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Life History of Aggression scores are predicted by childhood hyperactivity, conduct disorder, adult substance abuse, and low cooperativeness in adult psychiatric patients.

Hofvander, Björn LU ; Ståhlberg, Ola ; Nydén, Agneta ; Wentz, Elisabet ; Degl'innocenti, Alessio ; Billstedt, Eva ; Forsman, Anders ; Gillberg, Christopher ; Nilsson, Thomas and Råstam, Maria LU orcid , et al. (2011) In Psychiatry Research 185(1-2). p.280-285
Abstract
The prevention of aggressive behaviours is a core priority for psychiatric clinical work, but the association between the diagnostic concepts used in psychiatry and aggression remains largely unknown. Outpatients referred for psychiatric evaluations of childhood-onset neuropsychiatric disorders (n=178) and perpetrators of violent crimes referred to pre-trial forensic psychiatric investigations (n=92) had comprehensive, instrument-based, psychiatric assessments, including the Life History of Aggression (LHA) scales. Total and subscale LHA scores were compared to the categorical and dimensional diagnoses of childhood and adult DSM-IV axis I and II mental disorders, general intelligence (IQ), Global Assessment of Functioning (GAF), and... (More)
The prevention of aggressive behaviours is a core priority for psychiatric clinical work, but the association between the diagnostic concepts used in psychiatry and aggression remains largely unknown. Outpatients referred for psychiatric evaluations of childhood-onset neuropsychiatric disorders (n=178) and perpetrators of violent crimes referred to pre-trial forensic psychiatric investigations (n=92) had comprehensive, instrument-based, psychiatric assessments, including the Life History of Aggression (LHA) scales. Total and subscale LHA scores were compared to the categorical and dimensional diagnoses of childhood and adult DSM-IV axis I and II mental disorders, general intelligence (IQ), Global Assessment of Functioning (GAF), and personality traits according to the Temperament and Character Inventory (TCI). Overall, the two groups had similar LHA scores, but the offender group scored higher on the Antisocial subscale. Higher total LHA scores were independently associated with the hyperactivity facet of attention-deficit/hyperactivity disorder (AD/HD), childhood conduct disorder, substance-related disorders, and low scores on the Cooperativeness character dimension according to the TCI. IQ and GAF-scores were negatively correlated with the LHA subscale Self-directed aggression. Autistic traits were inversely correlated with aggression among outpatients, while the opposite pattern was noted in the forensic group. The findings call for assessments of aggression-related behaviours in all psychiatric settings. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Psychiatry Research
volume
185
issue
1-2
pages
280 - 285
publisher
Elsevier
external identifiers
  • wos:000287113000047
  • pmid:20605639
  • scopus:78650214511
ISSN
1872-7123
DOI
10.1016/j.psychres.2010.05.008
language
English
LU publication?
yes
id
4a33ed0a-9637-44f1-8e40-9b7bc3de576f (old id 1645267)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20605639?dopt=Abstract
date added to LUP
2016-04-04 08:43:08
date last changed
2022-04-15 20:40:48
@article{4a33ed0a-9637-44f1-8e40-9b7bc3de576f,
  abstract     = {{The prevention of aggressive behaviours is a core priority for psychiatric clinical work, but the association between the diagnostic concepts used in psychiatry and aggression remains largely unknown. Outpatients referred for psychiatric evaluations of childhood-onset neuropsychiatric disorders (n=178) and perpetrators of violent crimes referred to pre-trial forensic psychiatric investigations (n=92) had comprehensive, instrument-based, psychiatric assessments, including the Life History of Aggression (LHA) scales. Total and subscale LHA scores were compared to the categorical and dimensional diagnoses of childhood and adult DSM-IV axis I and II mental disorders, general intelligence (IQ), Global Assessment of Functioning (GAF), and personality traits according to the Temperament and Character Inventory (TCI). Overall, the two groups had similar LHA scores, but the offender group scored higher on the Antisocial subscale. Higher total LHA scores were independently associated with the hyperactivity facet of attention-deficit/hyperactivity disorder (AD/HD), childhood conduct disorder, substance-related disorders, and low scores on the Cooperativeness character dimension according to the TCI. IQ and GAF-scores were negatively correlated with the LHA subscale Self-directed aggression. Autistic traits were inversely correlated with aggression among outpatients, while the opposite pattern was noted in the forensic group. The findings call for assessments of aggression-related behaviours in all psychiatric settings.}},
  author       = {{Hofvander, Björn and Ståhlberg, Ola and Nydén, Agneta and Wentz, Elisabet and Degl'innocenti, Alessio and Billstedt, Eva and Forsman, Anders and Gillberg, Christopher and Nilsson, Thomas and Råstam, Maria and Anckarsäter, Henrik}},
  issn         = {{1872-7123}},
  language     = {{eng}},
  number       = {{1-2}},
  pages        = {{280--285}},
  publisher    = {{Elsevier}},
  series       = {{Psychiatry Research}},
  title        = {{Life History of Aggression scores are predicted by childhood hyperactivity, conduct disorder, adult substance abuse, and low cooperativeness in adult psychiatric patients.}},
  url          = {{https://lup.lub.lu.se/search/files/5193792/1686461.pdf}},
  doi          = {{10.1016/j.psychres.2010.05.008}},
  volume       = {{185}},
  year         = {{2011}},
}