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Facets of psychopathy among mentally disordered offenders: clinical comorbidity patterns and prediction of violent and criminal behavior.
- Source :
-
Psychiatry research [Psychiatry Res] 2012 Jul 30; Vol. 198 (2), pp. 279-84. Date of Electronic Publication: 2012 Mar 13. - Publication Year :
- 2012
-
Abstract
- The complexity and consequences of psychopathy are still debated, and its relation to other mental disorders, pathological personality traits, and criminality needs to be further investigated by clinical, longitudinal studies using structured diagnostic instruments. The present study used two groups of mentally disordered offenders (N=153) investigated with in-depth clinical assessments and prospective long-term follow-up to identify the convergence between 1) the four facets of psychopathy defined by the Psychopathy Checklist-Revised (PCL-R; Interpersonal, Affective, Lifestyle, and Antisocial), 2) mental disorders according to SCID I and II interviews, 3) personality traits as measured by the Karolinska Scales of Personality, and 4) criminal recidivism. The Interpersonal facet differed substantially from the other three facets by not being significantly associated with substance use disorders, antisocial personality disorder (the other facets at P≤0.001 level), or personality traits involving impulsive and aggressive antisocial behaviors (the other facets at P<0.01 level). Furthermore, the interpersonal facet could not predict violent recidivism better than random. The Antisocial facet outperformed not only the other facets but also the total PCL-R score in the prediction of violent recidivism, P<0.001.The findings confirm psychopathy as a heterogeneous phenomenon and have clinical implications for assessments of psychopathy and violence risk assessments in clinical and forensic contexts.<br /> (Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Comorbidity
Humans
Male
Middle Aged
Personality Inventory statistics & numerical data
Psychiatric Status Rating Scales statistics & numerical data
Recurrence
Risk Factors
Sweden epidemiology
Antisocial Personality Disorder epidemiology
Antisocial Personality Disorder psychology
Crime psychology
Criminals psychology
Mental Disorders epidemiology
Mental Disorders psychology
Violence psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1872-7123
- Volume :
- 198
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Psychiatry research
- Publication Type :
- Academic Journal
- Accession number :
- 22421067
- Full Text :
- https://doi.org/10.1016/j.psychres.2012.01.005