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

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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; Ståhlberg, Ola; Nydén, Agneta; Wentz, Elisabet; Degl'innocenti, Alessio; Billstedt, Eva; Forsman, Anders; Gillberg, Christopher; Nilsson, Thomas; Råstam, Maria; Anckarsäter, Henrik.

I: Psychiatry Research, Vol. 185, Nr. 1-2, 2011, s. 280-285.

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Hofvander, Björn ; Ståhlberg, Ola ; Nydén, Agneta ; Wentz, Elisabet ; Degl'innocenti, Alessio ; Billstedt, Eva ; Forsman, Anders ; Gillberg, Christopher ; Nilsson, Thomas ; Råstam, Maria ; Anckarsäter, Henrik. / Life History of Aggression scores are predicted by childhood hyperactivity, conduct disorder, adult substance abuse, and low cooperativeness in adult psychiatric patients. I: Psychiatry Research. 2011 ; Vol. 185, Nr. 1-2. s. 280-285.

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TY - JOUR

T1 - Life History of Aggression scores are predicted by childhood hyperactivity, conduct disorder, adult substance abuse, and low cooperativeness in adult psychiatric patients.

AU - Hofvander, Björn

AU - Ståhlberg, Ola

AU - Nydén, Agneta

AU - Wentz, Elisabet

AU - Degl'innocenti, Alessio

AU - Billstedt, Eva

AU - Forsman, Anders

AU - Gillberg, Christopher

AU - Nilsson, Thomas

AU - Råstam, Maria

AU - Anckarsäter, Henrik

PY - 2011

Y1 - 2011

N2 - 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.

AB - 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.

U2 - 10.1016/j.psychres.2010.05.008

DO - 10.1016/j.psychres.2010.05.008

M3 - Article

VL - 185

SP - 280

EP - 285

JO - Psychiatry Research

T2 - Psychiatry Research

JF - Psychiatry Research

SN - 1872-7123

IS - 1-2

ER -