DOI: 10.1016/j.jpsychires.2006.01.008

19. Herpertz S, Sass H, Favazza A. Impulsivity in self-mutilative behavior: Psychometric and biological findings. Journal of psychiatric research. 1997;31(4):451–465. DOI: 10.1016/s0022-3956(97)00004-6

20.

21. Pan N, Wang S, Zhao Y, Lai H, Qin K, Li J, et al. Brain gray matter structures associated with trait impulsivity: A systematic review and voxel‐based meta‐analysis. Human Brain Mapping. 2021;42(7):2214–2235. doi: 10.1002/hbm.25361.

22. Heath AC, Cloninger CR, Martin NG. Testing a model for the genetic structure of personality: a comparison of the personality systems of Cloninger and Eysenck. Journal of personality and social psychology. 1994;66(4):762–775.DOI: 10.1037//0022-3514.66.4.762

23. Amini M, Namdari K, Shirani M. Validity and reliability of Eysenck and Murray Impulsivity Scale and Divided Attention Questionnaire (DAQ) in students of University of Isfahan, Iran. Ment Health. 2016;3:125–129. Doi:10.22038/jfmh.2016.6870.

24. Tsatali M, Moraitou D, Papantoniou G, Foutsitzi E, Bonti E, Kougioumtzis G, et al. Measuring impulsivity in Greek adults: psychometric properties of the Barratt impulsiveness scale (BIS-11) and impulsive behavior scale (short version of UPPS-P). Brain Sciences. 2021;11(8):1007. DOI: 10.3390/brainsci11081007

25. Vasconcelos AG, Malloy-Diniz L, Correa H. Systematic review of psychometric proprieties of Barratt Impulsiveness Scale Version 11 (BIS-11). Clinical neuropsychiatry. 2012;9(2).

26. Mokri A, Ekhtiari H, Edalati H, Ganjgahi H, Naderi P. Relationship between craving intensity and risky behaviors and impulsivity factors in different groups of opiate addicts. Iranian Journal of Psychiatry and Clinical Psychology. 2008;14(3):258–268.

27. Garson DG. Factor analysis: statnotes. Retrieved March. 2008;22:2008.

28. Barratt ES, Stanford MS, Kent TA, Alan F. Neuropsychological and cognitive psychophysiological substrates of impulsive aggression. Biological psychiatry. 1997;41(10):1045–1061.

29. Azizi A, Borjali A, Golzari M. The effectiveness of emotion regulation training and cognitive therapy on the emotional and addictional problems of substance abusers. Iranian Journal of Psychiatry. 2010;5(2):60–65.

30. Simons JS, Gaher RM. The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and emotion. 2005;29: 83–102.

31. Ellouze F, Ghaffari O, Zouari O, Zouari B, M'rad M. Validation of the dialectal Arabic version of Barratt's impulsivity scale, the BIS-11. L'encephale. 2012;39(1):13–18.

32. Someya T, Sakado K, Seki T, Kojima M, Reist C, Tang SW, et al. The Japanese version of the Barratt Impulsiveness Scale, 11th version (BIS‐11): Its reliability and validity. Psychiatry and clinical neurosciences. 2001;55(2):111–114.

33. Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of chiropractic medicine. 2016;15(2):155–163. DOI: 10.1016/j.jcm.2016.02.012

34. Costello AB, Osborne J. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical assessment, research, and evaluation. 2005;10(1):7. https://doi.org/10.7275/jyj1-4868.

35. Sarkın DBŞ, Gülleroğlu HD. Anxiety in Prospective Teachers: Determining the Cut-off Score with Different Methods in Multi-Scoring Scales. Educational Sciences: Theory & Practice. 2019;19(1): 3–21. DOI 10.12738/estp.2019.1.0116

36. Ekhtiari H, Safaei H, Esmaeeli Djavid G, Atefvahid MK, Edalati H, Mokri A. Reliability and validity of persian versions of eysenck, barratt, dickman and zuckerman questionnaires in assessing risky and impulsive behaviors. Iranian journal of psychiatry and clinical psychology. 2008;14(3):326–336. https://psycnet.apa.org/record/2009-08650-003.

37. Javid M, Mohammadi N, Rahimi C. Psychometric properties of an Iranian version of the Barratt Impulsiveness Scale-11 (BIS-11). Psychological Methods and Models. 2012;2(8):23–34.

38. Bagbanian M, Momayyezi M, Fallahzadeh H, Mirzaei M. Prevalence of Illicit Drug Use and Related Factors in Adults: Results of First Phase of Shahedieh Cohort Study 2015–2016. Iranian Journal of Epidemiology. 2022;17(4):353–361.

39. Hatamkhani S, Shiva A, Pouraghdam R, Nojavan N, Ghasempour M. Study of the pattern of drug use among clients referring to the compulsory maintenance, treatment and reducing the harm of addicts center in Urmia in 1394. medical journal of mashhad university of medical sciences. 2018;61(3):1050–1060.

40. Sadri D, Joleahr M, salehyan s, Haj mostafa zadeh sabagh A. A survey on the pattern of consumption and oral manifestations of a group of addicts in Tehran in 2017. journal of research in dental sciences. 2019;16(3):234–244.

41. Juneja R, Chaiwong W, Siripool P, Mahapol K, Wiriya T, Shannon J, et al. Thai adaptation and reliability of three versions of the Barratt Impulsiveness Scale (BIS 11, BIS-15, and BIS-Brief). Psychiatry research. 2019;272:744–755.

42. Al-Hammouri MM, Rababah J. Psychometric properties of the Arabic version of Barratt Impulsiveness Scale 11: The development of short form. Archives of Psychiatric Nursing. 2023.

43. Victor SE, Glenn CR, Klonsky ED. Is non-suicidal self-injury an “addiction”? A comparison of craving in substance use and non-suicidal self-injury. Psychiatry research. 2012;197(1-2): 73–77.

44. Klonsky ED, Olino TM. Identifying clinically distinct subgroups of self-injurers among young adults: a latent class analysis. Journal of consulting and clinical psychology. 2008;76(1): 22.

45. Rachlin H. The science of self-control. The Science of Self-Control: Harvard University Press; 2004.

46. Spikman JM, Deelman BG, van Zomeren AH. Executive functioning, attention and frontal lesions in patients with chronic CHI. Journal of Clinical and Experimental Neuropsychology. 2000;22(3): 325–338.


DOI: https://doi.org/10.54517/esp.v9i6.2042
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