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Personality and Individual Differences 144 (2019) 31–35

Contents lists available at ScienceDirect

Personality and Individual Differences


journal homepage: www.elsevier.com/locate/paid

Behavioral inhibition/approach systems constitute risk/protective pathways T


from ADHD symptoms to depression and anxiety in undergraduate students

Mana Oguchi , Fumito Takahashi
Institute of Education, Shinshu University, Nishi-Nagano 6-ro, Nagano City, Nagano, Japan

A R T I C LE I N FO A B S T R A C T

Keywords: Despite the strong positive association between attention-deficit/hyperactivity disorder (ADHD) and depression
Attention-deficit/hyperactivity disorder or anxiety, little is known about the underlying mechanism that links ADHD symptoms to internalizing pro-
Adult blems. We aimed to examine the contribution of behavioral inhibition/approach systems (BIS/BAS) in ex-
Depression plaining ADHD symptoms, depression, anxiety, and their relationships. A sample of Japanese non-clinical un-
Anxiety
dergraduate students (N = 419) completed the BIS/BAS Scales, Adult ADHD Self-Report Scale, Patient Health
Protective factor
Impulsiveness
Questionnaire-9, and the Generalized Anxiety Disorder-7 Scale. Spearman's partial rank correlation coefficients
Reward responsiveness were calculated to describe the direct association between each of the measured variables. Mann-Whitney's U
BIS/BAS tests were conducted to compare ADHD symptoms and internalizing problems according to BIS and BAS acti-
vation. The results indicated that, although the simple correlation between inattention and anxiety was positive,
it turned negative when the BIS was controlled for. Hyperactivity/impulsivity showed a simple positive corre-
lation with all three BAS components: reward responsiveness (RR), drive, and fun seeking (FS). The RR showed
negative partial correlation with anxiety. Furthermore, Mann-Whitney's U tests in the high-BIS group indicated
that the high-BAS RR group exhibited less depressive symptoms compared with the low-BAS RR group. Further
research focusing on interaction of environmental-social factors and neuro-biological factors are required.

1. Introduction freeze system (FFFS), BIS, and BAS. The FFFS is responsible for med-
iating reactions to all aversive stimuli, conditioned and unconditioned,
The ADHD is a cognitive/behavioral developmental disorder char- causing emotions of rage and panic. Since FFFS has no relevance in
acterized by symptoms of inattention, hyperactivity, and impulsivity understanding ADHD (Gomez & Corr, 2010), this study focused only on
beginning in childhood and persisting into adulthood (American BIS and BAS.
Psychiatric Association, 2013). The ADHD symptoms are associated The BIS is a physiological basis that causes sensitivity in response to
with low level of employment, academic adjustment, self-efficacy, and aversive stimuli and generates anxious emotions and behavior inhibi-
well-being (Das, Cherbuin, Butterworth, Anstey, & Easteal, 2012; tions (Corr, 2008). Previous studies have reported that activation of the
Norwalk, Norvilitis, & MacLean, 2009; Young & Gudjonsson, 2006). BIS has been observed in people with ADHD inattention symptoms
Moreover, several empirical studies have reported that the symptoms (Gomez & Corr, 2010; Heym, Kantini, Checkley, & Cassaday, 2015) and
sometimes co-occur with psychiatric symptoms such as depression and depression and anxiety (Heym et al., 2015; Kasch, Rottenberg, Arnow,
anxiety (Bron et al., 2016; Das et al., 2012; Fischer et al., 2007; Haddad, & Gotlib, 2002). These findings suggest that the overactivation of BIS
Umoh, Bhatia, & Robertson, 2009; Harrison, Alexander, & Armstrong, predicts inattention, depression, and anxiety, and may provide a rea-
2013; Pehlivanidis, Papanikolaou, Spyropoulou, & Papadimitriou, sonable explanation for the intercorrelation of these three problems.
2014; Young & Gudjonsson, 2006). In order to better understand and The BAS constitutes neuro-biological sensitivity to conditioned ap-
treat ADHD-related problems, it is necessary to clarify the underlying petitive stimuli and is related to positivity and impulsivity (Corr, 2008).
mechanisms of ADHD symptoms and related internalizing problems. The BAS comprises three responses: (1) BAS Drive, which is “pertaining
Gray's Reinforcement Sensitivity Theory (Gray, 1982) and its re- to the persistent pursuit of desired goals”; (2) BAS RR, which reflects
vised version (Gray & McNaughton, 2000) offer a possible explanation “positive responses to the occurrence or anticipation of reward”; and
about the underlying mechanisms of ADHD symptoms. The theory (3) BAS FS, which comprises “both a desire for new rewards and a
proposes three neuropsychological response systems: the fight-flight- willingness to approach a potentially rewarding event on the spur of the


