Impulsividad y calidad de vida en población con consumo problemático de alcohol

Contenido principal del artículo

Monserrath Estefanía Castillo Sánchez
Fabricio Alejandro Vásquez de la Bandera Cabezas

Resumen

Introducción: el consumo problemático de alcohol constituye un desafío relevante para la salud pública debido a sus repercusiones en el funcionamiento físico, psicológico y social de las personas. En este contexto, la impulsividad, concebida como un rasgo psicológico multidimensional, se ha vinculado con dificultades en la autorregulación conductual y emocional, así como con una menor percepción de bienestar general.

Objetivo: analizar la relación entre las dimensiones de impulsividad y los dominios de la calidad de vida en personas con consumo problemático de alcohol que asisten a grupos de Alcohólicos Anónimos en Ecuador.

Método: se desarrolló un estudio no experimental, transversal y correlacional, con enfoque cuantitativo. Participaron 124 adultos seleccionados mediante muestreo no probabilístico por conveniencia. Se aplicaron la Barratt Impulsiveness Scale (BIS-11) y el World Health Organization Quality of Life – BREF (WHOQOL-BREF). Se realizaron análisis descriptivos y correlacionales mediante el coeficiente Rho de Spearman.

Resultados: se identificaron asociaciones negativas y estadísticamente significativas entre las dimensiones de impulsividad atencional, motora y no planificada y los dominios físico, psicológico, social y ambiental de la calidad de vida. No se observaron diferencias estadísticamente significativas en las dimensiones de impulsividad en función del sexo.

Discusión y conclusiones: los hallazgos evidencian una relación consistente entre mayores niveles de impulsividad y una menor percepción de calidad de vida en personas con consumo problemático de alcohol que participan en procesos de recuperación comunitaria, lo que resalta la relevancia de considerar este rasgo psicológico en la evaluación e intervención clínica y psicosocial de las adicciones.

Palabras clave:
consumo problemático de alcohol ,   impulsividad ,   calidad de vida ,   adicciones
Publicado: mar 10, 2026

Detalles del artículo

Cómo citar
Castillo Sánchez, M. E., & Vásquez de la Bandera Cabezas, F. A. (2026). Impulsividad y calidad de vida en población con consumo problemático de alcohol. Revista Internacional De Investigación En Adicciones, 12(1). https://doi.org/10.28931/riiad.2026.412
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Artículos originales

Citas

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/