Enhanced impulsivity, poorer planning and rigid patterns when drawing in substance use disorder: a preliminary study
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Palabras clave

Substance use disorder
impulsivity
planning capacity
drawing
neuropsychological assessment
colors

Cómo citar

Orlandi, G. ., Comes Fayos, J., Blasco Ros, C., Romero Martínez, Ángel, & Moya Albiol, L. (2023). Enhanced impulsivity, poorer planning and rigid patterns when drawing in substance use disorder: a preliminary study. Behavior & Law Journal, 9(1). https://doi.org/10.47442/blj.2023.98

Resumen

Neuropsychological assessment has uncovered deficits in several executive functions in substance use disorder (SUD) individuals. Nevertheless, research has reported moderate ecological validity in current neuropsychological paradigms. In this regard, drawing is a well-known cross-cutting task that integrates complex cognitive and affective processes. Therefore, its potential for improving the ecological validity of neuropsychological assessments has been outlined. The aim of the present study was threefold. First, we analyzed the impulsivity and planning capacity of SUD individuals (n = 16) compared to controls (n = 15) through a self-reported questionnaire and a neuropsychological paradigm. Second, we explored the differences between groups in drawing variables by means of the diagnostic drawing series, a validated drawing paradigm. Finally, we examined the relationship between the neuropsychological markers and the drawing variables. Compared to controls, SUD individuals reported higher impulsivity scores and worse planning capacity. Regarding drawing variables, SUD participants needed more time to complete the artwork, occupied more space with a predominant color and reported a lower tendency to use warmer and cooler colors than controls. Additionally, across the whole sample, higher impulsivity and worse planning capacity were related to a greater use of a predominant color. Our findings suggest difficulties in functions related to inhibitory control, as well as an alternative drawing pattern in SUD individuals. Remarkably, poor inhibitory control was associated with less variability in drawing. Together, the present preliminary study seems to reinforces the use of drawing as a valid tool for adding both diagnostic and therapeutic information to classical neuropsychological paradigms.

https://doi.org/10.47442/blj.2023.98
pdf (English)

Citas

Abbing, A. C., Baars, E. W., Van Haastrecht, O., & Ponstein, A. S. (2019). Acceptance of Anxiety through Art Therapy: A Case Report Exploring How Anthroposophic Art Therapy Addresses Emotion Regulation and Executive Functioning. Case Reports in Psychiatry, 2019, 4875381.

Abbing, A., de Sonneville, L., Baars, E., Bourne, D., & Swaab, H. (2019b). Anxiety reduction through art therapy in women. Exploring stress regulation and executive functioning as underlying neurocognitive mechanisms. PLOS ONE, 14(12), e0225200.

Amarin, N., & Al-Saleh, A. A. S. (2020). The effect of color use in designing instructional aids on learners’ academic performance. Journal of e-Learning and Knowledge Society, 16(2), 42-50.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (Vol. 5). American Psychiatric Association.

Balconi, M., Finocchiaro, R., & Campanella, S. (2014). Reward sensitivity, decisional bias, and metacognitive deficits in cocaine drug addiction. Journal of addiction medicine, 8(6), 399-406.

Beveridge, T. J. R., Gill, K. E., Hanlon, C. A., & Porrino, L. J. (2008). Parallel studies of cocaine-related neural and cognitive impairment in humans and monkeys. Philosophical Transactions of the Royal Society B: Biological Sciences, 363(1507), 3257–3266.

Brand, M., Roth-Bauer, M., Driessen, M., & Markowitsch, H. J. (2008). Executive functions and risky decision-making in patients with opiate dependence. Drug and Alcohol Dependence, 97(1), 64–72.

Brooks, M. (2009). Drawing, Visualisation and Young Children’s Exploration of “Big Ideas”. International Journal of Science Education, 31(3), 319–341.

Ceceli, A. O., Bradberry, C. W., & Goldstein, R. Z. (2021). The neurobiology of drug addiction: Cross-species insights into the dysfunction and recovery of the prefrontal cortex. Neuropsychopharmacology.

Chadwick, V. L., Rohleder, C., Koethe, D., & Leweke, F. M. (2020). Cannabinoids and the endocannabinoid system in anxiety, depression, and dysregulation of emotion in humans. Current Opinion in Psychiatry, 33(1).

Chaytor, N., Schmitter-Edgecombe, M., & Burr, R. (2006). Improving the ecological validity of executive functioning assessment. Archives of Clinical Neuropsychology, 21(3), 217–227.

Cheetham, A., Allen, N. B., Yücel, M., & Lubman, D. I. (2010). The role of affective dysregulation in drug addiction. Clinical Psychology Review, 30(6), 621–634.

Cohen, J. (1992). Quantitative methods in psychology: A power primer. Psychol. Bull., 112, 1155-1159.