Corresponding author at: Graduate School of Human Sciences, Waseda University, Mikajima 2-579-15, Tokorozawa City, Saitama, Japan.
E-mail address: oguchima@suou.waseda.jp (M. Oguchi).

https://doi.org/10.1016/j.paid.2019.02.033
Received 13 September 2018; Received in revised form 5 December 2018; Accepted 21 February 2019
Available online 01 March 2019
0191-8869/ © 2019 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/BY-NC-ND/4.0/).
M. Oguchi and F. Takahashi Personality and Individual Differences 144 (2019) 31–35

moment” (Carver & White, 1994). Recent research showed that BAS RR 2.2. Participants
was associated with increased positive experience (Beevers & Meyer,
2002) and alleviation of internalizing problems (Henriques & Davidson, A total of 503 undergraduate students answered the questionnaires
2000; Kasch et al., 2002; McFarland, Shankman, Tenke, Bruder, & and participated in this study. Ages ranged from 18 to 28 (M = 20.01,
Klein, 2006; Taubitz, Pedersen, & Larson, 2015). To Support the notion SD = 1.19). As an ethical consideration, prior to responding to the
that BAS should be conceptualized as adaptive when targeting inter- questionnaire, participants were given the right to skip any item they
nalizing problems (Corr, 2008), several randomized clinical trials have wanted. As the result, 47 participants skipped one or two items, 3
reported the efficacy of psychological treatment intended to enhance skipped three or four items, and 2 skipped five or more items. A total of
RR and reduce depression (Dimidjian et al., 2006; Hopko et al., 2011; 32 participants returned questionnaires that had systematic errors (e.g.,
Takagaki et al., 2016). answered “true for me” for all items). Only data from the participants
However, the activation of BAS is also associated with more ex- who completely answered all items were included in the following data
ternalizing problems such as aggression (Taubitz et al., 2015), patho- analysis. Therefore, the final sample consisted of 419 Japanese students
logical gambling (Atkinson, Sharp, Schmitz, & Yaroslavsky, 2012), and (83.3% of initial sample) of which 247 were female and 172 were male.
impulsivity (Gomez & Corr, 2010; Heym et al., 2015), which sometimes There were 132 freshmen, 113 sophomores, 161 juniors, and 13 se-
co-occur with depression (Davies & Oliver, 2014). This demands an niors. Unadjusted t-tests for participants' age, ADHD symptoms, beha-
investigation of the following two points. First, possible confounding vioral inhibition/approach system, depression, and anxiety found no
effect of internalizing or externalizing problems should be controlled significant differences between the participants who were included in
for when investigating correlation between BIS/BAS scores, ADHD the analysis and those who were excluded. Additionally, a chi-square
symptoms, depression, and anxiety. It has been reported that, even after test revealed no significant gender-related differences between the two
controlling for the effects of depression or anxiety, BAS predicts ADHD groups.
hyperactivity/impulsivity (Mitchell & Nelson-Gray, 2006) or ex-
ternalizing behavior (Taubitz et al., 2015). Little is known, however,
about the confounding effect of ADHD on the correlation between BAS 2.3. Measures
and depression or anxiety.
Second, the interaction of BIS and BAS possibly explain the mixed 2.3.1. Behavioral inhibition/approach systems
function of BAS in context of ADHD symptoms, depression, and anxiety. The BIS/BAS Scales (Carver & White, 1994) were used to measure
The Reward Sensitivity Theory (RST) explains that individual differ- reinforcement sensitivity and punishment sensitivity. The scale consists
ences in response can be regarded as a phenotype of functional varia- of the following four subscales: BIS (7 items; e.g., “I worry about
tions in BIS and BAS (Corr, 2008). For example, higher depression may making mistakes”), BAS Drive (4 items; e.g. “When I want something I
reflect BIS over-activation and BAS under-activation (Kasch et al., usually go all-out to get it”), BAS FS (4 items; e.g. “I crave excitement
