Development of Antisocial Personality Disorder in Detained Youths: The Predictive Value of Mental Disorders

Department of Psychiatry and Behavioral Sciences , Northwestern University, Evanston, Illinois, United States
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 05/2007; 75(2):221-31. DOI: 10.1037/0022-006X.75.2.221
Source: PubMed


Antisocial personality disorder (APD) is a serious public and mental health concern. Understanding how well conduct disorder (CD) and other mental disorders predict the development of APD among youths involved in the juvenile justice system is critical for prevention. The authors used a stratified random sample of 1,112 detained youths to examine the development of APD at a 3-year follow-up interview. Nearly one fifth of male juvenile detainees later developed APD; approximately one quarter of male juvenile detainees with CD at baseline later developed APD. Significantly more males than females developed APD; no differences were found by race/ethnicity. Having 5 or more symptoms of CD, dysthymia, alcohol use disorder, or generalized anxiety disorder was significantly associated with developing modified APD (M-APD; APD without the CD requirement). Some disorders were strong predictors of APD; however, none were adequate screeners for identifying which detainees would later develop M-APD. The findings of this study have implications for interventions and further research in developmental psychopathology.

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    • "The most frequent causes of recurrent crimes prove to be unresolved social problems (lack of permanent accommodation, means for simplest daily life things, food, lack of documents, job, relatives who would be ready to accept them and help them etc.) which the minors face after being released (Lukin, 1993; Dementieva, 2000; Zmanovskaya, 2003; Alekseeva, 1997; Washburn et al., 2007). The basis for repeated crime can also become unfavorable situation in the family as of the minor's release, conflict relationships with the family members. "

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    • "For example, anxiety in adolescent females was found to increase the risk for future offending (Plattner et al., 2009). The previously mentioned high levels of ASPD and BPD found during detention by Kaszynski and colleagues (Kaszynski et al., 2014) are much lower than those found in young adulthood after adolescent detainment (Washburn et al., 2007; van der Molen et al., 2013). This difference might possibly indicate low stability of these personality disorders in adolescence and during detention. "
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    ABSTRACT: This longitudinal study investigated the predictive value of trauma and mental health problems for the development of antisocial personality disorder (ASPD) and borderline personality disorder (BPD) in previously detained women. The participants were 229 detained adolescent females who were assessed for traumatic experiences and mental health problems (mean age = 15.5 years). Three to 6 years later (M = 4.5; SD = 0.6), ASPD and BPD were diagnosed with a semistructured interview. Forty percent of the women had a personality disorder (i.e., ASPD 15.8%, BPD 9.2%, or both ASPD and BPD 15.2%). Posttraumatic stress, depressive symptoms, and dissociation during detention increased the risk for BPD in adulthood. Surprisingly, neither conduct problems nor substance dependence predicted ASPD; these findings require further study because they add to the controversy surrounding ASPD in females. The high prevalence rates of personality disorders indicate the need for intervention programs that target these unwanted outcomes. (PsycINFO Database Record (c) 2014 APA, all rights reserved)
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    • "Thus far, research in the area has only painted very broad brushstrokes regarding male, female, White, Black differences. In terms of the prevalence of CD, it appears to be lower for females (APA, 2000; Cale & Lilienfeld, 2002; Kim-Cohen et al., 2003; Maughan et al., 2000; Washburn et al., 2007) and Blacks (Coid et al., 2002; Costello, Keeler, & Angold, 2001; Nock, Kazdin, Hiripi, & Kessler, 2007; Robins & Regier, 1991; cf. Bird et al., 2001; Lahey et al., 1995). "
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    ABSTRACT: The present study used data on prisoners to advance our understanding of the joint effects of sex, race, and psychopathology, specifically antisocial personality disorder (APD) and Psychopathy, on criminal violence. The sample comprised 3,525 male and 1,579 female inmates between the ages of 18 and 45 years who were incarcerated in state prisons in Wisconsin at the time of data collection. Multivariate analyses were used to examine all sex–race–psychopathology combinations. The findings indicate that Black males and females with comorbid APD and Psychopathy were more likely to commit violent crime than similarly situated White males. While gendered patterns of aggression may characterize males and females in the aggregate, the present study clearly highlights the importance of considering sex/race subgroups when examining the relationship between psychopathology and violent crime.
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