Impulsivity and Quality of Life in a Population with Problematic Alcohol Consumption
Main Article Content
Abstract
Introduction: problematic alcohol consumption represents a major public health challenge due to its detrimental effects on individuals’ physical, psychological, and social functioning. Within this context, impulsivity—conceptualized as a multidimensional psychological trait—has been associated with deficits in behavioral and emotional self-regulation, as well as with lower perceived overall well-being.
Objective: to analyze the relationship between impulsivity dimensions and quality of life domains in individuals with problematic alcohol consumption attending Alcoholics Anonymous (AA) groups in Ecuador.
Method: a non-experimental, cross-sectional, correlational study with a quantitative approach was conducted. The sample consisted of 124 adults selected through non-probabilistic convenience sampling. The Barratt Impulsiveness Scale (BIS-11) and the World Health Organization Quality of Life – BREF (WHOQOL-BREF) were administered. Descriptive and correlational analyses were performed using Spearman’s rho coefficient.
Results: statistically significant negative associations were identified between attentional, motor, and non-planning impulsivity and the physical, psychological, social, and environmental domains of quality of life. No statistically significant differences in impulsivity dimensions were observed according to sex.
Discussion and conclusions: the findings demonstrate a consistent relationship between higher levels of impulsivity and lower perceived quality of life among individuals with problematic alcohol consumption who participate in community-based recovery processes. These results highlight the importance of considering impulsivity as a relevant psychological trait in the clinical and psychosocial assessment and intervention of addictive behaviors.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Alcohólicos Anónimos Ecuador. (2022). Directorio nacional de grupos de AA en Ecuador. https://www.alcoholicosanonimos.org.ec/directorios
Aponte-Zurita, G., & Moreta-Herrera, R. (2023). Impulsividad y Consumo de alcohol y problemas asociados en adolescentes del Ecuador. Revista de Psicología de la Salud, 11(1), 70–83. https://doi.org/10.21134/pssa.v11i1.301
Coates, J. M., Gullo, M. J., Feeney, G. F. X., Young, R. M., Dingle, G. A., Clark, P. J., & Connor, J. P. (2020). Craving mediates the effect of impulsivity on lapse-risk during alcohol use disorder treatment. Addictive Behaviors, 105, 106286. https://doi.org/10.1016/j.addbeh.2019.106286
Colaco, A. S., Mayya, A., Noronha, C., & Mayya, S. S. (2023). Quality of life in patients with alcohol use disorders admitted to de-addiction centers using WHOQOL-BREF scale—A cross-sectional study. Journal of Education and Health Promotion, 12(1), 196. https://doi.org/10.4103/jehp.jehp_248_23
Dayal, P., & Kaloiya, G. S. (2024). Quality of Life in Alcohol Use Disorder: Exploration of Predictive Factors in a Cross-Sectional Study. Psychiatry International, 5(1), 101–120. https://doi.org/10.3390/psychiatryint5010008
Dayal, P., Kaloiya, G. S., Verma, R., & Kumar, N. (2023). Attention and Self-Control Dimensions of Impulsivity Predict the Quality of Life among Male Patients Seeking Treatment for Alcohol Use Disorder: The Mediating Role of Anxiety and Severity of Alcohol Use Disorder. Preprints. https://doi.org/10.20944/preprints202308.1708.v2
DeVito, E. E., Weinberger, A. H., Pang, R. D., Petersen, N., Fagle, T., & Allen, A. M. (2020). Impulsivity across Substance Use Categories: Consideration of Sex/Gender. Current Behavioral Neuroscience Reports, 7(3), 109–127. https://doi.org/10.1007/s40473-020-00213-6
Duan, F., Xia, L., Li, J., Li, X., Zhou, Y., Luo, H., Wang, Z., Song, X., Wang, J., Chen, J., Wang, Y., Zhang, J., Zhang, X., & Jiao, D. (2023). Sex, executive function, and prospective memory regulate the chain-mediation pathway of alcohol use and impulsivity. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1292422
Forsén, E., Clinton, D., Monell, E., Levallius, J., & Birgegård, A. (2021). Impulsivity and compulsivity as parallel mediators of emotion dysregulation in eating‐related addictive like behaviors, alcohol use, and compulsive exercise. Brain and Behavior, 12(1). https://doi.org/10.1002/brb3.2458
Galkin, S. A. (2023). The Effects of Cognitive Impulsivity on the Duration of Remission in Alcohol-Dependent Patients. Consortium Psychiatricum 4(4), 29–38. https://doi.org/10.17816/cp13627
Grønkjær, M., Wimmelmann, C. L., Mortensen, E. L., & Flensborg-Madsen, T. (2022). Prospective associations between alcohol consumption and psychological well-being in midlife. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-021-12463-4
Haeny, A. M., Gueorguieva, R., Jackson, A., Morean, M. E., Krishnan-Sarin, S., DeMartini, K. S., Pearlson, G. D., Anticevic, A., Krystal, J. H., & O’Malley, S. S. (2021). Individual differences in the associations between risk factors for alcohol use disorder and alcohol use-related outcomes. Psychology of Addictive Behaviors, 35(5), 501–513. https://doi.org/10.1037/adb0000733