2002). In fact, enhancing BAS in depressive people, who usually show and new sensations”), and BAS RR (5 items; e.g., “When good things
high BIS, provides appropriate balance in BIS and BAS that result in happen to me, it affects me strongly”). Responses were recorded on a 4-
reduced depression (Hopko et al., 2011; Takagaki et al., 2016). On the point scale (1 = very false for me, 4 = very true for me). Cronbach's alpha
other hand, impulsivity is theoretically explained as a phenotype ex- values were adequate for all: BIS (α = 0.72), BAS Drive (α = 0.80), BAS
hibiting a combination of BIS under-activation and BAS over-activation FS (α = 0.71), and BAS RR (α = 0.80) (Gray, Hanna, Gillen, & Rushe,
(Avila, 2001). In this case, enhancing BAS can cause severe imbalance 2016). Reliability and validity of the Japanese BIS/BAS scales were
in both BIS and BAS, which may not be appropriate. These theoretical confirmed by Takahashi et al. (2007).
predictions suggest that individual differences in BAS functioning
would be, at least in part, explained by BIS activation. 2.3.2. ADHD symptoms
The purpose of the present study was to clarify interrelationships The Adult ADHD Self-Report Scale-v1.1 (ASRS; Kessler et al., 2005)
between the RST components, ADHD symptoms, and internalizing was used to measure ADHD symptoms. The ASRS was translated into
problems by describing following two phenomenon: (1) direct corre- many languages including Japanese by the World Health Organization.
lation between each variable while considering others only partially; This scale is a 6-item self-report questionnaire for screening adult
(2) effect of simultaneous activation of BIS and BAS on ADHD symp- ADHD based on DSM-IV criteria. The 6 most predictive items of an
toms and internalizing problems. It should be noted that causal in- ADHD diagnosis from the original 18-item ASRS were extracted to form
ferences cannot and should not be drawn from the current cross-sec- the scale (Kessler et al., 2005). Each item rates the frequency of ADHD
tional study. Any word which might seem causal refers only to statistical symptoms over the past 6 months using a 5-point scale (0 = never to
effects and not to causal effects. 4 = very often). The ASRS is highly consistent with a diagnosis of ADHD
by clinicians and has adequate test-retest reliability (range 0.58 to 0.77)
2. Methods and internal consistency reliability (range 0.63 to 0.72) (Kessler et al.,
2007). The sum of the scores for the first 4 items was used as the in-
2.1. Procedure attention score and that of the last two items was used as the hyper-
activity/impulsivity score (Das et al., 2012).
All procedures performed in the current study were approved by the
institutional review board of the second author's affiliation. Participants
were recruited from undergraduate psychology, education, en- 2.3.3. Depression
gineering, and literature courses of the second author's affiliation. The The Patient Health Questionnaire-9 (PHQ-9; Kroenke, Spitzer, &
academic level of these students on an average + 0.5 to 1.5 SD, im- Williams, 2001) was used to measure depression. This scale is a 9-item
plying that participants' intellectual ability should not limit the validity screening tool for major depression and is also used as a severity
of the data. The first author (MO) visited the classroom, where these measure. Each item rates the severity of depressive symptoms in the
courses were held, to distribute the questionnaires to all students, and past 2 weeks using a 4-point scale (0 = not at all to 3 = nearly every
explained the purpose, participation procedure, and ethical considera- day). The total depression severity score ranges between 0 and 27. The
tions of the current study. Those interested were asked to complete the PHQ-9 has been found to be a reliable and valid measure of depression
questionnaire and hand it directly to MO. Participants did not get any in the general population (Kroenke et al., 2001; Kroenke, Spitzer,
credit or reward for their participation. Consent to participate was Williams, & Löwe, 2010). Reliability and validity of the Japanese PHQ-
implied by responding to at least one item in the questionnaire. 9 was confirmed by Muramatsu et al. (2007).

