title: Associations between impulsivity and high risk sexual behaviors in dually diagnosed outpatients.
abstract: OBJECTIVE
  It is unknown whether impulsivity is associated with risky sexual behavior in dually diagnosed clients.
  
  
  METHODS
  Impulsivity in 51 sexually-active, dually diagnosed clients was assessed by the Barrett Impulsivity Scale, Delayed Discounting Questionnaire, and Wisconsin Card-Sorting Task, and a path analysis of relationship to self-reported risk behaviors was conducted.
  
  
  RESULTS
  Recent cocaine use was correlated with risky sexual behaviors and a preference for immediate over larger, delayed rewards trended towards a correlation.
  
  
  CONCLUSIONS
  The association between impulsivity and risky sexual behavior among substance users appears to extend to the dually diagnosed. Implications for HIV prevention are discussed.
authors.affiliation: Inflexxion, Inc. Newton, Massachusetts 02464, USA. Rblack@inflexxion.com
authors.forename: Ryan A
authors.initials: RA
authors.lastname: Black
authors.forename: Kristin L
authors.initials: KL
authors.lastname: Serowik
authors.forename: Marc I
authors.initials: MI
authors.lastname: Rosen
mesh_terms: D000328:Adult; D003155:Community Mental Health Centers; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D007175:Impulsive Behavior / Q000150:complications / Q000523:psychology*; D008297:Male; D009483:Neuropsychological Tests; D010045:Outpatients; D018579:Patient Selection; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology*; D011795:Surveys and Questionnaires