Cohen, B. M. (1986). The Diagnostic Drawing Series Rating Guide. Unpublished guidebook.

Cohen, B. M., & Mills, A. (2015). The Diagnostic Drawing Series (DDS) at Thirty. In The Wiley Handbook of Art Therapy (pp. 558–568).

Czamanski-Cohen, J., & Weihs, K. L. (2016). The bodymind model: A platform for studying the mechanisms of change induced by art therapy. The Arts in Psychotherapy, 51, 63–71.

Dickson, C. (2007). An evaluation study of art therapy provision in a residential Addiction Treatment Programme (ATP). International Journal of Art Therapy, 12(1), 17–27.

Elliot, A. J., & Maier, M. A. (2007). Color and Psychological Functioning. Current Directions in Psychological Science, 16(5), 250–254.

Fernández-Serrano, M. J., Pérez-García, M., Schmidt Río-Valle, J., & Verdejo-García, A. (2009). Neuropsychological consequences of alcohol and drug abuse on different components of executive functions. Journal of Psychopharmacology, 24(9), 1317–1332.

Gantt, L. M., & Anderson, F. (2009). The Formal Elements Art Therapy Scale: A measurement system for global variables in art. Art therapy, 26(3), 124-129.

Glass, J. M., Buu, A., Adams, K. M., Nigg, J. T., Puttler, L. I., Jester, J. M., & Zucker, R. A. (2009). Effects of alcoholism severity and smoking on executive neurocognitive function. Addiction, 104(1), 38–48.

Goldstein, R., & Volkow, N. (2002). Drug Addiction and Its Underlying Neurobiological Basis: Neuroimaging Evidence for the Involvement of the Frontal Cortex. The American Journal of Psychiatry, 159, 1642–1652.

Gruber, H., & Oepen, R. (2018). Emotion regulation strategies and effects in art-making: A narrative synthesis. The Arts in Psychotherapy, 59, 65-74.

Hacking, S., Foreman, D., & Belcher, J. (1996). The Descriptive Assessment for Psychiatric Art: A New Way of Quantifying Paintings by Psychiatric Patients. The Journal of Nervous and Mental Disease, 184(7).

Hagen, E., Erga, A. H., Hagen, K. P., Nesvåg, S. M., McKay, J. R., Lundervold, A. J., & Walderhaug, E. (2017). One-year sobriety improves satisfaction with life, executive functions and psychological distress among patients with polysubstance use disorder. Journal of Substance Abuse Treatment, 76, 81–87.

Hanada, M. (2018). Correspondence analysis of color–emotion associations. Color Research & Application, 43(2), 224–237.

Heredia, R. M. M. de, & Miljkovitch, I. (1998). Drawings of depressed inpatients: Intentional and unintentional expression of emotional states. Journal of Clinical Psychology, 54 8, 1029–1042.

Holst, R., & Schilt, T. (2011). Drug-Related Decrease in Neuropsychological Functions of Abstinent Drug Users. Current Drug Abuse Reviews, 4, 42–56.

Jentsch, J. D., & Pennington, Z. T. (2014). Reward, interrupted: Inhibitory control and its relevance to addictions. Neuropharmacology, 76, 479-486.

Jones, J. P., Walker, M. S., Drass, J. M., & Kaimal, G. (2018). Art therapy interventions for active-duty military service members with post-traumatic stress disorder and traumatic brain injury. International Journal of Art Therapy, 23(2), 70–85.

Koob, G. F., & Volkow, N. D. (2016). Neurobiology of addiction: A neurocircuitry analysis. The Lancet Psychiatry, 3(8), 760–773.

Kozak, K., Lucatch, A. M., Lowe, D. J., Balodis, I. M., MacKillop, J., & George, T. P. (2019). The neurobiology of impulsivity and substance use disorders: implications for treatment. Annals of the New York Academy of Sciences, 1451(1), 71-91.

Krzywinski, M. (2006). Image Color Summarizer. http://mkweb.bcgsc.ca/colorsummarizer/?analyze

Kustepe, A., Kalenderoglu, A., Celik, M., Kaya-Bozkurt, E., Orum, M. H., & Uguz, S. (2019). Evaluation of impulsivity and complex attention functions of subjects with substance use: Sample from Adiyaman province. Med Science, 8(1), 67-71.

La Femina, F., Senese, V. P., Grossi, D., & Venuti, P. (2009). A Battery For The Assessment of Visuo-Spatial Abilities Involved in Drawing Tasks. The Clinical Neuropsychologist, 23(4), 691–714.

Lusebrink, V. B. (2010). Assessment and Therapeutic Application of the Expressive Therapies Continuum: Implications for Brain Structures and Functions. Art Therapy, 27(4), 168–177.