32
M. Oguchi and F. Takahashi Personality and Individual Differences 144 (2019) 31–35

2.3.4. Anxiety positively associated with BAS RR and negatively associated with BAS
The 7-item Generalized Anxiety Disorder Scale (GAD-7; Spitzer, Drive and FS.
Kroenke, Williams, & Löwe, 2006) was used to measure anxiety
symptoms experienced in the past 2 weeks. Each of the seven items is 3.3. Combined effect of BIS and BAS on ADHD symptoms and internalizing
rated on 4-point scale (0 = not at all to 3 = nearly every day), and total problems
scores can range from 0 to 21. The GAD-7 has been found to have good
construct validity, internal consistency reliability (α = 0.92), and test- Mann-Whitney's U test revealed that the high-BIS/high-BAS RR
retest reliability (r = 0.83) (Kroenke et al., 2010; Spitzer et al., 2006). group (n = 32) showed lower depression than the high-BIS/low-BAS RR
The Japanese GAD-7 has also exhibited good psychometric properties group (n = 19, U = 141.50, r = 0.45, p = .001). In the same manner,
(Muramatsu et al., 2010). the high-BIS/high-BAS FS group (n = 34) showed lower depression
than the high-BIS/low-BAS FS group (n = 30, U = 339.50, r = 0.29,
2.4. Statistical analyses p = .021). In the low-BIS group, the high-BAS FS group (n = 35)
showed higher hyperactivity/impulsivity than the low-BAS FS group
Initially, we conducted preliminary analyses of the descriptive sta- (n = 28, U = 320.00, r = −0.30, p = .017). There were no significant
tistics in order to confirm that the data of the current study were nor- differences between the remaining pairs of groups.
mally distributed. Preliminary analyses indicated that depression
measured by PHQ-9 and anxiety measured by GAD-7 were not normally 4. Discussion
distributed, although RST components and ADHD symptoms were.
Logarithmic transformation improved the distribution of depression but In this study, we examined the interrelationships between the RST
did not improve that of anxiety. Therefore, we used non-parametric components, ADHD symptoms, and internalizing problems. Our ana-
techniques in the following analyses. Next, Spearman's rank correlation lysis suggested that the BIS explained the positive association between
coefficients were calculated to describe observable relationships that inattention and anxiety. BAS RR showed simple positive correlation
included both direct and indirect associations. In order to clarify the with hyperactivity/impulsivity but was negatively correlated with an-
direct association between each variable, partial correlation coefficients xiety after controlling for ADHD symptoms. Furthermore, BAS RR was
were calculated controlling for all other measured variables. negatively associated with depression in high-BIS group. BAS Drive was
Finally, in order to examine the effect of simultaneous activation of negatively associated with inattention and positively associated with
BIS and BAS on ADHD symptoms and internalizing problems, Mann- hyperactivity/impulsivity. BAS FS was positively correlated with in-
Whitney's U tests were conducted. Dependent variables were as follows: attention and hyperactivity/impulsivity.
BIS group (low-BIS: participants whose BIS score was 7 to 18 and in the The results of the correlational analysis showed that the positive
lowest 24.6%, n = 103; high-BIS: scored 25 to 28 and in the highest association between BIS and anxiety was observed regardless of the
23.6%, n = 99); BAS Drive group (low-BAS Drive: scored 4 to 9 and in ADHD symptomatology. This result implies that the ADHD symptoms
the lowest 27.4%, n = 115; high-BAS Drive: scored 12 to 16 and in the do not influence the BIS-anxiety bond that has been repeatedly ob-
highest 27.2%, n = 114); BAS RR group (low-BAS RR: participants served (Heym et al., 2015; Kasch et al., 2002). Anxiety and inattention
whose BAS RR score was in the lowest 27.2%, n = 114; high-BAS RR: showed positive zero-order correlation and negative partial correlation
participants whose BAS RR was in the highest 27.2%, n = 114); BAS FS after the BIS was statistically controlled for, which may mean that the
group (low-BAS FS: participants whose BAS FS score was in the lowest BIS activation and related hypervigilance constitutes underlying me-
27.4%, n = 115; high-BAS FS: participants whose BAS FS score was in chanisms of positive association between inattention and anxiety. The
the highest 31.0%, n = 130). The dependent variables were inattention, BIS also correlated with BAS RR, as observed in previous literatures
hyperactivity/impulsivity, depression, and anxiety. In this analysis, (Beevers & Meyer, 2002; Taubitz et al., 2015), meaning that BIS and
distributions of dependent variables were compared between each low- BAS RR could share some physiological functions such as hypervigi-
and high-BAS groups in the low-BIS group. The same analyses were lance when apetitive or aversive stimulus are presented.
conducted in the high-BIS group. All analyses were conducted using In terms of the BAS, people with hyperactivity/impulsivity tend to
SPSS 22.0 software. exhibit all three BAS components. This finding is consistent with several
previous studies that found a positive correlation between hyper-
3. Results activity/impulsivity and BAS (Gomez & Corr, 2010; Heym et al., 2015;
Mitchell & Nelson-Gray, 2006; Wilbertz et al., 2012). In addition, re-
3.1. Descriptive statistics sults of this study described different functions of three BAS compo-
nents.
Mean, SD, kurtosis, skewness, median, and Cronbach's alpha va- The BAS RR showed some adaptive functions. It negatively asso-
luesfor all variables are presented in Table 1. The ASRS showed rela- ciated with anxiety after controlling for all other variables and with
tively low internal consistencies and high scores since 37.5% of the depression in the high-BIS group. Several literatures on BAS RR have
participants scored above the cut-off criteria (scored 14 or above). also reported its adaptive functions on depression (Beevers & Meyer,
2002; Henriques & Davidson, 2000), well-being (Taubitz et al., 2015),
3.2. Intercorrelations between the RST components, ADHD symptoms, and and impulsivity (Leone & Russo, 2009). The BAS Drive associated ne-
internalizing problems gatively with inattention and positively with hyperactivity/impulsivity.
The same result has been obtained in some studies (e.g. Heym et al.,
Results of Spearman's rank correlation analysis are shown in 2015), while others reported association only with externalizing be-
Table 2. In terms of zero-order correlations, BIS showed positive asso- havior (Taubitz et al., 2015) and none with inattention or hyper-
ciation with ADHD symptoms and internalizing problems. BAS Drive activity/impulsivity (Gomez & Corr, 2010). While differentiating
was negatively associated with inattention and depression. Hyper- functionality of impulsiveness, the BAS Drive was related to functional,
activity/impulsivity showed positive associations with all three BAS and not dysfunctional, impulsivity (Leone & Russo, 2009); however, the
components. In terms of partial correlations, BIS was positively asso- ADHD measurement used in this study could include both types of
ciated with inattention and anxiety. The BAS Drive associated nega- impulsivity. The BAS FS showed some maladaptive functions even after
tively with inattention and positively with hyperactivity/impulsivity, controlling for internalizing problems. This result supports the view
RR associated negatively with anxiety, and BAS FS associated positively that the BAS FS may constitute dysfunctional impulsivity (Corr, 2008;
with inattention and hyperactivity/impulsivity. Finally, BIS was Leone & Russo, 2009; Smillie, Jackson, & Dalgleish, 2006).