Herman, A. M., & Duka, T. (2020). The Role of Impulsivity Facets on the Incidence and Development of Alcohol Use Disorders. Current Topics in Behavioral Neurosciences, 197–221. https://doi.org/10.1007/7854_2020_137
Kirouac, M., Stein, E. R., Pearson, M. R., & Witkiewitz, K. (2017). Viability of the World Health Organization quality of life measure to assess changes in quality of life following treatment for alcohol use disorder. Quality of Life Research, 26(11), 2987–2997. https://doi.org/10.1007/s11136-017-1631-4
Lahbairi, N., Laniepce, A., Segobin, S., Cabé, N., Boudehent, C., Vabret, F., Rauchs, G., & Pitel, A.-L. (2022). Determinants of health-related quality of life in recently detoxified patients with severe alcohol use disorder. Health and Quality of Life Outcomes, 20(1). https://doi.org/10.1186/s12955-022-02058-x
Levitt, E. E., Sousa, S., Costello, M. J., LaBelle, O. P., Rush, B., & MacKillop, J. (2023). The Clinical Relevance of Impulsivity in Substance Use Disorder Treatment: Examining Within-Treatment Changes and Relationship to Psychiatric Symptoms and Cravings in a Large Inpatient Sample. Journal of Studies on Alcohol and Drugs, 84(4), 570–578. https://doi.org/10.15288/jsad.22-00212
Liu, Z., Luo, R., Fu, R., Yuan, C., Xu, X., Zhou, D., Zhao, M., Yuan, T.-F., & Du, J. (2020). The Influences of Impulsivity and Education Levels on Severity of Alcohol Dependence. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00737
Meyer, H. H., Thompson, M. F., Gunawan, T., Schwandt, M. L., Ramchandani, V. A., Diazgranados, N., & Luk, J. W. (2025). Latent profile analysis of trait impulsivity facets and associations with resilience, problematic alcohol use, and quality of life. Alcohol: Clinical and Experimental Research. https://doi.org/10.1111/acer.70158
Ministerio de Salud Pública del Ecuador. (2022). Informe ejecutivo de rendición de cuentas 2022: Coordinación Zonal 5 – Salud. https://www.salud.gob.ec/wp-content/uploads/2023/06/5.2FASE-2_INFORME_FINAL_-RC_2022_CZ5-1.pdf?utm
Ministerio de Salud Pública del Ecuador. (2023). El MSP prepara encuesta sobre uso de drogas y salud mental en Ecuador. https://www.salud.gob.ec/el-msp-prepara-encuesta-sobre-uso-de-drogas-y-salud-mental-en-ecuador/
Moeller, F. G., Barratt, E. S., Dougherty, D. M., Schmitz, J. M., & Swann, A. C. (2001). Psychiatric Aspects of Impulsivity. American Journal of Psychiatry, 158(11), 1783–1793. https://doi.org/10.1176/appi.ajp.158.11.1783
Pan American Health Organization. (2020). Regional status report on alcohol and health in the Americas 2020. https://iris.paho.org/handle/10665.2/52705
Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the Barratt Impulsiveness Scale. Journal of Clinical Psychology, 51(6), 768–774. https://doi.org/10.1002/1097-4679(199511)51:6%3C768::AID-JCLP2270510607%3E3.0.CO;2-1
Reichl, D., Enewoldsen, N., Weisel, K. K., Fuhrmann, L., Lang, C., Saur, S., Berking, M., Zink, M., Ahnert, A., Falkai, P., Kraus, T., Hillemacher, T., Müller, F.-N., Kornhuber, J., Bönsch, D., Kerkemeyer, L., & Steins-Loeber, S. (2022). Association of impulsivity with quality of life and well-being after alcohol withdrawal treatment. Journal of Clinical Psychology, 78(7), 1451–1462. https://doi.org/10.1002/jclp.23316
Teixeira, J., Ferreira, S., & Moutinho, L. (2021). Quality of life and abstinence in alcohol use disorders. European Psychiatry, 64(S1), S569. https://doi.org/10.1192/j.eurpsy.2021.1518
Tsatali, M., Moraitou, D., Papantoniou, G., Foutsitzi, E., Bonti, E., Kougioumtzis, G., Ntritsos, G., Sofologi, M., & Tsolaki, M. (2021). 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, 11(8), 1007. https://doi.org/10.3390/brainsci11081007
Wilson, S. E., Garcia, K., Fava, N. M., & Leeman, R. F. (2024). Examining the Relationships Among Adverse Experiences, Impulsivity, and Alcohol Use: A Scoping Review of Recent Literature. Current Addiction Reports, 11, 210–228. https://doi.org/10.1007/s40429-024-00552-4
World Health Organization. (1946). Constitution of the World Health Organization. https://apps.who.int/gb/bd/pdf/bd47/en/constitution-en.pdf
World Health Organization. (1998). Programme on mental health: WHOQOL user manual, 2012 revision. https://iris.who.int/handle/10665/77932
World Health Organization. (2019). Alcohol. https://www.who.int/es/news-room/fact-sheets/detail/alcohol
World Health Organization. (2023). No level of alcohol consumption is safe for our health. https://www.who.int/europe/news/item/04-01-2023-no-level-of-alcohol-consumption-is-safe-for-our-health
World Health Organization. (2024). Over 3 million annual deaths due to alcohol and drug use, majority among men. https://www.who.int/news/item/25-06-2024-over-3-million-annual-deaths-due-to-alcohol-and-drug-use-majority-among-men
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects (64th WMA General Assembly, Fortaleza, Brazil, October 2013). https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/