Adult psychopathic personality with childhood-onset hyperactivity and conduct disorder: a central problem constellation in forensic psychiatry
| Autor: | Anita Carlstedt, Anna-Kari Sjödin, Anders Forsman, Henrik Soderstrom |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Child Behavior Disorders Comorbidity Violence Personality Assessment Recurrence medicine Attention deficit hyperactivity disorder Humans Psychiatry Child Expert Testimony Biological Psychiatry Psychopathy Checklist Prisoners Sex Offenses Antisocial Personality Disorder Forensic Psychiatry Middle Aged medicine.disease Personality disorders Substance abuse Aggression Psychiatry and Mental health Mood disorders Conduct disorder Attention Deficit Disorder with Hyperactivity Attention Deficit and Disruptive Behavior Disorders Autism Commitment of Mentally Ill Female Crime Psychology Clinical psychology |
| Zdroj: | Psychiatry research. 121(3) |
| ISSN: | 0165-1781 |
| Popis: | To describe lifetime mental disorders among perpetrators of severe inter-personal crimes and to identify the problem domains most closely associated with aggression and a history of repeated violent criminality, we used structured interviews, clinical assessments, analyses of intellectual functioning, medical and social files, and collateral interviews in 100 consecutive subjects of pretrial forensic psychiatric investigations. Childhood-onset neuropsychiatric disorders [attention-deficit/hyperactivity disorder (AD/HD), learning disability, tics and autism spectrum disorders] affected 55% of the subjects and formed complex comorbidity patterns with adult personality disorders [including psychopathic traits according to the Psychopathy Checklist (PCL-R)], mood disorders and substance abuse. The closest psychiatric covariates to high Lifetime History of Aggression (LHA) scores and violent recidivism were the PCL-R scores and childhood conduct disorder (CD). Behavioral and affective PCL-R factors were closely associated with childhood AD/HD, CD, and autistic traits. The results support the notion that childhood-onset social and behavioral problems form the most relevant psychiatric symptom cluster in relation to pervasive adult violent behavior, while late-onset mental disorders are more often associated with single acts of violent or sexual aggression. |
| Databáze: | OpenAIRE |
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