33
M. Oguchi and F. Takahashi Personality and Individual Differences 144 (2019) 31–35

Table 1
Sample characteristics and descriptive statistics for all analytic variables.
Mean SD kurtosis skewness Median Cronbach's alpha

Age 20.00 1.19 4.16 0.89 20.00


BIS/BAS scale
BIS 21.16 4.20 0.11 −0.50 21.00 0.83
BAS drive 11.12 2.56 −0.25 −0.14 11.00 0.80
BAS reward responsiveness 15.87 2.42 0.31 −0.40 16.00 0.70
BAS fun seeking 12.01 2.46 −0.23 −0.38 12.00 0.73
Adult ADHD self-report scale-v1.1
Inattention 12.48 2.58 0.27 0.02 12.00 0.68
Hyperactivity/impulsivity 5.94 1.73 −0.46 0.14 6.00 0.57
Total ADHD symptoms 18.41 3.59 0.00 −0.01 18.00 0.70
Patient health questionnaire-9
Depression 6.13 4.47 1.45 1.06 6.00 0.82
The 7-item generalized anxiety disorder scale
Anxiety 4.39 4.47 1.09 1.26 3.00 0.89

Note. n = 419. BAS = Behavioral Approach System; BIS = Behavioral Inhibition System.

It seems that the BAS has some multifinality —exposure to the same impulsivity (2 items). Informality and lack of rigor in data collection
cause can result in different outcomes (Cicchetti & Rogosch, 1996). The could influence reliability of the results. Finally, all measures in this
results of this study can provide better understanding of functional and study consisted of self-report questionnaires, meaning that we should
dysfunctional discriminations of impulsivity (Dickman, 1990; Leone & consider the possibility that the confounding effect of shared method
Russo, 2009) on the basis of RST. variance occurred. Future research should include objective and bio-
logical indices of the variables.

