Predictors of antisocial personality - Continuities from childhood to adult life

Predictors of antisocial personality - Continuities from childhood to adult life
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DOI:
10.1192/bjp.184.2.118
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发表时间:
2004-02-01
影响因子:
10.5
通讯作者:
Rutter, M
Rutter, M
中科院分区:
医学1区
文献类型:
--
作者:
Simonoff, E;Elander, J;Rutter, M

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背景反社会行为在成人生活中有其根源在childhood.Aims探讨独立和联合的影响,儿童的特点对反社会行为的持续到adultes.Method的双胞胎谁是系统地确定在童年的临床样本进行了随访10-25年后。共有225对双胞胎接受了采访,关于儿童和成人精神疾病,社会心理功能,社会心理和认知风险factors.Results单变量分析,儿童多动症和行为障碍表现出同样强大的预测反社会人格障碍(ASPD)和犯罪在早期和中期的成年生活。低智商和阅读问题在他们与儿童和青少年反社会行为的关系中最为突出。在多变量模型中,儿童期品行障碍和多动可预测成人ASPD,即使考虑了干预风险因素。多动和进行症状的数量也预测成人outcome.Conclusions儿童破坏性行为有强大的长期影响成人反社会的结果,持续到成年中期。症状数量、是否存在破坏性障碍和中间经历的重要性突出了干预可能针对的三个领域。资金详情见鸣谢。
Background Antisocial behaviour in adult life has its roots in childhood.Aims To explore the independent and joint effects of childhood characteristics on the persistence of antisocial behaviour into adult life.Method A clinical sample of twins who were systematically ascertained in childhood was followed up 10-25 years later. A total of 225 twins were interviewed regarding childhood and adult psychiatric disorder, psychosocial functioning, and psychosocial and cognitive risk factors.Results Inunivariate analyses, childhood hyperactivity and conduct disorder showed equally strong prediction of antisocial personality disorder (ASPD) and criminality in early and mid-adult life. Lower IQ and reading problems were most prominent in their relationships with childhood and adolescent antisocial behaviour. In multivariate modelling childhood conduct disorder and hyperactivity predicted adult ASPD even when intervening risk factors were accounted for. The number of hyperactive and conduct symptoms also predicted adult outcome.Conclusions Childhood disruptive behaviour has powerful long-term effects on adult antisocial outcomes, which continue into middle adulthood. The importance of number of symptoms, the presence of disruptive disorder, and intermediate experiences highlight three areas where interventions might be targeted.Declaration of interest None. Funding detailed in Acknowledgements.