Article2009

Effects of induced anger in patients with antisocial personality disorder

Jill Lobbestael · Arnoud Roger Arntz · Maaike Cima · Farid Chakhssi

71 citations0/0 files storedPsychological Medicine

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Psychopathy, Forensic Psychiatry, Sexual Offending Personality Traits and Psychology Personality Disorders and Psychopathology

Abstract

BACKGROUND: Anger is the main deregulated emotion in patients with antisocial personality disorder (ASPD). The aim of this study was to examine emotional, cognitive and physiological correlates of anger and compare these between ASPD patients with varying degree of psychopathy (PP) and control groups. METHOD: Assessment of the effect of anger induction on self-reported emotions and schema modes, psychophysiology and implicit reaction-time tasks measuring self-anger and aggressor-swearword associations. Participants (n=147) were patients with DSM-IV antisocial (n=21), borderline (n=45) and cluster C personality disorder (n=46) and non-patient controls (n=35). RESULTS: Groups did not differ in self-reported anger. ASPD patients displayed a decrease in heart rate and systolic blood pressure (SBP) and stronger implicit self-anger associations. ASPD patients scoring low on affective PP reported less negative emotions and displayed a greater decrease in diastolic blood pressure (DBP). CONCLUSIONS: ASPD patients did not display a deviant self-reported anger but physiological hyporesponsivity and cognitive hyper-responsivity. This ASPD anger response might reflect a controlled predatory-like fight preparation.

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References

1993Cognitive-Behavioral Treatment of Borderline Personality Disorder 1993Handbook of Emotions 1997Structured clinical interview for DSM-IV axis II personality disorders : SCID-II 2013The Development and Treatment of Childhood Aggression 1951The Mask of Sanity 2006The Single Category Implicit Association Test as a measure of implicit social cognition.1996Psychopathy in instrumental and reactive violent offenders.1991The structure and function of reactive and proactive aggression.

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2021Heart rate and skin conductance associations with physical aggression, psychopathy, antisocial personality disorder and conduct disorder: An updated meta-analysis 2009Emotional, cognitive and physiological correlates of abuse-related stress in borderline and antisocial personality disorder 2012Emotion regulation in psychopathy 2013Mental health correlates of anger in the general population: Findings from the 2007 National Survey of Mental Health and Wellbeing

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