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The Neuropsychology of Risky Sexual Behavior

Published online by Cambridge University Press:  13 May 2016

J. Megan Ross ,
Jacqueline Duperrouzel ,
Melanie Vega  and
Raul Gonzalez
J. Megan Ross
Affiliation:
Center for Children and Families, Florida International University, Department of Psychology, Miami, Florida
Jacqueline Duperrouzel
Affiliation:
Center for Children and Families, Florida International University, Department of Psychology, Miami, Florida
Melanie Vega
Affiliation:
Center for Children and Families, Florida International University, Department of Psychology, Miami, Florida
Raul Gonzalez*
Affiliation:
Center for Children and Families, Florida International University, Department of Psychology, Miami, Florida
*
Correspondence and reprint requests to: Raul Gonzalez, Center for Children and Families, Florida International University, 11200 SW 8th Street, AHC4 Room 461, Miami, FL 33199. E-mail at raul.gonzalezjr@fiu.edu
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Abstract

Objectives: Engagement in risky sexual behavior (RSB) is a significant public health concern. A growing body of literature is elucidating the role of brain systems and neuropsychological constructs implicated in RSB, which may pave the way for novel insights and prevention efforts. Methods: In this article, we review studies incorporating neuropsychology into the study of RSB across the lifespan. The review of the literature on the neuropsychology of RSB is separated into three different sections by age of participants. Background is presented on research associating RSB with neurocognitive processes and the brain systems involved. Given the overlap between RSBs and substance use, studies addressing these problems in tandem are also discussed. Results: Neurocognitive constructs are implicated in RSB, including impulsivity, decision-making, and working memory. Discussion: Thus far, evidence suggest that neuropsychological factors are associated with engagement in RSB. More research on the influence of neuropsychological factors on engagement in RSB is necessary and may help inform future prevention efforts. (JINS, 2016, 22, 586–594)

Keywords

Risky sexual behaviorRisk-takingNeuropsychologySubstance useAdolescentsNeurodevelopment
Type
Critical Review
Information
Journal of the International Neuropsychological Society , Volume 22 , Issue 6 , July 2016 , pp. 586 - 594
Copyright
Copyright © The International Neuropsychological Society 2016 

