Aggressive antisocial behavior- clinical, cognitive, and behavioral covariates of its persistence

Research output: ThesisDoctoral Thesis (compilation)


Aggressive antisocial behavior is a major challenge to society, and studies on the determinants of its persistence are essential to the development of strategies to prevent violence.

Aims & Methods
The overall aim of the thesis was to establish covariates of persistent aggressive antisocial behavior in a population-based cohort and in clinically evaluated, prospectively followed, offender groups. Specific aims were:
(1) to quantify the persistence of aggressive antisocial behavior,
(2) to identify risk factors for such persistence,
(3) to describe the distribution of psychopathic traits (according to the Psychopathy Checklist-Revised; PCL-R) in relation to clinical factors, and
(4) to determine thinking styles related to aggressive antisocial behavior.

One percent of the Swedish general population was responsible for 63% of all violent crimes between 1973 and 2004. Risk factors for persistence of aggressive antisocial behavior included its early onset, conduct disorder, antisocial personality disorder, and substance-related disorders. In the PCL-R, the Antisocial facet outperformed all other facets and the total score as a predictor of persistence. The Interpersonal facet showed unique clinical attributes. A distorted thinking style characterized by antisocial features was related to aggressive antisocial behavior.

Aggressive antisocial behaviors and clinical factors including externalizing mental health problems aggregate within individuals. The best predictor of future aggressive antisocial behavior is a history of similar behaviors, especially with an early onset. Scientific and clinical efforts aimed to prevent violence have therefore to focus both on early-onset and persistent aggressive antisocial behavior, and their associated clinical and cognitive characteristics.


Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Psychiatry


  • risk assessment, risk factors, externalizing spectrum, mental disorders, persistent criminality, violence, antisocial behavior, prevention
Original languageEnglish
Awarding Institution
Supervisors/Assistant supervisor
  • Henrik Anckarsäter, Supervisor
  • Thomas Nilsson, Supervisor
  • Björn Hofvander, Supervisor
Award date2012 Dec 14
  • Department of Clinical Sciences, Lund University
Print ISBNs978-91-87189-59-3
Publication statusPublished - 2012
Publication categoryResearch

Bibliographic note

Defence details Date: 2012-12-14 Time: 13:00 Place: Aulan, Clinical Research Center (CRC), Skånes universitetssjukhus, Malmö External reviewer(s) Name: Logan, Caroline Title: [unknown] Affiliation: Department of Community Based Medicine, University of Manchester, United Kingdom ---

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Related research output

Märta Wallinius, Johansson, P., Larden, M. & Dernevik, M., 2011, In : Criminal Justice and Behavior. 38, 3, p. 286-301

Research output: Contribution to journalArticle

Nilsson, T., Märta Wallinius, Gustavson, C., Anckarsäter, H. & Kerekes, N., 2011, In : PLoS ONE. 6, 10

Research output: Contribution to journalArticle

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