title: [Impulsivity: What are the consequences on compliance to rehabilitation?].
abstract: BACKGROUND
  Impulsivity is a transnosographical dimension with major consequences on medical care with which psychiatrists are frequently confronted. Furthermore, compliance is a major variable that can affect the efficiency of therapeutics and hospitalizations in psychiatry. A study was carried out in three drug and alcohol rehabilitation hospitalization units to find out if impulsivity can have consequences on compliance.
  
  
  METHODS
  The studied population was composed of 85 patients aged from 18 to 70, hospitalized for one or more addiction disorders in a psychometric hospital in Vannes (France). Impulsivity was measured for all patients with the BIS-11 at the beginning of the rehabilitation program. Because no tool to evaluate a total rehab program compliance existed, a scale, used at the end of the hospitalization, was created to measure patient compliance. This score was composed of two simple numeric scales (one used by the nurses and one used by the patient's psychiatrist) and a coefficient of hospitalization duration that was the ratio of completed to planned days of hospitalization. Correlations were made between the different dimensions: impulsivity and compliance, impulsivity and hospitalization conditions, compliance and hospitalization conditions (voluntary or involuntary, planned by a psychiatrist or not, etc.).
  
  
  RESULTS
  The main statistically significant result of the study was a negative correlation existing between the motor dimension of impulsivity and compliance (r=-0.37 and P=0.001). The other dimensions of impulsivity showed no significant correlation with compliance score. The study revealed that the different hospitalization conditions showed no link with compliance or impulsivity.
  
  
  CONCLUSIONS
  These original results show that motor impulsive patients need an adaptation of the rehabilitation programs. Shorter programs might be more efficient.
authors.affiliation: Institut de neurosciences de la Timone, UMR 7289, CNRS, université Aix-Marseille, faculté de médecine, 27, boulevard Jean-Moulin, 13005 Marseille, France; Secteur adulte 13G20, centre hospitalier Montperrin, 109, avenue du Petit-Barthélémy, 13100 Aix-en-Provence, France. Electronic address: aida.cancel@hotmail.fr.
authors.forename: A
authors.initials: A
authors.lastname: Cancel
authors.affiliation: Service de pharmacologie clinique, CIC Inserm 0203, hôpital Pontchaillou, université de Rennes 1, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France.
authors.forename: F
authors.initials: F
authors.lastname: Naudet
authors.affiliation: Institut de neurosciences de la Timone, UMR 7289, CNRS, université Aix-Marseille, faculté de médecine, 27, boulevard Jean-Moulin, 13005 Marseille, France; Service de psychiatrie, hôpital d'instruction des armées Sainte-Anne, 2, boulevard Sainte-Anne, BP 20545, 83041 Toulon cedex 9, France.
authors.forename: P F
authors.initials: PF
authors.lastname: Rousseau
authors.affiliation: EA 4712 « comportement et noyaux gris centraux », faculté de médecine, 2, avenue du Professeur-Léon-Bernard, 35043 Rennes cedex, France; Pôle hospitalo-universitaire de psychiatrie adulte, centre hospitalier Guillaume-Régnier, 108, avenue du Général-Leclerc, 35000 Rennes, France.
authors.forename: B
authors.initials: B
authors.lastname: Millet
authors.affiliation: EA 4712 « comportement et noyaux gris centraux », faculté de médecine, 2, avenue du Professeur-Léon-Bernard, 35043 Rennes cedex, France; Pôle hospitalo-universitaire de psychiatrie adulte, centre hospitalier Guillaume-Régnier, 108, avenue du Général-Leclerc, 35000 Rennes, France.
authors.forename: D
authors.initials: D
authors.lastname: Drapier
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003134:Commitment of Persons with Psychiatric Disorders; D005260:Female; D006760:Hospitalization; D006801:Humans; D007175:Impulsive Behavior; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000150:complications / Q000523:psychology; D009483:Neuropsychological Tests; D010349:Patient Compliance; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D019966:Substance-Related Disorders / Q000150:complications; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult
keywords: Addiction; Addictologie; Adhésion thérapeutique; BIS-11; Compliance; Impulsivity; Impulsivité; Impulsivité motrice; Motor impulsivity