Article2005

Predicting Future Antisocial Personality Disorder in Males From a Clinical Assessment in Childhood.

Benjamin B. Lahey · Rolf Loeber · Jeffrey D. Burke · Brooks E. Applegate

223 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Psychopathy, Forensic Psychiatry, Sexual Offending Child and Adolescent Psychosocial and Emotional Development Personality Disorders and Psychopathology

Abstract

It is essential to identify childhood predictors of adult antisocial personality disorder (APD) to target early prevention. It has variously been hypothesized that APD is predicted by childhood conduct disorder (CD), attention-deficit/hyperactivity disorder (ADHD), or both disorders. To test these competing hypotheses, the authors used data from a single childhood diagnostic assessment of 163 clinic-referred boys to predict future APD during early adulthood. Childhood Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.; American Psychiatric Association, 1987) CD, but not ADHD, significantly predicted the boys' subsequent APD. An interaction between socioeconomic status (SES) and CD indicated that CD predicted APD only in lower SES families, however. Among children who met criteria for CD, their number of covert but not overt CD symptoms improved prediction of future APD, controlling for SES.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1993Adolescence-limited and life-course-persistent antisocial behavior: A developmental taxonomy.1975Four Factor Index of Social Status 1988Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) American Psychiatric Association (1987). American Psychiatric Press, Inc., 1400 K Street, NW, Washington, DC 20005. 567 pp., $39.95 hardcover; $29.95 softcover.2003Prior Juvenile Diagnoses in Adults With Mental Disorder 1979Advances in Clinical Child Psychology 2002Males on the life-course-persistent and adolescence-limited antisocial pathways: Follow-up at age 26 years 1991Psychiatric disorders in America

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