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Adult psychopathic personality with childhood-onset hyperactivity and conduct disorder: a central problem constellation in forensic psychiatry

Anckarsäter, Henrik LU ; Sjödin, Anna-Kari; Carlstedt, Anita and Forsman, Anders (2004) In Psychiatry Research 121(3). p.271-280
Abstract
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... (More)
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. (Less)
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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Forensic psychiatry, Violent crime, Disruptive behavior disorders, Comorbidity, Risk factor
in
Psychiatry Research
volume
121
issue
3
pages
271 - 280
publisher
Elsevier
external identifiers
  • pmid:14675746
  • scopus:0346220376
ISSN
1872-7123
DOI
10.1016/S0165-1781(03)00270-1
language
English
LU publication?
no
id
f877d487-85f5-497a-beb6-178c9131d590 (old id 1129397)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/14675746
http://www.sciencedirect.com/science/article/pii/S0165178103002701
date added to LUP
2013-10-10 14:58:56
date last changed
2017-07-09 03:34:52
@article{f877d487-85f5-497a-beb6-178c9131d590,
  abstract     = {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.},
  author       = {Anckarsäter, Henrik and Sjödin, Anna-Kari and Carlstedt, Anita and Forsman, Anders},
  issn         = {1872-7123},
  keyword      = {Forensic psychiatry,Violent crime,Disruptive behavior disorders,Comorbidity,Risk factor},
  language     = {eng},
  number       = {3},
  pages        = {271--280},
  publisher    = {Elsevier},
  series       = {Psychiatry Research},
  title        = {Adult psychopathic personality with childhood-onset hyperactivity and conduct disorder: a central problem constellation in forensic psychiatry},
  url          = {http://dx.doi.org/10.1016/S0165-1781(03)00270-1},
  volume       = {121},
  year         = {2004},
}