Madoz-Gúrpide, A., Blasco-Fontecilla, H., Baca-García, E., & Ochoa-Mangado, E. (2011). Executive dysfunction in chronic cocaine users: An exploratory study. Drug and Alcohol Dependence, 117(1), 55–58.

Masika, G. M., Yu, D. S. F., Li, P. W. C., Lee, D. T. F., & Nyundo, A. (2021). Visual art therapy and cognition: Effects on people with mild cognitive impairment and low education level. The Journals of Gerontology: Series B, gbab168.

Moeller, F. G., Dougherty, D. M., Barratt, E. S., Oderinde, V., Mathias, C. W., Harper, R. A., & Swann, A. C. (2002). Increased impulsivity in cocaine dependent subjects independent of antisocial personality disorder and aggression. Drug and Alcohol Dependence, 68(1), 105–111.

Osaka, N. (2022). Emotional neuroaesthetics of color experience: Views from single, paired, and complex color combinations. PsyCh Journal, 11(5), 628-635.

Páez, F., Jiménez, A., López, A., Raull Ariza, J. P., Ortega Soto, H., & Nicolini, H. (1996). Estudio de validez de la traducción al castellano de la Escala de Impulsividad de Plutchik. Salud Mental; Vol. 19, No. Supl 3 (1996): Salud Mental.

Papandreou, M. (2014). Communicating and Thinking Through Drawing Activity in Early Childhood. Journal of Research in Childhood Education, 28(1), 85–100.

Parolin, M., Simonelli, A., Cristofalo, P., Sacco, M., Bracciardi, S., Maremmani, A. G., Cimino, S., Trumello, C., & Cerniglia, L. (2017). Drug Addiction and Emotion Dysregulation in Young Adults. Heroin Addiction and Related Clinical Problems, 19.

Peters, G. A., & Merrifield, P. R. (1958). Graphic representation of emotional feelings. Journal of clinical psychology, 14(4), 375-378.

Plutchik, R., & Van Praag, H. (1989). The measurement of suicidality, aggressivity and impulsivity. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 13, S23–S34.

Pryke, P. S. R. (2009). Is red an innate or learned signal of aggression and intimidation? Animal Behaviour, 78(2), 393–398.

Rømer Thomsen, K., Callesen, M., Hesse, M., Kvamme, T., Pedersen, M., Pedersen, M., & Voon, V. (2018). Impulsivity traits and addiction-related behaviors in youth. Journal of Behavioral Addictions, 7, 1–14.

Romero-Martínez, Á., Vitoria-Estruch, S., & Moya-Albiol, L. (2019). Emotional and autonomic dysregulation in abstinent alcoholic men: An idiosyncratic profile? Alcohol, 77, 155 162.

Safran, D. S. (2002). Art Therapy and AD/HD: Diagnostic and Therapeutic Approaches. Jessica Kingsley.

Shamay-Tsoory, S. G., & Mendelsohn, A. (2019). Real-Life Neuroscience: An Ecological Approach to Brain and Behavior Research. Perspectives on Psychological Science, 14(5), 841–859.

Singh, N., & Srivastava, S. K. (2011). Impact of colors on the psychology of marketing—A Comprehensive over view. Management and Labour Studies, 36(2), 199-209.

Sonter, L. S., & Jones, D. J. (2018). Drawing as a tool to support children’s executive function in play. International Art in Early Childhood Research Journal.

United Nations Office on Drugs and Crime (UNODC). World Drug Report Executive Summary. Vienna, Austria: UNODC; 2019.

Verdejo-Garcia, A., & Albein-Urios, N. (2021). Impulsivity traits and neurocognitive mechanisms conferring vulnerability to substance use disorders. Neuropharmacology, 183, 108402.

Verdejo-Garcia, A., Clark, L., Verdejo-Román, J., Albein-Urios, N., Martinez-Gonzalez, J. M., Gutierrez, B., & Soriano-Mas, C. (2015). Neural substrates of cognitive flexibility in cocaine and gambling addictions. British Journal of Psychiatry, 207(2), 158–164.

Verdejo-Garcia, A., Garcia-Fernández, G., & Dom, G. (2019). Cognition and addiction. Dialogues in Clinical Neuroscience, 21(3), 281–290.

Vitoria-Estruch, S., Romero-Martínez, Á., Lila, M., & Moya-Albiol, L. (2018). Could alcohol abuse drive intimate partner violence perpetrators’ psychophysiological response to acute stress? International journal of environmental research and public health, 15(12), 2729.

Volmat, R. (1956). L’art psychopathologique. Presses Universitaires de France.

Wilson, B. A., Evans, J. J., Emslie, H., Alderman, N., & Burgess, P. (1998). The Development of an Ecologically Valid Test for Assessing Patients with a Dysexecutive Syndrome. Neuropsychological Rehabilitation, 8(3), 213–228.

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