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References

REFERENCES

Aklin, W.M., Lejuez, C., Zvolensky, M.J., Kahler, C.W., & Gwadz, M. (2005). Evaluation of behavioral measures of risk taking propensity with inner city adolescents. Behaviour Research and Therapy, 43(2), 215–228.Google Scholar
Alfonso, J.P., Caracuel, A., Delgado-Pastor, L.C., & Verdejo-García, A. (2011). Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers. Drug and Alcohol Dependence, 117(1), 78–81.Google Scholar
Alvarez, J.A., & Emory, E. (2006). Executive function and the frontal lobes: A meta-analytic review. Neuropsychology Review, 16(1), 17–42.CrossRefGoogle ScholarPubMed
Bellis, M.A., Hughes, K., Calafat, A., Juan, M., Ramon, A., Rodriguez, J.A., & Phillips-Howard, P. (2008). Sexual uses of alcohol and drugs and the associated health risks: A cross sectional study of young people in nine European cities. BMC Public Health, 8(1), 155.Google Scholar
Berns, G.S., Moore, S., & Capra, C.M. (2009). Adolescent engagement in dangerous behaviors is associated with increased white matter maturity of frontal cortex. PLoS One, 4(8), 6773.Google Scholar
Biglan, A., Metzler, C.W., Wirt, R., Ary, D., Noell, J., Ochs, L., & Hood, D. (1990). Social and behavioral factors associated with high-risk sexual behavior among adolescents. Journal of Behavioral Medicine, 13(3), 245–261.Google Scholar
Bornovalova, M.A., Gwadz, M., Kahler, C.W., Aklin, W.M., & Lejuez, C.W. (2008). Sensation seeking and risk-taking propensity as mediators in the relationship between childhood abuse and HIV-related risk behavior. Child Abuse and Neglect, 32, 99–109.Google Scholar
Brodbeck, J., Matter, M., & Moggi, F. (2006). Association between cannabis use and sexual risk behavior among young heterosexual adults. AIDS and Behavior, 10(5), 599–605.CrossRefGoogle ScholarPubMed
Buhi, E.R., & Goodson, P. (2007). Predictors of adolescent sexual behavior and intention: A theory-guided systematic review. Journal of Adolescent Health, 40(1), 4–21.Google Scholar
Cooper, M.L. (2002). Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol and Drugs, 14, 101.Google Scholar
Dahl, R.E. (2004). Adolescent brain development: A period of vulnerabilities and opportunities. Annals of the New York Academy of Sciences, 1021(1), 1–22.Google Scholar
Damasio, A.R., Everitt, B., & Bishop, D. (1996). The somatic marker hypothesis and the possible functions of the prefrontal cortex. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences, 351(1346), 1413–1420.Google ScholarPubMed
Derefinko, K.J., Peters, J.R., Eisenlohr-Moul, T.A., Walsh, E.C., Adams, Z.W., & Lynam, D.R. (2014). Relations between trait impulsivity, behavioral impulsivity, physiological arousal, and risky sexual behavior among young men. Archives of Sexual Behavior, 43(3), 1149–1158.Google Scholar
Elliott, R. (2003). Executive functions and their disorders: Imaging in clinical neuroscience. British Medical Bulletin, 65(1), 49–59.Google Scholar
Feldstein Ewing, S.W., Houck, J.M., & Bryan, A.D. (2015). Neural activation during response inhibition is associated with adolescents’ frequency of risky sex and substance use. Addictive Behaviors, 44, 80–87.Google Scholar
Feldstein Ewing, S.W., Ryman, S.G., Gillman, A.S., Weiland, B.J., Thayer, R.E., & Bryan, A.D. (2016). Developmental cognitive neuroscience of adolescent sexual risk and alcohol use. AIDS and Behavior, 20(1), 97–108.Google Scholar
Giancola, P.R., & Tarter, R.E. (1999). Executive cognitive functioning and risk for substance abuse. Psychological Science, 10(3), 203–205.Google Scholar
Goldenberg, D., Telzer, E.H., Lieberman, M.D., Fuligni, A., & Galván, A. (2013). Neural mechanisms of impulse control in sexually risky adolescents. Developmental Cognitive Neuroscience, 6, 23–29.CrossRefGoogle ScholarPubMed
Golub, S.A., Starks, T.J., Kowalczyk, W.J., Thompson, L.I., & Parsons, J.T. (2012). Profiles of executive functioning: Associations with substance dependence and risky sexual behavior. Psychology of Addictive Behaviors, 26(4), 895.CrossRefGoogle ScholarPubMed
Gonzalez, R., Vassileva, J., Bechara, A., Grbesic, S., Sworowski, L., Novak, R.M., & Martin, E.M. (2005). The influence of executive functions, sensation seeking, and HIV serostatus on the risky sexual practices of substance-dependent individuals. Journal of the International Neuropsychological Society, 11(02), 121–131.Google Scholar
Kann, L., Kinchen, S., Shanklin, S.L., Flint, K.H., Kawkins, J., Harris, W.A., & Chyen, D. (2014). Youth risk behavior surveillance-United States, 2013. MMWR: Surveillance Summaries, 63(SS-04), 1–168.Google Scholar
Khurana, A., Romer, D., Betancourt, L.M., Brodsky, N.L., Giannetta, J.M., & Hurt, H. (2012). Early adolescent sexual debut: The mediating role of working memory ability, sensation seeking, and impulsivity. Developmental Psychology, 48(5), 1416.Google Scholar
Khurana, A., Romer, D., Betancourt, L.M., Brodsky, N.L., Giannetta, J.M., & Hurt, H. (2015). Stronger working memory reduces sexual risk taking in adolescents, even after controlling for parental influences. Child Development, 86(4), 1125–1141.Google Scholar
Kotchick, B.A., Shaffer, A., Miller, K.S., & Forehand, R. (2001). Adolescent sexual risk behavior: A multi-system perspective. Clinical Psychology Review, 21(4), 493–519.Google Scholar
Lejuez, C., Aklin, W., Daughters, S., Zvolensky, M., Kahler, C., & Gwadz, M. (2007). Reliability and validity of the youth version of the Balloon Analogue Risk Task (BART–Y) in the assessment of risk-taking behavior among inner-city adolescents. Journal of Clinical Child and Adolescent Psychology, 36(1), 106–111.Google Scholar