4.1. Limitations
4.2. Conclusions
The results of this study must be interpreted with the following
Despite these limitations, our findings illustrated the interrelation-
limitations in mind. First, since this study was cross-sectional, long-
ships between the RST components, ADHD symptoms, and internalizing
itudinal research or experimental investigation should be conducted to
problems. The BIS explains the positive association between inattention
test the validity and causality of the results. Second, direct positive
and anxiety. Although higher hyperactivity/impulsivity apparently
association between ADHD symptoms and depression remained,
correlates with higher BAS, three BAS components showed different
meaning that factors other than neuro-biological basis (e.g. BIS/BAS)
functions: RR negatively associated with depression in the high-BIS
are required to explain associations between externalizing and inter-
group and anxiety, drive negatively associated with inattention, and FS
nalizing problems. Since ADHD symptoms can be context dependent
negatively associated with depression in the high-BIS group and posi-
(Weiss et al., 2008), it is necessary to investigate the effects of specific
tively associated with inattention. Further research is needed to explore
environmental, social, and cognitive factors on psychosocial adjustment
interactions between environmental-social factors and neuro-biological
among adults with severe hyperactivity/impulsivity or inattention. For
factors (e.g. BIS/BAS) to obtain a better understanding of individuals
example, the BAS can be a risk factor for aggressive behavior (Taubitz
who suffer from ADHD symptoms or internalizing problems.
et al., 2015) that is associated with interpersonal conflict or social re-
jection (Dodge, Coie, Pettit, & Price, 1990; Underwood, 2002), which
often leads to depression. Third, our study lacked a clinical sample of Conflicts of interest
people diagnosed with ADHD. Although previous research on dimen-
sional latent structure of ADHD symptoms has reported no distinct The authors have declared that they have no competing or potential
qualities separating those with ADHD from those with subclinical conflicts of interest.
problems (Frazier, Youngstrom, & Naugle, 2007; Marcus, Norris, &
Coccaro, 2012), we need a replication study with clinical samples be- Acknowledgement
fore applying our findings to people diagnosed with ADHD. Further-
more, this study is based on convenient undergraduate sample and This study was supported by grants from the Japan Society for the
relatively few items of inattention (4 items) and hyperactivity/ Promotion of Science to the second author (Grant-in-Aid for Scientific

Table 2
Correlations between the RST components, ADHD symptoms, and internalizing problems.
1 2 3 4 5 6 7 8

⁎⁎ ⁎⁎ ⁎⁎ ⁎⁎
1. BIS – −0.07 0.20 0.00 0.26 0.18 0.30 0.50⁎⁎
2. BAS drive −0.11⁎ – 0.50⁎⁎ 0.50⁎⁎ −0.12⁎ 0.12⁎ −0.11 −0.08
3. BAS reward responsiveness 0.31⁎⁎ 0.28⁎⁎ – 0.66⁎⁎ 0.06 0.14⁎⁎ −0.08 −0.04
4. BAS fun seeking −0.17⁎⁎ 0.23⁎⁎ 0.56⁎⁎ – 0.11⁎ 0.23⁎⁎ −0.08 −0.04
5. Inattention 0.18⁎⁎ −0.19⁎⁎ −0.01 0.13⁎⁎ – 0.36⁎⁎ 0.30⁎⁎ 0.18⁎⁎
6. Hyperactivity/impulsivity 0.04 0.11⁎ −0.04 0.15⁎⁎ 0.28⁎⁎ – 0.31⁎⁎ 0.24⁎⁎
7. Depression −0.07 −0.03 0.00 −0.08 0.20⁎⁎ 0.17⁎⁎ – 0.64⁎⁎
8. Anxiety 0.44⁎⁎ 0.03 −0.12⁎ 0.07 −0.11⁎ 0.03 0.70⁎⁎ –

Note. n = 419. BAS = Behavioral Approach System; BIS = Behavioral Inhibition System. Partial rank correlations are shown below the diagonal. Zero-order rank
correlations are shown above the diagonal.

p < .05.
⁎⁎
p < .01.

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M. Oguchi and F. Takahashi Personality and Individual Differences 144 (2019) 31–35

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