Impulsivity in adolescents with major depressive disorder: A comparative tunisian study.

Author: Khemakhem, K., Boudabous, J., Cherif, L., Ayadi, H., Walha, A., Moalla, Y., Hadjkacem, I., Ghribi, F.

Source:
Asian journal of psychiatry, 28, 183-185.
Background: The association between impulsivity and depressive disorders in adolescence has been little studied at the literature and in our country, yet impulsivity is a major risk factor for suicide. Thus we aimed on this study to evaluate impulsivity in 25 adolescents with Major Depressive Disorder MDD compared to a control sample and to analyze the correlations between impulsivity and clinical features of MDD. Methods: Employing a matched case–control design, participants included 25 adolescents with MDD and 75 controls. We have administered the Barratt Impulsivity Scale BIS-11 for the two groups to evaluate impulsivity. Semi structured interviews according DSM 5 criteria were conducted for adolescents with MDD. The Child Depressive Inventory CDI was used to measure depressive symptoms in the control sample. Results: Adolescents with MDD were more impulsive compared to controls according to the BIS-11 in its three domains: motor (24.96 ± 6.26 against 20.6 ± 4.84; p = 0.000), attentional (20.88 ± 5.03 against 16.64 ± 3.2; p = 0.000) and non planning (28.2 ± 7.26 against 24.44 ± 4.32; p = 0.02). Impulsivity was not correlated with clinical features of MDD (suicide attempts, psychiatric comorbidities, antidepressant medication …). Conclusion: Adolescents with MDD seem to be more impulsive than control subjects regardless their clinical features. Whether it is a specific characteristic or a symptom among others of MDD, impulsivity predicts health-related behaviors and associated damage that need to be detected and prevented in time.