Lejuez, C.W., Read, J.P., Kahler, C.W., Richards, J.B., Ramsey, S.E., Stuart, G.L., & Brown, R.A. (2002). Evaluation of a behavioral measure of risk taking: The Balloon Analogue Risk Task (BART). Journal of Experimental Psychology: Applied, 8(2), 75–84.Google Scholar
Lejuez, C.W., Simmons, B.L., Aklin, W.M., Daughters, S.B., & Dvir, S. (2004). Risk-taking propensity and risky sexual behavior of individuals in residential substance use treatment. Addictive Behaviors, 29, 1643–1647.Google Scholar
Malloy, P., Bihrle, A., Duffy, J., & Cimino, C. (1993). The orbitomedial frontal syndrome. Archives of Clinical Neuropsychology, 8(3), 185–201.Google Scholar
Masterman, D.L., & Cummings, J.L. (1997). Frontal-subcortical circuits: The anatomic basis of executive, social and motivated behaviors. Journal of Psychopharmacology, 11(2), 107–114.Google Scholar
Nydegger, L.A., Ames, S.L., Stacy, A.W., & Grenard, J.L. (2014). Response inhibition moderates the association between drug use and risky sexual behavior. Substance Use & Misuse, 49(11), 1457–1464.Google Scholar
Pfeifer, J.H., & Allen, N.B. (2012). Arrested development? Reconsidering dual-systems models of brain function in adolescence and disorders. Trends in Cognitive Sciences, 16(6), 322–329.Google Scholar
Romer, D. (2010). Adolescent risk taking, impulsivity, and brain development: Implications for prevention. Developmental Psychobiology, 52(3), 263–276.Google Scholar
Ross, J.M., Coxe, S., Schuster, R.M., Rojas, A., & Gonzalez, R. (2015). The moderating effects of cannabis use and decision making on the relationship between conduct disorder and risky sexual behavior. Journal of Clinical and Experimental Neuropsychology, 37(3), 303–315.CrossRefGoogle ScholarPubMed
Rostosky, S.S., Wilcox, B.L., Wright, M.L.C., & Randall, B.A. (2004). The impact of religiosity on adolescent sexual behavior: A review of the evidence. Journal of Adolescent Research, 19(6), 677–697.Google Scholar
Santelli, J.S., Brener, N.D., Lowry, R., Bhatt, A., & Zabin, L.S. (1998). Multiple sexual partners among US adolescents and young adults. Family Planning Perspectives, 271–275.Google Scholar
Satterwhite, C.L., Torrone, E., Meites, E., Dunne, E.F., Mahajan, R., Ocfemia, M.C.B., & Weinstock, H. (2013). Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2008. Sexually Transmitted Diseases, 40(3), 187–193.Google Scholar
Schuster, R.M., Crane, N.A., Mermelstein, R., & Gonzalez, R. (2012). The influence of inhibitory control and episodic memory on the risky sexual behavior of young adult cannabis users. Journal of International Neuropsychology, 18(5), 827–833.Google Scholar
Spear, L.P. (2000). The adolescent brain and age-related behavioral manifestations. Neuroscience & Biobehavioral Reviews, 24(4), 417–463.Google Scholar
Spinella, M. (2007). The role of prefrontal systems in sexual behavior. International Journal of Neuroscience, 117(3), 369–385.Google Scholar
Squeglia, L.M., Jacobus, J., Brumback, T., Meloy, M., & Tapert, S.F. (2014). White matter integrity in alcohol-naive youth with a family history of alcohol use disorders. Psychological Medicine, 44(13), 2775–2786.CrossRefGoogle ScholarPubMed
Starkstein, S.E., & Robinson, R.G. (1997). Mechanism of disinhibition after brain lesions. The Journal of Nervous and Mental Disease, 185(2), 108–114.CrossRefGoogle ScholarPubMed
Steinberg, L. (2007). Risk taking in adolescence new perspectives from brain and behavioral science. Current Directions in Psychological Science, 16(2), 55–59.Google Scholar
Steinberg, L. (2010). Commentary: A behavioral scientist looks at the science of adolescent brain development. Brain and Cognition, 72(1), 160.CrossRefGoogle Scholar
Stuss, D.T., & Levine, B. (2002). Adult clinical neuropsychology: Lessons from studies of the frontal lobes. Annual Review of Psychology, 53(1), 401–433.Google Scholar
Tang, Y.Y., Yang, L., Leve, L.D., & Harold, G.T. (2012). Improving executive function and its neurobiological mechanisms through a mindfulness‐based intervention: Advances within the field of developmental neuroscience. Child Development Perspectives, 6(4), 361–366.Google Scholar
Tapert, S.F., Aarons, G.A., Sedlar, G.R., & Brown, S.A. (2001). Adolescent substance use and sexual risk-taking behavior. Journal of Adolescent Health, 28(3), 181–189.CrossRefGoogle ScholarPubMed
Tarter, R.E. (2002). Etiology of adolescent substance abuse: A developmental perspective. The American Journal on Addictions, 11(3), 171–191.Google Scholar
Tarter, R.E., Kirisci, L., Habeych, M., Reynolds, M., & Vanyukov, M. (2004). Neurobehavior disinhibition in childhood predisposes boys to substance use disorder by young adulthood: Direct and mediated etiologic pathways. Drug and Alcohol Dependence, 73(2), 121–132.Google Scholar
Tekin, S., & Cummings, J.L. (2002). Frontal-subcortical neuronal circuits and clinical neuropsychiatry: An update. Journal of Psychosomatic Research, 53(2), 647–654.Google Scholar
Wardle, M.C., Gonzalez, R., Bechara, A., & Martin-Thormeyer, E.M. (2010). Iowa Gambling Task performance and emotional distress interact to predict risky sexual behavior in individuals with dual substance and HIV diagnoses. Journal of Clinical and Experimental Neuropsychology, 32(10), 1110–1121.Google Scholar
Willoughby, T., Good, M., Adachi, P.J., Hamza, C., & Tavernier, R. (2013). Examining the link between adolescent brain development and risk taking from a social–developmental perspective. Brain and Cognition, 83(3), 315–323.Google Scholar